Counselling Psychotherapy Theories Applied | Case Study

Counselling Psychotherapy Theories Applied Case exactCase Study Vignette IIBella. H. T. LamTheories Systems in Counselling PsychotherapyMy knob Scott, who is a 19 years old male, yield lost his perplex for club months beca persona of the lung chiffoniercer. The major problem revealed by his mum was he had be recognise quite and stayed distant when he is at home. During the previous sessions, he was just looking down(prenominal) and fidgeting with his figures. Brief answers are always appeared when I am anticipateing some open questions. However, he thought he need help and agreed to have change when I told to close the session.To begin with, I may comparable to analyze some of his behaviors so as to develop an effective section for him. From his mother, I knew that he has become quite and aloof after his father died this maybe one of the action, which he was trying to avoid his original feeling. Also, it big businessman have a chance that Scoff does not know how to co pe with his own feeling somewhat his fathers death. Moreover, in surrounded by our conversation he unremarkably gives me brief answers or some convictions remains silent in account to the mistrust of people or some efficiency blockage suggested by Gestalt, this cancelled out he does not want to answer question, sharing his feeling or he does not know how to answer. Without meat contact and fidgeting finger were as well as the gestures related to his mistrust or lose of love and belongingness needs. Therefore, in the coming session I hope to build a trust-worthy relationship with Scott so as to allow him to administer the real feeling with me. Furthermore, helping Scott to face, distill, assured and cope with his feeling are as well as my targets.Progressive Muscle RelaxationI would train the progressive ponderosity relaxation to st finesse with the counselling session. As Scott mentioned that he got headlandache sometimes since his father was died on the previous sessi on. I esteem temp headache was one of the psychosomatic symptom. The process of relaxing muscle and mental tension in the progressive muscle relaxation may help client to cope with chronic pain and the frequency of migraine attacks which is related to the stress or anxiety.(Ferguson Sgambati , 2008) Despite, Scott does not feel stress or anxiety, he behaves silent and aloof when he is at home ability in account to his stress or anxiety.In the section, I may give instructions to Scott to teach him relax. Then, ask Scott to breathe deeply and regularly so as to relax his muscle. Try to feel the muscle when they are tensioned. Then he would asked to relax his muscle from the head then neck and shoulder to the back until the lower limbs. During the time of relaxation he is asked to try getting rid of the mental problem and feel the job between relax mode and tension mode. He could learn to become relax if he keep practicing this action daily. And this would become the habitual behav ior in his daily life. Progressive muscle relaxation could be use with any other admission easily and can practice daily by the client. This capability help Scott to learn how to relax and improve his daily living when he is feeling stress or anxiety. This practice not only relaxing his muscle but besides his mental. ( Davis,1980) communicatory Art TherapyThe contiguous stage I would like to use verbaliseive art therapy so as to help Scott to express his feeling. Since Scott can only answer brief answer when I asked open question I suggest that he did not know how to express his owns subject verbally or it might because he did not aware his owns problems so he cannot express himself when I am asking him questions. While expressive art therapy is found by Natalie Rogers, it uses various artistic forms, for example, creating movement, writing a journal, playing music as a media to help people to express his perception. N, Roger explained that This is a multimodal approach integ rating mind, body, emotion and inner spiritual resources.(N, Rogers, 1993,) Thereby, expressive art therapy let people to look at its unconscious mind mind and express some unbeknown(predicate) or new information. This is also a self-discovery and healing process. (N, Rogers, 1993)This may allowed Scott to express his emotion in order to have more understanding about his unconscious mind.In this section, I would prepare some percussion instruments to Scott, allowing him to express his feeling by music improvisation. I would ask him to think of some scenarios and try to use different instruments to represent or reflect that scenario. This may help him to aware and express his emotion himself and give me further information about his emotion. I think this is a suitable way for Scott as he did not answer a open question easily, using a different way like playing music maybe give him another way to express himself. Nevertheless, Person-Centered therapy is the key features of Expressiv e Art therapy while they are also emphasis the relationships between the client and therapist. (N, Rogers, 1993) Therefore, I would like to build a trust -worthy relationship with my client using the knowledge of Person-centered therapy before I started the Expressive Art Therapy.Person-Centred Therapy another(prenominal) than not knowing how to express his own emotion, Scott answering question in a very brief way might also because he does not want to share his real feeling. According to the Carl Rogers Person-centered Therapy, relationship between client and therapist was very significant for the treatment. As if the clients feel that his feelings are soundless by the counselor might support the clients desire to change. (Roger, 1961) The Person-centered Therapy suggested the three main ways to develop a good relationships with the client. Including Congruence, Unconditional Positive Regard and sympathetic Understanding. (Cain, 2010 ) Being congruence means that the therapist sh ould express truly with his emotion, attitudes, thoughts when they are interacting with the client. Providing unconditional positive regard means is caring the client as a true person, while the caring without any criteria or judgments. (Koldon, Klein, Wang, Austin,2011) According to Rogerss (1961) research, the more caring the clients got, the more success of the therapy would be. While empathic understanding is to share the subjective view by the experiences that the clients mentioned. subsequently this Scott can identify his own goal by himself.So as to provide these three conditions, I would like to chat with Scott with more caring, sometimes give some restatements of what he just said to show my empathic understanding, express my true feeling and attitude when we are chatting. Also, giving a sense to him that I would support him no matter what he decide or think. After this kind of interaction I might build a better or trust-worthy relationship with Scott and give the love and belongingness needs that enable him to share his real feeling to me and he will tell me more rather than just answer me a short answer or refuses to answer me. Moreover, the rarely eye contact with counselor may deal to his un caoutchoucty feeling. During this Personal centered therapy, I would provide him a safe environment which can let him feel safe and willing to have eye contact with other and less fidgeting. The final aim of this treatment is to allow him to express himself, trust himself by providing him concern and care, I could act as a facilitator to allow him to be independent and integration which leads him able to cope with his lifes issue like the dilemma of his fathers death. In addition, this therapy is suitable for people who is open and pay back for change since Scott agree to see the counselor and admitted he need helps reflect that he is ready and open to have some changes.(Corey, 2013) However, Person-centered therapy was an unstructured therapy which is diffi cult to estimate the duration needs for this treatment. The only way is to recognize how the clients know about himself and helping him to come up with his own plan. Therefore I would like to spend more time in this treatment before moving to the next part.Gestalt TherapyThe next treatment I would like to use is the Gestalt therapy. Although we have used the Expressive Art therapy so as to bring up Scott awareness to himself, it might not enough because the art therapy more focuses on expressing the emotion and feeling. To further bring up his awareness of his own feeling I would like to service him to attain greater awareness which includes knowing the environment, oneself also make contact with their awareness by using the Gestalt therapy.(Ploster Ploster, 1973) Apart from expressing his emotion, aware and face his own emotion is also my concern. In Gestalt therapy, it mainly focuses on where the cleverness used or blocked, the here and now which allow client to fully experience the now also the unfinished business which the figure is lined inside the ground and not completely solved and come with some unexpressed feeling.(Ploster, 1973) While blocking energy is another form of defense behavior suggested by Gestalt. In Scott cases, looking away from counselor when they are chatting, mention only a few is also the behavior of blocking energy. (Corey, 2013)When Scott staying at home quietly and aloof are examples of that he cannot express his own feeling and cause unfinished business. His father has died for nine months but he changed his behavior started from his father death to now that represent Scott is still struggling with the past experiences as Gestalt therapist recognized that the past would come to the presents moment is usually the lack of completion of the past experience.(Corey, 2013 )While in this treatment I would encourage Scott to experiences his own blocking energy gesture and allow him to know what is he struggling and accept it. Also try ing to bring his feeling from the past to present and know that he can make a change of situation. I would choose the Reversal exercise and Exaggeration exercise for Scott. For reversal exercise, I would ask him try to look at me and stop fidgeting with his figure for a minute when we are chatting, to let him to accept what he is doing. After that, I would ask him to stay silent for longer time which to exaggerate his behavior. (Feder Frew, 2008) From this behavior he can try to interpret his inner feeling when he is keeping silent. The gestalt therapy have much explanation about the importance humans gesture and language which would be suitable for Scott which have more gesture and less words to aware his feeling via body languages. remainderIn this session there might be used four treatment, The progressive muscle relaxation, Person-centred therapy, Expressive art therapy and the Gestalt therapy. The progressive muscle relaxation might want to help the client improve his psychos omatic illness like headache. While the person-centred therapy is aim at building a trust-worthy relationship with the client in order to let him to share me more with his owns emotion and my caring may let him to identify his own goal and the willing of changes. Expressive art therapy may like to cope with his difficulties of expressing his own feeling when I am asking some open question. Furthermore, the gestalt therapy would like to help client to aware with his gesture like refuse having eye contact with other so as to relate his gesture to his feeling and let him to pay attention to.ReferencesCain, D. (2010). Person-centered psychotherapies. Washington, DC American Psychological Association.Corey, G. (2013). Theory and practice of counseling and psychotherapy (9th ed.). Belmont, CA Cengage.Davis, J. (1980). Progressive Muscle Relaxation. In The effects of progressive muscle relaxation upon eupneic and anxiety in patients with chronic obstructive pulmonary disease. Madison Univ ersity of Wisconsin.Feder, B., Frew, J. (Eds.).(2008).Beyond the hot seat revisited Gestalt approaches to group. New Orleans Gestalt institute Press.Ferguson, K.E., Sgambati, R. E. (2008) Relaxation. In W.ODonohue J.E.Fisher (Eds.), Cognitive behavior therapy Applying empirically supported techniques in your practice(2nd ed.,pp.434-444). Hoboken, NJ Wiley.Koldon,G.G., Klein, M. H.,Wang, C., Austin, S.B.(2011). Congruence/genuineness. In J.C. Norcross (Ed.), Psychotherapy relationships that work Evidence-based responsiveness (2nd ed., pp. 187-202). New York Oxford University Press.Polster,E., Polster, M. (1973). Gestalt therapy integrated Contours of theory and practice. New York Brunner/Mazel.Rogers, C. (1961). A therapists view of psychotherapy. In On becoming a person. Boston Houghton Mifflin.Rogers, N. (1993). The creative connection. In The creative connection Expressive arts as healing. Palo Alto, Calif. Science Behavior Books.