1 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Personal Counselling Philosophy Within a Cognitive Behavioural Perspective
Jacqueline Munroe University of Calgary
2 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Personal Counselling Philosophy Within A Cognitive Behavioural Framework Nearly half a century ago, Gordon Paul (1967) concerned with the efficacy of counselling, asked which treatment, by whom, is the most effective, for a particular individual, with a particular problem and under what circumstances (Wedding & Corsini, 2014, p. 218). While this question has yet to be answered, it demonstrates early understanding of the many complex factors to be considered in the counselling process, to bring about positive and lasting human change. Over the past century, the three dominant methods of initiating change have involved psychodynamic, cognitive behavioural and existential-humanistic approaches to psychotherapy (Ivey et al., 2011). Currently, more modern theories have been gaining popularity and may include, but are not limited to, multicultural, family therapy, positive psychology, interpersonal psychotherapy, as well as integrated psychotherapy. Increasingly, research has been identifying the need for a more integrated approach to counselling theories, to best account for the biological, psychological, and social factors currently implicated in development and behavioural functioning (Ivey et al., 2011). It is only through an integration of different systems of psychotherapy can the various biological, psychological, and social factors even begin to become incorporated into a theoretical framework of counselling. Echoing this belief, my own personal philosophy of counselling is one of synthesis and assimilative integration (Wedding & Corsini, 2014). The predominant theoretical grounding and treatment model is one of cognitive behavioural theory (CBT), which has been described as a purposeful attempt to preserve the positive features of behavioural approaches while incorporating into a model the cognitive activity and information processing factors of the individual (Mash & Barkley, 2003, p. 47). In addition, I have selectively integrated relevant views and practices from rational emotive behaviour therapy, existential therapy and Gestalt Comment [JM1]: See APA format for Headings (should be bolded) 3 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
therapy. Grounding my personal theory in CBT aligns with, and is supported by current research, and the scientist practioner model of current psychology and psychotherapy is a theme throughout (Wedding & Corsini, 2014). This paper will first explore the nature of human beings, normal and abnormal functioning, along with individual change. Next, my definition and beliefs of counselling will be examined, as will reasons supporting CBT theory, and interventions most relevant for modern populations. Lastly, this paper will highlight inherent weaknesses in the CBT framework along with why I am apt to maintain many of the grounding principles as my own personal theory. Philosophical Assumptions Typically, the particular model of human development to which a therapist may align, provides insight into both their worldviews and assumptions of human nature (Lewis, 1990). In developing my own personal theory of counselling, careful consideration of the following questions was required; exactly how should human psychopathology or dysfunction be perceived and from where does it arise? Similarly, is human dysfunction a result of within individual processes (psychoanalysis, cognitive theory, rational emotive behavioural theory, and existentialist theory), dysfunctional relationships (family therapy theory, interpersonal theory), environmental factors (behaviour theory) or a combination (integrative theory) (Mash & Barkley, 2003)? As is the nature of philosophy, scientific evidence is unable to support any one assumptions of human development and dysfunction (individual processes, dysfunctional relationships, environmental factors, combination), nevertheless, they lay the foundation upon which theories of psychotherapy have been built. Human Nature 4 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Is human nature a result of nature (or internal processes), nurture (or external processes), or a combination of the two? In keeping with the scientific model, neither nature nor nurture operates in isolation of one another. Instead, it is believed that genetic influences appear and are developed in particular environmental contexts (Rutter et al., 1997). Consistently, findings implicate genetic effects in the following: human mental health, behaviour, traits of personality, attitudes, accounting for 20-60% of population variance (Rutter et al., 1997). However, research has found that influences of non-genetic nature actually contribute equally to population variance (Rutter et al., 1997). Essentially, environmental influences operate on genetically diverse individuals (Rutter et al., 1997). People possess the ability to act on their environment in a way that influences cognitions, and both individual and environment actively contribute to adaptive or maladaptive behaviour (Mash & Barkley, 2003). Ultimately, in keeping with the theme of multiple influences on human development (nature and nurture); I believe that the nature of humans cannot be accounted for in a single way. We are not exclusively products of nature or nurture; likewise, we are neither good nor bad. Rather, we are dynamic and ever-changing, due to constant interactions of internal and external forces. The Nature of Healthy and Unhealthy Humans Echoing my chosen view of human nature and development, I believe that human behaviour is also best explained in terms of processes occurring within the individual (nature) and within the environment (nurture). Over the course of the 20 th century, attempts at explaining human development and behaviour ranged from attachment, psychodynamic, behavioural/reinforcement, social learning, cognitive, neurobiological, and affective theories (Rutter et al., 1997). However, empirical research suggests no single model of human development can account for the many complexities involved in normal versus abnormal 5 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
functioning. Healthy human development and functioning must, therefore, consider a wide range of developmental processes and mechanisms. The integrated approach best accounts for current developmental views (Mash &Barkley, 2003) and combines social (external), developmental, and genetic influences (internal) into the discipline of developmental psychopathology (Rutter et al., 1997). Similarly, the integrated or developmental systems view, best relates to cognitive and behavioural approaches, in which internal (cognitions/genetic influences) processes interact with external processes (environment/social context) to cause or inhibit behavioural and affective maladaptation. According to Cichetti (1989) the discipline of developmental psychopathology has significantly improved our ability to understand, treat, and prevent mental disorders (Sameroff, 2000, p. 299). In this collaborative view, active individuals interact with active environments to influence behaviour (Sameroff, 2000). Developmental pathways define the sequence and timing of behavioural continuities and transformations (Mash & Barkley, 2003, p. 21) and can be deviant or normal. My belief is that psychopathology can only be contextualized in terms of understanding normal versus abnormal (Mash & Barkley, 2003). Maladaptive behaviours occur when life stressors, combine with internal and external factors to cause deviation from normal developmental pathways (Cicchetti, 1993). Ultimately, both typical (healthy) and atypical (unhealthy) functioning can be viewed as resulting from peculiarities between client and their individual situation (Mash & Barkley, 2003). In keeping with the developmental psychopathology perspective of human behaviour, CBTs theory of causality best accounts for the current view that many factors (internal, environmental, biological, and developmental) interact to shape human functioning (Wedding & Corsini, 2014). The Nature of Change 6 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Development psychopathology involves active processing of ones experiences, in combination with acting upon environment (Rutter et al., 1997). These processes may work to shape and select experiences (for the better or worse) as well as change individual characteristics over time (Rutter et al., 1997). Faulty information processing (processing of ones experiences) has been implicated in many emotional and behavioural abnormalities (Mash & Barkley, 2003). Specifically, maladaptive cognitions predispose an individual to psychopathology and work to create or maintain dysfunctional patterns and developmental anomalies (Mash & Barkley, 2013). As scientific thinking revolves around this cause (maladaptive cognitions) and effect (predisposition to psychopathology) view, both cognitive and behavioural theories conceptualize human change in this scientific manner (Lyddon & Adamson, 2011). After having diverged from the normal developmental pathways some individuals are able to course correct and resume more healthful behaviours. A course correction (or the nature of human change) revolves around modifying cognitions which are causing maladaptive behaviours and emotion. In terms of reaching this course correction, I believe that the active processing implicated in developmental psychopathology along with the influence of environmental variables, best aligns with cognitive and behavioural theories to produce human change. Counselling Experience and My Personal Definition of Counselling Counselling involves documented positive change in different aspects of human life, in which an individual begins to function at levels commensurate to comparable others in daily functioning within emotional, behavioural, or physical domains (Hesternen & Ivey, 1990). These changes may be reached in the following ways: 7 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
1) Identification, understanding, and reduction or cessation of maladaptive cognition, emotions, and behaviours that are negatively affecting an individual in one or more areas of life. 2) Teaching and equipping clients with whatever skills they may be lacking (McLeod, 2009), in order to more successfully and healthfully carry out the demands of life in the present and future. 3) Facilitating understanding and acceptance of current life problems (McLeod, 2009); planning out, and eventually taking steps to evoke positive change. Counselling Process Beliefs Through which lens, is it best for a therapist to view the problems of a client? Due to firm grounding in the theoretical orientation of CBT (and scientific framework), my counselling processes will be clear reflections from a CBT lens. Central to CBT counselling is the assumption that having the ability to process information is critical to survival (Wedding & Corsini, 2014). Systems involved in survival include; cognitive, affective, behavioural and motivational. Problems arise in these systems when cognitive biases impacts how the individual incorporates novel information from their environment (Wedding & Corsini, 2014). As applied to counselling, the belief is that cognitive distortions (created by internal and external processes) play a central role in maladaptive behaviours (Simons, Garfield & Murphy, 1984). Changing the way a client perceives the world (cognitions) will lead to a fundamental change in behaviours and feelings (Simons et al., 1984). However, similar to what would occur in existential therapy, the therapist does not make decisions for the client regarding what purpose their cognitions may serve (Wedding & Corsini, 2014). I would also incorporate elements of REBT into my counselling process beliefs. Like, CBT, REBT also considers the importance of mind, and body, yet adds a more philosophical dimension to human existence in terms of striving for better Comment [JM2]: Is this how you would define the counselling process? Comment [JM3]: What about the fit with your beliefs regarding human nature etc.? How well do they fit? 8 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
existence through unconditional acceptance of themselves, others, and the world (Wedding & Corsini, 2014). REBT also strives to minimize emotional/behavioural dysfunction, while again adding philosophical elements of becoming happier and striving towards growth (Wedding & Corsini, 2014). Lastly, the nature of the change process involves both internal (cognitive restructuring) and external (behavioural techniques) processes (Wedding & Corsini, 2014). Counsellor Client Relationship While not always considered essential in cognitive approaches, and even less so in behavioural approaches, research supports the benefits of enhancing the therapeutic alliance across a variety of psychotherapies (Wedding & Corsini, 2014). Once again, my own view of counsellor-client relationship draws heavily from a CBT orientation, while incorporating elements of REBT, Gestalt therapy, as well as existentialism. My approach to the client, therapist relationship would emphasize a more Gestalt or existential equal human encounter, where both therapist and client subjectivity is deeply valued (Wedding & Corsini, 2014). The philosophical position of existentialism holds the position of viewing the world from the clients perspective, as opposed to simply appreciating their world view (Wedding & Corsini, 2014). I would be inclined to work towards true understanding (existential), not just an appreciation (CBT), of how the client creates meaning in their life in order to best serve a wide range of clients (Ivey et al., 2011). I would maintain the CBT and Gestalt approach which involves refraining from telling the client what they are experiencing, in favor of acting predominantly as a guide or collaborator (CBT) along an empirical path of discovery (Wedding & Corsini, 2014). Lastly, I agree with removing the REBT all-knowing quality from the therapist in the therapeutic process, because realistically, how can the therapist know exactly what the client perceives, and if the perceptions are indeed distorted. My counsellor-client relationship would mirror the warmth and sincerity Comment [JM4]: Is your emphasis on the relationship then due to empirical findings? 9 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
that CBT therapists employ, yet would expand into demonstrating unconditional positive acceptance (REBT), simply because the client exists as a fellow human (existentialism). While both REBT and Gestalt therapy emphasize positive human growth, I would also incorporate the REBT element of working towards the clients unconditional acceptance of themselves, their ability, the world and others (Wedding & Corsni, 2014). Counsellor/Client Roles While my predominant view of a counsellor is to act as a guide, flexibility is still critical to delivering the most effective services. For example, initial therapeutic sessions may require a more active counsellor role, especially in certain instances in which clients present with anxiety or depression (Wedding & Corsini, 2104). However, over the full course of therapy, the counsellor may assume many roles. They may act as investigator, partner, diagnostician, educator and guide, all with the underlying intent of identifying cognitive distortions (or deficiencies) and ensuing dysfunctional patterns of cognition, affect, and behaviour (Kendall, 1985). Investigation may occur in the form detailed client history, in order to rule out any organic causes of symptomology. Similarly, background information may be investigated to facilitate diagnosis. Alternately, a counsellor may wish to focus initial sessions on fostering a collaborative client-therapist relationship, in which both therapist and clients are equal partners in identifying therapeutic goals (CBT). Again stemming from a CBT approach, the counsellor may act as an educator, emphasizing the basic concepts involved in their theoretical orientation as well as the processes which that will underlie client change. Education may further revolve around client symptoms, possible therapeutic outcomes, and correcting misconceptions relating to the therapeutic process (Wedding & Corsini, 2014). As mentioned, counsellors may lastly Comment [JM5]: Do you see any conflict amongst these approaches? 10 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
serve as guides (CBT), directing clients towards appropriate experimentation which will validate or invalidate cognitions (Wedding & Corsini, 2014). Although the counsellor plays many critical roles in the counselling process, so too does the client; active participation is required in a variety of counselling tasks. Clients must be motivated, willing to change and quickly take part in the cognitive processes of self-monitoring thoughts and behaviours. Lastly, the client must be open and prepared towards immersion in the study of experience (Gestalt), as it is in the present, that meaning (cognitions) is constructed (Wedding & Corsini, 2014). Cognitive therapy requires that clients participate and internalize the following learning processes: recognize and monitor cognitions, connect these cognitions to behaviour and affect, collect evidence in support of contradictory or maladaptive thoughts, replace maladaptive cognitions with ones more helpful, and lastly, recognize patterns of thinking which are resulting in distorted perceptions (Wedding & Corsini, 2014). Emphasis on Past, Present, and Future and Session Length and Duration My view of psychotherapy aligns with the CBT model of psychopathology and intervention and as such, would be most concerned with present and future, and less concerned with early childhood experiences. Similarly, my philosophy would consider, but does not overstress, the influence of neurological, biological or genetic influences in either pathology or remediation (with the exception of cases with clear genetic or neurological origin) (Kendall, 1985). Similarly, while considered and at times integrated into CBT, priority is not attributed to family influences, social context, or affective influences. While the developmental systems theory is best represented in counselling by a CBT perspective, not all influences are covered equally. In most cases, the more severe the client problem, the longer treatment lasts (Wedding 11 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
& Corsini, 2014). Sessions range from 45 minutes to an hour in length and occur weekly, over the course of 15-25 weeks (Wedding & Corsini, 2014). Emphasis on Beliefs, Emotions, and Behaviours as Being Related Ones cognitive system is responsible for an individuals interpretation, perception, and meaning of events, and works alongside affective, motivational, and physiological systems to process information and respond accordingly (Wedding & Corsini, 2014, p. 231). As my dominant view of counselling originates from CBT, so too does my belief regarding the relationship between cognitions, affect, and behaviour. Although numerous factors relevant to the internal and external environment of an individual are considered when analyzing maladaptation from a cognitive-behavioural perspective (Kendall, 1985), two areas are considered most influential. On one hand, information processing factors (cognitions) are deemed to be critical to onset and maintenance of maladaptive behaviours (cognitive theory). Likewise, the learning process and environmental contingencies are also emphasized in the onset and maintenance of maladaptive behaviours (behavioural theory) (Kendall, 1985). The theoretical synthesis of cognitive and behavioural models makes it clear that cognitive, behavioural, and affective systems do not occur in isolation. Thoughts, emotions, behaviours are all interrelated (Kendall, 1985). However, in terms of the relationship between cognitions, affect and behaviours, cognitions are the ultimate beginning to any resulting affect or behaviour. The significance of beliefs as being related to behaviour and affect are central to a CBT theory and represent a linear relationship from cognitions (beliefs) towards emotions and behaviours; cognitive activities surround both affect and behaviour events (Kendall, 1985). Change Process 12 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Some basic assumptions regarding healthy functioning in cognitive behavioural theory is that human behaviour is a response to cognitive perceptions of environmental stimuli, rather than to the actual environment itself (Kendall, 1985). Similarly, most human learning is based on cognitive influences. The ultimate method of implementing change in CBT, and my chosen philosophy of counselling, is for the client to be guided towards the correction of faulty cognitions, in favour of more realistic perceptions, to decrease or eliminate maladaptive affect or behaviour (Wedding & Corsini, 2014). Cognitive changes occur at 3 levels: voluntary thoughts, automatic thoughts, and lastly core beliefs (CBT) (Wedding & Corsini, 2014). In order to understand the relationship between cognitions, affect, and behaviours, automatic thoughts are examined. Dysfunctional thoughts are analyzed to determine if their maintenance is beneficial or harmful. Core beliefs reside in schemas or absolute beliefs, if the beliefs can be changed, the client is more resilient against future stressors (Wedding & Corsini, 2014). Alternately, change may revolve around cognitive distortions or cognitive deficiencies. For example, if the therapist has identified cognitive distortions or dysfunctional thinking, therapy may be guided into a direction of testing these distortions to prove them to be either accurate or false (Wedding & Corsini, 2014). In performing behavioural experiments, the client is able to validate and solidify their new perceptions. However, if the therapist identifies that cognitive deficiencies (lack of cognitive processes) are causing problems in living for the client, therapy may take a more educational path, with the aim of remediating deficiencies (Wedding & Corsini, 2014). To document the change process, I would feel most comfortable utilizing developmentally appropriate assessments along with ongoing methods to monitor change over the course of treatment (Mash & Barkley, 2007). Interventions 13 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
In my counselling process, I would employ interventions grounded in cognitive and behavioural therapy. Cognitive intervention techniques are verbal in nature and may at first revolve around the examination of client cognitions (Wedding & Corsini, 2014). Questioning techniques may be employed to uncover client errors in thinking. Alternately, the therapist may infer maladaptive client assumptions from information collected, and present them to the client to be either corroborated or refuted (Wedding & Corsini, 2014). Once an incorrect assumption has been correctly identified, therapeutic interventions can revolve around modifying it, based on various cognitive techniques. One such example is decatastrophizing, in which the client prepares in advance for feared consequences in order to learn strategies which can be applied during future problem solving (Wedding & Corsini, 2014). Reality testing is another intervention, in which all of the factors influencing a situation are examined and attributed representative responsibility; the client comes to realize there is no single cause to any event (Wedding & Corsini, 2014). Redefinition of problems in terms of clients behaviour may also assist in modification of assumptions, as can decentering, where a more external focus is applied and assumptions are tested through observation (Wedding & Corsini, 2014). To test assumptions, cognitive techniques are combined with behavioural techniques to modify cognitions, expand behavioural repertoire, and continuously self-monitor CBT systems (Wedding & Corsini, 2014). Therapy may use hypothesis testing, in which specific assumptions are tested through self-monitoring, and eliciting feedback from others (Wedding & Corsini, 2014). The behavioural technique of exposure therapy exposes the client to feared stimuli (while self-monitoring cognitions, affect, and behaviours); in order to learn that the consequences of exposure are not what they feared (Wedding & Corsini, 2014). Alternately, role playing may be used to practice skills in which clients may be deficient (Wedding & Corsini, 2014). Activity 14 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
scheduling provides clients with new experiences and life involvement and the ability to form new perceptions and beliefs (Wedding & Corsini, 2014). Lastly, each of the techniques can be practiced as homework, which is a technique in and of itself, in which clients continually work on skills acquired during therapy (Wedding & Corsini, 2014). For example, the client may practice self-awareness in daily self-monitoring logs, and work to maintain contact with the person-environment field (Gestalt) through a focus on the present (CBT). Success For healthy mental functioning, realistic, rational and flexible cognitive styles are required, as well as having the cognitive ability to resolve problems (Kendall, 1985). Improvement should include falling within a healthy range of functioning according to normative comparisons, along with improvement of symptoms (Mash & Barkley, 2003). Following a CBT approach, success can be determined by the following criteria: 1) As measured by a variety of standard and non-standard methods, the client has experienced positive change in physical, emotional, or behavioural functioning. 2) As measured by a variety of standard and non-standard methods, the client has gained the cognitive tools necessary to identify maladaptive cognitions in order to decrease or cease resulting affect and behaviour. 3) As measured by a variety of standard and non-standard methods, the client has gained skills in cognitively deficient areas, necessary for more healthful life functioning. 4) As measured by a variety of standard and non-standard methods the client has gained the skills to problem solve future challenges in living. 15 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Contextual Factors: Cultural Community Society is becoming increasingly multicultural, and away from the European ancestry of Canadas recent past (Ivey et al., 2011). Therefore, a critical component to current psychotherapies is: To what extend do they consider the diverse nature of modern populations as relating to client behaviour and the therapeutic process? Fortunately, CBT accounts for client differences when combined with the existential use of empathy and truly understanding the beliefs, values, and attitudes of all clients. The use of empathy provides the therapist with a broad cultural context around which the clients experiences and maladaptive beliefs occur (Wedding & Corsini, 2014). Similarly, clients of various cultures and ethnicities can benefit from my theory of counselling because the subjective beliefs of each individual are valued, and counsellors do not attempt to change them (Gestalt, CBT). Instead, they may act as guides and facilitate in designing experiments in which clients may test beliefs, collect evidence of results, and eventually reach the conclusion: Harmful or helpful (Wedding & Corsini, 2014)? Cognitive behavioural grounded therapy may assist clients transitioning into Canada in gaining the cognitive tools to employ more flexibility in thinking. In terms of isolating behavioural therapy from CBT and testing applicability on culturally diverse clients, the behavioural approach also seems to be generally appropriate (Wedding & Corsini, 2014). This is due to the fact that core philosophies of behavioural therapy, such as classical conditioning, reinforcement, and punishments principles are believed not only to apply across cultures, but across species (Wedding & Corsini, 2014). Research has shown that CBT is effective for those of western and non-western cultures; however, further research is needed (Wedding & Corsini, 2014). Reflection 16 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Weaknesses in My Theoretical Model Problems can arise in the very name of a predominantly CBT model. Individuals may be inclined to believe only cognitive and behavioural processes are considered, leaving affect and social context out. However, this is not the case at all. In fact, the CBT model jointly considers a relationship between cognitions and behaviours and applies this relationship to the emotional state of the individual within a social context (Kendall, 1985). According to Kendall (1985), cognition and affect are essentially the same, however, in dealing with psychopathology it is most helpful separate the two; consider cognitions in certain maladaptations, and affect or emotion in others. In terms of social context, ones behavioural patterns in the environment occur as a result of internal (biological) processes, in relation to social context (Kendall, 1985). Similarly, from a CBT model, the role of family in psychopathology may seem to lack valid theoretical footing. However, family influences are considered, in that cognitive behavioural theorists believe many behavioural patterns are set early on in a family context. Therefore, in targeting environmental contingencies in behavioural therapy, family influences on psychopathology have already been considered. Further problems of subscribing to a predominant CBT model may revolve around cultural beliefs on mental health. Cultural differences can impact client motivation and also affect the therapeutic alliance (Wedding & Corsini, 2014). While the techniques may be effective, therapy is not. Some cultures may only accept models which converge with their own assumptions, such as higher powers (not cognitions) as being responsible for behaviour (Wedding & Corsini, 2014). A main challenge of CBT rests in encouraging clients to subscribe to models which may not fit their belief systems (Wedding & Corsini, 2014). Language differences may also hugely impact treatment efficacy, as verbal techniques are a main 17 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
component in the cognitive aspect of therapy. Lastly, while I somewhat agree with a CBT perspective that faulty cognitions, or distortions lead to psychopathology, I would be inclined to exchange faulty, with simply maladaptive. I do not necessarily believe that cognitions which that contribute to psychopathology are always faulty (Safran, 1996). For example, studies targeting depression, found that depressed individuals may in fact be more accurate in their perceptions than others (Safran, 1996). Lastly, it is hard to believe that normal functioning revolves predominantly around an individuals ability to accurately perceive reality (Safran, 1996). Drawn Towards CBT Currently, psychology has evolved into a scientist-practitioner model. Meanwhile, exerting a continuously greater force on counselling and psychotherapy are healthcare organizations responsible for payment of healthcare services, if services meet specified criteria (Ivey et al., 2011). Criteria for eligible counsellors/psychotherapists may include being an evidence-based therapy for change, a medical model of diagnosis, individually tailored treatment, and documentation of treatment efficacy (Ivey et al., 2011). Along the same scientific lines, keeping abreast of the current research findings as they apply to ones personal approach to counselling is necessary for maintaining best practice techniques (Ivey et al., 2011). In consideration of the developmental systems approach to psychopathology, empirically driven theoretical models are needed for most accurate understanding of normal versus abnormal functioning. In keeping with the scientist practitioner model, best practice in counselling must be grounded in empirically driven theoretical models of human development (developmental systems), empirically driven psychotherapies (CBT), as well as empirically supported therapy techniques in order for positive and lasting human change. Comment [JM6]: And from a post-modern critique, is there a reality? 18 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Current research has been identifying a need for a more integrated approach to counselling theories (Ivey et al., 2011) in order to provide a more comprehensive coverage of techniques and theory that may be useful for individual clients (Wedding & Corsini, 2014). While CBT may not give the appropriate amount of consideration to the many factors involved in human development and change (genetics, family, social, biological), it does take into consideration many of them in direct and indirect ways. I believe that future psychotherapies will hold more information regarding each factor implicated in developmental psychopathology; however, existing theories must be further developed and expanded in order to attempt this feat. While I am drawn to this theory due to familiarity with the theory and techniques involved, I am also aware of personal examples of its efficacy in the treatment of depression. Similarly, from a teaching perspective, many behavioural techniques are repeatedly successful in any classroom environment. Overall, given the many converging factors supporting CBT (most importantly is empirical evidence surrounding treatment efficacy) grounding my own philosophy within this framework makes the most sense, as I become increasingly more familiar with techniques and theories of counselling.
19 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Works Cited Cicchetti, D. (1993). Developmental psychopathology: Reactions, reflections, projections.
Developmental Review, 13(4), 471-502.
HESTEREN, F., & Ivey, A. (1990). Counseling and development: Toward a new identity for
a profession in transition. Journal of Counseling & Development, 68(5), 524-528.
Ivey, A. E., D'Andrea, M. J., & Ivey, M. B. (2011). Theories of counseling and psychotherapy: A
multicultural perspective. Sage.
Kendall, P. C. (1985). Toward a cognitive-behavioral model of child psychopathology and a
critique of related interventions. Journal of Abnormal Child Psychology, 13(3), 357-372.
Lewis, M. (1990). Models of developmental psychopathology (pp. 15-27). Springer US.
Lyddon, W. J., & Adamson, L. A. (1992). Worldview and counseling preference: An analogue
study. Journal of Counseling & Development, 71(1), 41-47.
Mash, E., & Barkley, R. (2003). Child psychopathology. New York: The Guilford Press.
McLeod, J. (2009). An introduction to counselling. Open University Press.
Rutter, M., Dunn, J., Plomin, R., Simonoff, E., Pickles, A., Maughan, B., ... & Eaves, L. (1997).
Integrating nature and nurture: Implications of person-environment correlations and
interactions for developmental psychopathology. Development and Psychopathology, 9,
335-364.
Safran, J. (1996). Interpersonal process in cognitive therapy. Jason Aronson.
Sameroff, A. J. (2000). Developmental systems and psychopathology. Development and
psychopathology, 12(3), 297-312.
Sattler, J., & Hoge, R. (2006). Assessment of children. San Diego: Jerome M. Sattler, Publisher,
Inc.
Formatted: Highlight 20 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Simons, A. D., Garfield, S. L., & Murphy, G. E. (1984). The process of change in cognitive
therapy and pharmacotherapy for depression: Changes in mood and cognition. Archives
of General Psychiatry, 41(1), 45.
Wedding, D., &Corsini, J. (2014). Current psychotherapies. Belmont: CENGAGE Learning.
The Hawn Foundation. (2011). MindUp Curriculum: Brain focused strategies for learning-and living. Columbia Universitys Center for New Media Teaching and Learning. Retrieved from http://teacher.scholastic.com/products/mindup/pdfs/MindUP_K-2_Sample.pdf Author - the author is the person or organization taking credit for the information. If you are not sure who is taking responsibility for the information, look for an About Us link or who is copyrighting the material. Personal author(s) example: Jane Smith & Michael J. Johnson Corporate author examples: American Heart Association (a non-profit organization) National Cancer Institute (a government organization) Bristol-Myers Squibb Company (a commercial organization) Date Beware: many websites include a current date feature, which dates the page with todays date. This is not the date upon which the information was written, it is the date you are viewing it. In your citation, you need to include the date the information was written or copyrighted. 1. Copyright Date - generally found at the bottom of the page; if a date range is given (2007-2010), give only the most current year - 2010. 2. A byline date is sometimes used near the top of the webpage: May 1, 2004 3. A date of last update may be found at the top or bottom of the page and looks something like: Updated: 8:43 a.m. MT May 10, 2009. 4. If the website has no date associated with it, your citation will reflect this by an (n.d.) where the date should be. Title This rule works sometimes, not always look in the extreme upper, left-hand corner of your web browser page. If you are using Internet Explorer, you should see the symbol for IE, the title of the webpage, and then the words Internet Explorer. Sometimes the title is not here, and you will need to look at the information on the page to find the title. Retrieval Date - Include a retrieval date only with material that is expected to change over time (such as wikis). URL Be careful to get the correct URL (Uniform Resource Locator or web address).
Minds. (2013). What is mindfulness? Retrieved from http://mindsincorporated.org/mindfulness/ 21 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
22 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
The evaluation components for the Personal Position Paper are described below. You must address each section and pay close attention to the points allotted for each section. Refer to the Overall Grading Taxonomy to review the expectations associated with the levels of learning targeted through this assignment. Evaluation Component Description Weight 36/(40 marks) Editorial Style See APA Style Guide Grading Criteria Above
4/5 marks A. Outline and opening remarks Maximum two brief paragraphs. 1/1 mark B. Your Philosophical Assumptions (as it relates to your personal theory) The http://www.abcounsellored.net/courseware/caap601/60 1assignments.html - assignment1Nature of Theory Paper will be a useful to you. The nature of humans The nature of healthy (or, well-adjusted functioning) The major causes of problems (or, not functioning in a healthy manner) The nature of change (self- growth as well as corrective action to obtain and/or return to a state of healthy level of You explained your philosophical beliefs well. I would have liked to have seen a little more elaboration about Human Nature, but overall, thought this section was written well.
6.5/8 marks C. The Counselling Experience
1. Your definition of counseling 1/1 mark 2. Counselling process beliefs, Counsellor-client relationship; Roles of the client(s) and the counsellor; Session length, duration & number of sessions; Emphasis on the past-present- future I thought you description of the relationship and counselor/client roles was strong. I would have liked to have seen a little more integration of the perspectives you were drawing on. 5/6 marks 3. Emphasis on beliefs, emotions (body & affect) and behaviors and their relationship to another 3/3 marks 23 Running head: PERSONAL COUNSELLING PHILOSOPHY IN CBT FRAMEWORK
Good job Jacqueline, I enjoyed reading your paper.
4. Change process including resistance 2/2 marks 5. Interventions 4.5/5 marks 6. Success (definition & criteria) 2/2 marks 7. Contextual factors (application to clients with diverse backgrounds; different contexts) 2/2 marks D. Reflection 1. Weaknesses of your personal theory 2/2 marks 2. Why are you drawn to this theory? (relate to a personal and professional context) 2/2 marks E. Closing Concluding remarks 1/1 mark