Person-centered therapy (PCT), which is also known as client-centered, non-directive, or Rogerian therapy, is an approach to counseling and psychotherapy that places much of the responsibility for the treatment process on the client, with the therapist taking a non directive role. Two primary goals of PCT are increased self-esteem and greater openness to experience.
Some of the related changes that this form of therapy seeks to foster in clients include closer agreement between the client’s idealized and actual selves; better self-understanding; lower levels of defensiveness, guilt and insecurity; more positive and comfortable relationships with others; and an increased capacity to experience and express feelings at the moment they occur. Rogers(1977) describes therapy as a process of freeing a person and removing obstacles so that normal growth and development can proceed and the client can become independent and self-directed.
During the course of therapy, the client moves from rigidly of self-perception to fluidity. Certain conditions are necessary for this process. A “growth promoting climate” requires the therapist to be congruent, have unconditional positive regard for the client as well as show empathic understanding (Rogers, 1961). Congruence on the part of the therapist refers to his or her ability to be completely genuine whatever the self of the moment. While it is necessary during therapy he or she is not expected to be a completely congruent person all the time, as such perfection is impossible (Rogers, 1959).
Empathy refers to understanding the client’s feelings and personal meanings as they are experienced and communicating this back to the person. While unconditional positive regard encourages the therapist to treat the client as worthy and capable, even when the client does not act or feel that way. The therapist needs to treat the client not as a scientist to an object of study, but as a person to a person. He feels this client to be a person of self-worth; of value no matter what his condition, his behavior or his feelings. He respects him for what he is, and accepts him as he is, with his potentialities (Rogers, 1965, p.22)
Rogers’ strong belief in the positive nature of human brings is based on his many years of clinical experience, working with a wide variety of individuals (1961, 1965, 1977). The theory of PCT suggests any client, no matter what the problem, can improve without bring taught anything specific by the therapist, once he or she accepts and respects themselves (Shaffer, 1978). The resources all lie within the client. While this may be so, this type of therapy may not be effective for server psychopathologies such as schizophrenia or other disorders such as phobias, obsessive-compulsive disorder or even depression.
In one meta-analysis of psychotherapy effectiveness that looked at four hundred studies, PCT was found the least effective. In fact, it was no more effective than the placebo condition (Class 1983; cited in Krebs & Blackman, 1988). Rogers is reputed to have been a very gifted clinician. However, it is difficult to know whether the therapists that follow his model (or use some of the techniques) are truly practicing Rogerian therapy as it was intended. The concepts of congruence, empathy and unconditional positive regard allow too much room for interpretation, although Rogers likely possessed these qualities.
To Rogers credit, he took the revolutionary step of recording his sessions and opened up the previously private domain of therapy for empirical study and assessment (Ryckmann, 1993) that few can match his stature is not due to lack of sharing techniques. Rogers (1959) himself noted that every theory, including his own, contains “an unknown (and perhaps at that time unknowable) amount of error and mistaken inference” (p. 190). His belief was that a theory should serve as a stimulus to further creative thinking. I believe he has succeeded in this intention.
This theory has very strong heuristic value and continues to generate debate and interest (Krebs & Blackman, 1988; Ryckmann, 1993). The theory further focuses on the whole individual as he/she experiences the world. Agency and free will are not undermined in this model. It gives considerable attention to the concept of self and the suggestion that we can all overcome damages inflicted in childhood is very appealing. Full functioning is not the exclusive domain of a very lucky few. It is, at least theoretically, attainable for many. Rogers does not assume women are inferior to men and his “sexist” language was corrected in his later writings.
Another strength is that Rogerian theory is grounded in the study of persons, leading to its strong applied value in many areas of life. The main problems with this theory of personality are related to the lack of precision and specificity regarding some of the terms and concepts. Krebs & Blackman (1988) also rate the logical consistency as only “fair”, maintaining that some connections are not completely clear. While this theory has become increasingly comprehensive over time, a major weakness is that it does not sufficiently address stages of development (Krebs & Blackman, 1988; Maddi, 1996).
Due to his emphasis on conscious experience, Rogers has also been criticized for a lack of attention to the unconscious (Hall & Lindzey, 1985; Nietzel, Benstein, Milich, 1994). This criticism is not entirely justified. He directly acknowledges the unconscious in later writings, seeing it as “positive” (Rogers, 1977, p. 246). Furthermore, the whole idea of congruence/incongruence and organic wisdom involves the idea of an unconscious and he clearly posits an organism that has many experiences of which the person is not aware (Hall & Lindzey, 1985).
While Rogers contribution in the area of psychotherapy is substantial, clinical applicability of his therapy may be limited to those segments of the population whose intellectual and cultural backgrounds are compatible with this therapy (Nietzel et. Al, 1994). This theory’s development from therapeutic practice may be both a blessing a curse. It keeps it practical and bases it in human experience, yet leads to the extension of concepts that while appropriate to therapy may not be comprehensive or specific enough to apply to all people.
The expected results of person-centered therapy include improved self-esteem; trust in one’s inner feelings and experiences as valuable sources of information for making decisions; increased ability to learn from (rather than repeating) mistakes; decreased defensiveness, guilt, and insecurity; more positive and comfortable relationships with others; an increased capacity to experience and express feelings at the moment they occur; and openness to new experiences and new ways of thinking about life.
Outcome studies of humanistic therapies in general and person-centered therapy in particular indicate that people who have been treated with these approaches maintain stable changes over extended periods of time; that they change substantially compared to untreated persons; and that the changes are roughly comparable to the changes in clients who have been treated by other types of therapy. Humanistic therapies appear to be particularly effective in clients with depression or relationship issues.
PCT, however, appears to be slightly less effective than other forms of humanistic therapy in which therapists offer more advice to clients and suggest topics to explore. If therapy has been unsuccessful, the client will not move in the direction of self-growth and self-acceptance. Instead, he or she may continue to display behaviors that reflect self-defeating attitudes or rigid patterns of thinking. Several factors may affect the success of PCT. If an individual is not interested in therapy (for example, if he or she was forced to attend therapy), that person may not work well together with the therapist.
The skill of the therapist may be another factor. In general, clients tend to overlook occasional therapist failures if a satisfactory relationship has been established. A therapist who continually fails to demonstrate unconditional positive regard, congruence, or empathy cannot effectively use this type of therapy. A third factor is the client’s comfort level with nondirective therapy. Some studies have suggested that certain clients may get bored, frustrated, or annoyed with a Rogerian style of therapeutic interaction. Some human conditions, such as psychopathy, do not make much sense according to this theory.
The psychopath apparently feels no guilt, discomfort or remorse for his/her actions. There is no anxiety. Incongruence is not apparent, although the theory suggests it would be substantial indeed. The capacity for creativity and free expression might not exist in such a case. This theory’s value is substantial and should not be minimized. It offers a reasonable alternative to dominant theories that would have us objectify and control human beings. It also recognizes persons as the most important focus in the study of personality.