Person-centered therapy, now considered a founding work in the humanistic school of psychotherapies, began formally with Carl Rogers.[8] "Rogerian" psychotherapy is identified as one of the major school groups, along with psycho-dynamic, psychoanalytic (most famously Sigmund Freud), Adlerian, Cognitive-behavioral therapy, and Existential therapy (such as that pioneered by Rollo May).[9]
Others[who?] acknowledge Rogers' broad influence on approach, while naming a humanistic or humanistic-existentialist school group; there is large debate [10] over what constitute major schools and cross-influences with more tangential candidates such as feminist, Gestalt, British school, self psychology, interpersonal, family systems, integrative, systemic and communicative, with several historical influences seeding them such as object-relations.[citation needed]
Rogers affirmed [8] individual personal experience as the basis and standard for living and therapeutic effect. Rogers identified 6 conditions which are needed to produce personality changes in clients: relationship, vulnerability to anxiety (on the part of the client), genuineness (the therapist is truly himself or herself and incorporates some self-disclosure), the client's perception of the therapist's genuineness, the therapist's unconditional positive regard for the client, and accurate empathy.[11] This emphasis contrasts with the dispassionate position which may be intended in other therapies, particularly the more extreme behavioral therapies. Living in the present rather than the past or future, with organismic trust, naturalistic faith in your own thoughts and the accuracy in your feelings, and a responsible acknowledgment of your freedom, with a view toward participating fully in our world, contributing to other peoples' lives, are hallmarks of Roger's Person-centered therapy. Rogers also claims that the therapeutic process is essentially the accomplishments made by the client. The client having already progressed further along in their growth and maturation development, only progresses further with the aid of a psychologically favored environment.[12]
Rogers believed that the most important factor in successful therapy is the therapist's attitude. There are three interrelated attitudes on the part of the therapist:
- Congruence -the willingness to relate to clients without hiding behind a professional facade.
- Unconditional Positive Regard - therapist accepting client for who he or she is without disapproving feelings, actions or characteristics. It shows the willingness to listen without interrupting, judging or giving advice.
- Empathy -Understand and appreciate the client's feeling throughout the therapy session.
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