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Counseling or Psychotherapy? Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings How Practitioners Implement Them May Vary With More Education and Training You Can Do Counseling and Eventually Psychotherapy CHAPTER 3 THEORETICAL APPROACHES TO HUMAN SERVICE WORK
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Counseling or Psychotherapy? Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings How Practitioners Implement Them May Vary.

Dec 23, 2015

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Penelope Casey
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Page 1: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Counseling or Psychotherapy?

Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings

How Practitioners Implement Them May Vary

With More Education and Training You Can Do Counseling and Eventually Psychotherapy

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 2: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Individual Versus Systems Approach to Clients

Individual Approach: Person Can Change e.g., Viktor Frankl, William Glasser

Systems Approach: Lives Are Seen Contextually e.g., Social and Family Systems

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 3: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Why Have a Theory?

Offers Us a Comprehensive System of Doing Counseling

Helps Us Understand Clients, Offers Techniques, and Predicts Change

Theories Are Heuristic: They Are Researchable and Testable.

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 4: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Views of Human Nature

Basis for Our Understanding of Theory

Major Orientations: Psychodynamic, Behavioral, Humanistic, & Cognitive

Offers Explanations for Why People Are Motivated to Do the Things They Do.

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 5: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Deterministic Versus Antideterministic View of Human Nature Deterministic View Asserts That There is Little

Ability for the Person to Change

Determinism: Early Childhood, Biology, Genetics Determine Later Psychological Makeup Often Adheres to Medical Model

Antideterministic View Has Belief in the Ability of the Individual to Change

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 6: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Directive Versus Nondirective Approach to Clients

Directive View Believes Clients Need Guidance in the Change Process

Nondirective View Has Trust in the Client's Own Ability to Make Change

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 7: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Integrative Approach

Few Are Strictly Deterministic, Antideterministic, Directive, or Nondirective

Most People Today Take On an Integrative Approach Which Reflects Their Own Views of Human Nature

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 8: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Major Theoretical Orientations Psychodynamic Approach

Originated by the Psychoanalytic Approach of Sigmund Freud

Freud Started Using Hypnosis: E.g., Conversion Reaction in Patients

Freud Developed a Complex Theory of Development See Chapter 5

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 9: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

The Psychodynamic View of Human Nature

More Deterministic than Other Approaches: Freud, Others e.g., Kohut, Erikson, Adler, Jung

Believes That Drives Motivate Behavior and are Somewhat Unconscious

Believes Perceptions of our Childhood and Actual Events in Combination with Our Drives Affects Our Psyche and our Later Adult Development

Purpose: To Help the Person Understand Childhood Experiences, and How, in Combination with the Individual's Drives, They Motivate the Person.

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 10: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Key Concepts of the Psychodynamic Approach

Developmental Stages Especially Freud

Early Patterns of Behaviors Are Repeated with our Significant Others

Transference

The Human Service Professional's Use of the Psychodynamic Approach

Offers a Developmental Model to Understand the Individual

Helps Us Particularly to Understand Deviant Behavior

Gives Us an Understanding of the Importance of “Countertransference”

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 11: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Behavioral Approach Three Main Orientations

Classical Conditioning Pavlov: CS Paired with UCS yields UCR Operant Conditioning Skinner: Skinner Box

Social‑learning, or Modeling Bandura: Bobo Dolls

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 12: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

The Behavioral View of Human Nature

All Behavior is Learned

We are Conditioned by Reinforcers in our Environment

Antideterministic: What was Learned Can Be Relearned

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 13: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Some Applications of the Behavioral Approach

Token Economy

Treatment of Phobias

Learning of Assertive Behavior The Human Service Professional's Use of the Behavioral

Approach

One of the Most Commonly Used Approaches

E.g., Token Economies with the Mentally Retarded

E.g., Use of Reinforcement e.g., Weight Loss, Behavior Change, Stop Smoking

E.g., Modeling via Role‑playing

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 14: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Humanistic Approach

Some Key People: Carl Rogers, Rollo May, and Abraham Maslow

Highlights the Strengths and Positive Aspects of the Individual

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 15: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

The Humanistic View of Human Nature

Origins in Existential Philosophy and Phenomenology

Antideterministic: We Have Choices and We Constantly Create Our Existence

Born with Some Type of Actualizing Tendency

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 16: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Key Concepts of the Humanistic Approach

Person‑centered Approach of Carl Rogers

Empathy, Unconditional Positive Regard, & Genuineness

Maslow: Hierarchical Approach of Needs

The Human Service Professional's Use of the Humanistic Approach

Maslow's Hierarchy: A way of understanding the development of the person

Empathy, Being Nonjudgmental, & Being Genuine: Essential Qualities & Skills

Importance of the Helper/Client Relationship has Become Key

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 17: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Cognitive Approach

Two Key Theorists: Albert Ellis and Aaron Beck

Stresses How Cognitions Affect our Behaviors and How we Feel

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 18: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

The Cognitive View of Human Nature

Not Born with Innate Goodness or Evil, Rational or Irrational Beings

Thinking Can Be Changed Through Counterconditioning

Antideterministic: We can Change Thinking, and Ultimately Behaviors and Feelings

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 19: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Key Concepts of the Cognitive Approach

Less Emphasis on Qualities of the Helper/Client Relationship

Stresses Importance of Extinguishing Past Destructive Ways of Thinking

Stresses Importance of Practicing New, Positive Ways of Thinking

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 20: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

The Human Service Professional's Use of the Cognitive Approach

Have Not Been Widely Adopted, but Could Be Beneficial For Clients

Helping Clients Understand the Connection Between Thinking, Behaving, and Feeling Can Dramatically Impact How They Interact in the World

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 21: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Cross Theoretical Approaches

Eclecticism or Integrative Approaches to CounselingDraws from a Number of Different Orientations

Not “Shooting from the Hip”: Must Carefully Reflect on View of Human Nature

Formation of an Eclectic Approach Is a Developmental Process: 1 - Chaos Stage

2 - Coalescent Stage

3 - Theoretical Integration Stage

4 - Metatheory Stage

Page 22: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Brief and Solution‑focused CounselingDefined as Anywhere from a 2 to 50 Sessions

Garfield Suggests Four Stages:

1 Building the Relationship and Assessing the Problem

2 Developing a Plan for the Client and Working on the Problem

3 Reformulating Plan Based on New Info & Client Feedback

4 Termination

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 23: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Gender Aware ApproachesFeminist Therapy and Men’s Issues Therapy

Considers Gender Central to the Helping Relationship

Views Problems Within Social Context & Examines Gender Injustices

Encourages Collaborative and Equal Relationship with Client

Client’s Choose Gender Roles Regardless of Political Correctness

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 24: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Ethical and Professional Issues The Importance of Supervision for the Human Service

ProfessionalHelps You Review: 1 View of Human Nature, 2 Theoretical Approach,

3 Effectiveness

Should Continue as Long as One Is Working with Clients

Supervisor Roles:

1 Assuring the Welfare of the Client

2 Assuring Ethical, Legal, and Professional Standards are Upheld

3 Overseeing Development of and Evaluating the Supervisee

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 25: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

Confidentiality and the Helping Relationship When to Keep Confidentiality and When to Break it see p. 82-83 of

book Tarasoff Case and Breaking Confidentiality Refer to NOHSE Ethical Guidelines Difference Between Confidentiality and Privileged Communication

Dual Relationships and the Human Service Professional

Refers to things like: Social, Work, Sexual Relationships with Clients

Unethical and May Be Illegal See NOHSE Ethical Guidelines

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK

Page 26: Counseling or Psychotherapy?  Both Counseling and Psychotherapy Rely on the Same Theoretical Underpinnings  How Practitioners Implement Them May Vary.

The Developmentally Mature Human Service Professional: Committed to a Counseling Approach and Willing to Change

Commitment with Relativism: Reflecting on Different Approaches, Choosing an Approach, Being Willing to Change as You Receive New Info

CHAPTER 3THEORETICAL APPROACHES TO HUMAN SERVICE WORK