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Psychoanalytic Therapy
Human Personality:
2. The Ego balance between the id and superego, seeking to achieve the ids desires
by rational means
3. The Superego concerned with morality and ethics to guide behavior towards the
acceptable
This includes:
1. Dreams
2. Slip of the tongue
Psychoanalytic Therapy
- Unconscious processes are at the root of all forms of neurotic symptoms and
of behavior, and the repressed materials that interfere with healthy functioning.
Anxiety
- Develops out of a conflict among the id, ego, and superego over control of available
psychic energy
3 kinds of Anxiety:
1. Reality anxiety fear of danger from the external world and the level of such
2. Neurotic anxiety fear that the instincts will get out of hand and cause one to do
conscious tend to feel guilty when they do something contrary to their moral code
- Neurotic and Moral anxieties are evoked by threats to the balance of power within
the person. They signal to the ego that unless appropriate measures are taken, the
danger may increase until the ego is overthrown. When the ego cant control the
behavior.
Defense Mechanisms
distorting reality. These are tactics which the Ego develops to help deal with the Id
REPRESSION - When the mind takes the trail from the conscious area or the
One of the most important Freudian processes, it is the basis of many other ego
later behavior.
Repressed memories do not disappear. They can have an accumulative effect and
Example: A child who is abused by a parent later has no recollection of the events.
distorting what the individual thinks, feels, or perceives in a traumatic situation. This
conscious levels.
Example: A man hears that his wife has been killed, and yet refuses to believe it, still
setting the table for her and keeping her clothes and other accouterments in the
bedroom.
disturbing desires, people do not have to face the anxiety that would result if they
were to recognize these dimensions of themselves. Individuals may conceal hate with
a facade of love, be extremely nice when they harbor negative reactions, or mask
impulse.
unfriendly.
Also, appears where we see our own traits in other people, as in the false consensus
effect/ Thus, we see our friends as being more like us than they really are.
Example: I do not like another person. But I have a value that says I should like
everyone. So, I project onto them that they do not like me. This allows me to avoid
shifting from a threatening object to a safer target. For example, the meek man
who feels intimidated by his boss comes home and unloads inappropriate hostility
is inaccessible.
Phobias may also use displacement as a mechanism for releasing energy that is
Example: A woman, rejected by her boyfriend, goes out with another man on the
rebound.
In the face of severe stress or extreme challenge, individuals may attempt to cope
with their anxiety by clinging to immature and inappropriate behaviors. For example,
children who are frightened in school may indulge in infantile behavior such as
Development of Personality:
-it is when the Infants pleasure centers on the mouth. The child receives
oral gratification by sucking at its mothers breast. By doing so, the child
receives both the nutrition and love it needs. Children who do not bond
with a parent, or ones who do not receive proper nutrition may become
associated with it. The child becomes potty trained. During this period the
child learns independence and personal power. A child who does not
successfully complete this stage may feel inferior, and depend on others
instead of themselves.
stage is when the child experiences unconscious desires for the opposite
sex parent. This often resolves itself through wanting love and acceptance
from the opposite sex parent. The child may also possess anxiety or fear
For boys, it is known as the Oedipus complex, and for girls it is known as
of an intense desire to replace the parent of the same sex and enjoy the
-The child represses all interest in sexuality and develops social and
now becomes someone outside the family. This stage is the time when a
The human behavior and mind investigation can be done with the help from
They are based on the thoughts, unconscious feelings and events from the
childhood. There are topics the patient discusses about with the therapist
and some of them are fantasies, dreams, feelings and thoughts responsible
for the development of mental problems. The problem is also created due to
the unconscious conflicts and this is something the therapist will show to the
disorder, anxiety disorder and other problems may be treated with the help
THERAPEUTIC GOALS:
long-term therapy process.After some face-to-face sessions with the analyst, clients
lie on a couch and free-associate (saying whatever comes to mind without self-
and reduces the stimuli that might interfere with getting in touch with internal
conflicts.The client cannot read their analysts face for reactions and the analyst is
Clients are asked not to make any radical changes in their lifestyle during the period
Termination is mutually agreed upon by the client and the analyst when it is felt that
symptoms and conflicts that were amenable to resolution have been clarified by
clients unconscious shifting to the analyst of feelings and fantasies that are
progresses, childhood feelings and conflicts begin to surface from the depths of the
such as trust versus mistrust, love versus hate, dependence versus independence,
and autonomy versus shame and guilt.Transference takes place when clients
resurrect from their early years intense conflicts relating to love, sexuality, hostility,
anxiety, and resentment, bring them into the present; re-experience them; and
attach them to the analyst.In essence, the analyst becomes a current substitute for
allows clients to make new choices.If this phase of analysis is not properly worked
through, clients simply transfer their infantile wishes for universal love and
acceptance to other figures they deem powerful.All infantile conflicts may not be
fully resolved, even though many aspects of transference are worked through with a
therapist.We may need to struggle at times throughout our life with feelings that we
project onto others as well as with unrealistic demands that we expect others to
fulfill.
This intense therapeutic relationship is bound to ignite some of the unconscious
they lose their objectivity in relationships because their own conflicts are
their clients that may interfere with their objectivity.Counter transference can be
importance is that therapists develop some level of objectivity and not react
irrationally and subjectively in the face of anger, love, adulation, and other intense
personality.
- The therapy is limited to its objectives which is, to make unconscious motives
conscious and to foster change by helping you understand your past and how events
from your early life could be affecting you now, than to restructure ones
personality.
- Psychoanalytic sessions before would let the patient lie down on the couch with
the therapist sitting down behind, jotting down notes on a pad. Because this
5.The focus is more on pressing practical issues than on working with fantasy
material
Therapeutic Techniques:
There are therapeutic techniques in psychoanalysis and these techniques are aimed
1.Free association- It involves talking about whatever comes into the mind without
censoring or editing the flow of memories or ideas. This is the basic tool used to open
our dreams. This happens because our defenses are lowered when we sleep.
3.Analysis of Transference - is the transfer of feelings from the past to someone in the
present. Usually, it involves these feelings being transferred from the client onto the
therapist. This situation is considered valuable to the therapeutic process because it
therapy is uncomfortable talking about his or her ex boyfriend, they may show
resistance around this topic. If the therapist continues to probe this topic, the client may
even show resistance by missing therapy appointments or even discontinuing it). They
serve as devices that defend against anxiety but that interfere with the ability to accept
psychologist, because his work pioneered attention to community life, prevention, and
population health. Adlerian psychology emphasizes the human need and ability to create
Adlers work stressed the importance of nurturing feelings of belonging and striving
for superiority. He held equality, civil rights, mutual respect, and the advancement of
democracy as core values. He was one of the first practitioners to provide family and group
counseling and to use public education as a way to address community health. He was
among the first to write about the social determinants of health and of mental health. His
values and concepts drive our mission, work, and values at the Adler University today.
Adler began his professional life as an ophthalmologist in 1895, before entering the
world of psychiatry in the early 1900s. He was intrigued by Sigmund Freud's theories of
human behavior and bravely defended Freuds much criticized concepts of psychoanalysis.
In 1907, an appreciative Freud invited Adler to join his inner circlean exclusive
movement.
Ultimately, Adler and Freud parted ways due to theoretical differences, and Adler
established himself at the forefront of his own emerging approach to therapy and soon
founded the School of Individual Psychology. In this new system, the importance of
studying the entire individual was stressed. Adler's theory was institutionalized into The
Society for Free Psychological Thought, which began publishing the Journal for Individual
Adlerian Psychotherapy
Adler was a pioneer in the area of holistic theory on personality, psychotherapy, and
adapt to feelings of inadequacy and inferiority relative to others. He believed that a person
will be more responsive and cooperative when he or she is encouraged and harbors feeling
of adequacy and respect. Conversely, when a person is thwarted and discouraged, he or she
will display counterproductive behaviors that present competition, defeat, and withdrawal.
When methods of expression are found for the positive influences of encouragement, ones
feelings of fulfillment and optimism increase. Adler believed strongly that a misbehaving
child is a discouraged child, and that childrens behavior patterns improve most
significantly when they are filled with feelings of acceptance, significance, and respect.
Adler believed that feelings of inferiority and inadequacy may be a result of birth order,
especially if the person experienced personal devaluation at an early age, or they may be
due to the presence of a physical limitation or lack of social empathy for other people. This
method of therapy pays particular attention to behavior patterns and belief systems that
precursors for later self-awareness and behaviors and are directly responsible for how a
person perceives themselves and others in their life. By examining these early habitual
patterns, we can better develop the tools needed to create our own sense of self-worth and
emotions that influence their lifestyles. People in therapy are also encouraged to acquire a
more positive and productive way of life by developing new insights, skills, and behaviors.
These goals are achieved through the four stages of Adlerian therapy:
- Engagement
person in therapy and they agree to work together to effectively address the
problem.
- Assessment
The therapist invites the individual to speak about his or her personal
history, family history, early recollections, beliefs, feelings, and motives. This
helps to reveal the person's overall lifestyle pattern, including factors that
therapy.
- Insight
4. Reorientation
effective actions that reinforce this new insight, or which facilitate further
insight.
Adlerian individual psychotherapy, brief therapy, couples therapy, and family therapy
all guide people to release their unproductive feelings and to refocus their attention toward
forming corrections in perceived values, feelings, and behaviors that prohibit further
positive growth. The Adlerian technique uses Socratic dialogue to inspire the development
significance that result in a persons increased ability to naturally cooperate and form
cohesive relationships. The paramount goal of this type of therapy is to remove destructive
self-directed beliefs and behaviors and to replace them with tools that will allow a client to
Individuals often enter therapy to gain better insight into their own behaviors and
responses to circumstances that occur in their lives. Adlerian psychotherapy uses a process
personal life organization, including birth order, social context, and other external
and expectations, an individual can begin to accept the emotions they have relative to the
events they experienced as a child. This process of perception allows the person in therapy
to identify maybe for the first time their true inner value, independent of others. Adlerian
values clarification allows one to look at prior beliefs in a new way that encourages positive
change.
Values clarification is all about doing what matters, knowing what matters to you
personally, and taking effective action guided by those values. Various exercises are
employed to help identify chosen values that act like a compass from which to direct
intentional and effective behavior. People who are fused with their thoughts and tend to
struggle with or avoid painful emotions often struggle with choosing purposeful and
values-guided action. Through mindful liberation from such struggles, they find acting
Assessment
Therapy is collaborative
Faith
Hope
Love
Subjective interview
The Question:
Family constellation
Early Recollections
Personality Priorities
Types of interpretation
Of the therapeutic process: Dealing with what is in the here and now.
problem.
couples, families, and groups. Although many variations of Adlerian therapy exist,
they differ primarily with respect to the duration of therapy, the focus and scope of
treatment goals, and the strategies and techniques that are afforded by the
therapeutic modality. Adlerian therapy has traditionally been long term and
comprehensive in focus, but clinicians have successfully adapted the approach for
compatibility) in the life goals and lifestyle of the partners can perpetuate relational
discord. Therapy with couples is aimed at increasing the partners awareness of the
way in which their choices lead to disagreements and unhappiness instead of goal
supportive family atmosphere, the role of the parents as leaders and caregivers, the
individual responsibility of each family member, and the necessity for each person to
contribute meaningfully within the family system. Adlerian therapists often include
the Systematic Training for Effective Parenting (STEP) model that was created by Don
Dinkmeyer, Sr., Gary McKay, and Don Dinkmeyer, Jr. as an important component in
Adlerian therapy with children uses a variety of play and other nonverbal
therapeutic forum in which the social manifestations of clients problems (e.g., goals for
dominating others, hesitating lifestyle tendencies) can be explored and changed. Adlerian
groups accentuate the clients social embeddedness, the interpersonal nature of problems,
Adlerian therapy takes time, and the approach may not be best suited to individuals
who are seeking a briefer form of therapy or quick solutions to their concerns. In addition,
a large part of this approach is the exploration of early childhood events, and individuals
who do not wish to explore family history or material may not find this approach ideal.
Another critique of the approach is its potential decrease in efficacy with people who may
be less insightful and/or challenged by concerns that impact their ability to function.
While Adlerian therapy has been supported by some research, more testing will likely
provide more extensive evidence backing the benefits of the approach. The Adlerian
approach tends to focus on the self as the locus of change and responsibility. This primary
emphasis on changing the autonomous self may be problematic for some clients.
Many clients who have pressing problems are likely to resent intrusions into areas of
their lives that they may not see as connected to the struggles that bring them into
therapy. Members of some cultures may believe it is inappropriate to reveal family
information.
individual's striving for success, connectedness with others, and contributions to society as
person's current personality, yet the therapy is future-minded, rather than retrospective.
Adler stressed the unity of personality, contending that people can only be understood as
integrated and complete beings. He emphasized that where we are striving to go is more
important than where we have come from. Adler believed that people develop a unique
style of living that is a movement toward and an expression of their selected goals.
In this sense, we create ourselves rather than merely being shaped by our childhood
experiences. Adler holds that the individual begins to form an approach to life somewhere
in the first 6 years of living. According to Adler, humans are motivated primarily by social-
relatedness rather than by sexual urges; behavior is purposeful and goal-directed; and
consciousness more than unconsciousness is the focus of therapy. Unlike Freud, Adler
stresses choice and responsibility, meaning in life, and the striving for success, completion
and perfection.
Adlers theory focuses on inferiority feelings.He sees these as a normal condition for
all people and as a sources of all human striving. Feelings of inferiority can be the
wellspring of creativity rather than being considered a sign of weakness or abnormality.
Adlerian therapy lacks a strong supportive research base. There is a lack of clear and
solid proof regarding the effectiveness of Adlerian counseling. Adler was also very vague
in his approach on how to work with clients as well as the use of his general approach to
therapy. His approach is continually being clarified by many who have studied and use
Adlerian therapy, but many of his concepts and ideas still remain unclear. Additionally,
many view Alders approach as being overly optimistic about the human nature. Some feel
that Alders methods exclude the use and view of the unconscious mind. This is in regard
to the powerful effect that many believe the unconscious plays on the mind beyond ones
Flexibility and its integrative nature. Adlerian therapists can be both theoretically
integrative and technically eclectic. The Adlerian therapy approach tends to lend itself to
short-term formats. One of Adlers most important contribution is his influence on other
therapy systems. Many of his basic ideas have found their way into other psychological
schools: family systems approaches, Gestalt therapy, learning theory, reality therapy,
HUMANISTIC APPROACH
This means that personality is studied from the point of view of the individuals
subjective experience. Humanistic psychology begins with the existential assumptions that
phenomenology is central and that people have free will. Personal agency is the humanistic
term for the exercise of free will. Personal agency refers to the choices we make in life, the
Adlerian therapy is based on helping people gain insight into their own behaviors,
considers the totality of the personality, including cognitive, emotional and lifestyle
elements (Hutterer-Kirsch, 1996). Adlerian therapy is based on helping people gain insight
into their own behaviors, through a process-oriented program of therapy. The approach is
holistic, because it considers the totality of the personality, including cognitive, emotional
~ PERSON-CENTERED THERAPY ~
INTRODUCTION
nondirective climate. His theory took away from the therapist and honored
nondirective methods.
nature of becoming the self that one truly is, an idea he borrowed from
Kierkegaard
control over others and themselves, his theory became known as the
person-centered approach.
KEY CONCEPTS
1. Actualizing Tendency
2. Therapeutic Goals
a. The person-centered approach aims toward the client achieving a greater
growth process so clients can better cope with problems as they identify
them.
a. Rogers based his hypothesis of the necessary and sufficient conditions for
c. Congruence
manner
allows clients to express how they are thinking without feeling judged,
accepted
Empathy
This means that the therapist senses accurately the feelings and
Offers a perspective that is up-to-date and The approach may lead therapists to just be
2006).
Has provided a basis for many other Could be an ineffective way to facilitate
therapies such as the emphasis on the therapy if the therapist is non-directive and
2006).
understanding of client
Clients feel they can express themselves Listening and caring may not be enough
significant psychopathology
(Seligman, 2006).
2006).
(Seligman, 2006).
Person Centered Approaches
1) Make a Connection
1.By making a connection you will help your clients feel accepted and
your clients.
2) Establish Safety
2.Practitioners must be sensitive to the possibility that certain clients may fear
For example :
4.Such questions give your clients the space to share their own perspective on
and implications
4.motivation to work on the problem and move forward with his or her
life
4. Actively Listen
empathic responding
place where your clients can feel accepted and one way to do that is to regularly
6. Express Empathy
Empathy is the art of imagining the clients experience or feeling state, of putting
One is not just listening and responding but attempting to see the world from the
and inspire hope by leading an open and honest discussion about these issues, you
approach
5 factors to consider
role expectations,
clinical concerns
personal limitations
ethical considerations
Rogerss original emphasis was on grasping the world of the client and
individuals, groups, and families and has also been applied extensively in
a variety of settings.
facilitator is to create a safe and healing climatea place where the group
our emotions. The feelings of grief, anger, pain, fear, joy, and ecstasy are
the tunnel through which we must pass to get to the other side to self-
Our feelings and emotions are an energy source. That energy can be
how we feel and think. The creative connection is a process that brings us
MOTIVATIONAL INTERVIEWING
directive counseling approach that was developed by William R. Miller and Stephen
THE MI SPIRIT
problematic"
their behaviour is problematic, and start to look at the pros and cons of
immediate future, and may begin taking small steps toward behaviour
change"
Maintenance "People have been able to sustain action for at least six
Termination "Individuals have zero temptation and they are sure they
EXISTENTIAL THERAPY
HISTORY
Before we head on to the specifics of this certain topic, this part would serve
as a brief history on how Existential Therapy all began. It all started with early
being one of the first existential philosophers, theorized that discontent, could only
elaborated on the field by introducing free will and personal responsibility. By the
processes of this field which, as years go by, enticed other fellow contemporaries
to achieve balance in our psychological state and well-being. The first ever
paychologist to adapt to this method was Otto Rank. After this, writings of Rollo May
and Paul Tillich & Irvin Yalom made existential therapy a mainstream approach.
called "The Philadelphia Association" (an org which helps with psychological issues
by experimantel therapies)
individual's confrontation with the givens of existence. Rather than delve into the
past, the existential approach looks at the here and now, exploring the human
writings of Rollo May, who is generally considered the father of American existential
developed also had some unique features. One of the unique aspects of Mays approach to
existential psychology was the integration of ideas from humanistic psychology, which
was developing concurrently in the United States. However, the label existential-
humanistic did not come from May, but rather from James F. T. Bugental. Along with
May, Bugental became one of the important influential figures in the development of
was heavily influenced by philosophy. The different existential traditions often reflect
example, draws heavily from Heidegger, the existential-humanistic tradition was more
influenced by Nietzsche, Kierkegaard, Jaspers, Buber, and Tillich. This is not to deny the
perspectives.
A number of new scholarly and clinical voices continued to build on the early
influence of May and Bugental, including Kirk Schneider, Myrtle Heery, Stephen A.
Diamond, Orah Krug, Ed Mendelowitz, and others. In recent years, I (Louis Hoffman)
along with several colleagues, such as Mark Yang, Nathaniel Granger, Xuefu Wang, and
psychology and therapy as well; however, it is not clear that he would be properly classified
approach. Furthermore, Yalom (1980) did not see existential therapy as a stand-alone
approach to therapy, which is different than most who align with the existential-humanistic
tradition.
1. four different levels of experience and existence with which people are inevitably
confronted.
2. person's orientation towards the world and the four realms defines their reality
- Birth, death and physical feelings/symptoms are also part of this realm
2. The social realm
- relationships, culture, society and language are here as well as work, attitudes towards
- Emotions, friendships and romantic relationships are also part of the social world.
- this includes intimacy (self and others), identity, personal characteristics and overall
sense of self
- Personal strengths and weaknesses are also important as well as the question of being
authentic
- 'ideal' world
- dimension where we make sense of our lives and is considered the realm of
transcendence
2. -people who undergo this form of therapy are guided to accept fears
4. By gaining control of the direction of ones life, the person in therapy is able to
teaching the person in therapy to grow and embrace his or her own life and to
6. a person is able to view his or her life experience as a journey rather than a trial,
past, rather they work with the client to discover and explore the choices that lie
understand the implications of past choices and the beliefs that led those to take
place, only as a means to shift to the goal of creating a keener insight into oneself.
The emphasis is not to dwell on the past, but to use the past as a tool to promote
coming to the realization that they are not unique nor are they destined for a
specific purpose, the person in therapy is allowed to release the obligatory chains
that encumbered him or her from existing in fullness from moment to moment.
of existence: the physical, social, psychological and spiritual. They believe that
Existential isolation
Meaningfulness
Treat?
Depression
Anxiety
Substance dependency
What to Expect
1) Therapists help you find meaning in the face of anxiety by choosing to think
2) Fostering creativity, love, authenticity, and free will are common avenues that
3) when treating addiction disorders, the existential therapist coaches you to face the
anxiety that tempts you to abuse substances and guides you to take responsibility.
The goal: You learn to make more willful decisions about how to live,
How It Works
pessimistic, but its meant to be a positive and flexible approach. At its best, according to
Specific concerns are rooted in each individual's experience, but contemporary existential
psychotherapist Irvin Yalom says that the universal ones are death, isolation, freedom,
and emptiness. Existential therapy focuses on the anxiety that occurs when you confront
these inherent conflicts, and the therapists role is to foster personal responsibility for
making decisions. Yalom, for example, perceives the therapist as a "fellow traveler"
through life, and he uses empathy and support to elicit insight and choices.
And because people exist in the presence of others, the relational context of group
therapy is an effective approach, he says. The core question addressed in this kind of
orientations. They have a set of assumptions and attitudes that guide their interventions
with clients. The main guideline is that the existential practitioners interventions are
responsive to the uniqueness of each client. The use of the therapists self is the core of
1.The initial phase, counselors assist clients in identifying and clarifying their
assumptions about the world. Clients are invited to define and question the ways
in which they perceive and make sense of their existence. The counselor teaches
them how to reflect on their own existence and to examine their role in creating
2.The middle phase, clients are encouraged to more fully examine the source and
authority of their present value system. This leads to new insights and some
restructuring of their values and attitudes. Clients get a better idea of what kind of
life they consider worthy to live and develop a clearer sense of their internal
valuing process.
3.The final phase, focuses on helping clients take what they are learning about
themselves and put it into action, to find ways of implementing their examined
and internalized values in a concrete way. Clients typically discover their
strengths and find ways to put them to the service of living a purposeful existence.
Areas of application
Existential therapy is especially appropriate for clients who are struggling with
decision. Some examples of these critical turning points that mark passages from
one stage of life into another are the struggle for identity in adolescence, coping
coping with failures in marriage and work, and dealing with increased physical
limitations as one ages. It tends to work well with people who are at a crossroads
and who question the state of affairs in the world and are willing to challenge the
status quo. It can be useful for people who are on the edge of existence, such as
those who are dying, who are working through a developmental or situational
1.Their ability to enable clients to examine the degree to which their behavior is
isolation
1.Cannot claim to treat everyone in different ways if they place them into one of the
2.There are some patients whose problems may not fall into any of the themes.
3.Psychologists might treat the patient incorrectly believing they fall into a category
There is one distinctive, united existential theory which is free of internal tension
life.
It is only beneficial to people of high intellect, who are not experiencing chronic
state by state, but many existential therapists complete graduate degrees in psychology
existential therapy.
cultural aspects of being human and ones identity, including the potentials and
limitations.
of being human.
universal issues that all people experience. They may or may not be perceived as a
challenge. The response to the existential givens are influenced by personal and
tendency that has the potential to take over the whole personality.
approach. However, what is meant by relational can greatly vary. From the
Introduction
their entire lives, be it a mental illness or a physically-related one. When these things strike,
people would naturally want to get rid of them. Countless methods and remedies have
already been created by different people throughout the century, and many diverse
medicines and herbal medication have already been manufactured in the past just to get rid
of these illnesses. However, what cannot be easily cured by medicines are: mental illnesses.
Mental illnesses require special kinds of therapy, and these therapies are, for the
most part, psychological in nature. However, as psychology evolved through the years
adapting various approaches, the quality and style of how most of these therapies were
conducted, have also heavily changed. For example, Freud's controversial psychoanalysis
was later on replaced by the then more experiment-based therapies under behaviorism.
behaviorism, the therapies formulated under it were already subjective in nature and had
lacked enough empirical research for its methodologies, such that it was highly criticized
by the scientific community and was a subject of controversy for many years. Nevertheless,
which was the psychoanalysis, why behaviorism is more grounded on scientific basis, why
using the behavioral approach in therapy is much better as a whole, as well as talk about
the more sophisticated science we have now, it also developed with it many changes and
different perspectives in explaining human mental processes and behavior. One major
paradigm shift- and one of the most defining moments in psychology, was the emergence
of behaviorism.
mind and outright refuted it by basically saying that the study of consciousness goes back
to the ancient days of superstition and magic (Watson, 1924). Instead, behaviorism argues
that scientific discipline should and only be focused purely on observable and therefore
were usually negligible. This meant that they essentially spent most of their time doing
experiments and measuring their data using precise measurements, tools, and other
scientific means.
Arguably one of the most famous - if not the most famous -work of a behaviorist
that used proper scientific method and application of precise measurements , is that of Ivan
Pavlov's. Pavlov's work set the door for many behaviorists to demonstrate that behavior
He coined and defined the term classical conditioning, as a learning process that occurs
stimulus. Basically, four parts can be identified when Pavlov experimented on his dog to
demonstrate classical conditioning. The first part consists of the unconditioned stimulus
(UCS) - such as dog food - which functions to automatically elicit a response called
unconditioned response (UCR) - such as the dog's salivating response to the food. The
second part consists of only the neutral stimulus (NS) such as a bell, which does not
normally elicit a response. On the third part however, the unconditioned stimulus -which
is the dog food - is paired up with the neutral stimulus - the bell - to elicit an unconditioned
response. This pairing of the UCS and NS is then done across multiple trials. Eventually in
the fourth part, the dog will then learn to associate the dog food (UCS) with the bell (NS),
such that the bell itself replaces the UCS and now becomes the conditioned stimulus (CS)
which elicits a conditioned response (CR), which is the salivation. It is good to take note
however, that this learning does not last forever. Pavlov further identified a concept called
extinction, which is a process wherein the previously conditioned response could go away
if the neutral stimulus (the bell) isn't presented along with the unconditioned stimulus
(food) continually. Nevertheless, in the likely event that the neutral stimulus is presented
along with the unconditioned stimulus, spontaneous recovery would occur and the dog
will again, learn to associate the bell with the food and elicit a conditioned response.
In addition to this, Pavlov identified two more concepts in classical conditioning, namely;
generalization, which occurs when dogs are able to associate the bell with the different
stimulus producing the same kind of sound as the bell ( such as forks ) as long as the tones
were similar, and stimulus discrimination, which occurs when dogs are able to selectively
and accurately distinguish a tone from other tones, done by pairing a food with a note and
Since Pavlov primarily worked with dogs, Watson expanded classical conditioning
by showing - in one the most controversial experiments in psychology history - that the
learned process through associations could be applied to humans as well. Famous for his
little Albert Experiment, Watson demonstrated that a child could be conditioned to fear a
previously neutral and that this fear could be generalized to other similar objects.
Years later, B.F Skinner further contributed to the behaviorist perspective through
his concept of operant conditioning, which is basically the effect of punishment and
unsatisfying stimulus and behaviors which were made to be suppressed by taking away a
respectively.
Watson, Pavlov, and Skinner together laid the foundation and groundwork of
One last central idea in behaviorism, aside from focusing only on observable
behavior, is the concept of tabula rasa or a " blank slate of mind". According to
behaviorists, people were born with virtually no idea of anything and everything of the
world. This meant that to behaviorists, all behavior is learned from the environment-
behaviorism is an evident example for this. Until now, psychology is still growing,
and tabula rasa are just important terms that were made in the process of change. These
terms are still pretty much important and relevant today, especially in understanding
First of all, in order to grasp what behavioral therapy is, one should always go back
to the basics. What is therapy in psychology? In most sources, therapy or counseling is the
act of meeting with a trained individual like a therapist or a psychologist to attempt to fix
responses. Regardless of what type of therapy a person will choose to go through, therapies
always establish the goals and determine the steps needed to go through to achieve the goal.
largely focuses on the observable behavior of a person and sees psychological disorders as
the result of learning the wrong response to something, as it believes people are born tabula
rasa (as previously mentioned) and thus might have learned the wrong response from
Because of this, behavioral therapies rests on the fact that if something is learned
from the environment, then that thing then, can be unlearned. However, it also important
to note that different cultures have their own view and perspective on what behavioral
activities more often than not, through rewards. Basically two principles underlie the
methods of behavioral therapies, and these are: classical conditioning and operant
conditioning. As such, systematic desensitization and aversion therapies are all types of
contingency management, modeling, and extinction on the other hand, rest upon the
person's engagement in positive or socially reinforcing activities, (2) to get rid of or to treat
behavioral issues such as phobias, panic disorders, and obsessive compulsive disorders,
and (3) finally, to help an individual develop new skills or strategies to be used in either a
social setting or to help the individual cope up with his/her behavioral issue. Some
techniques used in behavioral therapies are primarily used in conjunction with the concept
of rewards and punishment, albeit neglecting the punishment part and instead prioritizing
some specific type of behavioral therapies such as token economies and modeling are more
Moreover, research shows that 2-5 year olds with ADHD are especially receptive
to this type of therapy. Below are some examples of the mentioned behavioral therapies,
Systematic Desensitization
involves having a client make a list of fears and then teaching him/her to relax while
concentrating on these fears. This method usually works on treating phobias, as it utilizes
counter conditioning techniques to desensitize and eliminate the fear response. The entire
process basically follows three steps: (1) the client is first taught relaxation techniques,
then (2) he/she creates a ranked list (ascending order) of fear-invoking situations, lastly
(3) the client confronts his/her fears with the help of the therapist, working from the least
a picture of cockroach, then pictures of cockroaches, then actually seeing a dead cockroach,
then being exposed to a live one, all the while using relaxation exercises such as breathing,
The logic behind this therapy is that, the client may pair the fear-invoking situation with
Aversion Therapy
This behavioral therapy also applies the principles of classical conditioning.
Basically, this process involves pairing an undesirable behavior with an aversive stimulus
cigarette butt, such that when it is used, it produces an odor similar to defecating. The logic
behind this is that, the person will learn to associate the addictive behavior ( smoking ) with
the foul odor such that to avoid the foul odor, he/she must stop smoking.
Flooding
One last behavioral therapy that applies the principles of classical conditioning, is
the use of flooding. The process usually involves trapping a person with his/her fear for
longer periods of time. During the first part of the process, the fear presented must not be
harmful at all, but will not allow the person to escape. Then the person is presented with
large quantities of his/her fear in which he cannot escape. The logic behind this is that, the
person will learn to associate his/her fear to safety, thinking upon the fact that his/her fear
One example of this would be, allowing a person to confront his/her fear of heights.
The person in this therapy must actually jump from a medium height down to a ground
The safety of the cushion or water will be then associated to the fact that height isn't scary
at all - assuming the distance from where you are standing and the ground is minimal (
some people are afraid of heights even if the distances are small).
Token Economies
This behavioral therapy applies the principles of reward and punishment in operant
reinforcement of target behavior. The reinforcers are symbols or "tokens" that can be
In a way it uses operant conditioning but instead of a reward given right after the
desired behaviour, a token which can be later exchanged for a more desirable prize is given.
desirable behavior and decrease undesirable behavior with the use of tokens.
Contingency Management
This behavioral therapy also applies the principles of reward and punishment in
the client and the therapist that outlines the behavior change goals, reinforcements and
rewards that will be given and the penalties for failing to meet the demands of the
since the rules are spelled out clearly in black-and-white, preventing both parties from
Extinction
Another behavioral therapy which also applies the principles of reward and
from a situation that provides reinforcement. For example, a child who starts yelling or
striking other children would be removed from the play activity and required to sit quietly
in a corner or another room where there are no opportunities for attention and
reinforcement. By taking away the attention that the child found rewarding, the unwanted
Modelling
kind of principle, which involves learning through the desirable behavior of others.
Modeling is based on Albert Bandura's social learning theory which rests upon the fact that
in order to learn new skills, one should watch others (models) who have desirable
behaviors. It is still behavioral in nature because first of all, it focuses on the individual
learning from his environment. Also, modeling focuses on the desirable behaviors of
others, these desirable behavior are already positive rewards in their selves in the sense
This behavioral therapy is not founded upon by either of the two basic principles
of behaviorism, but rather focuses on the cognitive aspect, or how we perceive things in
our own. The underlying concept behind CBT is that our thoughts and feelings play a
fundamental role in our behavior. For example, a person is bad in romantic relationships
(e.g. breaking up after 3 months) , may find themselves unable to and unwanting to find
The goal of cognitive behavior therapy is to teach patients that while they cannot
control every aspect of the world around them, they can take control of how they interpret
No one perspective works best with dealing on all types of mental illnesses and
disorders. Behavioral therapies particularly, may be good with dealing with phobias
because they are usually physical in nature and constitute a physical stimulus paired with
a fear. However, serious mental illnesses such as depression, are outside the boundaries of
loneliness).
psychotherapies in psychology are highly specified in terms of what approach they are
applying, most cultures around the world do not distinguish behavioral therapy at all as a
form of psychotherapy. Most of the population will generally term it as Mental Health,
giving no discernment between the different types of therapy and counseling that
psychologists practice.
In a recent survey conducted by Buzzfeed, it was found out that most westernized
countries are beginning to be more open-minded about mental health issues, including
countries such as France, Germany, the United States, and Canada. In more third world
countries however, there is still a social stigma when it comes to talking about mental health
problems. In countries like Brazil or Mexico on the other hand however, people prefer
keeping problems to their selves as they aren't too comfortable talking about these problems
to other people. Lastly, in China, psychotherapy in mental health is a relatively new concept
which they are trying to adapt, stemming from the fact that it was banned in 1996 due to
As seen, attitudes around mental health and access to treatment vary widely within
each country by culture experience and other factors, producing different views on
behavioral therapy and mental health as a whole. In the end, the usefulness of
behavioral therapy nevertheless does not lie on what different cultures think about it, but
No matter how many therapeutic techniques an individual has gone through, behavior
change will always largely depend on the environment, and concepts of extinction and
advantages and disadvantages. One of the very first benefits of using the behavioral
approach, is that it takes a relatively short amount of time to conduct compared to other
contact with their clients to talk about their past and current self, a behavioral therapist will
often have treatment goals done in weeks. This saves time and cost of going to the clinic
in the part of the client. In the perspective of the behavioral therapist on the other hand, the
concepts in behavioral therapy are quite easy to understand and execute, requiring less
or inappropriate behavior of people and learn to deal with stress and frustration, which may
last a lifetime if done effectively. One last advantage in using behavioral therapy in treating
mental illnesses, is that it can be combined with other perspectives to produce maximum
desired effect.
In one of the examples above, behavioral therapy is combined with the cognitive
approach in psychology, which reinforces a person's behavior through both actions and
As with any approaches in therapy, behavioral approach also has its drawbacks.
One major drawback in using behavioral approach in therapy, is the fact that it cannot treat
serious mental illnesses, such as depressions and suicidal tendencies. The problem with
using behavioral approach solely in therapy, is the fact that it is too focused on the
scientific through its experiments, one cannot deny that mental illnesses are real and that
some illnesses are really psychological, and abstract in nature. Abstract meaning that, it
may involve cognitive aspects such as perception, memory, and problem solving, and not
Another drawback using the behavioral approach in therapy, is the fact that the
consultation times are not as lengthy as other psychotherapies. In behavioral approach, the
client and the therapist usually set goals in about several weeks. These goals are realized
in a short span of time, and may even risk a relapse, or a point in time where the client is
no longer in therapy with his therapist, resulting in his problems coming back. Modifying
behavior also takes an ample amount of time, and the time provided for in the therapy isn't
always enough.
VI. Conclusion
Behavioral therapy has stood its ground as a successful and reliable treatment in
own set of edges and drawbacks. As mentioned, since behavioral therapy roots its
factors such as freewill and self efficacy, and internal forces such as mood, thoughts, and
feelings. This means that while is useful for taking away undesirable habits and managing
techniques have combined behavioral approach with other perspectives in order to achieve
high validity. One good example of this combination is; the previously mentioned cognitive
behavioral therapy, which combines cognitive approach with behavioral approach in order
to cover internal aspects of the human mind ( such as mood and freewill) which behavioral
To end, using the behavioral approach in therapy is only just a single way in fully
diagnosing, understanding, and modifying the very complex behavior and thought
As much as concepts such as rewards & punishment, and learned associations between
stimuli are fully applicable to people of all ages, the concept of extinction is also genuinely
true. This means that in the context of a changing environment, people would always
manifest innumerable complex behavioral pattern changes throughout the course of their
life, and therapies may only be as effective as the stimulus surrounding the individual ( one
cannot fully change his/her alcoholic behavior if he/she lives in an environment/culture
wherein drinking alcohol is the norm, such as being a son of a bar-owner, or hanging out
History of CBT
We can trace back the beginnings of Cognitive Behavioural Therapy from the earliest
years from Wundt, here came Sigmund Freud who reached United States in 1911 where
psychoanalysis dominated the field of psychiatry and almost all psychiatrists and
to give answers and ability to cure in line with the birth of different psychotherapeutic
models such as Behavioural Therapy. This therapy was under the influence of Ivan
conditioning) and other behaviourists works on behaviourism and its applications. Its
influences are fast to dominate because it was very open to change, assimilating and
integrating ongoing research giving rise to new forms of analysis and intervention. These
people are born with blank slates (tabula rasa). They emphasized the role of classical and
which involves learning by association is where behavioural therapies are based. The
primary assumption is that, all behaviours is learned, and mistakes in learning is the cause
Therapies was soon innovated by considering all of those cognitive concepts that was
being neglected - the fusion of Behavioral and Cognitive Therapies (second generation
concepts of depression. It came out that what was expected was different from the results,
therefore, he began to look for other ways to explain or conceptualize depression. Dr.
Beck began helping depressed patients by identifying and evaluating their automatic
thoughts or the streams of negative thoughts that seemed to arise spontaneously. The
result of that evaluation was the construction of realistic thoughts by the patients making
them more emotionally stable therefore they could behave functionally. Dr. Beck said
that once the patients changed their underlying belief about themselves, to their world
and to other people, therapy resulted in long lasting change. He termed this approach
first used by Alber Ellis which emphasis is on resolving emotional and behavioural
problems. The primary goal of this therapy is to transform irrational beliefs into rational
ones. Albert Ellis (1957,1962) proposed that human beings possess unique assumptions
about themselves and the world guides them to through life and determine their reactions
Unfortunately some of the peoples assumptions are irrational making them to act
and react in an inappropriate ways and that hinder their chances for happiness and
success. He termed these as basic irrational assumptions. Ellis (1957, 1962) listed
several basic irrational assumptions namely; (1) The idea that one should be competent at
everything. This is a good way of viewing competence but if it crosses the boundary that
an individual might push his limits just to surpass other people, this might not be good.
(2)The idea that it is catastrophic when things are not the way an individual want it to be.
Of course, not all things will go smoothly as what an individual wants it to be, everything
has its dynamics and no one could accurately predict what will happen in the future and
a healthy individual should know this basic logic. (3) The idea that people have no
control over their own happiness. This idea might be connected with those individuals
who have dependence issue. There are really people who rely their happiness from
someone else, they may forgot to realize that they are the one who can control their basic
emotions, not the other people around them. (4)The idea that you need someone stronger
than yourself to be dependent on. This idea is also close to the later, this is for those
individuals who have dependence issues, for those individuals who cant stand on their
own feet and rely on other peoples guidance. (5)The idea that your past history greatly
influences your present life. This idea is for those people who chose to standstill or those
who chose not to move their life forward. This is the prevalent reason why it takes time
for people to assemble themselves together, to pull their emotions together and form
themselves as a whole.
It is because they always blame their past as the cause of their miserable present, without
realizing that hating their past cannot help them improve their present. (6)The idea that
there is a perfect solution to human problems and its a disaster if you dont find it.
This idea might also explain why people are not contented, because of their
continues strive for the perfection, or for the solutions that can satisfy them, they
happened to consider those tiny important solutions that they neglected in search of those
Objective situation, it is the record of the events that causes high emotional response or
like the step two, where the client is tasked to write the different negative thoughts
associated by the list of Letter A. Letter C, Consequence ,it stands for the negative
feelings and dysfunctional behaviours that results from the negative thoughts in Letter
B. For example; Casey got a low mark on her long exam. The activating event A , is
when she failed her long exam. The belief B might be she must have good grades or
beliefs have been known, the therapist will often work with the client in challenging the
negative thoughts on the basis of recorded evidences from the experience of the client by
reframing it. Reframing here means to reinterpret the data collected by the therapist into
more realistic ones. These strategies or methods might help the client to build and
The therapist in the said example might suggest and help Casey to realize that
there is no enough evidences that could make her have good grades to be worthwhile, or
that getting bad grades is disappointing. That even she wanted good grades because it is
good to have them doesnt make her worthless. If the therapist would succeed on his
attempt to let Casey understand that getting bad grades is just disappointing, not awful,
that she is not good in math or in studying only, not as a person, she might feel sad and
frustrated but not depressed because through these realizations, these can uplift her self
worth. Through this, She may increase her study habits by knowing her true potential.
Overview on CBT
mental health problems, not just depression. It is based on the idea that our thoughts,
feelings and actions (behaviour) interact with each other and therefore our thoughts
determines our feelings and actions. A negative thought can be a predictor of a negative
action. Generally, CBT help people to become aware of their thoughts, that may affect
the patterns of their behaviours and could result in a distorted thinking. The main purpose
thinking and behaving. There are three assumptions under CBT namely: (1) The cognitive
approach, believes that abnormality stems from faulty cognitions about others, our world
and us. This faulty thinking may be through cognitive deficiencies or cognitive
distortions. (2) This cognitions cause distortions in a way we see things. (3) We interact
with the world through our mental representations of it. If our mental representation is
inaccurate or our ways of reasoning are inadequate then our emotions and behaviour may
become disordered.
Dr. Aaron Beck widely used this therapy for treating depression. Cognitive
therapy helps clients to identify their feelings and thoughts that cause them to be
depressed. The therapist also guides the clients to challenge their negative thoughts and
apply different thinking alternatives that could help them on their daily lives. Beck
identified three mechanisms that were responsible for depression ; (1) the cognitive triad
of negative thinking, (2) negative self schemas (3) errors in logic (Mcleod,2008). The
first mechanism, cognitive triad, are three forms of negative thinking that are primarily
present to all depressed patients; namely negative thoughts about the self, the world and
the future. These are what Beck termed as automatic thoughts because it always appear
impair the normal cognition of the person and slowly causing problems in perception,
memory and other mental processes. Then next mechanism, negative self schema, Beck
believed that depressed individuals have low self worth and increased negative and
pessimistic beliefs about themselves. He further added that these negative beliefs can be
traced back to childhood traumas and unpleasant events including;(1) death of a parent or
siblings (2) parental rejection, criticisms, overprotection, neglect and abuse (3) bullying
at school or exclusion of peer group. The third and last mechanism, errors in logic,
Beck stated that these six illogical processes are self-defeating and can cause anxiety and
that he is worthless because an open air concert he were going to see has been rained off.
It is a process of ignoring other aspects of the situation and focus only in a single
aspect. For example if, the individual blaming himself for the defeat of their team even
though there are six of them on the field. Third is magnification. It is the way of
bit of paint on his car and therefore see himself as an awful driver. Fourth is
basis of single insignificant event. For example, If someone usually get high scores in
exams and then failed in one of his exams he therefore think that he is stupid. Sixth and
feelings of others to oneself. For example if the teacher comes inside the room angry, an
There are different types of CBT techniques or methods. Here are some of them
that are considered as an effective CBT techniques by a CBT practitioner Boyes (2012).
According to Lebon (2012), this technique is the most effective method for bringing
change in cognitive therapy. These are planned activities, based on experimentation and
An example for this is, when a client overeats he should evaluate his behaviour; If he
criticize himself after overeating, then he will eat less vs. If he talks to himself kindly
after overeating, then he will eat less. By doing this , a client should monitor his
is Thought Records. It is quite similar to the first method since it is also about the test of
client identify the links between thoughts and emotions, (3) examine the evidence for and
against a selected negative automatic thought, (4) challenge a negative automatic thought
this is when a psychology student who gets negative feedback from her adviser might
jump to the conclusion that his adviser might think that he is useless. The student could
do a thought record evaluating the evidence for and against that thought. Evidence
against the thought might be things like his adviser gave him a positive feedback the
other day, if his adviser thinks that he was useless then, the adviser would rather not give
him a positive feedback. The idea of this method is more on gathering several balancing
Boyes (2012), emphasized this CBT method as significant in individuals who suffered
depression. This method tries to reciprocate the depressive behaviour through engaging
the depressed individual into pleasant activities that he would choose. The assessor or
As a homework write the next seven days on a piece of paper starting tomorrow. For each
day, schedule one pleasant activity, (or anything that you enjoy which is not unhealthy)
Simple tasks can be considered pleasurable such as, reading a novel, eating and
enjoying lunch without rushing or anything that is away from stressors. An alternative for
this technique is to schedule the days of an individual with different activities that can
challenge his memory, competence or any forms of accomplishments. The main goals of
this method are to regain self-worth, self focus and hope by eliminating the excessive
negative thoughts. Fourth is Situation Exposure Hierarchies. It is commonly used as a
tool for anxiety. This is a kind of worksheet used to gradually introduce to clients the
producing situations and estimating the amount of anxiety that the client produced. Then
it will work through slowly exposing the stimuli to the client beginning with the least
anxiety-producing stimuli and ending with the most anxiety- producing stimuli. For
example if the assessor or therapist lists ten high calorie foods that being avoided by a
patient with eating disorder and the patient would rate it from scores 1-10. Fifth is
Imagery Based Exposure. This technique is usually used to treat Post Traumatic Stress
Disorder (PTSD) and phobias. According to Grohol (2016), this is a safe and proven
technique when the therapist who uses this method is experienced and licensed that also
specializes in these kinds of conditions and treatments. Its main intention is to help
patient face and gain control of the fear and distress that brought by the trauma and must
For example, the same as mentioned earlier about that psychology student who thinks
that his adviser might think that he is useless. In imager exposure, the person would bring
the situation of being given the feedback to mind and remember it in lots of sensory detail
(e.g., the advisers tone of voice, or what the room looked like.)
The student/client would also attempt to label his emotions regarding the
different stimuli exposed (e.g., to run out of the room and cry, or to get angry). By this
method , the client might prolong visualizing the image therefore reducing the feeling of
Strengths of CBT
1.Model has great appeal because it focuses on human thought. Human cognitive
abilities has been responsible for our many accomplishments so may also be responsible
for our problems. One of the strength of the CBT is about the emphasis of human
cognitive abilities. It is one source of humans achievements due to the fact that humans
are generally an intellectual and rational beings. Many people succeed because of their
abilities is not always limited to its advantages but it can also cause certain distortions
that can lead to pathological conditions. (e.g. a single thought of being worthless can
affect an individuals responsiveness to his environment and can decrease his general
manipulated into adopting unpleasant assumptions or thought they became more anxious
In the opposite way, the subjects or patients can therefore be manipulated by adopting
pleasant assumptions that can stimulate positive responses in their thoughts to overcome
sexual disorders have been found to display maladaptive assumptions and thoughts (Beck
et al., 1983).
These maladaptive assumptions and thoughts are the underlying reasons of different
psychological disorders. People with psychological disorders as mentioned above are not
usually aware that they are possessing these maladaptive assumptions and thoughts.
pessimistic beliefs. The way they react or respond to these situations lead them to an
4.Cognitive therapy has been very effective for treating depression (Hollon & Beck,
1994), and moderately effective for anxiety problems (Beck, 1993). As mentioned
repeatedly, the main reason why CBT was formed is because of the depression
treatment. The goal of this therapy is to teach people to handle the distressing thoughts
actions (e.g. substance abuse). Its main goal is centered on the development of an
individual to cope with different problems (e.g. depression, anxiety, addiction etc.) in
Limitations of CBT
1. The precise role of cognitive processes is yet to be determined. It is not clear whether
Lewinsohn (1981) studied a group of participants before any of them became depressed,
and found that those who later became depressed were no more likely to have negative
thoughts than those who did not develop depression. This suggests that hopeless and
negative thinking may be the result of depression, rather than the cause of it.
2. The cognitive model is narrow in scope - thinking is just one part of human
This is one of major criticism of CBT since it only focuses on the cognitive factor that
can influence or cause humans behaviour. Many suggest that there are other different
factors that are neglected by the CBT approach in explaining human pathologies, such as
According to one of the well known author and psychotherapist, Miles (2015),
favour of the early practice of Beck who stresses the importance of the quality
therapeutic relationship unlike Ellis who viewed the therapist as the teacher and does not
CHOICE THEORY
behavior based on internal motivation. As Dr. Glasser explains in the most recent of his y
read books, Choice Theory, all of our behavior is chosen as we continually attempt to meet
one or more of the five basic needs that are part of our genetic structure.
Theory (the Basic Needs, the Quality World, the Perceived World, the Comparing Place,
and the Total Behavior System) can help us build and maintain better relationships with
the important people in our lives and lead happier, more satisfying lives.
5. What happened in the past has everything to do with what we are today, but we can
only satisfy our basic needs right now and plan to continue satisfying them in the future.
6. We can only satisfy our needs by satisfying the pictures in our Quality World.
7. All we do is behave.
8.All behavior is Total Behavior and is made up of four components: acting, thinking,
9. All Total Behavior is chosen, but we only have direct control over the acting and
thinking components. We can only control our feeling and physiology indirectly through
The 1998 book, Choice Theory: A New Psychology of Personal Freedom, is the
primary text for all that is taught by The William Glasser Institute. Choice theory states
that:
- all we do is behave,
- that we are driven by our genes to satisfy five basic needs: survival, love and belonging,
In practice, the most important need is love and belonging, as closeness and
connectedness with the people we care about is a requisite for satisfying all of the needs.
Choice theory, with the Seven Caring Habits, replaces external control psychology and
the Seven Deadly Habits. External control, the present psychology of almost all people in
the world, is destructive to relationships. When used, it will destroy the ability of one or
both to find satisfaction in that relationship and will result in a disconnection from each
other. Being disconnected is the source of almost all human problems such as what is called
mental illness, drug addiction, violence, crime, school failure, spousal abuse, to mention a
few.
1 .Supporting 1. Criticizing
2 .Encouraging 2 .Blaming
3. Listening 3. Complaining
4. Accepting 4. Nagging
5. Trusting 5. Threatening
6 .Respecting 6. Punishing
MUSIC THERAPY
- It is a type of expressive arts therapy that uses music to improve and maintain the
treatment.
Following are examples of goals that may be established with music therapy clients:
1. Cognitive goals
b. Improve communication
c. Increase alertness
1. Sensory goals
kinesthetic
2. Psychological/emotional goals
c. Elevate mood
Social goals
Establish relationships
The diverse nature of music means it can be applied in the treatment of concerns
In some instances, the music has a therapeutic use that has been able to help
people in ways that therapy cannot, as it can sometimes elicit responses that may
People may show a greater degree of interest and engagement in music therapy
People who can benefit are the people who have the following:
2. Depression
3. Anxiety
4. Schizophrenia
5. Autism
6. Personality issues
7. Insomnia
8. Dementia
The positive effects of music therapy are not limited to those coping with severe
or long-lasting physical and psychological problems and this therapy can benefit
Music is frequently used to reduce stress levels and pain perception. One example
There are two different modes of music therapy---- receptive and active.
For example, they may do art work, make crafts, or spend the time meditating.
Music therapy can be conducted with individuals or in groups, and the music may be
chosen by the therapist or by the client in therapy. A therapist will make sure that the type
and mode of the chosen form of music, as well as the timing of the music intervention,
are appropriate for meeting the needs and goals of the individual in therapy.
The therapists have many different techniques and activities they can use to help their
patients and clients. Their choice(s) will depend on their clients needs and the goals of
therapy.
Instruments may include just about anything that makes a sound, such as piano or
keyboard and etc. Playing instruments with other therapy clients can help improve
their fingers, clap their hands, or move their body rhythmically. This is a great
movement.
Singing- most people enjoy singing, especially in a group. Singing alone, with the
enhance social skills, improve the articulation of words and sounds, and develop
better breath control. In group session, it teaches team work, improve cooperation
Song writing and composition- this can be very therapeutic forms of expression.
Song lyrics have been used for centuries to tell stories. Song lyrics, melodies and
musical style all provide a glimpse into the heart and mind of the person who
wrote them. This technique can provide valuable information for a music
therapist.
Listening- simply listening to music can be very therapeutic. It can help reduce
anxiety, facilitate emotional healing, and boost cognitive and attention skills.
Listening to soothing music can also calm a busy mind and reduce stress.
Discussion- discussion can include how the music makes them feel, whether or
not it brought up any particular thoughts or memories, or what they thought about
Music therapy provides benefits to the patients who undergo this therapy.
It is able to address a variety of client needs such as social, emotional,
Like every therapy, there are strengths and limitations of music therapy.
Strengths
2) It will encourage exploring and expressing feelings and provide emotional support
enjoyable feeling.
Limitations
1.Some old forgotten feelings may resurface and this may increase depression instead
of providing relief.
Dance Therapy
Its a well known fact that moving is good for the body and mind. The mental and
emotional benefits of movement are plentiful. The same endorphins that make you feel
better when moving also help you concentrate and sleep better, have more energy, and can
help you become more resilient when faced with the mental or emotional challenges of life.
Moving regularly is an investment in your mind, body, and soul. One of the more
expressive ways to integrate movement into your eating disorder recovery is through dance
therapy.
movement and dance to support intellectual, emotional, and motor functions of the body.
As a form of expressive therapy, DMT looks at the correlation between movement and
emotion.[1]
style used within this therapeutic exposure. Programs range from traditional dances like
ballroom to more subtle forms of movement like yoga and stretching to calm the body.
[2] Its important to note that a DMT licensed practitioner would lead a session within
Through this exposure, a therapist will use movement to help a client achieve
emotional, cognitive, physical and social integration. The benefits include stress reduction
and mood management. Within eating disorder recovery, it can also help improve body
image and self-esteem. Founded within the idea that motion and emotion are
interconnected, this creative expression can also help improve communication skills for
Movement in a dance therapy setting is more than just exercise. The actions, fluidity,
and movement are interpreted more like a language. People who utilize dance therapy
and unconscious feelings through dance. The therapist responds to the movements,
interventions to address the specific needs of the client. Movement is the primary way
1.Mirroring. Matching and echoing the persons movements to show empathy and
Important skills that can be acquired during the process of dance movement therapy
include:
1.Learning how to develop and trust your ability to be present empathetically.
3.Learning how to translate the nonverbal movements into insights that can be used in
recovery.
Counselor and Certified Eating Disorder Specialist has shared that dance movement
therapy is a little like talking through your body quite different from talking only
Feelings and life experiences live inside the body and can get trapped there. You dont
have to be a dancer to benefit from dance movement therapy. The body can be the key to
unlocking profound levels of healing. DMT is not a dance class. It is a therapeutic exposure
that can be used in conjunction with other eating disorder therapies to help access genuine,
Having a means to feel safe to understand and experience the sensations and feelings
of your disorder are all part of the journey to recovery. Dance movement therapy can play
an integral role in helping you re-claim an authentic connection between your actions and
words.
Be sure to inquire during your research as to all of the therapeutic exposures that may be
available to you. There is no one-size fits all approach to recovery and it is important to
ART THERAPY
Art Therapy is an integrative mental health and human services profession that enriches
the lives of individuals, families, and communities through active art-making, creative
personal and relational treatment goals as well as community concerns. Art Therapy is used
cultivate emotional resilience, promote insight, enhance social skills, reduce and resolve
Uses
As a mental health profession, art therapy is employed in many clinical and other
settings with diverse populations. Art therapy can also be found in non-clinical settings, as
well as in art studios and in creativity development workshops. Closely related in practice
to marriage and family therapists and mental health counselors, U.S. art therapists are
licensed under various titles, depending upon their individual qualifications and the type
of licenses available in a given state. Art therapists may hold licenses as art therapists,
creative arts therapists, marriage and family therapists, counselors of various types,
therapists.
Art therapists may have received advanced degrees in art therapy or in a related field
such as psychology in which case they would have to obtain post-master's or post-doctorate
certification as an art therapist. Art therapists work with populations of all ages and with a
wide variety of disorders and diseases. Art therapists provide services to children,
Using their evaluative and psychotherapy skills, art therapists choose materials and
interventions appropriate to their clients' needs and design sessions to achieve therapeutic
goals and objectives. They use the creative process to help their clients increase insight,
cope with stress, work through traumatic experiences, increase cognitive, memory and
fulfillment. The activities an art therapist chooses to do with clients depend on a variety of
factors such as their mental state or age. Many art therapists draw upon images from
historical art and symbols into their work with patients. Depending on the state, province,
or country, the term "art therapist" may be reserved for those who are professionals trained
in both art and therapy and hold a master or doctoral degree in art therapy or certification
in art therapy obtained after a graduate degree in a related field. Other professionals, such
as mental health counselors, social workers, psychologists, and play therapists combine art
may better understand a client's absorption of information after assessing elements of their
artwork.
Basic tenets
The purpose of art therapy is essentially one of healing. Art therapy can be successfully
applied to clients with physical, mental or emotional problems, diseases and disorders. Any
type of visual art and art medium can be employed within the therapeutic process, including
painting, drawing, sculpting, photography, and digital art. Art therapy stands in contrast
with other kinds of creative or expressive arts therapies that use dance, music or drama.
One of the major differences between art therapy and other forms of communication is that
most other forms of communication elicit the use of words or language as a means of
communication. Studies have demonstrated the efficacy of art therapy, as applied to clients
with memory loss due to Alzheimer's and other diseases; stroke residuals; cognitive
dealing with chronic illness;[53][54][55][56] and aging. However, the potential healing
power of art therapy has not been thoroughly studied in certain patients, such as trauma
victims with disorders such as PTSD. "....Art therapy is not being properly reviewed. Art
therapists report remarkable results from work with combat veterans, traumatized victims,
sexual abuse survivors and survivors of natural disasters... Published case stories and
research projects also support the efficiency of the approach. Yet no major clinical studies
have been launched to scientifically examine the outcomes of art therapy as treatment for
PTSD." One proposed learning mechanism is through the increased excitation, and as a
Trauma, depression, schizophrenia, and PTSD are just a few mental illnesses that can be
measures (CDI and Davidson) and art-based assessments. Subject art was analyzed by art
therapists using seven of the 14 elements of the (FEATS), to assess depression. Unlike CDI
and Davidson self-report testing, all patients were able to complete the art-based directives.
When self-report measures and art-based assessments were combined, 36% of the study
population had testing results consistent with depression and/or post-traumatic stress. The
FEATS assessments identified a subset of patients who were not identified using the self-
report measures. There was a correlation between CDI and Davidson scores (p < 0.0001),
Davidson scores correlated with hospital days (p = 0.05), and FEATS correlated with
height Z score (p = 0.04) and donor type (p = 0.01). Patients who required psychological
hospitalization during the year after the study were identified as depressed."[61] As art
therapy grows in popularity and gains recognition, the purpose will become more clear and
branch out to different patients. The purpose of art therapy is to provide a new healing
opportunity to those who will benefit most from alternative therapy methods. In
conclusion, art therapy is one of multiple medicines to create peace in the patience's mind.
As a mental health profession, art therapy is employed in many clinical and other
settings with diverse populations. Art therapy can also be found in non-clinical settings, as
well as in art studios and in creativity development workshops. Closely related in practice
to marriage and family therapists and mental health counselors, U.S. art therapists are
licensed under various titles, depending upon their individual qualifications and the type
received advanced degrees in art therapy or in a related field such as psychology in which
therapist. Art therapists work with populations of all ages and with a wide variety of
disorders and diseases. Art therapists provide services to children, adolescents, and adults,
Using their evaluative and psychotherapy skills, art therapists choose materials and
interventions appropriate to their clients' needs and design sessions to achieve therapeutic
goals and objectives. They use the creative process to help their clients increase insight,
cope with stress, work through traumatic experiences, increase cognitive, memory and
fulfillment. The activities an art therapist chooses to do with clients depend on a variety of
factors such as their mental state or age. Many art therapists draw upon images from
historical art and symbols into their work with patients. Depending on the state, province,
or country, the term "art therapist" may be reserved for those who are professionals trained
in both art and therapy and hold a master or doctoral degree in art therapy or certification
and play therapists combine art therapy methods with basic psychotherapeutic modalities
Art therapy has some definite strong points, but it is not necessarily suited to all
situations. First of all, it is highly beneficial for situations where the patient can benefit
from a different form of communication and where they are maybe struggling to
communicate normally through speech. For instance then this can be highly useful for
children who are having developmental problems and children in general who enjoy art
and who may not be able to articulate their feelings well. Likewise it can be highly useful
where the person doesn't feel quite able or ready to talk about their experiences and
therefore use the art therapy as an alternative way to communicate feelings. It may even be
useful as a way of uncovering things that the person did not want to disclose, or even in
Another benefit of art therapy is that, as discovered by Hill, it is a highly useful coping
tool that is expressive and distracting as well as somewhat meditative. This gives it use for
cognitive behavioral therapists who teach their clients and patients coping strategies that
they can use to address negative feelings. Art therapy has also been used in psychological
testing and diagnosis and has been successful in addressing the IQ of children to the
therapy rely heavily on psychotherapy the school of psychology that uses Freud's
theories. This is a problem for some as many modern psychologists disagree with several
points of psychotherapy and it proves less effective than more 'hands on' methods of
Meanwhile another issue with art therapy is that it can vary quite a lot in approach
from therapist to therapist. Unlike a cognitive behavioral therapist who will use a very
predefined approach that is the same across the board, an art therapist might be successful
One of the major criticisms of expressive arts therapy is the fact that the primary reason
for healing is not clearly discernible. It is not clear whether healing occurs from the creative
Applications
Art therapy can be a particularly useful treatment tool for children, who often have
feelings, even if they can't identify or label the emotions, younger patients have a starting
point from which to address these issues. Art therapy is also valuable for adolescents and
(or complementary) therapy to traditional medicine for the treatment of biologically based
diseases and conditions. The correlation between mental health and physical health is well
documented. Art therapy has been used in the healing process to relieve stress and develop
coping mechanisms, in an effort to treat both the physical and mental needs of the patient.
sculptures, drawings, etc.), some mental healthcare providers have broadened the definition