What counseling theory am i

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DEVELOPING YOUR

THEORETICAL

ORIENTATION IN

COUNSELING AND PSYCHOTHERAPY

Third Edition

DUANE A. HALBUR

Georgia Military College

Life Management Group, Inc.

KIMBERLY VESS HALBUR

Medical College of Georgia at Georgia Regents University

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Library of Congress Cataloging-in-Publication Data

Halbur, Duane.

Developing your theoretical orientation in counseling and psychotherapy/Duane A. Halbur, Kimberly Vess Halbur.—Third edition. pages cm

Includes bibliographical references and index.

ISBN 978-0-13-348893-7

ISBN 0-13-348893-4

1. Psychology—Philosophy. 2. Counseling. 3. Psychotherapy. I. Halbur, Kimberly Vess. II. Title.

BF38.H33 2015

158.3—dc23

2014011528

10 9 8 7 6 5 4 3 2 1

ISBN 10: 0-13-348893-4 ISBN 13: 978-0-13-348893-7

In memory of

Edna May Thompson and

Carol Lynn Halbur,

who gave us much love and many of our theories about life and helped us to pass them along to our children

Dominic Anthony Halbur and

Carolyn Maye Halbur

About the Authors

Dr. Duane Halbur’s research interests include the needs of school counselors, philosophical counseling, and the integration of technology in counseling. Along with teaching and writing, he works as a licensed counselor in private practice specializing in children and families in transition. Dr. Kimberly Vess Halbur’s research includes cultural competencies for the helping professions and medical fields.

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We first wrote Developing Your Theoretical Orientation in Counseling and Psychotherapy with the objective of assisting other helping professionals through finding their theoretical orientation more easily than we did. We realize that the term helping professionals may seem generic, but we use it in an effort to include helpers who work with diverse populations in a wide array of fields. Specifically, we are speaking to mental health counselors, psychologists, social workers, school counselors, substance abuse counselors, psychotherapists, and peer helpers. This third edition attempts to assist clinicians further in finding their theoretical orientation in a diverse society while enjoying the process of self-exploration. The theories are presented in a way that allows the reader to identify quickly the philosophical and cultural foundations of the theories while accessing the goals and techniques of the theories.

Because the work of helping professionals needs to be grounded in theory, we have featured in this text an innovative model for selecting a theoretical orientation and hands-on activities to assist readers in their quest for a theoretical approach to helping. Learning activities, reflection questions, and case studies are included throughout the text, with several featured prominently in Chapter 5. These activities have been updated to demonstrate traditional and contemporary theories as well as multicultural perspectives so important to the helping fields.

Preface

The Intentional Theory Selection (ITS) model is a contemporary model for selecting a theoretical orientation. This model can assist helpers in finding a theory that is congruent with their personal values. We also acknowledge that the selection of a theoretical orientation may be quite cyclical. Just as in life, change in theoretical orientation is constant and inevitable. Thus, a professional helper may revisit the model many times throughout his or her career.

This text may also serve as a reminder or overview of the foremost helping theories and their respective schools of thought. We provide readers with a reminder of the basic philosophies, goals, and techniques of the major theories of counseling. We hope this text offers just enough information to remind professional helpers of what they already know while enticing them to seek out and learn more about a presented theory.

In addition to a summary of selected counseling theories, students and counselors will be exposed to 10 applied ways to aid in the self-discovery process. This self-discovery will begin the readers’ processes of intentionally finding a theoretical orientation that is congruent with their own worldview, beliefs, and values. The Selective Theory Sorter– Revised (STS–R) is a survey that was developed to help students and counselors discover which researched theories they might endorse. This sorter, more important in self- discovery than in assessment, is one of several tools that will be offered to readers while they are in the process of finding their own theoretical orientation.

We hope that readers find the material and the ITS model refreshing and at the same time meaningful. Those in the helping professions know, through research and

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PREFACE

observation, that theory is important. Many innovators, researchers, and clinicians have dedicated their research and life work to finding techniques and philosophies that can best serve our clientele. We owe so much to these pioneers who have helped us to be effective and ethical in the work we do.

The helping professions are truly important to a developing society. Helping professionals have the opportunity to prevent and remediate when they serve in a field that makes its daily impact by improving the lives of others. As you work on your own professional identity and struggles, remember that this opportunity is both a blessing and a responsibility. In this text, as in many endeavors in your professional life, you will be asked to look inward. As professionals, we ask this of clients; as authors, we ask this of you. Take this opportunity to challenge yourself and grow.

We have presented the ITS model and the STS–R at many professional conferences and have greatly appreciated the feedback and the anticipation for this project to be in print for a third time. We still receive emails and phone calls from faculty members who have adopted the text and their students who have enjoyed using it. The interest we have received professionally has served as a muse and motivation for us to improve and update it in this third edition.

NEW TO THIS EDITION

The third edition of Developing Your Theoretical Orientation in Counseling and Psychotherapy offers the following new elements:

■ An increased focus on diversity, including commentary regarding the application of each theory in a culturally rich profession.

■ A greater review of the implications of empirically validated treatments.

■ A greater review of the implications of common-factor approaches to counseling.

■ An expansion and update of the counseling theories, which are necessary for the successful completion of national and state counselor examinations, including updated techniques.

■ Greater explanation of the application of multicultural counseling and feminism.

■ Increased focus on material that readers will find relevant to Counseling for Accreditation of Counseling and Related Educational Programs™ (CACREP) 2016 Standards.

■ Updated websites related to theories and theoretical training to allow readers quick access to more information.

■ Updated cases to assist readers through the process of choosing their theoretical orientation.

With the addition of several new topics, the references have been updated significantly since the previous editions. Readers with experience with the first and second editions will also note a more consistent voice throughout the text.

We would like to thank the reviewers of our manuscript for their insights and comments: John P. Galassi, University of North Carolina at Chapel Hill; Terence Patterson, University of San Francisco; David Shriberg, Loyola University of Chicago; and Amy M. Williams, University of Northern Colorado.

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CHAPTER ONE

Why Theoretical Orientation is Important 1

A PERSONAL EXPERIENCE 1

THE BIG PUZZLE 2

WHAT IS THEORETICAL ORIENTATION? 3

THE HELPER’S TOOL BELT 3

WHAT CAN A THEORETICAL ORIENTATION DO FOR ME? 4

HOW HAVE OTHERS PICKED A THEORETICAL ORIENTATION? 5

WHAT IF I’M ECLECTIC? 6

EMPIRICALLY VALIDATED THERAPIES: ARE THEY BETTER? 8

GUIDANCE FROM COMMON FACTORS: DO THEY ALL WORK? 9

ONCE I HAVE IT, HOW CAN I USE IT? 10

HOW ARE THEORETICAL ORIENTATION AND ETHICS RELATED? 10

THE MAIN POINTS 11

Contents

REFLECTION QUESTIONS 11

CHAPTER TWO

Incorporating Theory into Practice 13

MAKING THEORY USEFUL: A MODEL 13

THEORY DEVELOPMENT 14

IMPORTANCE OF YOUR LIFE PHILOSOPHY 15

LIFE PHILOSOPHY—IT’S PERSONAL 16

SCHOOLS OF THOUGHT 17

THEORIES 18

GOALS AND TECHNIQUES: INTERVENTIONS AT WORK 19

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CONTENTS

COUNSELORS ARE DIVERSE 20

RESISTANCE TO THEORIES: ECLECTIC, INTEGRATED, OR JUST DON’T KNOW 21

DOES IT REALLY WORK? 23

WHAT TO TAKE HOME 24

REFLECTION QUESTIONS 25

CHAPTER THREE

Top 10 Ways to Find Your Theoretical Orientation 27

FIND YOURSELF 28

ARTICULATE YOUR VALUES 29

SURVEY YOUR PREFERENCES 30

USE YOUR PERSONALITY 30 Taking the MBTI 37

CAPTURE YOURSELF 37

LET OTHERS INSPIRE YOU IN YOUR LEARNING 38

READ ORIGINAL WORKS 38

GET REAL 38

STUDY WITH A MASTER 39

BROADEN YOUR EXPERIENCES 40

TOP 10 WRAP-UP 40

REFLECTION QUESTIONS 41

SUGGESTED READINGS AND WEBPAGES 41

CHAPTER FOUR

Six Schools of Thought and Their Theories of Helping 45

PSYCHODYNAMIC SCHOOL OF THOUGHT 48

Psychoanalytic Theory 48

Analytical Theory 53

Individual Psychology 55

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CONTENTS ix

BEHAVIORAL SCHOOL OF THOUGHT 58

Behavioral Therapy 58

HUMANISTIC SCHOOL OF THOUGHT 61 Person-Centered 62

Existential 64 Gestalt 67

PRAGMATIC SCHOOL OF THOUGHT 70

Cognitive-Behavioral 70

Rational Emotive Behavioral Therapy 72 Reality Therapy 74

CONSTRUCTIVIST SCHOOL OF THOUGHT 76

Multicultural Counseling and Therapy 77

Feminist Therapy 79

Narrative Therapy 81

Solution-Focused Brief Therapy 84

FAMILY APPROACHES SCHOOL OF THOUGHT 86

Bowen Family Systems Therapy 86

Strategic Family Therapy 88

Structural Family Therapy 89

Family Therapies and Diversity 91

SUMMARY 92

REFLECTION QUESTIONS 92

CHAPTER FIVE

Case Examples for Integrating Theory into Practice 93

CLINICIAN CASE STUDIES 93 Case One: Evan 93

Case Two: Jill 95

Case Three: Garrett 97

Case Four: Lillian 99

Comment on the Cases 101

CLIENT CASE STUDIES 102

Case One: Tony 102

Case Two: Nancy 102

Case Three: Brenda 103

CONTENTS SUPERVISION CASE STUDIES 104 Case One: Grace 104 Case Two: Casey 104 Case Three: Dominic 105 Summary of Supervision Case Studies 106 PUTTING IT ALL TOGETHER 106 Importance Revisited 106 How Theory Is Found 106 Benefit of the ITS Model to the Field 107 References 109 Index 115

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A PERSONAL EXPERIENCE

Since our first years of teaching graduate counseling classes, students have often asked, “How did you decide your theoretical orientation?” This question is reasonable and understandable because students in the helping professions are frequently asked about their theoretical orientation. Thus, we began pondering the development of our own theoretical orientations, which centered inevitably around three core issues: personalities, mentors and supervisors, and clients.

Why Theoretical

Orientation is

Important

1

First, we contemplated how personality might play a role in the theories that we liked and the ways we worked with clients. For example, one of us is an outgoing, energetic person who reflects these traits in interactions with others, both personally and professionally, and who sets high standards and believes that, in general, people strive to do what they believe is right. The other tends to focus on philosophical understanding, however, and consequently practices existential questioning in everyday life. These personal tendencies greatly influence our theories. One of us focuses on social and humanistic theories, while the other works with theories that have strong philosophical foundations. Personal qualities, values, actions, and assumptions clearly have an impact on our theoretical orientations and consequently on our work with clients.