Transcript Using Reality Therapy - Pemberton Counseling

Using Reality Therapy
Basic Needs
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Belonging or Love
Power
Fun
Freedom
Principles of Picture Album
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1 – Human beings are motivated to fulfill
needs and wants. Human needs are
common to all people. Wants are unique to
each individual
2 – The difference )frustration) between what
human beings want and what they perceive
they are getting from their environment
produces specific behaviors
Principles of Picture Album
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3 – Human behavior – composed of doing,
thinking, feeling and physiological behaviors
– is purposeful; that is, it is designed to close
the gap between what the person wants and
what the person perceives he or she is
getting.
4 – Doing, thinking, and feeling are
inseparable aspects of behavior and are
generated from within, most of them are
choices
Principles of Picture Album
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5 – Human beings see the world through
perceptions. There are two general levels of
perception; Low and High. The low level of
perception implies knowledge of events or
situations. A high level of perception gives
values to those events or situations.
Reality Therapy guidelines
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Always be
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Courteous
Determined
Enthusiastic
Firm
Genuine
Suspend judgement
Do the unexpected
Reality Therapy guidelines
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Use humor
Be yourself
Share yourself
Listen for metaphors
Listen for themes
Use summaries and focus
Allow or impose consequences
Allow silence
Be ethical
Things to avoid
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Don’t accept excuses
Don’t punish, criticize or argue, allow
consequences
Don’t give up easily
Other guidelines
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Consultation
Follow-up
Continuing education
Procedures of exploring
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“What do you want?”
“What do you Really want?”
“What do you think people want from you?”
“How do you look at it?”
Tell them what you have to offer, what you
want from them, how you look at the situation
Get a commitment to counseling
Procedures of exploring total behavior
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“What are you doing?”
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What - specific
Are – current
You – client
Doing – total behaviors
Evaluations – Value Judgements
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“Is your behavior helping or hurting you?”
“Is what you’re doing helping you get what you
want?”
“Is what you’re doing against the rules?”
“Is what you’re doing realistic or attainable?”
“Does it help you to look at it that way?”
“How committed are you to the process of therapy
and to changing your life” – will that level work to
your advantage?
“Is it a helpful plan?”
Levels of Committment
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1 – I don’t want to be here – I was forced
2 – I want the pleasure resulting from
change, but I don’t want to make the effort
3 – I’ll try
4 – I’ll do my best
5 – I’ll do whatever it takes
A Positive Plan
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Need Fulfilling
Simple
Realistic and Attainable
“Something to DO, not Stop doing”
Dependent on the Doer
Specific
A Positive Plan
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Repetitive
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Choose to approach others first
Choose to achieve something
Choose to have fun
Choose to act independently
Immediate
Realistic
Process Centered
Evaluated
Firm
Reinforced
Paradoxical Techniques
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Learning reality Therapy
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Fulfillment of Needs
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Cannot fill directly – only through album
Conflict in Need Fulfillment
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Easy to understand – difficult to practice
Conflict with one another
Behavioral System
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Focus on Doing, more aware of thinking, feeling
Don’t talk about feelings – deal with them
Paradoxical Techniques
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Process of Reality Therapy
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Attacking one issue on several fronts
Cause of problem can be the effect
Types
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Reframing – re-labeling and redefining
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Ask what they are choosing to do
Negative symptom seen as a positive
Prescriptions
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Scheduling a symptom
Restraining a behavior – can fail in efforts to overcome
Prescribing a Relapse
When not to use Paradoxes
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Person feeling little involvement with the therapist
Sociopath
Paranoia
When there is acute stress
With families – need additional training in family
systems
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With much chaos/confusion
Immature/hostile adult members
Projection onto others