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PERSON-CENTRED THERAPY:
A PLURALISTIC PERSPECTIVE
Mick Cooper
Professor of Counselling, University of
Strathclyde
mick.cooper@strath.ac.uk
www.pluralistictherapy.com
Aim
Present new reading of personcentered/humanistic principles
Look at implications for PCE practice
Outline of presentation
Human beings as unique
Basics of a pluralistic approach
Implications for established PCE
practices
Limitations and contribution
PCA: The
uniqueness of
human being and
becoming
PCA emphasis on
uniqueness
Humanistic/PCE approach:
commitment to conceptualizing,
and engaging with people in a
deeply valuing and respectful
way (Cooper, 2007)
Each individual viewed as a
unique entity, unlike any other
person who has existed or will
exist (Cain, 2002):
distinctive, irreplaceable, and
inexchangeable
phenomenological
perspective
scientistic
perspective
experiencing
being
A pluralistic
PCE
Basic assumptions
1. Lots of different things can be helpful to
clients (both things traditionally
associated with the PCE approach, and
things not)
NDC
CBT
60%
Take a lead
in therapy
5
Just be with me
In the therapeutic
relationship
Focus on
specific goals
5
Give structure
to the therapy
5
Basic assumptions
2. If we want to know what is most likely to
be helpful to our clients, we should talk
to them about it
A pluralistic framework
How to avoid an anything-goes
syncretism?
Therapeutic process orientated around
clients goals
And the tasks and methods that can be
undertaken to get there
Pluralism as collaboration
Goals, tasks and methods are domains in
which collaboration, negotiation and
meta-communication in therapy can take
place.
Client as active agent in change process
(Bohart and Tallman, 1999)
Implications for
PCE therapists
Pluralistic approach
both as perspective
and as practice
pluralistic
practice
specialist
practice
Enhanced metacommunication
Distinctive feature of pluralistic practice is
regular occurrence of episodes of
metacommunication
Checking/dialoguing with client what they want
from therapy and what they want to do: e.g.,
I know we have decided to spend a bit of time
talking through this issue, to see whether we can
develop a shared way of making sense of it I was
just wondering, would it be helpful if I asked you
some questions about the issue, or would it be better
if I just gave you space to say what you need to
say?
Marcel
Social anxiety
Previous therapy exploring
abuse
Did he need to do it again?
Session 3
Client talking about flashbacks:
I just cant be bothered with it any more
Do I need to go back into abuse to sort it out? Is
it just going to be there and I have to accept it?
Therapist (15:09):
I guess part of the question is how much is it
related to the problems that you are experiencing
at the moment, and that is what we dont really
know (Client: I dont really know It doesnt
really logically link with the problems).
Session 3
Explored other possibilities:
Related to experiences of being humiliated in
school?
Related to fear of others judging her, being
disappointed?
Session 3
Therapist: Were kind of talking about what causes that
difficulty, and I guess there are a number of possibilities.
One is that it is about stuff that happened in your past that has
made it really difficult for you and has really inhibited you and
made you really anxious
Another one is that its something that youre just not good at it
and you may as well give up and its not really that much about your
past
I guess there is another one, that youre talking about there, that
is about a pattern that you have got into, or a cycle, that isnt so
much that is not so much caused by things in your past, so much
as youve started avoiding doing that kind of talking, and because
youve avoided doing it youve built it up as something that is more
and more frightening, and actually if you started doing it a bit
more you would, as you are saying, that Its not actually that bad
its bearable
4. Pluralistic practice
Developing practice that draws on
methods from an infinite variety of PCE
and non-PCE practices:
Are there particular client goals that you
would like to feel more enabled to help
their clients work towards?
What methods would you need to
acquire to enable this?
Work in progress
Cooper, M., & McLeod, J. (2007). A pluralistic framework
for counselling and psychotherapy: Implications for
research. Counselling and Psychotherapy Research,
7(3), 135-143.
Cooper, M., and McLeod, J. (Nov., 2010). Pluralistic
counselling and psychotherapy. London: Sage.
Non-directive (PCA)
Therapeutic
Classical
CCT
Meta-therapeutic
dimension
Pluralistic (PCA)
Directive
dimension
Monistic
Manualised
CBT
Selfconcept:
Experiential
field
Person-centred
therapist
Thank you
Mick Cooper
Professor of Counselling, University of Strathclyde
mick.cooper@strath.ac.uk
Download slides from:
http://www.strath.ac.uk/strathprints