Transcript Class 5 – Theory and Practice

HMS 205 – Reality Therapy
Dr. Pemberton
Reality Therapy Basic Beliefs
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Emphasis is on responsibility
Therapist’s function is to keep therapy
focused on the present
We often mistakenly choose misery in our
best attempt to meet our needs
We act responsibly when we meet our needs
without keeping others from meeting their
needs
Basic Needs
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All internally motivated behavior is geared
toward meeting one or more of our basic
human needs
Belonging
 Power
 Freedom
 Fun
 Survival (Physiological needs)
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Our brain functions as a control system to get
us what we want – quality world
Quality World
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The world we would like to live in
Completely based upon needs
Picture album
People are most important component
Therapist must be kind of person that the
client want to have in this world
Explanation of Behavior
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All we ever do is behave – what have we ever done
that is not a ‘behavior’?
Total behavior =
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Acting
Thinking
Feeling
Physiology
Must focus on verb forms (depressing vs. depressed
Behavior is person’s best effort to get needs met
Characteristics of Reality Therapy
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Don’t focus on ineffective behavior
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Emphasize Responsibility and Choice
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Focus on areas of choice
Reject Transference
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Complaining, blaming, criticizing, etc
Must be who we are as therapist
Stay in present
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Not victims of past unless we choose to be
Can reflect on successes
Characteristics
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No talk of symptoms
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Don’t let past ‘protect’ client from present
Focusing on symptoms does the same
These are ways our bodies tell us to make
different decisions
Challenge traditional views
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Psychiatry can be hazardous
Glasser does not agree with DSM
Never use medication
Process
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Goals
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Help client “get connected” w/ people in QW
Find better ways to fulfill all needs
Therapist’s Function and Role
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Create a good relationship
Teach clients to self-evaluate
There is hope
Keep focused on present
Counselor must have certain characteristics and
be a mentor
Procedures That Lead to Change:
The “WDEP” System
W
Wants:
What do you want to be and do?
Your “picture album”
D
Doing and Direction:
What are you doing?
Where do you want to go?
E
Evaluation:
Does your present behavior have a
reasonable chance of getting you what you want?
P
Planning – “SAMIC”
Planning For Change
S
Simple:
A
Attainable:
Within the capacities and motivation of the client
M
Measurable:
Are the changes observable and helpful?
I
C
Easy to understand, specific and concrete
Immediate & Involved:
Controlled:
What can be done today? What can you do?
Can you do this by yourself or will you be
dependent on others?
Total Behavior
Our Best Attempt to Satisfy Our Needs
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DOING ~ active behaviors
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THINKING ~ thoughts, self-statements
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FEELINGS ~ anger, joy, pain, anxiety
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PHYSIOLOGY ~ bodily reactions