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Class notes CNL 500: Theories And Models Of Counseling Theories of Counseling and Psychotherapy

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The document "Theories of Counseling and Psychotherapy Notes" provides a comprehensive overview of various counseling and psychotherapy theories, including their foundational principles, key figures, techniques, and applications. It begins by emphasizing the importance of theory in counseling and psychotherapy, outlining how different theoretical frameworks guide practice. Chapters cover major approaches such as Psychoanalytic Theory (Freud’s unconscious processes, defense mechanisms, and psychosexual stages), Neoanalytic Approaches (ego psychology, object relations, self-psychology), Adlerian Therapy (inferiority complex, social interest, birth order), Person-Centered Therapy (Rogers' core conditions of empathy, congruence, and unconditional positive regard), Existential Therapy (freedom, responsibility, meaning), Gestalt Therapy (awareness, unfinished business, the "here and now"), Behavior Therapy (conditioning, reinforcement, systematic desensitization), Cognitive Therapy (Beck’s cognitive restructuring, automatic thoughts, schemas), Rational Emotive Behavior Therapy (REBT) (Ellis’ ABC model and disputing irrational beliefs), and Feminist Therapy (gender and power analysis, empowerment, egalitarian relationships). Additionally, Family Systems Theory (Bowen, Minuchin, structural and strategic approaches), Solution-Focused Therapy (SFT) (miracle question, scaling, exception questions), and Narrative Therapy (re-authoring dominant stories, externalizing problems) are explored. Each chapter includes case studies demonstrating real-world applications of these theories in therapeutic settings, highlighting their effectiveness in addressing diverse client issues. The document emphasizes integrating theoretical knowledge into clinical practice, allowing therapists to tailor interventions based on individual client needs.

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Uploaded on
February 11, 2025
Number of pages
20
Written in
2024/2025
Type
Class notes
Professor(s)
Julie lerwick
Contains
All classes

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Chapter 1: Theory Is a Good Thing

Main Concepts:

1.​ Definition and Importance of Theory in Counseling:
○​ Theories provide a structured framework for understanding clients' behaviors,
emotions, and mental processes.
○​ Theories guide counselors in formulating strategies for intervention and support
based on empirical evidence.
2.​ What is Psychotherapy?
○​ Definitions:
■​ APA Division 17: Counseling is helping clients overcome obstacles to
personal growth.
■​ Wampold and Imel (2015): Psychotherapy is an interpersonal treatment
based on psychological principles, aimed at remedying the client’s
problems or complaints.
■​ American Counseling Association (ACA): Counseling empowers
individuals, families, and groups to achieve mental health, wellness,
education, and career goals.
○​ Counseling vs. Psychotherapy: Traditionally, psychotherapy involved deeper,
longer-term personality change, while counseling was shorter and
problem-focused. Currently, the terms are often used interchangeably.
3.​ The Role of Theory:
○​ Why Theory Matters:
■​ Theory helps organize and make sense of information, guiding counselors
in understanding and treating clients.
■​ A solid theory acts as a "map" for counselors, guiding the therapeutic
process and helping avoid getting "lost" in sessions.
○​ Characteristics of Good Theory:
■​ Precision and Testability: Clearly defined constructs that are easy to
measure and test.
■​ Empirical Validity: The theory should be supported by empirical
evidence from studies and research.
■​ Parsimony: The simplest explanation that effectively handles data is
preferred.
■​ Stimulation: Good theories provoke thought, research, and discussion.
■​ Practicality: The theory should be applicable and useful in real-world
counseling scenarios.
4.​ Choosing a Theory:
○​ Counselors should find a theory that fits their personal values, beliefs about
human nature, and preferred counseling style.

, ○​ Eclecticism: Many therapists adopt an eclectic approach, borrowing techniques
from multiple theories. However, they should still have a primary theoretical
framework.
○​ Personal Fit: The choice of a theoretical orientation is often related to the
counselor’s personality and philosophical assumptions.

Case Study: Scarlett

●​ Overview:
○​ Scarlett is experiencing grief over the loss of her daughter and issues in her
relationship with her husband, Rhett. She presents symptoms of depression,
anxiety, and panic attacks.
○​ Scarlett’s background includes significant losses (death of father, financial
hardship) and complex family dynamics.
●​ Relation to the Material:
○​ Application of Theory: The case study illustrates the importance of choosing an
appropriate theoretical approach to guide the counseling process. For example, a
counselor might use a psychodynamic approach to explore Scarlett's
unconscious conflicts or a cognitive-behavioral approach to address her panic
attacks.
○​ The Role of Family History: Scarlett’s family background and past experiences
are crucial in understanding her current emotional state, demonstrating the
importance of a thorough case conceptualization grounded in theory.
●​ Ethical Considerations: The case also touches on the ethical responsibility of the
counselor to choose a theory that aligns with the client's needs and cultural background,
ensuring that the counseling process is both effective and respectful of the client’s
experiences.

Chapter 2: Psychoanalytic Theory

Main Concepts:

1.​ Foundations of Psychoanalytic Theory:
○​ Sigmund Freud: The founder of psychoanalytic theory, Freud emphasized the
influence of the unconscious mind on behavior.
○​ Structure of the Mind:
■​ Id: The primal, instinctual part of the mind that seeks immediate
gratification.
■​ Ego: The rational part that mediates between the id and reality.
■​ Superego: The moral conscience that incorporates societal norms and
values.
○​ Defense Mechanisms: Unconscious strategies used by the ego to manage
anxiety and conflict. Examples include repression, denial, projection, and
displacement.
○​ Psychosexual Stages of Development:

, ■​ Oral Stage (0-1 year): Focus on oral pleasures like sucking.
■​ Anal Stage (1-3 years): Focus on controlling bladder and bowel
movements.
■​ Phallic Stage (3-6 years): Focus on the genitals; the Oedipus complex
arises.
■​ Latency Stage (6-puberty): Sexual interests subside; focus shifts to
socialization.
■​ Genital Stage (puberty onward): Mature sexual interests develop.
2.​ Techniques in Psychoanalysis:
○​ Free Association: Clients are encouraged to verbalize their thoughts without
censorship to uncover unconscious material.
○​ Dream Analysis: Interpreting dreams to reveal the unconscious mind’s desires
and conflicts.
○​ Transference: The process by which clients project feelings about important
figures in their lives onto the therapist.
○​ Resistance: Clients’ unconscious defense mechanisms that prevent them from
confronting painful thoughts.
3.​ Applications of Psychoanalytic Theory:
○​ Psychoanalytic therapy focuses on uncovering and resolving unconscious
conflicts that are thought to underlie psychological distress.
○​ Long-term therapy: Psychoanalysis is often a lengthy process, requiring frequent
sessions over several years.
4.​ Criticisms and Adaptations:
○​ Criticisms: Freud’s theory has been criticized for being deterministic, focusing
too heavily on sexual and aggressive drives, and lacking empirical support.
○​ Adaptations: Later theorists like Carl Jung and Alfred Adler modified and
expanded Freud’s ideas, leading to the development of other psychodynamic
approaches.
■​ Jung: Introduced concepts like the collective unconscious and
archetypes.
■​ Adler: Focused on feelings of inferiority and the drive for superiority.

Case Study: Application of Psychoanalytic Techniques

●​ Overview:
○​ A case study might involve a client presenting with symptoms such as anxiety or
depression, which are believed to be rooted in unresolved unconscious conflicts.
○​ For example, a client might have difficulty forming relationships due to
unresolved issues from the phallic stage of development, such as an unresolved
Oedipus complex.
●​ Relation to the Material:
○​ Free Association: The therapist might use free association to help the client
explore thoughts and feelings that arise spontaneously, uncovering repressed
memories or desires.
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