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Theories that inform horticultural therapy practice
Published in Rebecca L. Haller, Karen L. Kennedy, Christine L. Capra, The Profession and Practice of Horticultural Therapy, 2019
Carl Rogers’s work is very influential in many areas of allied health practice and provides great insight in the therapeutic use of self. In his seminal article, “The Necessary and Sufficient Conditions of Therapeutic Personality Change,” he writes that if the following conditions are met and continue over time, constructive personality change can occur: Two people are in psychological contact.The client is in a state of incongruence, being vulnerable or anxious.The therapist is congruent or integrated into the relationship.The therapist experiences unconditional positive regard for the patient.The therapist experiences empathic understanding of the client’s frame of reference and communicates this to the client.Communication to the client of the empathic understanding and unconditional positive regard is achieved to a minimal degree (Rogers 1957).
Conscience, Ethics, and the Law
Published in Marc D. Feldman, Gregory P. Yates, Dying to be Ill, 2018
Marc D. Feldman, Gregory P. Yates
Voicing my doubts would have been another matter entirely, however. Therapists are not “allowed” to have doubts about their patients. It is a real taboo for us. We are supposed to have “unconditional positive regard” for our patients: we treat them the way we would want to be treated in their situation, on the assumption that what we are being presented with is authentic. Duplicity should never cross our mind, and suspicions are counter-productive. Perhaps that is why I blocked them out with Sandra?
Listening with attitude
Published in Rachel Freeth, Brian Thorne, Mike Shooter, Humanising Psychiatry and Mental Health Care, 2017
Rachel Freeth, Brian Thorne, Mike Shooter
A common condition of worth is that feeling low in mood or expressing sadness is not acceptable. Perhaps this is a result of what parents communicate to their children when growing up, and is reinforced by cultural attitudes that encourage us to remember that there are always people worse off, that we should be content with our lot and that anything less is unacceptable self-pity. In order, then, to avoid negative judgements, a person may learn to ‘bury’ or dismiss feelings of sadness or despondency when they arise (see Rogers’ defence mechanisms of denial and distortion, also in Chapter 2) and will want to avoid such feelings and certainly avoid communicating them. However, by perceiving unconditional positive regard from another, a person may come to believe that he or she will still be accepted whatever he or she feels. Previous defences against feeling sad or despondent will automatically be challenged, allowing exploration and expression of feelings that were previously experienced as shameful or confusing. Unconditional positive regard gives a person freedom to explore feelings, thoughts and perceptions without the fear of negative judgements. It may allow a person to become more deeply in touch with his or her inner experiences and therefore more integrated and congruent. It may also dissolve feelings of worthlessness by endowing a person with a sense of worth.
Clinical hypnosis as a nondeceptive placebo: empirically derived techniques
Published in American Journal of Clinical Hypnosis, 2023
This transposition of the logic underlying placebo-controlled evaluations of medical procedures to evaluations of psychological procedures is not justifiable. The purpose of using placebos in medical research is to establish whether treatment effects are due to the physical properties of the treatment or to psychological factors. We do not need research to answer this question for psychological treatments. Of course, psychotherapy is a placebo, as that term is used in pharmacological research. It matters not whether its effects are due to abreaction, insight, ego strengthening, unconditional positive regard, hypnosis, response-contingent reinforcement, extinction of maladaptive conditioned responses, alterations of dysfunctional cognitions, acquisition of coping skills, or changes in expectancy. All of these are psychological factors. Hence, within the context of medical research, they are all placebo factors.
From expert to coach: health coaching to support behavior change within physical therapist practice
Published in Physiotherapy Theory and Practice, 2022
Zachary D. Rethorn, Janet R. Bezner, Cherie D. Pettitt
A health coach is one who “partner[s] with clients seeking self-directed, lasting changes, aligned with their values, which promote health and wellness and, thereby, enhance well-being” (National Board for Health and Wellness Coaching, 2019). Health coaches display “unconditional positive regard … and a belief in their capacity for change, and honoring that each client is an expert on his or her life, while ensuring that all interactions are respectful and non-judgmental” (National Board for Health and Wellness Coaching, 2019). A primary endpoint of health coaching is to support a client to become self-determined, or intrinsically motivated and autonomous with a health behavior or behaviors. Put differently, health coaching is a dynamic, collaborative relationship where patients are guided to discover their vision for who they want to be through using their values and strengths to realize their health and wellness goals. Acting as a health coach, a physical therapist can assist a patient in discovering, clarifying, and aligning with what a patient wants to achieve, encouraging patient self-discovery, eliciting collaborative and patient-generated solutions and strategies, and offering a measure of accountability.
Sex worker affirmative therapy: conceptualization and case study
Published in Sexual and Relationship Therapy, 2019
Katie Bloomquist, Eric Sprankle
During the intake session, the therapist and Naomi explored therapeutic goals together while the therapist regarded Naomi as the expert on her own life, including her experience as a sex worker (and what, if anything, she wanted to change about it or process). Naomi expressed she wanted to decrease feelings of shame and increase her ability to be vulnerable in romantic relationships. She expressed concern about the interactions between her work, substance use, and motivation and ability to date romantic partners. Lastly, she wanted to explore her relationship with her body, and learn to set healthy boundaries with other people. Immediately within the therapeutic relationship, the therapist accepted the client for who she was and offered empathy and compassion (i.e. unconditional positive regard).