Person-Centered Therapy
      ~ Carl Rogers ~
Carl Rogers
         (1902-1987)

The Founder of Person-Centered
          Therapy
“The Quiet Revolutionary”
 Introduced his revolutionary ideas in the 1940s


 Ideas were in stark contrast to psychoanalysis
  and directive approaches

 Shifted focus of therapy from an emphasis on
  technique to that of the relationship
Client vs. Patient

 Introduced the term “client”


 Believed in the equality of client and therapist
Rogers’ Central Hypothesis

“If I can provide a certain type of relationship,
the other will discover within himself the
capacity to use that relationship for growth,
and change and personal development will
occur.” (Carl Rogers)
Rogers’ Central Ideas
 Encouraged clients to reflect on their
  experience

 Believed it was necessary for nonjudgmental
  listening and acceptance to promote change
Rogers Focused on Research
   Stated concepts as testable hypotheses and submitted them to
    research

   Recorded his sessions for the purpose of research

   Defined his theory in operational terms

   Displayed a questioning stance and a deep openness to change

   Feared institutionalization would lead to a narrow, rigid, and
    dogmatic perspective.
Carl Rogers
 “The therapist, author, and person were the
  same man.” (Cain, 1987)

 Had a major impact on the field of
  psychotherapy
Other Contributions
 Now over 200 therapeutic approaches of
 client-centered therapy

 Innovations in Person-Centered Therapy:
     Virginia Axline made contributions to person centered therapy
      with children and play therapy
     Johnson and Greenberg applied the person-centered approach to
      working with couples and families
Assumptions
 People are trustworthy by nature
 They have the capacity to understand and
  resolve their own problems
 They are innately resourceful and capable
 Clients can understand what is making them
  unhappy
Humanism
 An alternative to psychoanalytic and
  behavioral approaches
 Respect and trust the client
 Everyone has a natural potential
 The person-centered approach rests on
  humanism
Key Concepts

 Congruence
 Unconditional Positive Regard
 Accurate empathic understanding
Therapeutic Goals

 Greater degree of independence
 Focus on the person, not the problem
 Must first get through the masks clients wear
  to get to the goal
Therapist Function and Role

 Their role is to be an instrument for change
 Be present and accessible
Relationship between Therapist and
               Client
 Characterized by equality
 Therapists are transparent, true to themselves,
  authentic
Assessments

 Shy away from assessments and tests
 Shy away from case histories
 What matters is the client’s self assessment
Incorporating Person-Centered
      Therapy Across Cultures

• In the 1970s Rogers and his associates began forming
  encounter group workshops which provided
  participants with multicultural experiences

• Trained policymakers, world leaders, and groups in
  conflict

      Northern Ireland- Protestants and Catholics
      South African groups of conflict- Whites and Blacks
Person-Centered Therapy Across
               Cultures

• Person-Centered therapy is used in foreign regions
  including: Australia, Japan, South America and Central
  America

• Models of the therapy have been blended with the
  techniques of other cultures in these foreign regions

• Nobel Peace Prize Nominee
Cautions Toward Using Person-
           Centered Techniques

•   Cautions against making assumptions about
    clients based on their cultural background.

•   No stereotyping !

•   A therapist must hold off on judging the
    client’s cultural background too quickly.
Limitations to Multicultural
               Counseling

• Desire for more structure than is provided by person-
  centered therapy

• The clinician does not tend to offer suggestions

• Solutions is not found to be useful in some cultures
Limitations Continued…

• The stigma of mental health care

• Receiving therapy might be seen as a sign of weakness
  or as taboo.

• Therapy might be a last resort for most
Limitations to Multicultural
           Counseling

Direct vs. Indirect Styles of Communication

• Person-centered Therapy is indirect

• It is difficult to transfer core elements of the therapy
  into actual practice in certain cultures.

• Direct- African American Cultures
• Indirect- Asian Cultures
Limitations to Multicultural
          Counseling

Collectivism vs. Individualism

• Person-centered therapy is individual focused
• Some ethnic groups and cultures value collectivism
  more than individualism.

• Collective- Native American Cultures
• Individual- United States of America
Effective with:
       Anxiety disorder
          Alcoholism

   Psychosomatic problems
         Agoraphobia

   Interpersonal difficulties
          Depression

            Cancer

     Marriage and family


            (Corey)
Why so effective…
 Belief that the client is the central figure in
  therapy (Gurman & Messer, 1997)
 Optimistic and accepting
 Play therapy effective with children (Hunter,
  1993)
Crisis Intervention
 Unwanted pregnancy
 Illness
 Loss of a loved one
     Many times used by nurses because they are the
      first to interact with patients
Problems with Person Centered
                Therapy
 Borderline Personality Disorder
     Modified versions of Person-Centered therapy may
      be effective but none exist
     Needs to recognize the disorder (not just focus on
      the person)
 Schizophrenia
  – Needs to recognize the disorder
  (Van Blarikom, 2008)
Criticism
 Rogers is overly optimistic
 Concepts covered in therapy must generalize
  to real life
     Creates maladjustment in clients
Criticism…
 “Empathy only evolves if the therapist is
  genuinely interested in entering the client’s
  world and actually is concerned about the
  client” (Kensit, 2000)
Criticism…
 “Although Rogers stresses that acceptance is
  not the same as approval, where do we draw
  the line? Do we allow sociopathic criminals to
  spend hours in therapy providing insight into
  their morbid and inhumane delights without
  any form of direction or confrontation?”
  (Kensit, 2000)

Person Centered Therapy

  • 1.
    Person-Centered Therapy ~ Carl Rogers ~
  • 2.
    Carl Rogers (1902-1987) The Founder of Person-Centered Therapy
  • 3.
    “The Quiet Revolutionary” Introduced his revolutionary ideas in the 1940s  Ideas were in stark contrast to psychoanalysis and directive approaches  Shifted focus of therapy from an emphasis on technique to that of the relationship
  • 4.
    Client vs. Patient Introduced the term “client”  Believed in the equality of client and therapist
  • 5.
    Rogers’ Central Hypothesis “IfI can provide a certain type of relationship, the other will discover within himself the capacity to use that relationship for growth, and change and personal development will occur.” (Carl Rogers)
  • 6.
    Rogers’ Central Ideas Encouraged clients to reflect on their experience  Believed it was necessary for nonjudgmental listening and acceptance to promote change
  • 7.
    Rogers Focused onResearch  Stated concepts as testable hypotheses and submitted them to research  Recorded his sessions for the purpose of research  Defined his theory in operational terms  Displayed a questioning stance and a deep openness to change  Feared institutionalization would lead to a narrow, rigid, and dogmatic perspective.
  • 8.
    Carl Rogers  “Thetherapist, author, and person were the same man.” (Cain, 1987)  Had a major impact on the field of psychotherapy
  • 9.
    Other Contributions  Nowover 200 therapeutic approaches of client-centered therapy  Innovations in Person-Centered Therapy:  Virginia Axline made contributions to person centered therapy with children and play therapy  Johnson and Greenberg applied the person-centered approach to working with couples and families
  • 10.
    Assumptions  People aretrustworthy by nature  They have the capacity to understand and resolve their own problems  They are innately resourceful and capable  Clients can understand what is making them unhappy
  • 11.
    Humanism  An alternativeto psychoanalytic and behavioral approaches  Respect and trust the client  Everyone has a natural potential  The person-centered approach rests on humanism
  • 12.
    Key Concepts  Congruence Unconditional Positive Regard  Accurate empathic understanding
  • 13.
    Therapeutic Goals  Greaterdegree of independence  Focus on the person, not the problem  Must first get through the masks clients wear to get to the goal
  • 14.
    Therapist Function andRole  Their role is to be an instrument for change  Be present and accessible
  • 15.
    Relationship between Therapistand Client  Characterized by equality  Therapists are transparent, true to themselves, authentic
  • 16.
    Assessments  Shy awayfrom assessments and tests  Shy away from case histories  What matters is the client’s self assessment
  • 17.
    Incorporating Person-Centered Therapy Across Cultures • In the 1970s Rogers and his associates began forming encounter group workshops which provided participants with multicultural experiences • Trained policymakers, world leaders, and groups in conflict  Northern Ireland- Protestants and Catholics  South African groups of conflict- Whites and Blacks
  • 18.
    Person-Centered Therapy Across Cultures • Person-Centered therapy is used in foreign regions including: Australia, Japan, South America and Central America • Models of the therapy have been blended with the techniques of other cultures in these foreign regions • Nobel Peace Prize Nominee
  • 19.
    Cautions Toward UsingPerson- Centered Techniques • Cautions against making assumptions about clients based on their cultural background. • No stereotyping ! • A therapist must hold off on judging the client’s cultural background too quickly.
  • 20.
    Limitations to Multicultural Counseling • Desire for more structure than is provided by person- centered therapy • The clinician does not tend to offer suggestions • Solutions is not found to be useful in some cultures
  • 21.
    Limitations Continued… • Thestigma of mental health care • Receiving therapy might be seen as a sign of weakness or as taboo. • Therapy might be a last resort for most
  • 22.
    Limitations to Multicultural Counseling Direct vs. Indirect Styles of Communication • Person-centered Therapy is indirect • It is difficult to transfer core elements of the therapy into actual practice in certain cultures. • Direct- African American Cultures • Indirect- Asian Cultures
  • 23.
    Limitations to Multicultural Counseling Collectivism vs. Individualism • Person-centered therapy is individual focused • Some ethnic groups and cultures value collectivism more than individualism. • Collective- Native American Cultures • Individual- United States of America
  • 24.
    Effective with:  Anxiety disorder  Alcoholism  Psychosomatic problems  Agoraphobia  Interpersonal difficulties  Depression  Cancer  Marriage and family (Corey)
  • 25.
    Why so effective… Belief that the client is the central figure in therapy (Gurman & Messer, 1997)  Optimistic and accepting  Play therapy effective with children (Hunter, 1993)
  • 26.
    Crisis Intervention  Unwantedpregnancy  Illness  Loss of a loved one  Many times used by nurses because they are the first to interact with patients
  • 27.
    Problems with PersonCentered Therapy  Borderline Personality Disorder  Modified versions of Person-Centered therapy may be effective but none exist  Needs to recognize the disorder (not just focus on the person)  Schizophrenia – Needs to recognize the disorder (Van Blarikom, 2008)
  • 28.
    Criticism  Rogers isoverly optimistic  Concepts covered in therapy must generalize to real life  Creates maladjustment in clients
  • 29.
    Criticism…  “Empathy onlyevolves if the therapist is genuinely interested in entering the client’s world and actually is concerned about the client” (Kensit, 2000)
  • 30.
    Criticism…  “Although Rogersstresses that acceptance is not the same as approval, where do we draw the line? Do we allow sociopathic criminals to spend hours in therapy providing insight into their morbid and inhumane delights without any form of direction or confrontation?” (Kensit, 2000)