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Both deal with the conscious mind, the here and now and focus on current
problems and issues the client may have. They both have a positive view
of human nature and view the individual as not necessarily being a
product of their past experiences, but acknowledge that they are able to
determine their own futures. They both attempt to improve well-being by
means of a collaborative therapeutic relationship that enables and
facilitates healthy coping mechanisms in clients who are experiencing
psychological pain and disharmony in their lives.
In comparing the similarities between the Person Centred Approach and
the Psychodynamic Approach, it is possible to see some similarities and
parallels between the concepts of the actualising tendency, the
organismic self and the self-concept to Freuds theory on personality
structure. The id and the organismic self are both representative of that
part of the psyche that is often ignored or repressed. The super-ego and
the self-concept, both describe internalised rules and moral values which
have been imposed upon us by significant others. The ego is similar to the
actualising tendency in that it is concerned with mediating between the id
and the super-ego and the actualising tendency seems to echo this.
In contrasting the Person Centred Approach with Cognitive Behaviour
Therapy in relation to their differing theoretical rationale Cognitive
Behavioural Therapy sees behaviour as being a learned response whereas
the Person Centred view is that clients have not been able to have
previously self-actualised. From a Cognitive Behavioural perspective,
human experience is viewed as a product of the interacting elements of
physiology, cognition, behaviour and emotion. The Cognitive Behavioural
Approach is based upon the theoretical rationale that the way in which we
feel and behave is determined by how we perceive and structure our
experience. In the Person Centred Approach, a person is viewed as having
had various experiences and developing a personality as a result of these
subjective experiences.
In contrast to the Psychodynamic Approach, the Person Centred Approach
focuses on the conscious mind and what is going on in the here-and-now
whereas the Psychodynamic Approach focuses on the subconscious and
looks to early childhood to examine unresolved conflicts. Freud
emphasized the need to modify defences, to reduce the pressures from
the superego so that the patient could become less frightened of the
superego and to strengthen the ego.[1] The aim of the Person Centred
Approach is self-actualisation whilst the aim of the Psychodynamic
Approach is insight. The Person Centred Approach focuses on the positive
belief in the human ability to self-actualise whereas the Psychodynamic
Approach focuses largely on the negative aspects.
In highlighting the differences in theoretical rationale between the
Psychodynamic Approach and Cognitive Behavioural Therapy, the
Psychodynamic Approach encourages the client to uncover the past and
early childhood in order to bring to memory significant events. Cognitive
Behavioural Therapy, however, focuses on the here and now and is goal
orientated. The Psychodynamic Approach sees us as being driven by
put in place when we were very young and stem from childhood, this
learned response and behavior could be linked to the Psychodynamic
intervention of linking childhood events and associated feelings to current
problems.
Looking at the differences in the therapeutic interventions between
Psychodynamic Approach and Cognitive Behavioural Therapy the key
therapeutic interventions used in the Psychodynamic Approach are free
association, thematic apperception test / Rorschach inkblot test,
parapraxis, interpretation of transference, dream analysis, hypnosis and
regression. In Cognitive Behavioural Therapy, the techniques used could
be systematic desensitisation, reinforcement techniques, forceful
disputing, reality testing and the identifying of automatic thoughts.
Cognitive Behavioural Therapy is directive and is goal orientated and does
not look at the clients past. In Psychodynamic Therapy, there is a danger
that the client could become dependent on their counsellor whereas in
Cognitive Behavioural Therapy the client is taught to be autonomous.
The similarities between the Person Centred Approach and Cognitive
Behavioural Therapy in relation to their process of change are that the
core conditions used in both would bring about change in the client by the
building up of trust and rapport.
When comparing the differences in the process of change between the
Person Centred Approach and the Cognitive Behavioural Approach, change
would occur for the client in Cognitive Behavioural Therapy through
guiding and assisting them into firstly identifying negative thought
patterns and then by changing their irrational beliefs. By changing
thoughts, we can change the way in which we react to situations and
events. In Cognitive Behavioural Therapy, this process of change occurs
by means of education, and by bringing these thought patterns into
awareness behavioural change will occur. Change can also occur through
reality testing in which the clients negative beliefs will be challenged and
their subsequent negative emotions eliminated.
In the Person Centred Approach, change occurs with the core conditions of
empathy, congruence and unconditional positive regard being in place.
This relationship is all that is necessary to bring about change and with no
threat of being judged, the client learns to perceive their world from a new
perspective and gains the ability to self-actualise with felt senses
connecting the different aspects of their particular issues.
In contrasting this to the Psychodynamic Approach, change occurs by
means of uncovering repressed or significant events and their associated
feelings. By this process, change will occur and the client will be better
equipped to understand the connections between past events and present
behaviour. Change in the Psychodynamic Approach, occurs for the
individual through the strengthening the individuals ego whilst in the
Person Centred Approach the aim is to achieve growth through the
individuals self-actualising tendency. In the Person Centred Approach, it is