The Therapeutic Approach in Counselling

"Therapy (in Greek: θεραπεία) or treatment isexperiencing and resolving the situation. Gestalt
the attempted remediation of a health problem, usuallypromotes direct experience and testing in order to
following a diagnosis." (WIKIPEDIA)adapt to the environment; express different behaviour;
In the context of mental health, therapy has vastlyand instigate awareness of action and further
changed over time. Long before the scientificresponsible recognition of the results. Some basic
approach to the treatment of mental health prevailed,concepts of the Gestalt approach include:
attempts to discover the underpinnings of the humanHolism: all nature is seen as unified and as a coherent
mind produced a wide range of therapies and theories.whole, and the whole is different from the sum of its
For many centuries, the therapeutic approach to theparts.
human mind was mostly based on supernatural andField Theory: the organism must be seen in its
religious beliefs.environment, or in its context, a part of the constantly
This approach began to change when Phillipe Pinel, inchanging field.
1793, introduced his methods in Paris. Pinel believed thatThe Field-Formation Process: it describes how the
switching from a commonly violent andindividual organises the environment from moment to
medicine-based treatment to a strictly non-violent andmoment. The figure-formation process tracks how
observational approach could produce a bettersome aspect of the environmental field emerges from
outcome for patients. At this point, the history of thethe background and becomes the focal point of the
counselling therapy had begun to be shaped.individual's attention and interest.
Therapy in CounsellingOrganismic Self-Regulation: The figure-formation
The general concept of therapy has its differentiationsprocess is intertwined with the principle of 'Organismic
from the counselling approach to therapy. In counselling,self-regulation', a process by which equilibrium is
providing therapy does not mean providing a cure to a'disturbed' by the emergence of a need, a sensation, or
patient's illness. Counselling's general objective is to helpan interest. Gestalt therapists direct the client's
improve the client's quality of life, and in manyawareness to the figures that emerge from the
instances that could mean to simply explore abackground during a therapy session and use the
relationship issue or the perception towards oneself.figure-formation process as a guide for the focus of
The varied types of counselling therapies reflect manythe therapeutic work.
approaches to solve similar issues - and thesePerson-Centred Therapy
approaches can work differently depending on thePerson-Centred Therapy is "an approach to helping
individual. In order to better understand this concept,individuals and groups in conflict. A clearly stated
we've gathered some information about sometheory (developed by psychologist Carl R. Rogers),
counselling treatments used nowadays.accompanied by the introduction of verbatim
Cognitive Behaviour Therapytranscriptions of psychotherapy, stimulated a vast
CBT is an insight-focused therapy that emphasisesamount of research on a revolutionary hypothesis: that
recognising and changing negative thoughts anda self-directed growth process would follow the
maladaptative beliefs. The approach is based on theprovision and reception of a particular kind of
theoretical rationale that the way people feel andrelationship characterised by genuineness,
behave is determined by how they perceive andnon-judgemental caring, and empathy." (Corsini 1995).
structure their experience. CBT proposes that changeIn Person-Centred therapy, the focus is on the client.
comes about by changing the client's thinking about theThe objective is to achieve progress by self-directed
situation. Once the client has converted his/her point ofgrowth, emphasizing on the 'here-and-now' of the
view, the problem-perception switches to a clearerindividual's life. This emphasis on the present replaces
context. Some basic concepts within the CBT schoolsthe diagnostic perspective in counselling. Here,
of thought include:individuals are not products of their past experiences -
Arbitrary Inferences: refers to making conclusionsinstead, they are able to determine what is right for
without supporting and relevant evidence. This includesthem (self-diagnosis and remediation). The
"catastrophising", or thinking of the absolute worstperson-centred approach is intrinsic to most therapies
scenario and outcomes for most situations.as it aims to establish an affective relationship
Selective Abstraction: consists of forming conclusionsbetween client and counsellor.
based on isolated details of an event (and ignoringSolution-Focused Therapy
other information).This therapeutic focus is on exploring the client's
Overgeneralisation: a process of holding extremeperspective towards a problem. The client is assisted
beliefs on the basis of a single incident and applyingto develop a different perspective towards the future,
them inappropriately to dissimilar events or settings.and through that perspective, work on their current
Personalisation is a tendency for individuals to relatesituation. The goal-driven process is similar to coaching
external events to themselves, even when there is no- the counsellor's role is to build initial rapport and then
basis for making this connection.use questioning techniques to direct the process of
Labelling or mislabelling: involves portraying one's identitytherapy (in order to enhance the client's understanding
on the basis of imperfections and mistakes made inof his/her strengths and successes in already
the past and allowing them to define one's true identity.overcoming his/her problems). The solution-focused
The Gestalt Therapyapproach can be defined in five different stages:
An existential/phenomenological approach based ondescribing the problem, developing well-formed goals,
the premise that individuals must be understood in theexploring for exceptions, end-of-session feedback, and
context of their ongoing relationship with theevaluating client progress.
environment. Gestalt proposes that change comesSubscribe to our FREE eZine.
about by the client being aware of what he/she is