How does therapeutic change occur




















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I have been excited about this book ever since I read early drafts of its first two chapters some time ago at the birth of the project. At different times thereafter I have read other parts and my consistent impression has been that this is an author who has both a sophisticated academic understanding of the material and a great skill in communicating that widely.

Those two qualities do not often go together! The book is about change. After a first chapter in which the author introduces us to the person-centred concept of the person, chapter two is devoted to the change process within the client, including a very accessible description of Rogers' process model. Chapter three goes on to explore why and how change occurs in the human being, while chapter four introduces the most up-to-date person-centred theory in relation to the nature of the self concept and its changing process.

This is an intensely modern book particularly in its postmodern emphasis. Rogers is sometimes characterised as coming from modernist times but he can also be seen as one of the early post modernists in his emphasis on process more than outcome and relationship more than personal striving.

The modern nature of the book is also emphasised by a superb analysis of the relationship between focussing and person-centred therapy in Chapter five, linking also with Polanyi's notion of indwelling in this and other chapters. In suggesting that in both focussing and person-centred therapy the therapist is inviting the client to 'indwell' himself or herself, the author provides a framework for considering many modern perceptions of the approach including notions such as 'presence' and ' relational depth'.

Also, the link with focussing is modern in the sense that the present World Association for the approach covers a fairly broad family including traditional person-centred therapists, experiential therapists, focussing-oriented therapists and process-guiding therapists. Important in this development is the kind of dialogue encouraged by the present book' - Dave Mearns, Strathclyde University. The belief that change occurs during the therapeutic process is central to all counselling and psychotherapy.

The Person-Centred Approach to Therapeutic Change examines how change can be facilitated by the counsellor offering empathy, unconditional positive regard and congruence. The Person-Centred Approach to Therapeutic Change outlines the main theoretical cornerstones of the person-centred approach and then, applying these, describes why change occurs as a result of a person-centred therapeutic encounter. The author explores the counselling relationship as an environment in which clients can open themselves up to experiences they have previously found difficult to acknowledge and to move forward.

Integral to the person-centred approach is Carl Rogers' radical view that change should be seen as an ongoing process rather than an alteration from one fixed state to another. In Rogers' view psychological health is best achieved by the person who is able to remain in a state of continual change. Such a person is open to all experiences and is therefore able to assimilate and adapt to new experiences, whether 'good' or 'bad'.

By focusing explicitly on how change is theorized and facilitated in counselling, this book goes to the heart of person-centred theory and practice, making it essential reading for trainees and practitioners alike. I encourage my clients to think of a shift instead of thinking change. Consider a shift in your focus, perspective or shifting your energy and attention to something more meaningful. In sessions, we may examine expectations and beliefs, or learn new ways to cope with stress or anxiety in a healthy way.

My advice is to find the courage to start with small steps and as you learn new skills, practice new habits every day. Practice being self-compassionate and patient! Let this gradual process unfold, and seek the help of a therapist or coach as an extra support to create a more fulfilling life.

Reaching out to a therapist is something that can take a long time to feel comfortable with. That is where change begins. It may take a few sessions to determine if you are a good fit for one another.

Generally if you leave a session feeling like you were truly listened to and understood, that is a productive start. I always try to use a strengths-based perspective with my clients, focusing on the fact that they already possess the resources to overcome their challenges. A therapist should simply be a guide through your own mind, not a teacher telling you what to do. Therapy can help individuals to find solutions, adjust to changes and feel better.

As a therapist, I focus on providing a non-judgmental attitude and meeting the client where they are at the moment. By providing a safe and supportive place, a relationship develops between the therapist and client.

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