When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and Therapy — John Shaqi
When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and TherapyBartlett, Steven J.
Science
When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and Therapy
Bartlett, Steven J.
Consumer education; Counseling; Psychotherapy
In later chapters, we will look at these approaches to psychotherapy
more closely. The goal throughout this book will be to enable you to
understand enough about each of the major therapies to make an informed
decision in choosing an approach (and there may be more than one) that
will be most useful in relation to your own understanding of your
objectives, whether they are long-range or focused on the need to
eliminate immediate obstacles to growth.
THE DIFFERENCE BETWEEN COUNSELING AND PSYCHOTHERAPY
Counseling and psychotherapy have developed a great deal in recent
years--so much so that their boundaries have often overlapped.
Clear-cut distinctions between the two fields are increasingly hard to
draw. Nevertheless, some professionals prefer to call themselves by
one name and some by the other.
In general terms, _counseling_ tends to be a short-term process the
purpose of which is to help the client, couple, or family {31} overcome
specific problems and eliminate blocks to growth. Counseling gives
individuals a chance to resolve personal problems and concerns. Most
counselors attempt to help their clients become aware of a widened
range of possibilities of choice; from this perspective, counseling
tries to free clients from rigid patterns of habit.
Habits can be useful, but they can also interfere with life. The
technical habits of a pianist, for example, are essential in
performance. Similarly, only when language skills become habitual does
a speaker of a foreign language achieve command of it. On the other
hand, fears can also become habitual, and they may come to interfere
with everyday activities. Anxiety over public speaking may become
habitual. There are many personally destructive habits--alcoholism,
smoking, over- or under-eating, abusive behavior, shyness and social
withdrawal--and all can become self-perpetuating patterns. Counseling
can help people break out of these habits, often in part by helping
clients become aware of unrecognized alternatives.
_Psychotherapy_ tends to be more concerned than counseling with
fundamental personality-structure changes. Frequently, psychotherapy
is a longer-term process. Frequently, too, the problems treated in
psychotherapy are hard to pin down and are less specific. They include
chronic depression, pervasive ("free-floating") anxiety, generalized
lack of self-esteem, and so on. Such difficulties are not well
defined; their causes may be vague or uncertain, and often much time
must be spent to get at their basis. Psychotherapy seeks to bring
about an intensive self-awareness of the _inner dynamics_--the internal
forces and the principles that govern them--that are involved in
chronic forms of personal distress. Sometimes, as in analytical
psychotherapy or psychoanalysis, attention is focused on the role of
unconscious processes in inner conflicts; treatment attempts to resolve
these conflicts by understanding the unconscious forces involved.
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