Psychotherapy replies
Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2).
INSTRUCTIONS:
Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!
Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations.
– Utilize at least two scholarly references per peer post.
Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.
– Minimum of 300 words per peer reply.
– TURNITIN Assignment.
Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.
POST # 1 GINA
Carl Rogers has always been one of my personal favorites in the faces of psychology. My core beliefs are that most people have the answers inside of themselves, they just need more coaching than an authoritarian style to help them get to the bottom of what ails their psyche. The purpose of this discussion is to examine my thoughts on the person-centered approach to therapy, including any concerns, likes, or dislikes. I feel person-centered therapy is a great approach for clients that are looking to increase their potential for self-actualization, a client who is aware of the need for growth and change but needs some assistance getting to where they want to be. A therapist who is genuine has the ability to assist a client with communication that is reflective, but not leading or authoritative (Corey, 2018). Having an unconstitutional positive regard for the client and accepting them as they are can assist in drawing out a client’s true potential (Corey, 2018). The third core piece of person-centered therapy is to be authentic and have the ability to understand with empathy, not pity (Corey, 2018). When a therapist can identify with a client in an empathic way, it helps clients to see their true potential (Corey, 2018). Just having these core conditions as the basis of therapy whether in an individual situation or group therapy setting can bring about change (Velasquez & Montiel, 2018). By allowing an open dialogue with a client, the therapist can help in bringing about change and growth in my opinion. Velasquez & Montiel (2018) found in coding transcripts of person-centered therapy that words and phrases of empathy and congruence showed the highest positive regard for clients and helped moved clients toward growth, change, and increasing potential because clients spoke more about their feelings, felt heard, and needed less frequent sessions with the therapist. This type of “Rogerian” talk as it is coined in the literature, assists clients in making their own conclusions and moving toward self-actualization while treating them like a human, not the sum of their problems. While I associate my personal style with much of the person-centered approach, I do not believe that any type of therapy is a one size fits all. The therapist must take their cues from where the client is at. Everyone is not in a place to fulfill self-actualization with person-centered therapy. Corey (2018) talks about how person-centered therapy has been used in crisis intervention situations, but I think it is very open-ended for people in crisis. I can see the core values of authenticity and empathy coming into play, but often crisis situations involve the need for more direction of a situation. Obviously, this is case depended. In this way, I do not agree with person-centered therapy for clients in a psychiatric crisis, but the core principles can be applied to all people. I think person-centered therapy can be limited in terms of cultural perspectives. Kim (2018) discusses how the person-centered approach is a very Western cultural phenomenon. There are many non-Western cultures where people do not see themselves as independent, many Eastern, and Asian cultures see themselves as interdependent where loyalty and obedience are predominant (Kim, 2018). From a positive multicultural perspective, I believe all people want to be understood, and treated like humans, in this way the person-centered techniques can be an asset. References:
Corey, G. (2018). Theory and practice of counseling and psychotherapy (10th ed.). Cengage.
Kim, J. (2018). Consideration of the applicability of person-centered therapy to culturally varying clients, focusing on the actualizing tendency and self-actualization—From East Asian perspective. Person-Centered and Experiential Psychotherapies, 17(3), 201–223. https://doi.org/10.1080/14779757.2018.1506817
Velasquez, P. A. E., & Montiel, C. J. (2018). Reapproaching Rogers: a discursive examination of client-centered therapy. Person-Centered & Experiential Psychotherapies, 17(3), 253–269. https://doi.org/10.1080/14779757.2018.1527243
POST # 2 AYME
Patient-centeredness or person-centeredness is arguably one of the invaluable approaches to present-day nursing. In essence, as can be extrapolated from Carl Rogers’ approach to person-centeredness, the success of this concept is pillared on the values of trust and an altruistic approach when it comes to understanding and responding to the needs of the patient. Unquestionably, the ability to provide person-centered care is pegged to the ability to effectively understand the unique needs of the patient; verbally expressed and the ones that cannot be expressed. I, therefore, find a lot of agreement with Rogers’ assertion that “trying to genuinely understand the client” is one of the building blocks of person-centered therapy. According to Molony, Kolanowski, Van Haitsma & Rooney (2018), the success of person-centered care is based on a nurse’s or care provider’s ability to empathize with the patient and seek a deep understanding of the patient’s peculiarities in terms of physical, psychological, social, cultural, perceptional, spiritual and emotional needs. In particular, a patient may not be able to express all needs and it requires the intuition of the nurse to understand even the unexpressed needs. The ability to achieve this, therefore, requires a genuine and intrinsic interest in understanding the patient as Rogers asserts.
In the same vein, I also read from the same script with Rogers on the second assertion that underscores the importance of “genuinely and unconditionally caring about the client”. As Taylor, Lynn & Bartlett (2018) assert, even with an effective and comprehensive assessment of the patients’ needs, one has to go the extra mile to put the assessment information into an actionable plan that facilitates the achievement of those needs. To a large extent, this calls for intrinsic motivation to meet the holistic needs of the patient (van Belle, Giesen, Conroy, van Mierlo, Vermeulen, Huisman‐de Waal & Heinen, 2020). Therefore, the second assertion by Rogers fits seamlessly as one of the building blocks of person-centered therapy. Of course, meeting all the needs presented by a client can be hard since they may touch on different cultures and spiritual beliefs that may be contradictory to personal belief structures. According to Clarke & Fawcett (2016), it takes a firm belief in the principles of selflessness and beneficence to overlook personal beliefs in the favor of the patient by going the extra mile to innovatively lend services or interventions contradictory to personal beliefs, but yet, meaningful to the patient.
The third principle outlined by Rogers touches on the need to be “authentic in the therapeutic relationship”. Being authentic translates to engaging the client on a human-to-human basis whereby it is mutual-respect and expression of ideas, thoughts, and emotions. It is through this approach that one can gain a better understanding of the patient’s or client’s inner-most feelings and experiences that can go a long way toward fostering the formation of a successful therapeutic plan (Zhao, Gao, Wang, Liu & Hao, 2016). For instance, as can be extrapolated from the video, there is a a deliberate approach to win the trust of the client through empathy, expression of emotions as well as emotional intelligence and making the client more comfortable to share personal information that enhances a better understanding of underlying needs.
In a nutshell, therefore, I am quite in agreement with all the assertions by Carl Rogers in as far as providing effective person-centered care is concerned, The three principles can be termed as the building blocks of an effective therapeutic relationship that can be leveraged for the client’s growth and the ability to subdue any stressor or health issue. Practicing the three principles is quite promising when it comes to empowering the patient to rise above any stressful situation and experience holistic healing.
References
Clarke, P. N., & Fawcett, J. (2016). Nursing knowledge driving person-centered care. Nursing science quarterly, 29(4), 285-287.
Molony, S. L., Kolanowski, A., Van Haitsma, K., & Rooney, K. E. (2018). Person-centered assessment and care planning. The Gerontologist, 58(suppl_1), S32-S47.
Taylor, C., Lynn, P., & Bartlett, J. (2018). Fundamentals of nursing: The art and science of person-centered care. Lippincott Williams & Wilkins.
van Belle, E., Giesen, J., Conroy, T., van Mierlo, M., Vermeulen, H., Huisman‐de Waal, G., & Heinen, M. (2020). Exploring person‐centred fundamental nursing care in hospital wards: A multi‐site ethnography. Journal of Clinical Nursing, 29(11-12), 1933-1944.
Zhao, J., Gao, S., Wang, J., Liu, X., & Hao, Y. (2016). Differentiation between two healthcare concepts: Person-centered and patient-centered care. journal-of-nursing, 2352