Client Artwork to Understand Anxiety Difficulties: A Case Study
Yang Peng, Thrive Mental Wellbeing, Stratford, London, United Kingdom
Luky Kurniawan, Universitas Mercu Buana Yogyakarta, Indonesia
Abstract
The case study aims to demonstrate a systematic reflective narration of a practice from a trainee person-centred therapist working with a client experiencing some anxiety difficulties through exploring the client’s artwork. The client, named ‘Jack’ for the purposes of this case study, was a white male aged 25 years old living with his parents. The therapist was the author of this case study and worked with Jack in 35 sessions. The researchers of this case study were Jack’s therapist, a fellow therapist and one of the outside counsellors. There were some important findings in this study 1) understanding the artwork could open the experience of client about his anxiety; 2) acknowledging the genuine intention when working with him was considerably effective to limit the expectation of making a perfect therapy and only focused on understanding his frame of reference; 3) unconditional positive regard took the most important part when working with Jack who experienced several anxiety difficulties; 4) acknowledging the different of the cultural background was also important to avoid the unintentional transfer of value which can interfere with the client process; and 5) the last is that being honest with the therapist in the reflective process in supervision and personal therapy was the best way to deal with practical issues in the placement.
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American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
BACP. (2018). Ethical framework for the counselling professions. Lutterworth: BACP.
Becker, K. L. & Renger, R. (2017). Suggested guidelines for writing reflective case narrative: structure and indicators. Teaching and learning evaluation, 38(1), pp. 138-150.
Bond, T. & Mitchels, B. (2008). Confidentiality and record keeping in counselling and psychotherapy. London: Sage.
Bozarth, J. (2002) Nondirectivity in the person-centered approach: a critique of Khan’s critique. Journal of Humanistic Psychology, 42 (2), pp. 78-83.
Chavez-Korell, S., & Johnson, L. T. (2010). Informing counselor training and competent counseling services through transgender narratives and the transgender community. Journal of LGBT Issues in Counseling, 4, pp. 202-213.
Curry, L. A., Nembhard, I. M., & Bradley, E. H. (2009). Qualitative and Mixed Methods Provide Unique Contributions to Outcomes Research. Circulation, 119(10), 1442–1452. https://doi.org/10.1161/CIRCULATIONAHA.107.742775
Elliott, R. (2013). Person-centred experiential psychotherapy for anxiety difficulties: Theory, research and practice. Person-centered and experiential psychotherapies, 12, pp. 14-30.
Elliott, R., Mack, C., & Shapiro, D. (1999). Simplified personal questionnaire procedure. Available at: http://experientialresearchers.org/instruments /elliott/pqprocedure.html (Accessed: 31 May 2019).
Ghavibazou, E., Hosseinian, S., Ghamari kivi, H., & Ale Ebrahim, N. (2022). Narrative therapy, Applications, and Outcomes: A Systematic Review. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4119920
Grant, B. (1990) Principled and instrumental non-directiveness in person-centered and client-centered therapy. Person-Centered Review, 5 (1), pp. 77-88.
Knutson, D. & Koch, J. M. (2018). Person-centred therapy as applied to work with transgender and gender diverse clients. Journal of Humanistic Psychology, 00(0), pp. 1-19.
Lago, C. (2006). Race, culture, and counselling: The ongoing challenges. New York: McGraw-Hill House.
Laungani, P. (1999). Client centred or culture centred counselling, in S. Palmer & P. Laungani (eds.), Counselling in a multicultural society. London: Sage.
Levitt, B.E. (2005) Non-directivity: the foundational attitude, in Levitt, B.E. (eds.). Embracing non-directivity: reassessing person-centered theory and practice in the 21st century (pp. 5-16). Ross-on-Wye, Herefordshire, U.K.: PCCS Books.
Levy, H. C., Stevens, K. T., & Tolin, D. F. (2022). Research Review: A meta‐analysis of relapse rates in cognitive behavioral therapy for anxiety and related disorders in youth. Journal of Child Psychology and Psychiatry, 63(3), 252–260. https://doi.org/10.1111/jcpp.13486
MacLochlainn, J., Mallett, J., Kirby, K., & McFadden, P. (2022). Stressful Events and Adolescent Psychopathology: A Person-Centred Approach to Expanding Adverse Childhood Experience Categories. Journal of Child & Adolescent Trauma, 15(2), 327–340. https://doi.org/10.1007/s40653-021-00392-8
McLeod, J. (2010). Case study research in counselling and psychotherapy. London: Sage.
McLeod, J., (2016.) Narrative Case Studies and Practice-Based Learning: Reflections on the Case of "Mr. R". Pragmatic Case Studies in Psychotherapy, 11(4), pp.239-254.
Mearns, D. & Thorne, B. (2000). Person-centred therapy today: new frontiers in theory and practice. London: Sage.
Mearns, D. (2003). Developing person-centred counselling (second edition). London: Sage.
Mears, D. (1997). Person-centred counselling training. London: Sage.
Murphy, D., & Cramer, D. (2014). Mutuality of Rogers’s therapeutic conditions and treatment progress in the first three psychotherapy sessions. Psychotherapy Research, 24 (6), pp. 651-661.
Novella, J. K., Ng, K.-M., & Samuolis, J. (2022). A comparison of online and in-person counseling outcomes using solution-focused brief therapy for college students with anxiety. Journal of American College Health, 70(4), 1161–1168. https://doi.org/10.1080/07448481.2020.1786101
Otte, C. (2011). Cognitive behavioral therapy in anxiety disorders: current state of the evidence. Dialogues in Clinical Neuroscience, 13(4), 413–421. https://doi.org/10.31887/DCNS.2011.13.4/cotte
Paalimäki-Paakki, K., Virtanen, M., Henner, A., Nieminen, M. T., & Kääriäinen, M. (2022). Effectiveness of Digital Counseling Environments on Anxiety, Depression, and Adherence to Treatment Among Patients Who Are Chronically Ill: Systematic Review. Journal of Medical Internet Research, 24(1), e30077. https://doi.org/10.2196/30077
Peachey, L. (2006). Personal reflections in training as a person-centred counsellor. In G. Proctor, M. Cooper, P. Sanders, & B. Malcolm (Eds.), Politicizing the person-centred approach: An agenda for social change. Monmouth: PCCS Books, pp. 60-65.
Proctor, G. (2002). The dynamics of power in counselling and psychotherapy: Ethics, politics, and practice. Monmouth: PCCS Books.
Prouty, G. F. (2001). The practice of pre-therapy. Journal of contemporary psychotherapy, 31(1), pp. 31-40.
Raskin, N. J., & Rogers, C. R. (2000). Person-centered therapy. In R. J. Corsini & D. Wedding (Eds.), Current psychotherapies. Itasca, IL: F.E. Peacock. (pp. 113-167).
Rodgers, B., & Elliott, R. (2015). Qualitative Methods in Psychotherapy Outcome Research. In Psychotherapy Research (pp. 559–578). Springer Vienna. https://doi.org/10.1007/978-3-7091-1382-0_27
Rogers, C. R. (1951). Client centred therapy: It’s current practice, implication and theory. London: Robinson.
Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting and Clinical Psychology, 21 (2), pp. 95-103.
Rogers, C. R. (1959) A theory of therapy, personality, and interpersonal relationship as developed in the client-centred framework, in S. Koch (ed.) Psychology: a study of a science, Study I. Conceptual and systematic: Vol. 3 Formulation of the person and the social context. London: McGraw-Hill. (pp. 184-256).
Rogers, C. R. (1961). On becoming a person: A therapist’s view of psychotherapy. London: Constable & Robinson.
Russo, G. M., Balkin, R. S., & Lenz, A. S. (2022). A meta‐analysis of neurofeedback for treating anxiety‐spectrum disorders. Journal of Counseling & Development, 100(3), 236–251. https://doi.org/10.1002/jcad.12424
Sabri, F. (2023). How Modernism and Postmodernism Perspectives Can Inform Counseling Practices? Bulletin of Counseling and Psychotherapy, 5(1). https://doi.org/10.51214/bocp.v5i1.186
Sachse, R., & Elliott, R. (2002). Process–outcome research on humanistic therapy variables. In Humanistic psychotherapies: Handbook of research and practice. (pp. 83–115). American Psychological Association. https://doi.org/10.1037/10439-003
Sales, C. M. D., & Alves, P. C. G. (2014). Quality of care through the eyes of the patient: personalised routine measurement system in mental health. Transcultural, 6(1), pp. 115-127.
Shapiro, M. B. (1961). A method of measuring psychological changes specific to the individual psychiatric patient. British journal medical psychology 34, pp. 151-155.
Smith, K., Shoemark, A., McLeod, J. & McLeod, J. (2014). Moving on: a case analysis of process and outcome in person-centred psychotherapy for health anxiety. Person-centered & Experiential Psychotherapies, 13(2), pp. 111-127.
Standal, S. W. (1954). The need for positive regards: A contribution to client-centred theory. (Unpublished doctoral dissertation). University of Chicago, Chicago, IL.
Stephen, S., Elliott, R. & Macleod, R. (2011). Person-centred therapy with a client experiencing social anxiety difficulties: A hermeneutic single case efficacy design. Counselling and Psychotherapy Research, 11(1), pp. 55-66.
Stephen, S., Elliott, R., & Macleod, R. (2011). Person-centred therapy with a client experiencing social anxiety difficulties: A hermeneutic single case efficacy design. Counselling and Psychotherapy Research, 11(1), 55–66. https://doi.org/10.1080/14733145.2011.546203
Stiles, W. B., Barkham, M., Twigg, E., Mellor-Clark, J., & Cooper, M. (2006). Effectiveness of cognitive-behavioural, person-centred and psychodynamic therapies as practised in UK National Health Service settings. Psychological Medicine, 36(4), 555–566. https://doi.org/10.1017/S0033291706007136
Stogiannos, N., Carlier, S., Harvey-Lloyd, J. M., Brammer, A., Nugent, B., Cleaver, K., McNulty, J. P., dos Reis, C. S., & Malamateniou, C. (2022). A systematic review of person-centred adjustments to facilitate magnetic resonance imaging for autistic patients without the use of sedation or anaesthesia. Autism, 26(4), 782–797. https://doi.org/10.1177/13623613211065542
Stravynski, A. (2007). Fearing others: The nature and treatment of social phobia. Cambridge: Cambridge University Press.
van Dis, E. A. M., van Veen, S. C., Hagenaars, M. A., Batelaan, N. M., Bockting, C. L. H., van den Heuvel, R. M., Cuijpers, P., & Engelhard, I. M. (2020). Long-term Outcomes of Cognitive Behavioral Therapy for Anxiety-Related Disorders. JAMA Psychiatry, 77(3), 265. https://doi.org/10.1001/jamapsychiatry.2019.3986
Warner, M. S. (2000). Client-centred therapy at the difficult edge: Work with the fragile and dissociated process. In D. Mearns & B. Thorne (eds), Person-centred therapy today: New frontiers in theory and practice. London: Sage. (pp. 144-171).
Warner, M. S. (2017). A person-centred view of human nature, wellness and psychopathology. In S. Joseph (ed), The handbook of person-centred therapy and mental health: Theory, research and practice. Exeter: PCCS Books. (pp. 92-115).
DOI: https://doi.org/10.21831/ep.v4i1.61802
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