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PERSON-CENTRED THERAPY VS. RATIONAL EMOTIVE ..., Summaries of Psychotherapy

The purpose of this paper is to present a brief comparison of the approach to psychotherapy of Carl Rogers and Albert Ellis. I have selected Albert Ellis ...

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PERSON-CENTRED THERAPY VS. RATIONAL EMOTIVE
BEHAVIOUR THERAPY
The purpose of this paper is to present a brief comparison of the approach
to psychotherapy of Carl Rogers and Albert Ellis. I have selected Albert Ellis for
comparative purposes since he was one of the other therapists participating with
Rogers in the film “Three Approaches to Psycotherapy” , made in 1964, centering
on interviews with the client “Gloria”.
Person-Centered Therapy
Rogers first formulated the essentials of Person-Centered Therapy (PCT),
an approach to helping individuals and groups in conflict, in 1940. At the time it
was a revolutionary hypothesis that a self-directed growth process would follow
the provision and reception of a particular kind of relationship characterized by
genuineness, non-judgmental caring, and empathy. Its most fundamental and
pervasive concept is trust.
The foundation of Rogers’ approach is a human being’s actualizing
tendency towards the realization of his or her full potential; which he described
as a formative tendency observable in the movement toward 134greater order,
complexity and interrelatedness. The person-centered approach is built on trust
that individuals and groups can set their own goals and monitor their own
progress towards them. It assumes that the clients can be trusted to select their
own therapist, choose the frequency and length of their therapy, talk or be silent,
decide what needs to be explored, achieve their own insights, and be the
architects of own lives. Moreover, groups can be trusted to develop processes
right for them and to resolve conflicts in the group.
In Person-Centered Therapy, the therapist provides continuous and
constant empathy for the client's perceptions, meanings and feelings. The other
tools employed are congruence and unconditional positive regard. Rogers
believes it is important for the therapist to be appreciated as a person in the
relationship. This is facilitated by congruence or genuineness - the
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PERSON-CENTRED THERAPY VS. RATIONAL EMOTIVE

BEHAVIOUR THERAPY

The purpose of this paper is to present a brief comparison of the approach to psychotherapy of Carl Rogers and Albert Ellis. I have selected Albert Ellis for comparative purposes since he was one of the other therapists participating with Rogers in the film “Three Approaches to Psycotherapy” , made in 1964, centering on interviews with the client “Gloria”.

Person-Centered Therapy Rogers first formulated the essentials of Person-Centered Therapy (PCT), an approach to helping individuals and groups in conflict, in 1940_._ At the time it was a revolutionary hypothesis that a self-directed growth process would follow the provision and reception of a particular kind of relationship characterized by genuineness, non-judgmental caring, and empathy. Its most fundamental and pervasive concept is trust. The foundation of Rogers’ approach is a human being’s a ctualizing tendency towards the realization of his or her full potential; which he described as a formative tendency observable in the movement toward 134greater order, complexity and interrelatedness. The person-centered approach is built on trust that individuals and groups can set their own goals and monitor their own progress towards them. It assumes that the clients can be trusted to select their own therapist, choose the frequency and length of their therapy, talk or be silent, decide what needs to be explored, achieve their own insights, and be the architects of own lives. Moreover, groups can be trusted to develop processes right for them and to resolve conflicts in the group. In Person-Centered Therapy, the therapist provides continuous and constant empathy for the client's perceptions, meanings and feelings. The other tools employed are congruence and unconditional positive regard. Rogers believes it is important for the therapist to be appreciated as a person in the relationship. This is facilitated by congruence or genuineness - the

correspondence between the thoughts and behavior of the therapist. The therapist does not put up a front or façade. Unconditional positive regard means that the therapist’s regard for the client will not be affected by client's choices, characteristics or outcomes The therapist expresses this through demonstrating empathy by reflecting a profound interest in the client's world of meanings and feelings; 135 which the therapist receives and conveys appreciation and understanding back, thereby encouraging the client to go further or deeper. The result is an interrogation in which the therapist is a warm, sensitive and respectful companion in the difficult exploration of the client’s emotional world. The intended result for the client is a better self-concept and increasing self-esteem. Rogers believes that when clients receive congruence, unconditional positive regard and empathy their self-concepts become more positive and realistic. As a result, they become more self-expressive and self- directed, their behaviour becomes more mature and they deal better with stress.

Rational Emotive Behaviour Therapy Rational Emotive Behaviour Therapy (REBT)is a theory of personality and a method of psychotherapy developed in the 1950's by Albert Ellis, a clinical psychologist. Ellis believes that when highly charged emotional consequences follow a significant event, the event actually does not necessarily cause the consequences. Instead, they are largely created by the individual's belief system. When undesirable emotional consequences occur, such as severe anxiety, Ellis believes that when irrational beliefs are effectively disputed by challenging them rationally and behaviourally the disturbed consequences are reduced. 168 The goal of REBT, consequently, is to help clients examine and change their basic values - particularly those keeping them disturbed – and reduce underlying symptom producing propensities REBT views cognition and emotion integratively, with thought, feeling, desires and action interacting with each other. Ellis stresses that 169 personality change can occur in both directions. Therefore the therapist can talk with people and try to change their mind so they will behave differently, or can help clients to change their behaviour and thus modify their thinking. REBT

REBT shows how activating events or adversities contribute but do not cause emotional consequences. Emotional consequences result from interpretations of events through the lens of unrealistic and over-generalized beliefs. In other words, the real cause of emotional upset lies in people and not in what happens to them. To assist in correcting their malfunctions, clients are presented with the following insights:

  1. Self-defeating behavior follows from the interaction of adversity and an irrational belief system, resulting in disturbed consequences.
  2. Unless clients admit and face their own responsibiities for the continuation of dysfunctional beliefs they are unlikely to uproot them
  3. Only hard work and practice will correct irrational beliefs and keep them corrected.

Comparison In a comparison of audio-taped samples of therapy done by between Rogers and Albert Ellis 83 therapist-judges ranked 12 therapist variables. The only point of agreement found between the two was Self-Confident. Rogers received high ratings on empathy, unconditional positive regard, congruence, and ability to inspire confidence. Ellis rated low in these areas; wheras, he rated high on cognitive and therapist-directed dimensions. Rogers rated low on these.^1 This research led to determination of the following differences between Person-Centred and Rational Emotive Therapy:

  1. Unlike REBT, PCT greatly values the therapeutic relationship.
  2. REBT therapists provide much direction. PCT encourages the client to determine direction.
  3. REBT therapists work hard to point out deficiencies in their clients’ thought processes. PCT therapists accept and respect their client's ways of thinking and perceiving

(^1) Nathaniel J. Raskin and Carl R. Rogers, Person-Centred Therapy, in Raymond J. Corsini and Danny Wedding, editors, Current Psychotherapies, 6th^ edition, (Itasca: F.E. Peacock Publishers Inc., 2000), 137

  1. PCT therapy leads to actions chosen by clients. REBT methods include homework assignments by the therapist.
  2. PCT therapists relate to clients on a feeling level, in a respectful and accepting way. REBT therapists point out the irrational harm clients may be doing to themselves and to their interpersonal relationships.^2 Rogers and Ellis, however, do share several important beliefs and values:
  3. Great optimism that people can change, even when deeply disturbed.
  4. A perception that individuals are often unnecessarily self-critical, and that negative attitudes can become positive
  5. A willingness to put forth great effort to help people; both through individual therapy and through professional therapy and non- technical writing, and
  6. A willingness to demonstrate their methods publicly.^3

(^2) Raskin, 137

(^3) ibid, 138