Reality Therapy

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Reality Therapy [SLIDE 1] Introduction Reality Therapy is a particular approach in psychotherapy and counseling. It has primarily been developed by the psychiatrist Dr. William Glasser since the mid-1960's. [SLIDE 1] Reality Therapy is based on a concept called Choice Theory (originally called control theory). It has become well-established in the US and internationally and it has also been widely applied in education. [SLIDE 2] Choice theory The term choice theory is the work of Dr. William Gla
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Reality Therapy [SLIDE 1] Introduction Reality Therapy is a particular approach in psychotherapy and counseling. It has primarily been developed by the psychiatrist Dr. William Glasser since the mid-1960 s. [SLIDE 1] Reality Therapy is based on a concept called Choice Theory (srcinally called control theory). It has become well-established in the US and internationally and it has also been widely applied in education. [SLIDE 2] Choice theory The term choice theory is the work of Dr. William Glasser, MD, author of the book so named, and is the culmination of some 50 years of theory and practice in psychology and counseling. Choice Theory posits that behavior is central to our existence and is driven by five genetically driven needs, similar to those of Maslow: \u2022 Survival (food, clothing, shelter, breathing, personal safety and others) and four fundamental psychological needs: \u2022 Belonging/connecting/love \u2022 Power/significance \u2022 Freedom/responsibility, and \u2022 Fun/learning [SLIDE 3] Quality World Choice Theory posits the existence of a Quality World in which, starting at birth and continuing throughout our lives, we place those things that we highly value: primarily the people who are important to us, things we prize, and systems of belief, i.e. religion, cultural values and icons, etc. Glasser also posits a Comparing Place in which we compare the world we experience with our Quality World. We behave to achieve as best we can a real world experience consistent with our Quality World. [SLIDE 4] Reality Therapy The Reality Therapy approach to counseling and problem-solving focuses on the here-and-now of the client and how to create a better future, instead of concentrating at length on the past. It emphasizes making decisions, and taking action and control of one s own life. Typically, clients seek to discover what they really want and whether what they are currently doing (how they are choosing to behave) is actually bringing them nearer to, or further away from, that goal. Reality Therapy is a considered a cognitive-behavioural approach to therapy; that is, it focuses on facilitating the client to become aware of, and if necessary, change, his/her thoughts and actions. [SLIDE 5] Behavior Behavior, in Reality Therapy and in William Glasser s Choice Theory terms, is composed of four aspects, or vectors: Thinking, Acting, Feeling, and Physiology. We can directly choose our thoughts and our acts; we have great difficulty in directly choosing our feelings and our physiology (sweaty palms, headaches, nervous tics, racing pulse, etc.) Emotions (feelings) are a wonderful, immediate and alive source of information about how we are doing and whether we are happy with what is going on in our lives. But it is very hard to choose and to change our emotions directly. It is easier to change our thinking - to decide, for example, thatwe will no longer think of ourselves as victims or to decide that in our thoughts we will concentrate on what we can do rather than what we think everybody else ought to do. So Reality Therapists approach changing what we do as a key to changing how we feel and to getting what we want. These ideas are similar to those in other therapy movements such as Re-evaluation Counseling and Person-centered psychotherapy, although the former emphasizes emotional release as a method of clearing emotional hurt. [SLIDE] 6 Characteristics OF Reality Therapy [SLIDE] 7 Emphasize the Choice of Responsibility Letting the patient understand the vital role of his responsibility to accept the past but not let it affect his present. An his present is the main target of the Therapy that affects his problems. Reject Transference It is important to let the client understand that due to the nature of the therapy, there may be tendencies that he will project an image of a father like or brother or etch like figure, he should inform the Therapist so the therapist can remind him that he is nothing but the therapist and that\u2019s all. Keep the Therapy at the Present Never let the patient dwell on his past. The past may be a factor but the present situation is all that matters. The past may only make him not accept responsibility. Avoid focusing on the symptoms There are cases that the client will whine about his problems and passing blame on this and that. It is vital to ask him questions that ciculate him back to the present problem with the notion that it is only him and not other things to blame. But he should never be coerced or constantly be reminded. Challenge Traditional Views of Mental Illness Many Therapist or medical practitioners diagnose the patient with physiological disorder, why they behave this way why the behave that way due to the nature of the anomaly of the physiology of the human anatomy. Glasser tells us that it is wrong, clients should be reminded of their responsibilities rather than giving them an excuse to runaway from it. [SLIDE] 8 and [SLIDE 9] THE THERAPEUTIC PROCESS The function of the therapist is to create a good relationship with their clients. From these relationships therapist can help the client how to engage in self-evaluation. It is the Job of the therapist to convey the idea that no matter how bad things are there is always a hope. [SLIDE 10] Therapist Function and Role The function of the therapist is to create a good relationship with their clients. From these relationships therapist can help the client how to engage in self-evaluation. It is the Job of the therapist to convey the idea that no matter how bad things are there is always a hope. [SLIDE 11] Client\u2019s Therapy \u2022 \u201cIs what you are choosing bringing you closer to the ones you want to be closer with?!\u201d \u2022 \u2018Is what you are doing bringing you closer to the new person you want to be with?!\u201dã These are the type of questions that trigger the patient to think for his responsibility. It also stimulates the patient to prioritize. [SLIDE 12] Relationship Between therapist and Client Change is always a choice. Reality therapists begin with by asking the clients what they want from the therapy. They also inquire about the choices the client is making in their relationships. Reality therapy emphasizes an underlying and supporting relationship. An important factor is the willingness of councilors to develop their own individual therapeutic style. [SLIDE 13] APPLICATION:THERAPEUTIC TECHNIQUES AND PROCEDURES [SLIDE 14] The Practice or Reality Therapy: CYCLE OF COUNSELING – Creating a counseling environment. – Implementing specific procedures that lead to changes in behavior The art of counseling is to weave these components together in ways that lead clients to evaluate their lives and decide to move in more effective directions. [SLIDE 15] The Counseling Environment The practice of reality therapy begins with the counselor’s efforts to create a supportive environment within which clients can begin to make like changes. The councilor should show assertiveness as well as keeping it light with constant humor. Establishing a relationship with the client is believed to be the most important factor in all types of therapy. Without this relationship, the other steps will not be effective. In extreme cases, the therapist may be the only person in the client's life who is willing to put up with the client's behavior long enough to establish a relationship, which can require a great deal of patience from the therapist. In other cases, the client is a part of many relationships, but just needs a relationship with a more consistently positive emphasis. [SLIDE 16] PROCEDURES THAT LEAD TO CHANGE [SLIDE 17] Change is always a choice. Reality therapists begin with by asking the clients what they want from the therapy. They also inquire about the choices the client are making in their relationships. [SLIDE17] The WDEP System Wants Direction Evaluation Planning Uses WDEP system to identify: 1)client’sw ants and perceptions; 2)) what client isdoing (acting, thinking, feeling, physiology); 3)3) whether client’s behavior is getting him/her closer or further from goal (evaluate); 4)4) create and implement workable plan to make positive changes (Is it working?)
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