Structural Family Therapy Treatment Goals

You were introduced to a family in the structural family therapy demonstration video in this unit’s study (linked in Resources). Use the information about the family from the session you watched as your guide, and keep in mind what you read in each text (chapter 10) about goal development and treatment planning. Then, complete the following: (300 words or more)

  • 1. Identify the presenting problem.
  • 2. Devise three specific goals for this family based on the information from the demonstration. Include one goal addressing each of the early, middle, and late phases of treatment.
  • 3. Clearly and thoroughly discuss how you arrived at these goals and how these goals align with the structural family therapy model.

 

Based on what you learned about the client family from the demonstration video (linked in Resources), imagine you are the therapist who will see them for their next visit. Identify an intervention from the structural family therapy model that you would apply in the session. In this discussion, briefly describe the intervention, including the following: (300 words or more)

  • Its general purpose and goal.
  • Who and what is the target of the intervention.
  • Some questions that would be used to apply this intervention.
  • The desired outcome of the intervention.
  • The elements that make this intervention systemic in nature.

Use the literature from the unit and any additional literature to support your discussion post. (chapter 7)

Please click this link to watch the video  https://capella.kanopy.com/video/structural-family-therapy

Username: whitney.williams03@email.saintleo.edu

Password:123456

Parenting Dynamics – The Family Crucible – Brice Family

Theres a book (The Family Crucible) but i have found alot of info on the internet with this essay. need help getting it together with ZERO plagerism

Parenting Dynamics – The Family Crucible – Brice Family

1,050- to 1,300-word paper describing the parenting dynamics in the Brice family. Include the following information:

Parenting Dynamics – The Family Crucible – Brice Family

1,050- to 1,300-word paper describing the parenting dynamics in the Brice family. Include the following information:

•Describe how Carolyn and David fit in terms of authoritarian, authoritative, and permissive forms of parenting.

•Explain why you placed them in the category you did.

•Explain the attachment status of each member of the family as you perceive them.

•Describe how these attachments affect their relationships with other family members.

•Describe how parenting and attachment styles affect therapy.

•Determine what approach you would use as their therapist to address the parenting issues

Describe how Carolyn and David fit in terms of authoritarian, authoritative, and permissive forms of parenting. (from the notes)

Explain why you placed them in the category you did.

Explain the attachment status of each member of the family as you perceive them.

•Describe how these attachments affect their relationships with other family members.

•Describe how parenting and attachment styles affect therapy.

•Determine what approach you would use as their therapist to address the parenting issues

Complete Entire Week 4

1. Which one of the following types of variables is most difficult to evaluate objectively in a true experiment? Explain why you think that (See instructions below).

 

a)      Dependent variable

b)     Independent variable

c)      Confounding variable

d)     Extraneous variable

e)      None of the above

 

Instructions: Make selection, provide a concept definition (text), and support your opinion on the selection with an example from research that illustrates the concept. Do so in a maximum of 250 words.  Use credible and peer reviewed sources. Credible sources include course materials, University Library research that is peer reviewed, and Internet sites ending in .edu or .gov with with the one exception of research pulled from the www.apa.org site. If research is pulled from the APA site, use the www.apa.org

 

2. GIVE FEEDBACK ON THE FOUR PARAGRAPHS LISTED BELOW 150-200 WORDS

 

1.The variable that is the most difficult to evaluate objectively in a true experiment would be Extraneous variable. According to Cozby & Bates (2015), “It would be impossible to know whether participants that were participating in an aerobics class or those watching aerobics on video, would have a better mood due to what they were doing” (p.162). With extraneous variable there are so many other factors that come into play such as; does either room have more doors, air conditioning, heating, windows, ect. Those things actually can change the response of each group making the data collected unreliable. In an article I found regarding women who are pregnant and using cocaine, the study that was done took place over quite a few years. According to Richardson & Day (1999), “One of the issues that were identified was the failure to control adequately for extraneous variables” (p.234). The researchers realized that some of the studies were inadequate and that most of the time information was not interpreted correctly to the client or their providers. The lack of communication caused further issues and endangered some of those pregnancies. Since the study on prenatal cocaine exposure was performed over such a lengthy period of time it is hard to make sure that there will not be anything extraneous that would have an effect on the study. Without trying to eliminate those extraneous variables the study becomes compromised and the data does not appear to be as relevant as other studies.

 

Reference:

 

Cozby, P. C., & Bates, S. C. (2015). Methods in Behavioral Research (12th ed.). New York, NY: McGraw-Hill.

 

Richardson, G. A., & Day, N. L. (1999). Studies of prenatal cocaine exposure: Assessing the influence of extraneous variables. Journal of Drug Issues, 29(2), 225-236. Retrieved from https://search-proquest-com.contentproxy.phoenix.edu/docview/208833439?accountid=458

 

2.Independent variables are tested to see of the have an effect on the dependent variable, which is why the extraneous variables (not intentionally studied) are known to be undesirable variables, and sometimes they are difficult for the researcher to control (Cozby, 2015). As an example, since the extraneous variable is not a variable of interest, they may still influence an outcome of a research study or experiment.  According to Losen & Oyinalde (2014), the extraneous variable has its positives as it can be used to provide alternative explanations when coming to the experiments effects, but it must be controlled for and not take the place of the independent variable, which has to determine the actual effects. References:Cozby, P. C., & Bates, S. C. (2015). Methods in Behavioral Research (12th ed.). New York, NY: McGraw-Hill. Losen, A., & Oyinalde, A.O (2014) Extraneous Effects of Race, Gender, and Race-Gender Homo- and Heterophily Conditions on Data Quality   4(1)   Directory of Open Access Journals DOI: 10.1177/2158244014525418

 

3.The variable that I think is most difficult to evaluate is the confounding variable. In our reading from chapter four they talk in depth about the confounding variable. They explain the third variable that is hard to get a read on. According to Cozby & Bates (2015) the confounding variable is what we call the third when an uncontrolled one is operating. When a third variable is operating it can cause a huge problem since it can introduce an alternative explanation which can reduce the overall validity of the study (Cozby & Bates, 2015). If two variables are confounded they are so intertwined that you will not be able to determine which of the variables is operating in a situation (Cozby & Bates, 2015). The example they give is about how exercise can cause a reduction in anxiety but when they input income that can cause the third variable (Cozby & Bates, 2015). The third variable which can be extraneous to the two variables being studied. There can be any number of third variables that may be responsible a relationship between two variables (Cozby & Bates, 2015).

 

 

Cozby, P. C., & Bates, S. C. (2015). Methods in Behavioral Research (12th ed.). New York, NY: McGraw-Hill.

 

4.The confounding variables can be difficult to control by the researcher (Cozby & Bates, 2015). In fact, it is said that researchers do fail to control it, as to eliminate the underlying problems the human judgment is necessary. The confounding variable also makes it difficult to find a linkage between treatments and the outcomes. According to Brodt, Dettori, Skelly (2012), Confounding happens when the effects are mixed, where the confounding factors may provide false demonstrations which show to be apparently associated with the treatments and or outcomes, when in reality there is not an association. When coming to exposures in the medical field, treatment group observations, consideration is recommended when coming to the effect truly due to exposure or alternative explanations, there for appropriate methods have to be used for adjustments, where the human judgment is required.

References:

Brodt, E., Dettori, J.R., Skelly, A.C. (2012) Assessing bias: the importance of considering confounding NCBI Retrieved from: https;//www.ncbi.mlh.nih.gov

Cozby, P. C., & Bates, S. C. (2015). Methods in Behavioral Research (12th ed.). New York, NY: McGraw-Hill.

Experimental Design Chapter 8

LEARNING OBJECTIVES

· Define confounding variable, and describe how confounding variables are related to internal validity.

· Describe the posttest-only design and the pretest-posttest design, including the advantages and disadvantages of each design.

· Contrast an independent groups (between-subjects) design with a repeated measures (within-subjects) design.

· Summarize the advantages and disadvantages of using a repeated measures design.

· Describe a matched pairs design, including reasons to use this design.

Page 162IN THE EXPERIMENTAL METHOD, THE RESEARCHER ATTEMPTS TO CONTROL ALL EXTRANEOUS VARIABLES. Suppose you want to test the hypothesis that exercise affects mood. To do this, you might put one group of people through a 1-hour aerobics workout and put another group in a room where they are asked to watch a video of people exercising for an hour. All participants would then complete the same mood assessment. Now suppose that the people in the aerobics class rate themselves as happier than those in the video viewing condition. Can the difference in mood be attributed to the difference in the exercise? Yes, if there is no other difference between the groups. However, what if the aerobics group was given the mood assessment in a room with windows but the video-only group was tested in a room without windows? In that case, it would be impossible to know whether the better mood of the participants in the aerobics group was due to the exercise or to the presence of windows.

CONFOUNDING AND INTERNAL VALIDITY

Recall from Chapter 4 that the experimental method has the advantage of allowing a relatively unambiguous interpretation of results. The researcher manipulates the independent variable to create groups and then compares the groups on the dependent variable. All other variables are kept constant, either through direct experimental control or through randomization. If the groups are different, the researcher can conclude that the independent variable caused the results because the only difference between the groups is the manipulated variable.

Although the task of designing an experiment is logically elegant and exquisitely simple, you should be aware of possible pitfalls. In the hypothetical exercise experiment just described, the variables of exercise and window presence are confounded. The window variable was not kept constant. A confounding variable is a variable that varies along with the independent variable; confounding occurs when the effects of the independent variable and an uncontrolled variable are intertwined so you cannot determine which of the variables is responsible for the observed effect. If the window variable had been held constant, both the exercise and the video condition would have taken place in identical rooms. That way, the effect of windows would not be a factor to consider when interpreting the difference between the groups.

In short, both rooms in the exercise experiment should have had windows or both should have been windowless. Because one room had windows and one room did not, any difference in the dependent variable (mood) cannot be attributed solely to the independent variable (exercise). An alternative explanation can be offered: The difference in mood may have been caused, at least in part, by the window variable.

Good experimental design requires eliminating possible confounding variables that could result in alternative explanations. A researcher can claim that the independent variable caused the results only by eliminating competing, Page 163alternative explanations. When the results of an experiment can confidently be attributed to the effect of the independent variable, the experiment is said to have internal validity (remember that internal validity refers to the ability to draw conclusions about causal relationships from our data; see Chapter 4). To achieve good internal validity, the researcher must design and conduct the experiment so that only the independent variable can be the cause of the results (Campbell & Stanley, 1966).

This chapter will focus on true experimental designs, which provide the highest degree of internal validity. In Chapter 11, we will turn to an examination of quasi-experimental designs, which lack the crucial element of random assignment while attempting to infer that an independent variable had an effect on a dependent variable. Internal validity is discussed further in Chapter 11 and external validity, the extent to which findings may be generalized, is the focus of Chapter 14.

BASIC EXPERIMENTS

The simplest possible experimental design has two variables: the independent variable and the dependent variable. The independent variable has a minimum of two levels, an experimental group and a control group. Researchers must make every effort to ensure that the only difference between the two groups is the manipulated (independent) variable.

Remember, the experimental method involves control over extraneous variables, through either keeping such variables constant (experimental control) or using randomization to make sure that any extraneous variables will affect both groups equally. The basic, simple experimental design can take one of two forms: a posttest-only design or a pretest-posttest design.

Posttest-Only Design

A researcher using a posttest-only design must (1) obtain two equivalent groups of participants, (2) introduce the independent variable, and (3) measure the effect of the independent variable on the dependent variable. The design looks like this:

 

Thus, the first step is to choose the participants and assign them to the two groups. The procedures used must achieve equivalent groups to eliminate any Page 164potential selection differences:The people selected to be in the conditions cannot differ in any systematic way. For example, you cannot select high-income individuals to participate in one condition and low-income individuals for the other. The groups can be made equivalent by randomly assigning participants to the two conditions or by having the same participants participate in both conditions. Recall from Chapter 4 that random assignment is done in such a way that each participant is assigned to a condition randomly without regard to any personal characteristic of the individual. The R in the diagram means that participants were randomly assigned to the two groups.

Next, the researcher must choose two levels of the independent variable, such as an experimental group that receives a treatment and a control group that does not. Thus, a researcher might study the effect of reward on motivation by offering a reward to one group of children before they play a game and offering no reward to children in the control group. A study testing the effect of a treatment method for reducing smoking could compare a group that receives the treatment with a control group that does not. Another approach would be to use two different amounts of the independent variable—that is, to use more reward in one group than the other or to compare the effects of different amounts of relaxation training designed to help people quit smoking (e.g., 1 hour of training compared with 10 hours). Another approach would be to include two qualitatively different conditions; for example, one group of test-anxious students might write about their anxiety and the other group could participate in a meditation exercise prior to a test. All of these approaches would provide a basis for comparison of the two groups. (Of course, experiments may include more than two groups; for example, we might compare two different smoking cessation treatments along with a no-treatment control group—these types of experimental designs will be described in Chapter 10).

Finally, the effect of the independent variable is measured. The same measurement procedure is used for both groups, so that comparison of the two groups is possible. Because the groups were equivalent prior to the introduction of the independent variable and there were no confounding variables, any difference between the groups on the dependent variable must be attributed to the effect of the independent variable. This elegant experimental design has a high degree of internal validity. That is, we can confidently conclude that the independent variable caused the dependent variable. In actuality, a statistical significance test would be used to assess the difference between the groups. However, we do not need to be concerned with statistics at this point. An experiment must be well designed, and confounding variables must be eliminated before we can draw conclusions from statistical analyses.

Pretest-Posttest Design

The only difference between the posttest-only design and the pretest-posttest design is that in the latter a pretest is given before the experimental manipulation is introduced:

Page 165

 

This design makes it possible to ascertain that the groups were, in fact, equivalent at the beginning of the experiment. However, this precaution is usually not necessary if participants have been randomly assigned to the two groups. With a sufficiently large sample of participants, random assignment will produce groups that are virtually identical in all respects.

You are probably wondering how many participants are needed in each group to make sure that random assignment has made the groups equivalent. The larger the sample, the less likelihood there is that the groups will differ in any systematic way prior to the manipulation of the independent variable. In addition, as sample size increases, so does the likelihood that any difference between the groups on the dependent variable is due to the effect of the independent variable. There are formal procedures for determining the sample size needed to detect a statistically significant effect, but as a rule of thumb you will probably need a minimum of 20 to 30 participants per condition. In some areas of research, many more participants may be necessary. Further issues in determining the number of participants needed for an experiment are described in Chapter 13.

Comparing Posttest-Only and Pretest-Posttest Designs

Each of these two experimental designs has advantages and disadvantages that influence the decision whether to include or omit a pretest. The first decision factor concerns the equivalence of the groups in the experiment. Although randomization is likely to produce equivalent groups, it is possible that, with small sample sizes, the groups will not be equal. Thus, a pretest enables the researcher to assess whether the groups are in fact equivalent to begin with.

Sometimes, a pretest is necessary to select the participants in the experiment. A researcher might need to give a pretest to find the lowest or highest scorers on a smoking measure, a math anxiety test, or a prejudice measure. Once identified, the participants would be randomly assigned to the experimental and control groups.

The pretest-posttest design immediately makes us focus on the change from pretest to posttest. This emphasis on change is incorporated into the analysis of the group differences. Also, the extent of change in each individual can be Page 166examined. If a smoking reduction program appears to be effective for some individuals but not others, attempts can be made to find out why.

A pretest is also necessary whenever there is a possibility that participants will drop out of the experiment; this is most likely to occur in a study that lasts over a long time period. The dropout factor in experiments is called attrition or mortality. People may drop out for reasons unrelated to the experimental manipulation, such as illness; sometimes, however, attrition is related to the experimental manipulation. Even if the groups are equivalent to begin with, different attrition rates can make them nonequivalent. How might mortality affect a treatment program designed to reduce smoking? One possibility is that the heaviest smokers in the experimental group might leave the program. Therefore, when the posttest is given, only the light smokers would remain, so that a comparison of the experimental and control groups would show less smoking in the experimental group even if the program had no effect. In this way, attrition (mortality) becomes an alternative explanation for the results. Use of a pretest enables you to assess the effects of attrition; you can look at the pretest scores of the dropouts and know whether their scores differed from the scores of the individuals completing the study. Thus, with the pretest, it is possible to examine whether attrition is a plausible alternative explanation—an advantage in the experimental design.

One disadvantage of a pretest, however, is that it may be time-consuming and awkward to administer in the context of the particular experimental procedures being used. Perhaps most important, a pretest can sensitize participants to what you are studying, enabling them to figure out what is being studied and (potentially) why. They may then react differently to the manipulation than they would have without the pretest. When a pretest affects the way participants react to the manipulation, it is very difficult to generalize the results to people who have not received a pretest. That is, the independent variable may not have an effect in the real world, where pretests are rarely given. We will examine this issue more fully in Chapter 14.

If awareness of the pretest is a problem, the pretest can be disguised. One way to do this is by administering it in a completely different situation with a different experimenter. Another approach is to embed the pretest in a set of irrelevant measures so it is not obvious that the researcher is interested in a particular topic.

It is also possible to assess the impact of the pretest directly with a combination of both the posttest-only and the pretest-posttest design. In this design, half the participants receive only the posttest, and the other half receive both the pretest and the posttest (see Figure 8.1). This is formally called a Solomon four-group design. If there is no impact of the pretest, the posttest scores will be the same in the two control groups (with and without the pretest) and in the two experimental groups. Garvin and Damson (2008) employed a Solomon four-group design to study the effect of viewing female fitness magazine models on a measure of depressed mood. Female college students spent 30 minutes viewing either the fitness magazines or magazines such as National Geographic. Two possible outcomes of this study are shown in Figure 8.2. The top graph illustrates an outcome in which the pretest has no impact: The fitness magazine viewing results in higher depression in both the posttest-only and the pretest-posttest condition. This is what was found in the study. The lower graph shows an outcome in which there is a difference between the treatment and control groups when there is a pretest, but there is no group difference when the pretest is absent.

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FIGURE 8.1

Solomon four-group design

 

FIGURE 8.2

Examples of outcomes of Solomon four-group design

Page 168

ASSIGNING PARTICIPANTS TO EXPERIMENTAL CONDITIONS

Recall that there are two basic ways of assigning participants to experimental conditions. In one procedure, participants are randomly assigned to the various conditions so that each participates in only one group. This is called an independent groups design. It is also known as a between-subjects design because comparisons are made between different groups of participants. In the other procedure, participants are in all conditions. In an experiment with two conditions, for example, each participant is assigned to both levels of the independent variable. This is called a repeated measures design,because each participant is measured after receiving each level of the independent variable. You will also see this called a within-subjects design; in this design, comparisons are made within the same group of participants (subjects). In the next two sections, we will examine each of these designs in detail.

INDEPENDENT GROUPS DESIGN

In an independent groups design, different participants are assigned to each of the conditions using random assignment. This means that the decision to assign an individual to a particular condition is completely random and beyond the control of the researcher. For example, you could ask for the participant’s month of birth; individuals born in odd-numbered months would be assigned to one group and those born in even-numbered months would be assigned to the other group. In practice, researchers use a sequence of random numbers to determine assignment. Such numbers come from a random number generator such as Research Randomizer, available online at http://www.randomizer.org or QuickCalcs at http://www.graphpad.com/quickcalcs/randomize1.cfm; Excel can also generate random numbers. These programs allow you to randomly determine the assignment of each participant to the various groups in your study. Random assignment will prevent any systematic biases, and the groups can be considered equivalent in terms of participant characteristics such as income, intelligence, age, personality, and political attitudes. In this way, participant differences cannot be an explanation for results of the experiment. As we noted in Chapter 4, in an experiment on the effects of exercise on anxiety, lower levels of Page 169anxiety in the exercise group than in the no-exercise group cannot be explained by saying that people in the groups are somehow different on characteristics such as income, education, or personality.

An alternative procedure is to have the same individuals participate in all of the groups. This is called a repeated measures experimental design.

REPEATED MEASURES DESIGN

Consider an experiment investigating the relationship between the meaningfulness of material and the learning of that material. In an independent groups design, one group of participants is given highly meaningful material to learn and another group receives less meaningful material. For example, the meaningful material might include a story relating the material to a real-life event. In a repeated measures design, the same individuals participate in both conditions. Thus, participants might first read low-meaningful material and take a recall test to measure learning; the same participants would then read high-meaningful material and take the recall test. You can see why this is called a repeated measures design; participants are repeatedly measured on the dependent variable after being in each condition of the experiment.

Advantages and Disadvantages of Repeated Measures Design

The repeated measures design has several advantages. An obvious one is that fewer research participants are needed, because each individual participates in all conditions. When participants are scarce or when it is costly to run each individual in the experiment, a repeated measures design may be preferred. In much research on perception, for instance, extensive training of participants is necessary before the actual experiment can begin. Such research often involves only a few individuals who participate in all conditions of the experiment.

An additional advantage of repeated measures designs is that they are extremely sensitive to finding statistically significant differences between groups. This is because we have data from the same people in both conditions. To illustrate why this is important, consider possible data from the recall experiment. Using an independent groups design, the first three participants in the high-meaningful condition had scores of 68, 81, and 92. The first three participants in the low-meaningful condition had scores of 64, 78, and 85. If you calculated an average score for each condition, you would find that the average recall was a bit higher when the material was more meaningful. However, there is a lot of variability in the scores in both groups. You certainly are not finding that everyone in the high-meaningful condition has high recall and everyone in the other condition has low recall. The reason for this variability is that people differ—there are individual differences in recall abilities, so there is a range of scores in both conditions. This is part of “random error” in the scores that we cannot explain.

Page 170However, if the same scores were obtained from the first three participants in a repeated measures design, the conclusions would be much different. Let’s line up the recall scores for the two conditions:

 

With a repeated measures design, the individual differences can be seen and explained. It is true that some people score higher than others because of individual differences in recall abilities, but now you can much more clearly see the effect of the independent variable on recall scores. It is much easier to separate the systematic individual differences from the effect of the independent variable: Scores are higher for every participant in the high-meaningful condition. As a result, we are much more likely to detect an effect of the independent variable on the dependent variable.

The major problem with a repeated measures design stems from the fact that the different conditions must be presented in a particular sequence. Suppose that there is greater recall in the high-meaningful condition. Although this result could be caused by the manipulation of the meaningfulness variable, the result could also simply be an order effect—the order of presenting the treatments affects the dependent variable. Thus, greater recall in the high-meaningful condition could be attributed to the fact that the high-meaningful task came second in the order of presentation of the conditions. Performance on the second task might improve merely because of the practice gained on the first task. This improvement is in fact called a practice effect, or learning effect. It is also possible that a fatigue effect could result in a deterioration in performance from the first to the second condition as the research participant becomes tired, bored, or distracted.

It is also possible for the effect of the first treatment to carry over to influence the response to the second treatment—this is known as a carryover effect. Suppose the independent variable is severity of a crime. After reading about the less severe crime, the more severe one might seem much worse to participants than it normally would. In addition, reading about the severe crime might subsequently cause participants to view the less severe crime as much milder than they normally would. In both cases, the experience with one condition carried over to affect the response to the second condition. In this example, the carryover effect was a psychological effect of the way that the two situations contrasted with one another.

A carryover effect may also occur when the first condition produces a change that is still influencing the person when the second condition is introduced. Suppose the first condition involves experiencing failure at an important Page 171task. This may result in a temporary increase in stress responses. How long does it take before the person returns to a normal state? If the second condition is introduced too soon, the stress may still be affecting the participant.

There are two approaches to dealing with order effects. The first is to employ counterbalancing techniques. The second is to devise a procedure in which the interval between conditions is long enough to minimize the influence of the first condition on the second.

Counterbalancing

Complete counterbalancing In a repeated measures design, it is very important to counterbalance the order of the conditions. With complete counterbalancing, all possible orders of presentation are included in the experiment. In the example of a study on learning high- and low-meaningful material, half of the participants would be randomly assigned to the low-high order, and the other half would be assigned to the high-low order. This design is illustrated as follows:

 

By counterbalancing the order of conditions, it is possible to determine the extent to which order is influencing the results. In the hypothetical memory study, you would know whether the greater recall in the high-meaningful condition is consistent for both orders; you would also know the extent to which a practice effect is responsible for the results.

Counterbalancing principles can be extended to experiments with three or more groups. With three groups, there are 6 possible orders (3! = 3 × 2 × 1 = 6). With four groups, the number of possible orders increases to 24 (4! = 4 × 3 × 2 × 1 = 24); you would need a minimum of 24 participants to represent each order, and you would need 48 participants to have only two participants per order. Imagine the number of orders possible in an experiment by Shepard and Metzler (1971). In their basic experimental paradigm, each participant is shown a three-dimensional object along with the same figure rotated at one of 10 different angles ranging from 0 degrees to 180 degrees (see the sample objects illustrated in Figure 8.3). Each time, the participant presses a button when it is determined that the two figures are the same or different. The dependent variable is reaction time—the amount of time it takes to decide whether the figures are the same or different. The results show that reaction time becomes longer as the angle of rotation increases away from the original. In this experiment with 10 conditions, there are 3,628,800 possible orders! Fortunately, there are alternatives to complete counterbalancing that still allow researchers to draw valid conclusions about the effect of the independent variable without running some 3.6 million tests.

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FIGURE 8.3

Three-dimensional figures used by Shepard and Metzler (1971)

Adapted from “Mental Rotation of Three-Dimensional Objects,” by R. N. Shepard and J. Metzler, 1971, Science171, pp. 701–703.

Latin squares A technique to control for order effects without having all possible orders is to construct a Latin square: a limited set of orders constructed to ensure that (1) each condition appears at each ordinal position and (2) each condition precedes and follows each condition one time. Using a Latin square to determine order controls for most order effects without having to include all possible orders. Suppose you replicated the Shepard and Metzler (1971) study using only 4 of the 10 rotations: 0, 60, 120, and 180 degrees. A Latin square for these four conditions is shown in Figure 8.4. Each row in the square is one of the orders of the conditions (the conditions are labeled A, B, C, and D). The number of orders in a Latin square is equal to the number of conditions; thus, if there are four conditions, there are four orders. When you conduct your study using the Latin square to determine order, you need at least one participant per row. Usually, you will have two or more participants per row; the number of participants tested in each order must be equal.

 

FIGURE 8.4

A Latin square with four conditions

Note: The four conditions were randomly given letter designations. A = 60 degrees, B = 0 degrees, C = 180 degrees, and D = 120 degrees. Each row represents a different order of running the conditions.

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Time Interval Between Treatments

In addition to counterbalancing the order of treatments, researchers need to carefully determine the time interval between presentation of treatments and possible activities between them. A rest period may counteract a fatigue effect; attending to an unrelated task between treatments may reduce the possibility that participants will contrast the first treatment with the second. If the treatment is the administration of a drug that takes time to wear off, the interval between treatments may have to be a day or more. Lane, Cherek, Tcheremissine, Lieving, and Pietras (2005) used a repeated measures design to study the effect of marijuana on risk taking. The subjects came the lab in the morning and passed a drug test. They were then given one of three marijuana doses. The dependent variable was a measure of risk taking. Subjects were tested in this way for each dosage. Because of the time necessary for the effects of the drug to wear off, the three conditions were run on separate days at least five days apart. A similarly long time interval would be needed with procedures that produce emotional changes, such as heightened anxiety or anger. You may have noted that introduction of an extended time interval may create a separate problem: Participants will have to commit to the experiment for a longer period of time. This can make it more difficult to recruit volunteers, and if the study extends over two or more days, some participants may drop out of the experiment altogether. And for the record, increased marijuana doses did result in making riskier decisions.

Choosing Between Independent Groups and Repeated Measures Designs

Repeated measures designs have two major advantages over independent groups designs: (1) a reduction in the number of participants required to complete the experiment and (2) greater control over participant differences and thus greater ability to detect an effect of the independent variable. As noted previously, in certain areas of research, these advantages are very important. However, the disadvantages of repeated measures designs and the precautions required to deal with them are usually sufficient reasons for researchers to use independent groups designs.

A very different consideration in whether to use a repeated measures design concerns generalization to conditions in the “real world.” Greenwald (1976) has pointed out that in actual everyday situations, we sometimes encounter independent variables in an independent groups fashion: We encounter only Page 174one condition without a contrasting comparison. However, some independent variables are most frequently encountered in a repeated measures fashion: Both conditions appear, and our responses occur in the context of exposure to both levels of the independent variable. Thus, for example, if you are interested in how a defendant’s characteristics affects jurors, an independent groups design may be most appropriate because actual jurors focus on a single defendant in a trial. However, if you are interested in the effects of a job applicant’s characteristics on employers, a repeated measures design would be reasonable because employers typically consider several applicants at once. Whether to use an independent groups or repeated measures design may be partially determined by these generalization issues.

Finally, any experimental procedure that produces a relatively permanent change in an individual cannot be used in a repeated measures design. Examples include a psychotherapy treatment or a surgical procedure such as the removal of brain tissue.

MATCHED PAIRS DESIGN

A somewhat more complicated method of assigning participants to conditions in an experiment is called a matched pairs design. Instead of simply randomly assigning participants to groups, the goal is to first match people on a participant variable such as age or a personality trait (see Chapter 4). The matching variable will be either the dependent measure or a variable that is strongly related to the dependent variable. For example, in a learning experiment, participants might be matched on the basis of scores on a cognitive ability measure or even grade point average. If cognitive ability is not related to the dependent measure, however, matching would be a waste of time. The goal is to achieve the same equivalency of groups that is achieved with a repeated measures design without the necessity of having the same participants in both conditions. The design looks like this:

 

When using a matched pairs design, the first step is to obtain a measure of the matching variable from each individual. The participants are then rank ordered from highest to lowest based on their scores on the matching variable. Now the researcher can form matched pairs that are approximately equal on the characteristic (the highest two participants form the first pair, the next Page 175two form the second pair, and so on). Finally, the members of each pair are randomly assigned to the conditions in the experiment. (Note that there are methods of matching pairs of individuals on the basis of scores derived from multiple variables; these methods are described briefly in Chapter 11.)

A matched pairs design ensures that the groups are equivalent (on the matching variable) prior to introduction of the independent variable manipulation. This assurance could be particularly important with small sample sizes, because random assignment procedures are more likely to produce equivalent groups as the sample size increases. Matching, then, is most likely to be used when only a few participants are available or when it is very costly to run large numbers of individuals in the experiment—as long as there is a strong relationship between a dependent measure and the matching variable. The result is a greater ability to detect a statistically significant effect of the independent variable because it is possible to account for individual differences in responses to the independent variable, just as we saw with a repeated measures design. (The issues of variability and statistical significance are discussed further in Chapter 13 and Appendix C.)

However useful they are, matching procedures can be costly and time-consuming, because they require measuring participants on the matching variable prior to the experiment. Such efforts are worthwhile only when the matching variable is strongly related to the dependent measure and you know that the relationship exists prior to conducting your study. For these reasons, matched pairs is not a commonly used experimental design. However, we will discuss matching again in Chapter 11 when describing quasi-experimental designs that do not have random assignment to conditions. You now have a fundamental understanding of the design of experiments. In the next chapter, we will consider issues that arise when you decide how to actually conduct an experiment.

ILLUSTRATIVE ARTICLE: EXPERIMENTAL DESIGN

We are constantly connected. We can be reached by cell phone almost anywhere, at any time. Text messages compete for our attention. Email and instant messaging (IM) can interrupt our attention whenever we are using a cell phone or computer. Is this a problem? Most people like to think of themselves as experts at multitasking. Is that true?

A study conducted by Bowman, Levine, Waite, and Gendron (2010) attempted to determine whether IMing during a reading session affected test performance. In this study, participants were randomly assigned to one of three conditions: one where they were asked to IM prior to reading, one in which they were asked to IM during reading, and one in which IMing was not allowed at all. Afterward, all participants completed a brief test on the material presented in the reading.

First, acquire and read the article:Page 176

Bowman, L. L., Levine, L. E., Waite, B. M., & Gendron, M. (2010). Can students really multitask? An experimental study of instant messaging while reading. Computers & Education, 54, 927–931. doi:10.1016/j.compedu.2009.09.024

After reading the article, answer the following questions:

1. This experiment used a posttest-only design. How could the researchers have used a pretest-posttest design? What would the advantages and disadvantages be of using a pretest-posttest design?

2. This experiment used an independent groups design.

a. How could they have used a repeated measures design? What would have been the advantages and disadvantages of using a repeated measures design?

b. How could they have used a matched pairs design? What variables do you think would have been worthwhile to match participants on? What would have been the advantages and disadvantages of using a matched pairs design?

3. What potential confounding variables can you think of?

4. In what way does this study reflect—or not reflect—the reality of studying and test taking in college? That is, how would you evaluate the external validity of this study?

5. How good was the internal validity of this experiment?

6. What were the researchers’ key conclusions of this experiment?

7. Would you have predicted the results obtained in this experiment? Why or why not?

Study Terms

Attrition (also mortality) (p. 166)

Between-subjects design (also independent groups design) (p. 168)

Carryover effect (p. 170)

Confounding variable (p. 162)

Counterbalancing (p. 171)

Fatigue effect (p. 170)

Independent groups design (also between-subjects design) (p. 168)

Internal validity (p. 163)

Latin square (p. 172)

Matched pairs design (p. 174)

Mortality (also attrition) (p. 166)

Order effect (p. 170)

Posttest-only design (p. 163)

Practice effect (also learning effect) (p. 170)

Pretest-posttest design (p. 164)Page 177

Random assignment (p. 168)

Repeated measures design (also within-subjects design) (p. 168)

Selection differences (p. 164)

Solomon four-group design (p. 166)

Within-subjects design (also repeated measures design) (p. 168)

Review Questions

1. What is confounding of variables?

2. What is meant by the internal validity of an experiment?

3. How do the two true experimental designs eliminate the problem of selection differences?

4. Distinguish between the posttest-only design and the pretest-posttest design. What are the advantages and disadvantages of each?

5. What is a repeated measures design? What are the advantages of using a repeated measures design? What are the disadvantages?

6. What are some of the ways of dealing with the problems of a repeated measures design?

7. When would a researcher decide to use the matched pairs design? What would be the advantages of this design?

8. The procedure used to obtain your sample (i.e., random or nonrandom sampling) is not the same as the procedure for assigning participants to conditions; distinguish between random sampling and random assignment.

Activities

1. Design an experiment to test the hypothesis that single-gender math classes are beneficial to adolescent females. Construct operational definitions of both the independent and dependent variables. Your experiment should have two groups and use the matched pairs procedure. Make a good case for your selection of the matching variable. In addition, defend your choice of either a posttest-only design or a pretest-posttest design.

2. Design a repeated measures experiment that investigates the effect of report presentation style on the grade received for the report. Use two levels of the independent variable: a “professional style” presentation (high-quality paper, consistent use of margins and fonts, carefully constructed tables and charts) and a “nonprofessional style” (average-quality paper, frequent changes in the margins and fonts, tables and charts lacking proper labels). Discuss the necessity for using counterbalancing. Create a table illustrating the experimental design.

3. Professor Foley conducted a cola taste test. Each participant in the experiment first tasted 2 ounces of Coca-Cola, then 2 ounces of Pepsi, and finally 2 ounces of Sam’s Choice Cola. A rating of the cola’s flavor was made after each taste. What are the potential problems with this experimental design and the procedures used? Revise the design and procedures to address these problems. You may wish to consider several alternatives and think about the advantages and disadvantages of each.

Counseling Theory- Psychoanalytic Theory

The Place of Techniques and Evaluation in Counseling

Drawing on Techniques from Various Approaches

Techniques of Therapy

Applications of the Approaches

Contributions to Multicultural Counseling

Limitations in Multicultural Counseling

Contributions of the Approaches

Overview of Contemporary Counseling Models

Ego-Defense Mechanisms

 

Comparison of Freud’s Psychosexual Stages and Erikson’s Psychosocial Stages

 

The Basic Philosophies

 

Key Concepts

 

Goals of Therapy

 

The Therapeutic Relationship

Limitations of the Approaches

 

 

 

 

 

 

 

The Place of Techniques and Evaluation in Counseling

Drawing on Techniques from Various Approaches

 

Techniques of Therapy

Psychoanalytic therapy The key techniques are interpretation, dream analysis, free association, analysis of resistance, analysis of transference, and countertransference. Techniques are designed to help clients gain access to their unconscious conflicts, which leads to insight and eventual assimilation of new material by the ego.
Adlerian therapy Adlerians pay more attention to the subjective experiences of clients than to using techniques. Some techniques include gathering life-history data (family constellation, early recollections, personal priorities), sharing interpretations with clients, offering encouragement, and assisting clients in searching for new possibilities.
Existential therapy Few techniques flow from this approach because it stresses understanding first and technique second. The therapist can borrow techniques from other approaches and incorporate them in an existential framework. Diagnosis, testing, and external measurements are not deemed important. Issues addressed are freedom and responsibility, isolation and relationships, meaning and meaninglessness, living and dying.
Person-centered therapy This approach uses few techniques but stresses the attitudes of the therapist and a “way of being.” Therapists strive for active listening, reflection of feelings, clarification, “being there” for the client, and focusing on the moment-to-moment experiencing of the client. This model does not include diagnostic testing, interpretation, taking a case history, or questioning or probing for information.
Gestalt therapy A wide range of experiments are designed to intensify experiencing and to integrate conflicting feelings. Experiments are co-created by therapist and client through an I/Thou dialogue. Therapists have latitude to creatively invent their own experiments. Formal diagnosis and testing are not a required part of therapy.
Behavior therapy The main techniques are reinforcement, shaping, modeling, systematic desensitization, relaxation methods, flooding, eye movement and desensitization reprocessing, cognitive restructuring, social skills training, self-management programs, mindfulness and acceptance methods, behavioral rehearsal, and coaching. Diagnosis or assessment is done at the outset to determine a treatment plan. Questions concentrate on “what,” “how,” and “when” (but not “why”). Contracts and homework assignments are also typically used.
Cognitive behavior therapy Therapists use a variety of cognitive, emotive, and behavioral techniques; diverse methods are tailored to suit individual clients. This is an active, directive, time-limited, present-centered, psychoeducational, structured therapy. Some techniques include engaging in Socratic dialogue, collaborative empiricism, debating irrational beliefs, carrying out homework assignments, gathering data on assumptions one has made, keeping a record of activities, forming alternative interpretations, learning new coping skills, changing one’s language and thinking patterns, role playing, imagery, confronting faulty beliefs, self-instructional training, and stress inoculation training.
Choice theory/ Reality therapy This is an active, directive, and didactic therapy. Skillful questioning is a central technique used for the duration of the therapy process. Various techniques may be used to get clients to evaluate what they are presently doing to see if they are willing to change. If clients decide that their present behavior is not effective, they develop a specific plan for change and make a commitment to follow through.
Feminist therapy Although techniques from traditional approaches are used, feminist practitioners tend to employ consciousness-raising techniques aimed at helping clients recognize the impact of gender-role socialization on their lives. Other techniques frequently used include gender-role analysis and intervention, power analysis and intervention, demystifying therapy, bibliotherapy, journal writing, therapist self-disclosure, assertiveness training, reframing and relabeling, cognitive restructuring, identifying and challenging untested beliefs, role playing, psychodramatic methods, group work, and social action.
Postmodern approaches In solution-focused therapy the main technique involves change-talk, with emphasis on times in a client’s life when the problem was not a problem. Other techniques include creative use of questioning, the miracle question, and scaling questions, which assist clients in developing alternative stories. In narrative therapy, specific techniques include listening to a client’s problem-saturated story without getting stuck, externalizing and naming the problem, externalizing conversations, and discovering clues to competence. Narrative therapists often write letters to clients and assist them in finding an audience that will support their changes and new stories.
Family systems therapy A variety of techniques may be used, depending on the particular theoretical orientation of the therapist. Some techniques include genograms, teaching, asking questions, joining the family, tracking sequences, family mapping, reframing, restructuring, enactments, and setting boundaries. Techniques may be experiential, cognitive, or behavioral in nature. Most are designed to bring about change in a short time.

 

 

Techniques of Therapy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applications of the Approaches

Psychoanalytic therapy Candidates for analytic therapy include professionals who want to become therapists, people who have had intensive therapy and want to go further, and those who are in psychological pain. Analytic therapy is not recommended for self-centered and impulsive individuals or for people with psychotic disorders. Techniques can be applied to individual and group therapy.
Adlerian therapy Because the approach is based on a growth model, it is applicable to such varied spheres of life as child guidance, parent–child counseling, marital and family therapy, individual counseling with all age groups, correctional and rehabilitation counseling, group counseling, substance abuse programs, and brief counseling. It is ideally suited to preventive care and alleviating a broad range of conditions that interfere with growth.
Existential therapy This approach is especially suited to people facing a developmental crisis or a transition in life and for those with existential concerns (making choices, dealing with freedom and responsibility, coping with guilt and anxiety, making sense of life, and finding values) or those seeking personal enhancement. The approach can be applied to both individual and group counseling, and to couples and family therapy, crisis intervention, and community mental health work.
Person-centered therapy Has wide applicability to individual and group counseling. It is especially well suited for the initial phases of crisis intervention work. Its principles have been applied to couples and family therapy, community programs, administration and management, and human relations training. It is a useful approach for teaching, parent–child relations, and for working with groups of people from diverse cultural backgrounds.
Gestalt therapy Addresses a wide range of problems and populations: crisis intervention, treatment of a range of psychosomatic disorders, couples and family therapy, awareness training of mental health professionals, behavior problems in children, and teaching and learning. It is well suited to both individual and group counseling. The methods are powerful catalysts for opening up feelings and getting clients into contact with their present-centered experience.
Behavior therapy A pragmatic approach based on empirical validation of results. Enjoys wide applicability to individual, group, couples, and family counseling. Some problems to which the approach is well suited are phobic disorders, depression, trauma, sexual disorders, children’s behavioral disorders, stuttering, and prevention of cardiovascular disease. Beyond clinical practice, its principles are applied in fields such as pediatrics, stress management, behavioral medicine, education, and geriatrics.
Cognitive behavior therapy Has been widely applied to treatment of depression, anxiety, relationship problems, stress management, skill training, substance abuse, assertion training, eating disorders, panic attacks, performance anxiety, and social phobias. CBT is especially useful for assisting people in modifying their cognitions. Many self-help approaches utilize its principles. CBT can be applied to a wide range of client populations with a variety of specific problems.
Choice theory/ Reality therapy Geared to teaching people ways of using choice theory in everyday living to increase effective behaviors. It has been applied to individual counseling with a wide range of clients, group counseling, working with youthful law offenders, and couples and family therapy. In some instances it is well suited to brief therapy and crisis intervention.
Feminist therapy Principles and techniques can be applied to a range of therapeutic modalities such as individual therapy, relationship counseling, family therapy, group counseling, and community intervention. The approach can be applied to both women and men with the goal of bringing about empowerment.
Postmodern approaches Solution-focused therapy is well suited for people with adjustment disorders and for problems of anxiety and depression. Narrative therapy is now being used for a broad range of human difficulties including eating disorders, family distress, depression, and relationship concerns. These approaches can be applied to working with children, adolescents, adults, couples, families, and the community in a wide variety of settings. Both solution-focused and narrative approaches lend themselves to group counseling and to school counseling.
Family systems therapy Useful for dealing with marital distress, problems of communicating among family members, power struggles, crisis situations in the family, helping individuals attain their potential, and enhancing the overall functioning of the family.

 

 

 

Applications of the Approaches

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contributions to Multicultural Counseling

Psychoanalytic therapy Its focus on family dynamics is appropriate for working with many cultural groups. The therapist’s formality appeals to clients who expect professional distance. Notion of ego defense is helpful in understanding inner dynamics and dealing with environmental stresses.
Adlerian therapy Its focus on social interest, helping others, collectivism, pursuing meaning in life, importance of family, goal orientation, and belonging is congruent with the values of many cultures. Focus on person-in-the-environment allows for cultural factors to be explored.
Existential therapy Focus is on understanding client’s phenomenological world, including cultural background. This approach leads to empowerment in an oppressive society. Existential therapy can help clients examine their options for change within the context of their cultural realities. The existential approach is particularly suited to counseling diverse clients because of the philosophical foundation that emphasizes the human condition.
Person-centered therapy Focus is on breaking cultural barriers and facilitating open dialogue among diverse cultural populations. Main strengths are respect for clients’ values, active listening, welcoming of differences, nonjudgmental attitude, understanding, willingness to allow clients to determine what will be explored in sessions, and prizing cultural pluralism.
Gestalt therapy Its focus on expressing oneself nonverbally is congruent with those cultures that look beyond words for messages. Provides many experiments in working with clients who have cultural injunctions against freely expressing feelings. Can help to overcome language barrier with bilingual clients.

Focus on bodily expressions is a subtle way to help clients recognize their conflicts.

Behavior therapy Focus on behavior, rather than on feelings, is compatible with many cultures. Strengths include a collaborative relationship between counselor and client in working toward mutually agreed-upon goals, continual assessment to determine if the techniques are suited to clients’ unique situations, assisting clients in learning practical skills, an educational focus, and stress on self-management strategies.
Cognitive behavior therapy Focus is on a collaborative approach that offers clients opportunities to express their areas of concern. The psychoeducational dimensions are often useful in exploring cultural conflicts and teaching new behavior. The emphasis on thinking (as opposed to identifying and expressing feelings) is likely to be acceptable to many clients. The focus on teaching and learning tends to avoid the stigma of mental illness. Clients are likely to value the active and directive stance of the therapist.
Choice theory/ Reality therapy Focus is on clients making their own evaluation of behavior (including how they respond to their culture). Through personal assessment clients can determine the degree to which their needs and wants are being satisfied. They can find a balance between retaining their own ethnic identity and integrating some of the values and practices of the dominant society.
Feminist therapy Focus is on both individual change and social transformation. A key contribution is that both the women’s movement and the multicultural movement have called attention to the negative impact of discrimination and oppression for both women and men. Emphasizes the influence of expected cultural roles and explores client’s satisfaction with and knowledge of these roles.
Postmodern approaches Focus is on the social and cultural context of behavior. Stories that are being authored in the therapy office need to be anchored in the social world in which the client lives. Therapists do not make assumptions about people and honor each client’s unique story and cultural background. Therapists take an active role in challenging social and cultural injustices that lead to oppression of certain groups. Therapy becomes a process of liberation from oppressive cultural values and enables clients to become active agents of their destinies.
Family systems therapy Focus is on the family or community system. Many ethnic and cultural groups place value on the role of the extended family. Many family therapies deal with extended family members and with support systems. Networking is a part of the process, which is congruent with the values of many clients. There is a greater chance for individual change if other family members are supportive. This approach offers ways of working toward the health of the family unit and the welfare of each member.

 

 

 

 

 

 

 

Contributions to Multicultural Counseling

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Limitations in Multicultural Counseling

Psychoanalytic therapy Its focus on insight, intrapsychic dynamics, and long-term treatment is often not valued by clients who prefer to learn coping skills for dealing with pressing daily concerns. Internal focus is often in conflict with cultural values that stress an interpersonal and environmental focus.
Adlerian therapy This approach’s detailed interview about one’s family background can conflict with cultures that have injunctions against disclosing family matters. Some clients may view the counselor as an authority who will provide answers to problems, which conflicts with the egalitarian, person-to person spirit as a way to reduce social distance.
Existential therapy Values of individuality, freedom, autonomy, and self-realization often conflict with cultural values of collectivism, respect for tradition, deference to authority, and interdependence. Some may be deterred by the absence of specific techniques. Others will expect more focus on surviving in their world.
Person-centered therapy Some of the core values of this approach may not be congruent with the client’s culture. Lack of counselor direction and structure are unacceptable for clients who are seeking help and immediate answers from a knowledgeable professional.
Gestalt therapy Clients who have been culturally conditioned to be emotionally reserved may not embrace Gestalt experiments. Some may not see how “being aware of present experiencing” will lead to solving their problems.
Behavior therapy Family members may not value clients’ newly acquired assertive style, so clients must be taught how to cope with resistance by others. Counselors need to help clients assess the possible consequences of making behavioral changes.
Cognitive behavior therapy Before too quickly attempting to change the beliefs and actions of clients, it is essential for the therapist to understand and respect their world. Some clients may have serious reservations about questioning their basic cultural values and beliefs. Clients could become dependent on the therapist choosing appropriate ways to solve problems.
Choice theory/ Reality therapy This approach stresses taking charge of one’s own life, yet some clients are more interested in changing their external environment. Counselors need to appreciate the role of discrimination and racism and help clients deal with social and political realities.
Feminist therapy This model has been criticized for its bias toward the values of White, middle-class, heterosexual women, which are not applicable to many other groups of women nor to men. Therapists need to assess with their clients the price of making significant personal change, which may result in isolation from extended family as clients assume new roles and make life changes.
Postmodern approaches Some clients come to therapy wanting to talk about their problems and may be put off by the insistence on talking about exceptions to their problems. Clients may view the therapist as an expert and be reluctant to view themselves as experts. Certain clients may doubt the helpfulness of a therapist who assumes a “not-knowing” position.
Family systems therapy Family therapy rests on value assumptions that are not congruent with the values of clients from some cultures. Western concepts such as individuation, self-actualization, self-determination, independence, and self-expression may be foreign to some clients. In some cultures, admitting problems within the family is shameful. The value of “keeping problems within the family” may make it difficult to explore conflicts openly.

 

 

 

Contributions of the Approaches

Psychoanalytic therapy More than any other system, this approach has generated controversy as well as exploration and has stimulated further thinking and development of therapy. It has provided a detailed and comprehensive description of personality structure and functioning. It has brought into prominence factors such as the unconscious as a determinant of behavior and the role of trauma during the first six years of life. It has developed several techniques for tapping the unconscious and shed light on the dynamics of transference and countertransference, resistance, anxiety, and the mechanisms of ego defense.
Adlerian therapy A key contribution is the influence that Adlerian concepts have had on other systems and the integration of these concepts into various contemporary therapies. This is one of the first approaches to therapy that was humanistic, unified, holistic, and goal-oriented and that put an emphasis on social and psychological factors.
Existential therapy Its major contribution is recognition of the need for a subjective approach based on a complete view of the human condition. It calls attention to the need for a philosophical statement on what it means to be a person. Stress on the I/Thou relationship lessens the chances of dehumanizing therapy. It provides a perspective for understanding anxiety, guilt, freedom, death, isolation, and commitment.
Person-centered therapy Clients take an active stance and assume responsibility for the direction of therapy. This unique approach has been subjected to empirical testing, and as a result both theory and methods have been modified. It is an open system. People without advanced training can benefit by translating the therapeutic conditions to both their personal and professional lives. Basic concepts are straightforward and easy to grasp and apply. It is a foundation for building a trusting relationship, applicable to all therapies.
Gestalt therapy The emphasis on direct experiencing and doing rather than on merely talking about feelings provides a perspective on growth and enhancement, not merely a treatment of disorders. It uses clients’ behavior as the basis for making them aware of their inner creative potential. The approach to dreams is a unique, creative tool to help clients discover basic conflicts. Therapy is viewed as an existential encounter; it is process-oriented, not technique-oriented. It recognizes nonverbal behavior as a key to understanding.
Behavior therapy Emphasis is on assessment and evaluation techniques, thus providing a basis for accountable practice. Specific problems are identified, and clients are kept informed about progress toward their goals. The approach has demonstrated effectiveness in many areas of human functioning. The roles of the therapist as reinforcer, model, teacher, and consultant are explicit. The approach has undergone extensive expansion, and research literature abounds. No longer is it a mechanistic approach, for it now makes room for cognitive factors and encourages self-directed programs for behavioral change.
Cognitive behavior therapy Major contributions include emphasis on a comprehensive therapeutic practice; numerous cognitive, emotive, and behavioral techniques; an openness to incorporating techniques from other approaches; and a methodology for challenging and changing faulty or negative thinking. Most forms can be integrated into other mainstream therapies. REBT makes full use of action oriented homework, various psychoeducational methods, and keeping records of progress. CT is a structured therapy that has a good track record for treating depression and anxiety in a short time. Strengths-based CBT is a form of positive psychology that addresses the resources within the client for change.
Choice theory/ Reality therapy This is a positive approach with an action orientation that relies on simple and clear concepts that are easily grasped in many helping professions. It can be used by teachers, nurses, ministers, educators, social workers, and counselors. Due to the direct methods, it appeals to many clients who are often seen as resistant to therapy. It is a short-term approach that can be applied to a diverse population, and it has been a significant force in challenging the medical model of therapy.
Feminist therapy The feminist perspective is responsible for encouraging increasing numbers of women to question gender stereotypes and to reject limited views of what a woman is expected to be. It is paving the way for gender-sensitive practice and bringing attention to the gendered uses of power in relationships. The unified feminist voice brought attention to the extent and implications of child abuse, incest, rape, sexual harassment, and domestic violence. Feminist principles and interventions can be incorporated in other therapy approaches.
Postmodern approaches The brevity of these approaches fit well with the limitations imposed by a managed care structure. The emphasis on client strengths and competence appeals to clients who want to create solutions and revise their life stories in a positive direction. Clients are not blamed for their problems but are helped to understand how they might relate in more satisfying ways to such problems. A strength of these approaches is the question format that invites clients to view themselves in new and more effective ways.
Family systems therapy From a systemic perspective, neither the individual nor the family is blamed for a particular dysfunction. The family is empowered through the process of identifying and exploring interactional patterns. Working with an entire unit provides a new perspective on understanding and working through both individual problems and relationship concerns. By exploring one’s family of origin, there are increased opportunities to resolve other conflicts in systems outside of the family

 

 

 

Contributions of the Approaches

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Limitations of the Approaches

Psychoanalytic therapy Requires lengthy training for therapists and much time and expense for clients. The model stresses biological and instinctual factors to the neglect of social, cultural, and interpersonal ones. Its methods are less applicable for solving specific daily life problems of clients and may not be appropriate for some ethnic and cultural groups. Many clients lack the degree of ego strength needed for regressive and reconstructive therapy. It may be inappropriate for certain counseling settings.
Adlerian therapy Weak in terms of precision, testability, and empirical validity. Few attempts have been made to validate the basic concepts by scientific methods. Tends to oversimplify some complex human problems and is based heavily on common sense.
Existential therapy Many basic concepts are fuzzy and ill-defined, making its general framework abstract at times. Lacks a systematic statement of principles and practices of therapy. Has limited applicability to lower functioning and nonverbal clients and to clients in extreme crisis who need direction.
Person-centered therapy Possible danger from the therapist who remains passive and inactive, limiting responses to reflection. Many clients feel a need for greater direction, more structure, and more techniques. Clients in crisis may need more directive measures. Applied to individual counseling, some cultural groups will expect more counselor activity.
Gestalt therapy Techniques lead to intense emotional expression; if these feelings are not explored and if cognitive work is not done, clients are likely to be left unfinished and will not have a sense of integration of their learning. Clients who have difficulty using imagination may not profit from certain experiments.
Behavior therapy Major criticisms are that it may change behavior but not feelings; that it ignores the relational factors in therapy; that it does not provide insight; that it ignores historical causes of present behavior; that it involves control by the therapist; and that it is limited in its capacity to address certain aspects of the human condition.
Cognitive behavior therapy Tends to play down emotions, does not focus on exploring the unconscious or underlying conflicts, de-emphasizes the value of insight, and sometimes does not give enough weight to the client’s past. CBT might be too structured for some clients.

 

Choice theory/ Reality therapy Discounts the therapeutic value of exploration of the client’s past, dreams, the unconscious, early childhood experiences, and transference. The approach is limited to less complex problems. It is a problem-solving therapy that tends to discourage exploration of deeper emotional issues.
Feminist therapy A possible limitation is the potential for therapists to impose a new set of values on clients—such as striving for equality, power in relationships, defining oneself, freedom to pursue a career outside the home, and the right to an education. Therapists need to keep in mind that clients are their own best experts, which means it is up to them to decide which values to live by.
Postmodern approaches There is little empirical validation of the effectiveness of therapy outcomes. Some critics contend that these approaches endorse cheerleading and an overly positive perspective. Some are critical of the stance taken by most postmodern therapists regarding assessment and diagnosis, and also react negatively to the “not-knowing” stance of the therapist. Because some of the solution-focused and narrative therapy techniques are relatively easy to learn, practitioners may use these interventions in a mechanical way or implement these techniques without a sound rationale.
Family systems therapy Limitations include problems in being able to involve all the members of a family in the therapy. Some family members may be resistant to changing the structure of the system. Therapists’ self knowledge and willingness to work on their own family-of-origin issues is crucial, for the potential for countertransference is high. It is essential that the therapist be well trained, receive quality supervision, and be competent in assessing and treating individuals in a family context.

 

 

 

 

 

 

 

Limitations of the Approaches

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Overview of Contemporary Counseling Models

Psychodynamic Approaches
Psychoanalytic therapy Founder: Sigmund Freud. A theory of personality development, a philosophy of human nature, and a method of psychotherapy that focuses on unconscious factors that motivate behavior. Attention is given to the events of the first six years of life as determinants of the later development of personality.
Adlerian therapy Founder: Alfred Adler. Key Figure: Following Adler, Rudolf Dreikurs is credited with popularizing this approach in the United States. This is a growth model that stresses assuming responsibility, creating one’s own destiny, and finding meaning and goals to create a purposeful life. Key concepts are used in most other current therapies.
Experiential and Relationship-Oriented Therapies
Existential therapy Key figures: Viktor Frankl, Rollo May, and Irvin Yalom. Reacting against the tendency to view therapy as a system of well-defined techniques, this model stresses building therapy on the basic conditions of human existence, such as choice, the freedom and responsibility to shape one’s life, and self-determination. It focuses on the quality of the person-to-person therapeutic relationship.
Person-centered therapy Founder: Carl Rogers; Key figure: Natalie Rogers. This approach was developed during the 1940s as a nondirective reaction against psychoanalysis. Based on a subjective view of human experiencing, it places faith in and gives responsibility to the client in dealing with problems and concerns.
Gestalt therapy Founders: Fritz and Laura Perls; Key figures: Miriam and Erving Polster. An experiential therapy stressing awareness and integration; it grew as a reaction against analytic therapy. It integrates the functioning of body and mind and places emphasis on the therapeutic relationship.
Cognitive Behavioral Approaches
Behavior therapy Key figures: B. F. Skinner, and Albert Bandura. This approach applies the principles of learning to the resolution of specific behavioral problems. Results are subject to continual experimentation. The methods of this approach are always in the process of refinement. The mindfulness and acceptance-based approaches are rapidly gaining popularity.
Cognitive behavior therapy Founders: Albert Ellis and A. T. Beck. Albert Ellis founded rational emotive behavior therapy, a highly didactic, cognitive, action-oriented model of therapy, and A. T. Beck founded cognitive therapy, which gives a primary role to thinking as it influences behavior. Judith Beck continues to develop CBT; Christine Padesky has developed strengths-based CBT; and Donald Meichenbaum, who helped develop cognitive behavior therapy, has made significant contributions to resilience as a factor in coping with trauma.
Choice theory/Reality Founder: William Glasser. Key figure: Robert Wubbolding. This short-term approach is based therapy on choice theory and focuses on the client assuming responsibility in the present. Through the therapeutic process, the client is able to learn more effective ways of meeting her or his needs.
Systems and Postmodern Approaches
Feminist therapy This approach grew out of the efforts of many women, a few of whom are Jean Baker Miller, Carolyn Zerbe Enns, Oliva Espin, and Laura Brown. A central concept is the concern for the psychological oppression of women. Focusing on the constraints imposed by the sociopolitical status to which women have been relegated, this approach explores women’s identity development, self-concept, goals and aspirations, and emotional well-being.
Postmodern approaches A number of key figures are associated with the development of these various approaches to therapy. Steve de Shazer and Insoo Kim Berg are the cofounders of solution-focused brief therapy. Michael White and David Epston are the major figures associated with narrative therapy. Social constructionism, solution-focused brief therapy, and narrative therapy all assume that there is no single truth; rather, it is believed that reality is socially constructed through human interaction. These approaches maintain that the client is an expert in his or her own life.
Family systems therapy A number of significant figures have been pioneers of the family systems approach, two of whom include Murray Bowen and Virginia Satir. This systemic approach is based on the assumption that the key to changing the individual is understanding and working with the family.

 

 

 

 

 

 

 

 

Overview of Contemporary Counseling Models

 

 

 

 

 

 

 

 

Ego-Defense Mechanisms

  Defense Uses for Behavior
Repression Threatening or painful thoughts and feelings are excluded from awareness. One of the most important Freudian processes, it is the basis of many other ego defenses and of neurotic disorders. Freud explained repression as an involuntary removal of something from consciousness. It is assumed that most of the painful events of the first five or six years of life are buried, yet these events do influence later behavior.
Denial “Closing one’s eyes” to the existence of a threatening aspect of reality. Denial of reality is perhaps the simplest of all self defense mechanisms. It is a way of distorting what the individual thinks, feels, or perceives in a traumatic situation. This mechanism is similar to repression, yet it generally operates at preconscious and conscious levels.
Reaction formation Actively expressing the opposite impulse when confronted with a threatening impulse. By developing conscious attitudes and behaviors that are diametrically opposed to disturbing desires, people do not have to face the anxiety that would result if they were to recognize these dimensions of themselves. Individuals may conceal hate with a facade of love, be extremely nice when they harbor negative reactions, or mask cruelty with excessive kindness.
Projection Attributing to others one’s own unacceptable desires and impulses. This is a mechanism of self-deception. Lustful, aggressive, or other impulses are seen as being possessed by “those people out there, but not by me.”
Displacement Directing energy toward another object or person when the original object or person is inaccessible. Displacement is a way of coping with anxiety that involves discharging impulses by shifting from a threatening object to a “safer target.” For example, the meek man who feels intimidated by his boss comes home and unloads inappropriate hostility onto his children.
Rationalization Manufacturing “good” reasons to explain away a bruised ego. Rationalization helps justify specific behaviors, and it aids in softening the blow connected with disappointments. When people do not get positions, they have applied for in their work, they think of logical reasons they did not succeed, and they sometimes attempt to convince themselves that they really did not want the position anyway.
Sublimation Diverting sexual or aggressive energy into other channels. Energy is usually diverted into socially acceptable and sometimes even admirable channels. For example, aggressive impulses can be channeled into athletic activities, so that the person finds a way of expressing aggressive feelings and, as an added bonus, is often praised.
Regression Going back to an earlier phase of development when there were fewer demands. In the face of severe stress or extreme challenge, individuals may attempt to cope with their anxiety by clinging to immature and inappropriate behaviors. For example, children who are frightened in school may indulge in infantile behavior such as weeping, excessive dependence, thumb-sucking, hiding, or clinging to the teacher.
Introjection Taking in and “swallowing” the values and standards of others. Positive forms of introjection include incorporation of parental values or the attributes and values of the therapist (assuming that these are not merely uncritically accepted). One negative example is that in concentration camps some of the prisoners dealt with overwhelming anxiety by accepting the values of the enemy through identification with the aggressor.
Identification Identifying with successful causes, organizations, or people in the hope that you will be perceived as worthwhile. Identification can enhance self-worth and protect one from a sense of being a failure. This is part of the developmental process by which children learn gender-role behaviors, but it can also be a defensive reaction when used by people who feel basically inferior.
Compensation Masking perceived weaknesses or developing certain positive traits to make up for limitations. This mechanism can have direct adjustive value, and it can also be an attempt by the person to say “Don’t see the ways in which I am inferior, but see me in my accomplishments.”

 

 

 

 

Ego-Defense Mechanisms

 

 

 

 

 

 

Comparison of Freud’s Psychosexual Stages and Erikson’s Psychosocial Stages

Period of Life Freud Erikson
First year of life Oral stage

Sucking at mother’s breasts satisfies need for food and pleasure. Infant needs to get basic nurturing, or later feelings of greediness and acquisitiveness may develop. Oral fixations result from deprivation of oral gratification in infancy. Later personality problems can include mistrust of others, rejecting others; love, and fear of or inability to form intimate relationships.

Infancy: Trust versus mistrust

If significant others provide for basic physical and emotional needs, infant develops a sense of trust. If basic needs are not met, an attitude of mistrust toward the world, especially toward interpersonal relationships, is the result.

Ages 1-3 Anal stage

Anal zone becomes of major significance in formation of personality. Main developmental tasks include learning independence, accepting personal power, and learning to express negative feelings such as rage and aggression. Parental discipline patterns and attitudes have significant consequences for child’s later personality development.

Early childhood: Autonomy versus shame and doubt

A time for developing autonomy. Basic struggle is between a sense of self-reliance and a sense of self-doubt. Child needs to explore and experiment, to make mistakes, and to test limits. If parents promote dependency, child’s autonomy is inhibited and capacity to deal with world successfully is hampered.

Ages 3-6 Phallic stage

Basic conflict centers on unconscious incestuous desires that child develops for parent of opposite sex and that, because of their threatening nature, are repressed. Male phallic stage, known as Oedipus complex, involves mother as love object for boy. Female phallic stage, known as Electra complex, involves girl’s striving for father’s love and approval. How parents respond, verbally and nonverbally, to child’s emerging sexuality has an impact on sexual attitudes and feelings that child develops.

Preschool age: Initiative versus guilt

Basic task is to achieve a sense of competence and initiative. If children are given freedom to select personally meaningful activities, they tend to develop a positive view of self and follow through with their projects. If they are not allowed to make their own decisions, they tend to develop guilt over taking initiative. They then refrain from taking an active stance and allow others to choose for them.

Ages 6-12 Latency stage

After the torment of sexual impulses of preceding years, this period is relatively quiescent. Sexual interests are replaced by interests in school, playmates, sports, and a range of new activities. This is a time of socialization as child turns outward and forms relationships with others.

School age: Industry versus inferiority

Child needs to expand understanding of world, continue to develop appropriate gender-role identity, and learn the basic skills required for school success. Basic task is to achieve a sense of industry, which refers to setting and attaining personal goals. Failure to do so results in a sense of inadequacy.

Ages 12-18 Genital stage

Old themes of phallic stage are revived. This stage begins with puberty and lasts until senility sets in. Even though there are societal restrictions and taboos, adolescents can deal with sexual energy by investing it in various socially acceptable activities such as forming friendships, engaging in art or in sports, and preparing for a career.

Adolescence: Identity versus role confusion A time of transition between childhood and adulthood.

A time for testing limits, for breaking dependent ties, and for establishing a new identity. Major conflicts center on clarification of self-identity, life goals, and life’s meaning. Failure to achieve a sense of identity results in role confusion.

 

Period of Life Freud Erikson
Ages 18-35 Genital stage continues

Core characteristic of mature adult is the freedom “to love and to work.” This move toward adulthood involves freedom from parental influence and capacity to care for others.

Young adulthood: Intimacy versus isolation. Developmental task at this time is to form intimate relationships. Failure to achieve intimacy can lead to alienation and isolation.
Ages 35-60 Genital stage continues Middle age: Generativity versus stagnation. There is a need to go beyond self and family and be involved in helping the next generation. This is a time of adjusting to the discrepancy between one’s dream and one’s actual accomplishments. Failure to achieve a sense of productivity often leads to psychological stagnation.
Ages 60+ Genital stage continues Later life: Integrity versus despair

If one looks back on life with few regrets and feels personally worthwhile, ego integrity results. Failure to achieve ego integrity can lead to feelings of despair, hopelessness, guilt, resentment, and self-rejection.

 

 

 

 

 

 

Comparison of Freud’s Psychosexual Stages and Erikson’s Psychosocial Stages

 

 

 

The Basic Philosophies

Psychoanalytic therapy Human beings are basically determined by psychic energy and by early experiences. Unconscious motives and conflicts are central in present behavior. Early development is of critical importance because later personality problems have their roots in repressed childhood conflicts.
Adlerian therapy Humans are motivated by social interest, by striving toward goals, by inferiority and superiority, and by dealing with the tasks of life. Emphasis is on the individual’s positive capacities to live in society cooperatively. People have the capacity to interpret, influence, and create events. Each person at an early age creates a unique style of life, which tends to remain relatively constant throughout life.
Existential therapy The central focus is on the nature of the human condition, which includes a capacity for self awareness, freedom of choice to decide one’s fate, responsibility, anxiety, the search for meaning, being alone and being in relation with others, striving for authenticity, and facing living and dying.
Person-centered therapy Positive view of people; we have an inclination toward becoming fully functioning. In the context of the therapeutic relationship, the client experiences feelings that were previously denied to awareness.

The client moves toward increased awareness, spontaneity, trust in self, and inner-directedness.

Gestalt therapy The person strives for wholeness and integration of thinking, feeling, and behaving. Some key concepts include contact with self and others, contact boundaries, and awareness. The view is nondeterministic in that the person is viewed as having the capacity to recognize how earlier influences are related to present difficulties. As an experiential approach, it is grounded in the here and now and emphasizes awareness, personal choice, and responsibility.
Behavior therapy Behavior is the product of learning. We are both the product and the producer of the environment. Traditional behavior therapy is based on classical and operant principles. Contemporary behavior therapy has branched out in many directions, including mindfulness and acceptance approaches.
Cognitive behavior therapy Individuals tend to incorporate faulty thinking, which leads to emotional and behavioral disturbances. Cognitions are the major determinants of how we feel and act. Therapy is primarily oriented toward cognition and behavior, and it stresses the role of thinking, deciding, questioning, doing, and redeciding. This is a psychoeducational model, which emphasizes therapy as a learning process, including acquiring and practicing new skills, learning new ways of thinking, and acquiring more effective ways of coping with problems.
Choice theory/ Reality therapy Based on choice theory, this approach assumes that we need quality relationships to be happy. Psychological problems are the result of our resisting control by others or of our attempt to control others. Choice theory is an explanation of human nature and how to best achieve satisfying interpersonal relationships.
Feminist therapy Feminists criticize many traditional theories to the degree that they are based on gender-biased concepts, such as being androcentric, gender centric, ethnocentric, heterosexist, and intrapsychic. The constructs of feminist therapy include being gender fair, flexible, interactionist, and life-span-oriented. Gender and power are at the heart of feminist therapy. This is a systems approach that recognizes the cultural, social, and political factors that contribute to an individual’s problems.
Postmodern approaches Based on the premise that there are multiple realities and multiple truths, postmodern therapies reject the idea that reality is external and can be grasped. People create meaning in their lives through conversations with others. The postmodern approaches avoid pathologizing clients, take a dim view of diagnosis, avoid searching for underlying causes of problems, and place a high value on discovering clients’ strengths and resources. Rather than talking about problems, the focus of therapy is on creating solutions in the present and the future.
Family systems therapy The family is viewed from an interactive and systemic perspective. Clients are connected to a living system; a change in one part of the system will result in a change in other parts. The family provides the context for understanding how individuals function in relationship to others and how they behave. Treatment deals with the family unit. An individual’s dysfunctional behavior grows out of the interactional unit of the family and out of larger systems as well.

 

 

 

 

The Basic Philosophies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Key Concepts

Psychoanalytic therapy Normal personality development is based on successful resolution and integration of psychosexual stages of development. Faulty personality development is the result of inadequate resolution of some specific stage. Anxiety is a result of repression of basic conflicts. Unconscious processes are centrally related to current behavior.
Adlerian therapy Key concepts include the unity of personality, the need to view people from their subjective perspective, and the importance of life goals that give direction to behavior. People are motivated by social interest and by finding goals to give life meaning. Other key concepts are striving for significance and superiority, developing a unique lifestyle, and understanding the family constellation. Therapy is a matter of providing encouragement and assisting clients in changing their cognitive perspective and behavior.
Existential therapy Essentially an experiential approach to counseling rather than a firm theoretical model, it stresses core human conditions. Interest is on the present and on what one is becoming. The approach has a future orientation and stresses self-awareness before action.
Person-centered therapy The client has the potential to become aware of problems and the means to resolve them. Faith is placed in the client’s capacity for self-direction. Mental health is a congruence of ideal self and real self. Maladjustment is the result of a discrepancy between what one wants to be and what one is. In therapy attention is given to the present moment and on experiencing and expressing feelings.
Gestalt therapy Emphasis is on the “what” and “how” of experiencing in the here and now to help clients accept all aspects of themselves. Key concepts include holism, figure-formation process, awareness, unfinished business and avoidance, contact, and energy.
Behavior therapy Focus is on overt behavior, precision in specifying goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes. Present behavior is given attention. Therapy is based on the principles of learning theory. Normal behavior is learned through reinforcement and imitation. Abnormal behavior is the result of faulty learning.
Cognitive behavior therapy Although psychological problems may be rooted in childhood, they are reinforced by present ways of thinking. A person’s belief system and thinking is the primary cause of disorders. Internal dialogue plays a central role in one’s behavior. Clients focus on examining faulty assumptions and misconceptions and on replacing these with effective beliefs.
Choice theory/ Reality therapy The basic focus is on what clients are doing and how to get them to evaluate whether their present actions are working for them. People are mainly motivated to satisfy their needs, especially the need for significant relationships. The approach rejects the medical model, the notion of transference, the unconscious, and dwelling on one’s past.
Feminist therapy Core principles of feminist therapy are that the personal is political, therapists have a commitment to social change, women’s voices and ways of knowing are valued and women’s experiences are honored, the counseling relationship is egalitarian, therapy focuses on strengths and a reformulated definition of psychological distress, and all types of oppression are recognized.
Postmodern approaches Therapy tends to be brief and addresses the present and the future. The person is not the problem; the problem is the problem. The emphasis is on externalizing the problem and looking for exceptions to the problem. Therapy consists of a collaborative dialogue in which the therapist and the client co-create solutions. By identifying instances when the problem did not exist, clients can create new meanings for themselves and fashion a new life story.
Family systems therapy Focus is on communication patterns within a family, both verbal and nonverbal. Problems in relationships are likely to be passed on from generation to generation. Key concepts vary depending on specific orientation but include differentiation, triangles, power coalitions, family-of-origin dynamics, functional versus dysfunctional interaction patterns, and dealing with here-and-now interactions. The present is more important than exploring past experiences.

 

 

 

Key Concepts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Goals of Therapy

Psychoanalytic therapy To make the unconscious conscious. To reconstruct the basic personality. To assist clients in reliving earlier experiences and working through repressed conflicts. To achieve intellectual and emotional awareness.
Adlerian therapy To challenge clients’ basic premises and life goals. To offer encouragement so individuals can develop socially useful goals and increase social interest. To develop the client’s sense of belonging.
Existential therapy To help people see that they are free and to become aware of their possibilities. To challenge them to recognize that they are responsible for events that they formerly thought were happening to them. To identify factors that block freedom.
Person-centered therapy To provide a safe climate conducive to clients’ self-exploration. To help clients recognize blocks to growth and experience aspects of self that were formerly denied or distorted. To enable them to move toward openness, greater trust in self, willingness to be a process, and increased spontaneity and aliveness. To find meaning in life and to experience life fully. To become more self-directed.
Gestalt therapy To assist clients in gaining awareness of moment-to-moment experiencing and to expand the capacity to make choices. To foster integration of the self.
Behavior therapy To eliminate maladaptive behaviors and learn more effective behaviors. To identify factors that influence behavior and find out what can be done about problematic behavior. To encourage clients to take an active and collaborative role in clearly setting treatment goals and evaluating how well these goals are being met.
Cognitive behavior therapy To teach clients to confront faulty beliefs with contradictory evidence that they gather and evaluate. To help clients seek out their faulty beliefs and minimize them. To become aware of automatic thoughts and to change them. To assist clients in identifying their inner strengths, and to explore the kind of life they would like to have.
Choice theory/ Reality therapy To help people become more effective in meeting all of their psychological needs. To enable clients to get reconnected with the people they have chosen to put into their quality worlds and teach clients choice theory.
Feminist therapy To bring about transformation both in the individual client and in society. To assist clients in recognizing, claiming, and using their personal power to free themselves from the limitations of gender-role socialization. To confront all forms of institutional policies that discriminate or oppress on any basis.
Postmodern approaches To change the way clients, view problems and what they can do about these concerns. To collaboratively establish specific, clear, concrete, realistic, and observable goals leading to increased positive change. To help clients create a self-identity grounded on competence and resourcefulness so they can resolve present and future concerns. To assist clients in viewing their lives in positive ways, rather than being problem saturated.
Family systems therapy To help family members gain awareness of patterns of relationships that are not working well and to create new ways of interacting. To identify how a client’s problematic behavior may serve a function or purpose for the family. To understand how dysfunctional patterns can be handed down across generations. To recognize how family rules can affect each family member. To understand how past family of origin experiences continue to have an impact on individuals.

 

The Therapeutic Relationship

Psychoanalytic therapy The classical analyst remains anonymous, and clients develop projections toward him or her. The focus is on reducing the resistances that develop in working with transference and on establishing more rational control. Clients undergo long-term analysis, engage in free association to uncover conflicts, and gain insight by talking. The analyst makes interpretations to teach clients the meaning of current behavior as it relates to the past. In contemporary relational psychoanalytic therapy, the relationship is central, and emphasis is given to here-and-now dimensions of this relationship.
Adlerian therapy The emphasis is on joint responsibility, on mutually determining goals, on mutual trust and respect, and on equality. The focus is on identifying, exploring, and disclosing mistaken goals and faulty assumptions within the person’s lifestyle.
Existential therapy The therapist’s main tasks are to accurately grasp clients’ being in the world and to establish a personal and authentic encounter with them. The immediacy of the client–therapist relationship and the authenticity of the here-and-now encounter are stressed. Both client and therapist can be changed by the encounter.
Person-centered therapy The relationship is of primary importance. The qualities of the therapist, including genuineness, warmth, accurate empathy, respect, and being nonjudgmental—and communication of these attitudes to clients—are stressed. Clients use this genuine relationship with the therapist to help them transfer what they learn to other relationships.
Gestalt therapy Central importance is given to the I/Thou relationship and the quality of the therapist’s presence. The therapist’s attitudes and behavior count more than the techniques used. The therapist does not interpret for clients but assists them in developing the means to make their own interpretations. Clients identify and work on unfinished business from the past that interferes with current functioning.
Behavior therapy The therapist is active and directive and functions as a teacher or mentor in helping clients learn more effective behavior. Clients must be active in the process and experiment with new behaviors. Although a quality client–therapist relationship is not viewed as sufficient to bring about change, it is considered essential for implementing behavioral procedures.
Cognitive behavior therapy In REBT the therapist functions as a teacher and the client as a student. The therapist is highly directive and teaches clients an A-B-C model of changing their cognitions. In CT the focus is on a collaborative relationship. Using a Socratic dialogue, the therapist assists clients in identifying dysfunctional beliefs and discovering alternative rules for living. The therapist promotes corrective experiences that lead to learning new skills. Clients gain insight into their problems and then must actively practice changing self-defeating thinking and acting. In strengths-based CBT, active incorporation of client strengths encourages full engagement in therapy and often provides avenues for change that otherwise would be missed.
Choice theory/ Reality therapy A fundamental task is for the therapist to create a good relationship with the client. Therapists are then able to engage clients in an evaluation of all of their relationships with respect to what they want and how effective they are in getting this. Therapists find out what clients want, ask what they are choosing to do, invite them to evaluate present behavior, help them make plans for change, and get them to make a commitment. The therapist is a client’s advocate, as long as the client is willing to attempt to behave responsibly.
Feminist therapy The therapeutic relationship is based on empowerment and egalitarianism. Therapists actively break down the hierarchy of power and reduce artificial barriers by engaging in appropriate self disclosure and teaching clients about the therapy process. Therapists strive to create a collaborative relationship in which clients can become their own expert.

 

Postmodern approaches Therapy is a collaborative partnership. Clients are viewed as the experts on their own life. Therapists use questioning dialogue to help clients free themselves from their problem-saturated stories and create new life-affirming stories. Solution-focused therapists assume an active role in guiding the client away from problem-talk and toward solution-talk. Clients are encouraged to explore their strengths and to create solutions that will lead to a richer future. Narrative therapists assist clients in externalizing problems and guide them in examining self-limiting stories and creating new and more liberating stories.
Family systems therapy The family therapist functions as a teacher, coach, model, and consultant. The family learns ways to detect and solve problems that are keeping members stuck, and it learns about patterns that have been transmitted from generation to generation. Some approaches focus on the role of therapist as expert; others concentrate on intensifying what is going on in the here and now of the family session. All family therapists are concerned with the process of family interaction and teaching patterns of communication.

 

 

 

The Therapeutic Relationship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Limitations of the Approaches

Psychoanalytic therapy Requires lengthy training for therapists and much time and expense for clients. The model stresses biological and instinctual factors to the neglect of social, cultural, and interpersonal ones. Its methods are less applicable for solving specific daily life problems of clients and may not be appropriate for some ethnic and cultural groups. Many clients lack the degree of ego strength needed for regressive and reconstructive therapy. It may be inappropriate for certain counseling settings.
Adlerian therapy Weak in terms of precision, testability, and empirical validity. Few attempts have been made to validate the basic concepts by scientific methods. Tends to oversimplify some complex human problems and is based heavily on common sense.
Existential therapy Many basic concepts are fuzzy and ill-defined, making its general framework abstract at times. Lacks a systematic statement of principles and practices of therapy. Has limited applicability to lower functioning and nonverbal clients and to clients in extreme crisis who need direction.
Person-centered therapy Possible danger from the therapist who remains passive and inactive, limiting responses to reflection. Many clients feel a need for greater direction, more structure, and more techniques. Clients in crisis may need more directive measures. Applied to individual counseling, some cultural groups will expect more counselor activity.
Gestalt therapy Techniques lead to intense emotional expression; if these feelings are not explored and if cognitive work is not done, clients are likely to be left unfinished and will not have a sense of integration of their learning. Clients who have difficulty using imagination may not profit from certain experiments.
Behavior therapy Major criticisms are that it may change behavior but not feelings; that it ignores the relational factors in therapy; that it does not provide insight; that it ignores historical causes of present behavior; that it involves control by the therapist; and that it is limited in its capacity to address certain aspects of the human condition.
Cognitive behavior therapy Tends to play down emotions, does not focus on exploring the unconscious or underlying conflicts, de-emphasizes the value of insight, and sometimes does not give enough weight to the client’s past. CBT might be too structured for some clients.

 

Choice theory/ Reality therapy Discounts the therapeutic value of exploration of the client’s past, dreams, the unconscious, early childhood experiences, and transference. The approach is limited to less complex problems. It is a problem-solving therapy that tends to discourage exploration of deeper emotional issues.
Feminist therapy A possible limitation is the potential for therapists to impose a new set of values on clients—such as striving for equality, power in relationships, defining oneself, freedom to pursue a career outside the home, and the right to an education. Therapists need to keep in mind that clients are their own best experts, which means it is up to them to decide which values to live by.
Postmodern approaches There is little empirical validation of the effectiveness of therapy outcomes. Some critics contend that these approaches endorse cheerleading and an overly positive perspective. Some are critical of the stance taken by most postmodern therapists regarding assessment and diagnosis, and also react negatively to the “not-knowing” stance of the therapist. Because some of the solution-focused and narrative therapy techniques are relatively easy to learn, practitioners may use these interventions in a mechanical way or implement these techniques without a sound rationale.
Family systems therapy Limitations include problems in being able to involve all the members of a family in the therapy. Some family members may be resistant to changing the structure of the system. Therapists’ self knowledge and willingness to work on their own family-of-origin issues is crucial, for the potential for countertransference is high. It is essential that the therapist be well trained, receive quality supervision, and be competent in assessing and treating individuals in a family context.

 

Limitations of the Approaches