Client-Centered Therapy Perspective Using David's Symptoms

Client-centered therapists openly accept mistakes in empathetic understanding; over time the client understands that the therapist's goal is to understand the client’s answers not improve/correct them. The article below discusses about Client-Centered Therapy Perspective Using David's Symptoms.

A client-centered therapist should not influence the client in any way; instead, they should attempt to accept and understand all forms of self-assessments (even bad ones). 

Let us use David's psychological therapy case below and see how the Client-centered therapist perspective can help. 

Below is David's therapy session transcript

  1. David was hearing voices that deceived, tormented, and humiliated him, and that he had been taken away by the police, medicated against his will since the voices began.
  2. David is aware that the voices are destructive and are impairing his daily functioning.
  3. David states that the voices criticize him.
  4. David by saying that the voices torment him.
  5. David believes that the voices (on the TV) are threatening him and they come and go at different times; when he has more to do, the voice(s) occurrence is less frequent
  6. David explained to the therapist that he was “in a better place” when the voices first began and that this shifted his functioning from being in a good place to disorienting his life.

Analysis of David's Case and symptoms from a Client-Centered perspective. 

  1. The client-centered therapist does not seek to define the disorder in diagnostic terms, so the therapist is not looking to label David as a schizophrenic.
  2. To David the voices that he hears is one of “falling into a kind of dream reality” but to him the voices are real and others view him as being schizophrenic—he is being shamed by his parents & sisters.
  3. The psychiatric diagnosis has no value to the client-centered model as a psychiatric diagnosis places the therapist in a position of authority/the expert and the therapist would view the client from his frame of reference.
  4. David thinks that his parents have tolerated and put up with him and on occasion sort of “forced” him to be hospitalized to deal with the voices. Assessment of the Session with David.
  5. The therapist uses principled non-directiveness when he attempts to make sure he clearly understood David’s point.
  6. The therapist believed for the middle part of the therapy session, David felt that he was being believed, understood, and accepted (qualities that he wanted).


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Date published: 22/09/2017
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