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Running head: CONCEPT AND TREATMENT 1
Conceptualization and Treatment Plan 1
Jeannine Watts
Liberty University
CONCEPT AND TREATMENT 2
Abstract
Person-centered therapy was developed by Carl Rogers in the late 1940s. Gendlin (1988)
is world famous for initiating and advancing the now predominant humanistic movement in
psychotherapy, revolutionary in research, and motivating all fields related to psychology. Person-
centered therapy was one of the controversial and innovative approaches to therapy back then
and still today. Person-centered therapy originated as client-centered therapy and was also
referred to a Rogerian therapy. There is no set structure to person-centered therapy but there are
three essential conditions to produce effective counseling for lasting change for the individual.
The three conditions are unconditional positive regard, empathy and congruence. Murdock
(2009) stated that for productive character change to occur it is essential that these conditions
exist and persist over time. It is important as a Christian counselor to discuss the spiritual
challenges of PCT and how it may or may not be compatible with Christian beliefs. Jones and
Butman (2011) suggest that when combined with Christian teachings the personal values
established by Rogers and endorsed by psychotherapy research have much to offer the Christian
counselor who seeks to offer the love of God to the individuals they counsel.
CONCEPT AND TREATMENT 3
Developer of Person-Centered Therapy
The founder of person-centered therapy is Carl Rogers. In the 1940s he discovered that
using a more empathic approach motivates the individual toward finding solutions on their own
with the assistance of the counselor. When he first began school he majored in agriculture. He
grew up on a farm so it was a natural progression for him to study agriculture. Birtchnell (1999)
wrote that when Rogers was still in school he had to get up at five in the morning to milk the
cows before school. He eventually changed his major to Theology and then again changed to
Psychology. He worked as a child psychologist When Carl Rogers was around 38 years old he
began working with adults and his approach of person-centered therapy was a natural
progression when working with adults. Before than Carl Rogers was a child psychologist. When
Rogers was in his late forties he has some kind of mental breakdown. He became too involved
with a patient and could not separate himself from her situation. Birtchnell (1999) explained that
he invited a psychiatrist into a meeting with her and left, but she followed Rogers home, so he
went to stay at his vacation home and two years later the book,” Client Centered Therapy” was
available.
Human Nature and the Counseling Process
Carl Rogers person- centered therapy originally called client-centered therapy and
sometimes referred to as Rogerian therapy is based on the belief that every individual wants to
and has the capability to carry out their own potential. Gendlin (1988) wrote that Roger’s found
that every individual makes inner sense and that logic evolves and corrects itself as it becomes
stronger. Roger’s believed that the therapist should become more non-directive, empathic and
follow the lead of the individual they are counseling at the time. Gendlin (1988) quoted Carl
CONCEPT AND TREATMENT 4
Rogers, “I didn’t want to find a client-centered way. I wanted to find a way to help people.”
There are three conditions of person-centered therapy; unconditional positive regard, empathy
and congruence. Jones and Butman (2011) stated that the major task of the counselor is to offer
an environment of security and trust, one that will inspire individuals to reintegrate their self-
actualizing and self-esteem methods and this is accomplished through the therapeutic triad of
empathic understanding, congruence and unconditional positive regard which are the essential
conditions for effective counseling in person-centered counseling.
Research
Rogers did research of his own. Rogers wanted research before he developed Person-
centered therapy. For years other therapist resisted his attempts to record sessions so the sessions
could be studied. They did not think that they should be recorded. The group that Roger’s taught
began recording sessions and analyze the transcripts. They would test individuals before and
after therapy so as to see if there was any progress being made. Now, research is a common
practice in the field of psychology. Carl Rogers went on to apply person-centered therapy to
education and to politics. Gendlin (1988) stated in Roger’s last 15 years of his career he practiced
his methods with politicians, policy-makers in training, leaders and groups that were in
disagreement. Gendlin (1988) wrote that Roger’s believed that healthier decisions are made with
an understanding for what things mean to the other side. There have been many research projects
done to prove the effectiveness of person-centered therapy. Jones and Butman (2011) explained
after fifty years of thorough research very few clinicians question that the conditions of
congruence, empathy and positive regard are necessary to create successful change. The
argument continues to be over whether the conditions are enough to create lasting change (Jones
and Butman, 2011). Jones and Butman (2011) stated that over forty of Elliot’s one hundred
CONCEPT AND TREATMENT 5
research studies in 2002 were of person-centered therapies and returned a large impact size of
eighty percent and found that improvements made in counseling were retained in the one-year
check- ups.
Effectiveness of Person-Centered Therapy
So, we know that person-centered therapy is effective in education and politics because
of Roger’s work in those areas. There is considerable work on using person-centered therapy for
individuals with depression in the UK. Wilkins (2009) explains that “Counseling for Depression”
is an integrative representation drawing on traditional person-centered and emotion-focused
therapy and created especially for working with individuals who suffer from depression. The
person-centered approach is a positive Psychology for the fully functioning person. Some do not
think of counseling and therapy for people who are doing well and don’t necessarily have any
major issues going on with their mental health. Wilkins (2009) suggest that client-centered
therapy allows for the idea that mental health is more than the absence of disease: it is about
flourishing as an individual, continually moving towards an ability to adapt and move with or
absorb change and to achieve one’s potential.
Appropriateness
Person-centered therapy is the best choice of therapy to use with Olivia Benson. She has
struggled most of her life with the idea that she is the result of her mother being raped by a man
that she didn’t even know. This fact has made her the determined and thorough police officer that
she is today, but it has also been the catalyst for her bouts of deep depression and low self-
esteem. She is very successful in her career and the raising of her adopted son, but still struggles
with the idea that she may not be able to give her son everything he needs. She has been
CONCEPT AND TREATMENT 6
unsuccessful in her relationships with men in her life most likely because she did not have a
father figure in her life that provided her with the safety and security that she believes should
come form a father. Instead she has spent most of her life terrified of her father and resented her
mother because of her alcoholism and emotional and verbal abuse. She loved her mother very
much but there was always tension in the relationship, which Olivia believed was caused by the
fact that her mother resented her because she reminded her of the man who raped her. Jones and
Butman (2011) stated that the history of client-centered therapy is embedded in phenomenology.
Jones and Butman (2011) also stated therefore person-centered therapy maintains the positive
regard that individuals are going toward whole health, excellence, goodness, and self -reliance.
The fact that it is used in conjunction with other therapies for depression and as a catalyst to
move otherwise healthy people forward is a good indication it will be beneficial for Olivia. Jones
and Butman (2011) stated that the strongest findings for person-centered therapy are for the
treatment of depression and for complications in relationships. Depression and complicated
relationships is where Olivia may need some assistance with in her counseling sessions.
Ethical Issues
There may be ethical issues when working with individuals that are responsible for the
safety of other human beings. Olivia will need to know what the parameters and boundaries of
my own counseling services are and what the ethical boundaries are when it comes to person-
centered counseling. I do not foresee any ethical issues when using counseling Olivia, but I
should always be prepared for any unforeseen situations. I understand that if for any reason we
come to a point in therapy where I as the counselor see that person-centered therapy may not be
working for Olivia, I would need to move on to other techniques and therapies that may be better
suited for her. Just like styles of learning there are going to be therapies that best fit the client.
CONCEPT AND TREATMENT 7
Grant (1990) stated that some individual’s learning style may not be well-suited with
nondirectiveness, which is the essence of person-centered therapy. It would be unethical of me as
a counselor to continue to pursue a technique or therapy that may not be working for this
particular client.
Multi-cultural issues
There have been concerns over the years to as whether person-centered therapy is mult-
culturally based or not. Wilkins (2009) explains that some researchers and professionals are
concerned with the idea that person-centered therapy does not allow for the different variations
of different cultures. Murdock (2009) quoted Poyarzli (2003) who stated that person-centered
counseling clashes with and is unsuitable for the Turkish peoples’ culture because of the
importance on individuality and expressing feelings. Wilkins (2009) states that some believe that
person-centered therapy is organic, natural and universal and is independent of culture and is
therefore approached outside the realms of race, sex and intellect. So there is some discrepancy if
PCT is appropriate for all cultures. As a counselor it will be my responsibility to learn of Olivia’s
culture so I can assist her in her journey towards whole health.
Crisis
Person-centered therapy can work well in a crisis situation. Person-centered therapy is
based on the relationship between the counselor and the client. Empathy plays a major role in
client-centered therapy and empathy is also important when it comes to crisis. The three major
components of person-centered therapy are empathy, congruence and unconditional positive
regard. Jones and Butman (2011) explain that Roger’s believed that these three components will
encourage the individual to more full trust the organismic valuing process and move toward
CONCEPT AND TREATMENT 8
greater self-actualization. Jones and Butman (2011) went on to say that the major job for the
counselor is to provide an atmosphere of security and trust, that will encourage the individual to
reintegrate their self-reliance, self-trust and raise their self-esteem in the process. These
conditions of person-centered therapy are ideal conditions for an individual in crisis.
Intervention
Olivia is the result of her father raping her mother. Her mother was an alcoholic and the
relationship between Olivia and her mother was volatile at times and her mother has since passed
away. Olivia has significantly more trauma from her job as a detective for the special victims
unit, where she serves victims of sexual predators such as her father. Olivia has had many failed
relationships with men who are in her own professions, but they quickly dissolve over time
usually because of differences of opinion when it comes to her job.
Empathy
Jones and Butman (2011) explain that empathy should not be confused with sympathy, it
is the counselor’s ability to experience with the client and accept the individual’s subjective inner
world. It is not about necessarily agreeing with the client but being able to see the individual’s
perspective. This is why building a relationship with the client is of the utmost importance when
it comes to person-centered therapy. Knowing the individuals story is not enough. For me as a
counselor to comprehend the magnitude of my client’s struggle I must understand the dynamics
of their inner world; how their environment, circumstances, family and experiences have created
their unique perception of themselves and their interaction with the world. A person-centered
counselor must be willing to be rooted in the practice of empathy with each of their individual
clients. With Olivia there will be considerable time in the beginning of our relationship that I will
CONCEPT AND TREATMENT 9
take time to learn about her and allowing her to unpack her past and present to understand her
perception of herself and life before I may be able to guide her towards a more positive regard
for her own self-worth.
Unconditional positive regard
Jones and Butman (2011) describe unconditional positive regard as an immovable
recognition of, value for and accepting of the client’s experience, actualizing tendencies and
organism valuing method. Unconditional positive regard (UPR) means that no matter what the
client has done or not done we do not judge them and accept them just as they are. It reminds me
of humility. The person-centered counselor is not better than any of their clients or any less than
any of their clients. They are just themselves and as a person-centered counselor it is imperative
to see my client as just who they are and completely accepting. That may bring about some
struggles for some of us as person-centered counselors because there may be a circumstance
where we may have to counsel an individual who has abused his or her children or an individual
who has abused their spouse. Wilkins (2009) describes UPR as the facilitator of constructive
change and explains it as the revolutionary feature of the person-centered counseling. Olivia will
pick up on any judgmental looks or remarks. Because of her job as a detective she probably
doesn’t miss much. Her therapist will need to have unconditional positive regard and be genuine,
which brings us to the third condition of PCT.
Congruence
Congruence is more about the counselor and whether or not they are truly in tune with
their own self, their inner self. Jones and Butman (2011) states that congruence is having the
ability to be entirely oneself while completely relating to the individual they are counseling. In
CONCEPT AND TREATMENT 10
other words a person-centered counselor needs to be emotionally, physically, mentally and
spiritually healthy. Jones and Butman (2011) stated that client- centered counselors attend to their
own reactions to the individual they are counseling, but only share with that individual what is in
the client’s best interest. Olivia Benson should have a therapist who is congruent or genuine
because of the delicate situation with her father. As a counselor, I must not show shock or despair
when she is discussing her situation.
Spiritual Application
Spiritual Challenges
Jones and Butman (2011) explains that PCT adopts the idea that we are the supreme
power and only rulers of our own fate; in other words, all power is within. Christians believe that
God is the ultimate authority in our lives, and we need to follow him. Jones and Butman (2011)
state that Christian traditions describe specific restrictions on our liberty, we are depicted as in
slavery to evil, self-deception and transgressions. PCT does not acknowledge any such
restrictions. PCT is all about removing the hold that any external thing has on our emotions,
thoughts or behavior and focus on not allowing anything else to control us but to rely solely on
ourselves. Jones and Butman (2011) explain that with PCT the factual self is mindful, through
the organismic valuing method, of inner needs, but not essentially of anything outside of
ourselves like the needs and desires of others. In Christianity we are taught to have connection
with ourselves, God and other human beings. PCT provides that a person should only live in the
here and now, not in the past. Jones and Butman (2011) state the difference with Christianity is
that humans have a past, present and future that is purposed by God’s plan. Because Olivia is not
a religious person, she is skeptical of the teachings of Christianity and the Bible. She believes in
CONCEPT AND TREATMENT 11
being an honest and trustworthy person and cares deeply for others who have experienced trauma
in their lives due to the actions of another human being. The fact that she does believe in helping
others and she wants to raise her son in a wholesome environment she is open to integrating any
theology along with her treatment if it may allow her more peace of mind for the future.
Compatibility/ Incompatibility
The first way that PCT is compatible with Christian beliefs is the condition of
unconditional positive regard. Christian belief is that God loves us unconditionally no matter
what we have done. Jones and Butman (2011) explain that for the PCT, we are to love because
the individual deserves it, and it is compatible for us to do so. For the Christian there are many
reasons for helpful concern. The second way that PCT is compatible with Christian beliefs is that
PCT’s conditions of unconditional positive regard, empathy and congruence all prove to require
a counselor to be caring and committed to the client. Christians are also taught through the bible
to be caring and committed to other human beings in order to bring them into the church. Jones
and Butman (2011) state that Christian love affectionately accepts the sinners, is compassionate
and completely accepting. The third way that PCT is compatible with Christian beliefs is the fact
that both are seeking for the individual to find their purpose in life. Murdock (2009) wrote that
the therapist’s job in PCT is to develop a climate that will release the individual’s full potential.
Christians believe that a person should seek their full potential by fulfilling God’ purpose in their
lives. This in return is also the first incompatible element between PCT and Christianity. PCT
allows the individual to find the full potential within themselves as the authority in their own life.
Jones and Butman (2011) suggest that the whole credibility of self-knowledge is not within the
majority of the Christian belief. Christians believe that God is the authority in their lives, and we
should do our best to follow his leading. Secondly PCT is not compatible with Christian belief
CONCEPT AND TREATMENT 12
when it comes to the unconditional positive regard with no discipline. Christians believe that
God loves us unconditionally but with discipline. We learn from our adversity. Jones and Butman
(2011) explain that because of its one-sided grip of love without punishment, client-centered
counseling may assist individuals without stimulating them. Jones and Butman (2011) go on to
say that the counselor and individual may hide behind the empathic listening and not go deeper
into the real issues that need to be encountered so increase and change can happen. Thirdly, PCT
provides that the individual should be concerned only with themselves, whereas Christians
believe that we should be concerned about others and go out and tell them about God and his
wonderful love. Jones and Butman (2011) point out that the self-adopts a position of ultimate
significance in Roger’s PCT.
Conclusion
In conclusion, the outcome of PCT can be improved self-value and possibly more
successful relationships with others because of congruence. Jones and Butman (2011) explain
that through the proper attributes and proficiencies of the counselor can the individual move
toward better congruence and release of her own distinctive capabilities. Olivia will be more
self-reliant because she will be able to find her strength within herself and not let her past dictate
who she is today. Jones and Butman (2011) explain that the incongruence amid what we really
are and what we are trying to be generates psychological pain, inflexibility and unease. PCT will
assist Olivia in realize who she is, and she will be able to separate what happen to her from who
she really is. Murdock (2009) stated that the counselor’s job is to provide the atmosphere that
will release the individual’s maximum potential and the individual’s job to be who she really is.
The most challenging aspect of PCT for the counselor is unconditional positive regard. There are
going to be times when a counselor does not agree with what an individual has done or not done,
CONCEPT AND TREATMENT 13
and the counselor must still accept the person as a whole. Wilkins (2009) stated for most of us
perceiving the unconditional positive regard of another is the ultimate challenge because it
undermines the essence of the self that has evolved through our experience of the world.
References
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Birtchnell, J. (1999). Carl Rogers: A Critical Biography. Psychology and Psychotherapy, 72, 138.
Gendlin, E. T. (1988). Obituary: Carl Rogers (1902–1987).
Grant, B. (1990). Principled and instrumental nondirectiveness in person-centered and client-
centered therapy. Person-Centered Review, 5(1), 77-88.
Jones, S. L., & Butman, R. E. (2011). Modern psychotherapies: A comprehensive Christian
appraisal. InterVarsity Press.
Murdock, N. L. (2009). Theories of counseling and psychotherapy: A case approach.
Merrill/Pearson.
Wilkins, P. (2009). Person-centred therapy: 100 key points. Routledge
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