WHAT DOES PERSON-CENTRED MEAN?

CARL ROGERS: THE FOUNDER OF PERSON-CENTRED THERAPY

The American psychologist Carl Rogers was largely responsible for the early development of Person-centred therapy during the 1940s and 1950s.  Rogers was somewhat of a revolutionary in that he saw the client, rather than the therapist, as the expert on their life.  Rogers saw the potential for people to be autonomous and able to work out their own solutions if they were given certain conditions.

The conditions which Rogers believed to be therapeutic are essentially to do with the counsellor being genuine, empathic and accepting with their client. Being genuine is about being real without a professional façade. Being empathic is about understanding what it is like for the client; being able to see and understand what life is like in someone else's shoes. Being accepting is respecting the client no matter what their ethnicity, beliefs, race, gender, or sexual identity (or any other aspect of a person's personality) even if the counsellor has different views.

At first Rogers termed this new approach ‘non-directive’ but was later misunderstood and criticised by many of his contemporaries as they saw his approach as passive and inactive.  As a result he later termed this therapy as ‘client-centred’ which emphasised that it was the client’s experience which was paramount.  The term Person-centred, in turn, grew from this mainly because the approach influenced not only client work (in therapy) but also education, diversity, management as well as peace and conflict resolution.  Rogers died in 1987 at the age of 85. Since Rogers there have been many key figures all over the world developing the Person-centred approach.


CLIENT IS THEIR OWN BEST EXPERT

Despite the name, Person-centred counselling is not usually about giving advice or telling a client what to do.  The Person-centred counsellors I know do not see themselves as the all-knowing expert regarding a person's problems but rather see the client as the expert on themselves.   With this approach, counselling is not like a doctor-patient relationship where problems are diagnosed and where the doctor is the more powerful expert; it is more about treating people as equals.

Despite being ‘non-directive’, person-centred counselling is not necessarily a cosy chat and may be challenging.  Being person-centred is about being respectful and accepting, it is not necessarily about being over polite or putting on a façade. Person-centred counselling is more about being real in a warm, accepting and understanding environment.


IF A CLIENT KNOWS BEST WHY SHOULD THEY SEEK COUNSELLING?

As already described, Person-centred philosophy embraces the notion that, deep down, we all know what is best for ourselves. So then why should we see a counsellor if we already know what we want? The Person-centred approach also recognises the fact that attaining our true potential needs certain conditions in place; we all need unconditional positive regard (total acceptance), empathy (deep understanding) and congruence (genuiness in others). However, in life and in our day-to-day relationships, these conditions are not necessarily easy to find.

Who we really are or who we really want to be, may not meet with the approval of others. In this case, we may act and behave in ways to meet with other's acceptance rather than being who we really are. Person-centred philosophy recognises that we all need the acceptance or positive regard of others. Consequently, at some time or another, we might act in ways to gain that acceptance, even if it means being incongruent (or untrue to ourselves). We may even come to believe that we are the kind of person that others around us want us to be, even if we are not. We might become so incongruent that it leads to stress, anxiety and depression.

A typical scenario might be a person brought up in a homophobic environment. This person may come to experience gay feelings that they find difficult to accept. They may even deny these feelings to themselves or to their own awareness. Perhaps they deny these feelings in order to meet with their parents' approval; it might be unbearable to face the rejection and non-acceptance of the people they love most. It might be more bearable for them to pretend that they are not gay rather than to face being ostracised by their own family. Arguably, the person described here is clearly not experiencing a climate where they can become their true self and their acceptance is conditional on their not being gay.

A Person-centred counsellor can offer a growth-promoting climate where the person is accepted unconditionally. A competent Person-centred counsellor would also be genuine without a façade and without any hidden agenda. The counsellor would express empathy and would be committed to spending time being with their client. Being with a client does not just mean physically being with somebody but rather is more to do with giving undivided attention in understanding what it feels like for their client. For this to happen the counsellor needs to be committed to their client in thoughts, words and deeds. The competent Person-centred counsellor will be a skilled listener and communicator. In this climate a person is able to discover who they really are and what their experience means for them in a caring environment without judgement or condemnation.

With the above in mind, it is evident that the Person-centred approach to therapy is a philosophy and not based on a technique (this is not discrediting techniques, by the way, as many techniques are truly helpful but merely saying that there is a philosophy at its foundation rather than a technique). A Person-centred therapist believes that we can become our true selves. A Person-centred therapist believes that offering unconditional positive regard, empathy and congruence are the key to therapy. I have heard some therapists say that they use empathy or they use acceptance or they use congruence. Unless you are genuinely in possession of these qualities, you cannot simply "use" them at will, or when called upon to do so.


BOOKS ON THE SUBJECT

If you are interested in reading more about the Person-centred approach to therapy there are numerous books on the subject. However, there a few which I have especially enjoyed and which are not too much like a text book. I have listed them below.

 

Bozarth, J. (1998) Person-Centered Therapy: A Revolutionary Paradigm. Ross-on-Wye: PCCS Books

Mearns, D. & Thorne, B. (1999) Person-Centred Counselling in Action 2nd edition. London: Sage

Merry, T. (2002) Learning and Being in Person-Centred Counselling 2nd edition. Ross-on-Wye: PCCS Books


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