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Person Centered Theory
AV
by
ashlie varilek
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Updated Feb 7, 2022
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Chapters
00:00
Chapter 1
00:14
Chapter 2
00:24
Chapter 3
01:32
Chapter 4
01:34
Chapter 5
01:50
Chapter 6
01:51
Chapter 7
02:10
Chapter 8
02:12
Chapter 9
02:23
Chapter 10
02:46
Chapter 11
02:48
Chapter 12
03:14
Chapter 13
03:17
Chapter 14
03:32
Chapter 15
03:49
Chapter 16
03:51
Chapter 17
04:05
Chapter 18
04:07
Chapter 19
04:20
Chapter 20
04:55
Chapter 21
04:57
Chapter 22
05:30
Chapter 23
05:32
Chapter 24
05:47
Chapter 25
06:18
Chapter 26
06:21
Chapter 27
06:37
Chapter 28
06:38
Chapter 29
07:04
Chapter 30
07:06
Chapter 31
07:31
Chapter 32
07:34
Chapter 33
08:03
Chapter 34
09:08
Chapter 35
09:10
Chapter 36
10:02
Chapter 37
10:04
Chapter 38
10:38
Chapter 39
10:39
Chapter 40
Audio Transcript
Auto-generated
00:01 - 00:03
Hello everyone. My name is Ashley garlic.
00:03 - 00:06
And today I want to discuss the application of person
00:06 - 00:09
centered theory as a shared theory and nursing practice.
00:09 - 00:12
Before we dive too deep into this theory, let's discuss the surface.
00:12 - 00:14
What is person centered theory
00:15 - 00:17
Developed in 1959,
00:17 - 00:19
persons enter theory is a psychotherapy model
00:19 - 00:21
of practice developed by Carl Rogers.
00:21 - 00:24
That looks at the uniqueness of every individual
00:25 - 00:26
Born in 1902.
00:26 - 00:29
Rogers was one of six Children and was was
00:29 - 00:31
described to be intelligent from an early age.
00:32 - 00:34
Rogers was reading before the age of five
00:34 - 00:36
and actually skipped both Kindergarten and 1st grade.
00:37 - 00:40
Rogers pursued, pursued several educational,
00:40 - 00:43
passed during his undergraduate studies at the University of Wisconsin,
00:43 - 00:46
including Agriculture history and ministry,
00:46 - 00:47
but eventually enrolled in the clinical
00:47 - 00:50
psychology program at Columbia University.
00:50 - 00:54
As he believes studying psychology may help him answer life's many questions.
00:55 - 00:58
Rogers spent many years working in academics at the University
00:58 - 01:01
of Ohio University of Chicago and the University of Wisconsin.
01:02 - 01:04
Rogers developed the approach to therapy,
01:04 - 01:06
which he initially called non direct therapy,
01:06 - 01:08
in which therapists served as a facilitator
01:08 - 01:11
of therapy sessions rather than director.
01:11 - 01:14
This approach was eventually named the client centered approach,
01:14 - 01:16
also known as person centered therapy.
01:17 - 01:19
Rogers is considered to be one of the
01:19 - 01:22
most influential influential psychologists of the 20th century.
01:23 - 01:26
He was one of the founders of humanistic psychotherapy.
01:26 - 01:28
He helped develop the center for studies of the person
01:29 - 01:32
and he was nominated for a Nobel Peace Prize for his work.
01:35 - 01:39
Rogers deny the deterministic nature of psychoanalysis and behaviorism and
01:39 - 01:42
believe that humans behave because of how they perceive,
01:42 - 01:44
stating as no one else can
01:45 - 01:49
can know how we perceive. We are the best experts on ourselves.
01:52 - 01:57
Rogers believed that humans have one basic motive to self actualize in order
01:57 - 02:00
to fulfill one's potential and achieve the highest level of human being.
02:00 - 02:01
This
02:01 - 02:02
that they can.
02:02 - 02:06
His model explains that each individual has everything needed for
02:06 - 02:09
a self understanding and for changing their attitude and behavior.
02:14 - 02:18
The concept of self actualization was borrowed from Maslow's hierarchy,
02:18 - 02:21
and Rogers believed took place when a person achieves their goals,
02:21 - 02:23
wishes and desires in life.
02:25 - 02:26
Two components of Roger's theory,
02:26 - 02:30
which help explain the self actualization tendency include organism.
02:30 - 02:34
In the self organism is the locus of all experience.
02:34 - 02:37
Rogers considers the awareness of everything potentially going
02:37 - 02:39
on within the organism at any given point.
02:40 - 02:43
Self refers to the organized perception of both characteristics in
02:43 - 02:47
a relationship of oneself and values tied to those perceptions.
02:49 - 02:53
The some of the human experience is referred to Rogers as the phenomenal field.
02:54 - 02:57
The phenomenal field consists of several components.
02:57 - 02:59
First is that an individual's frame of reference
02:59 - 03:02
is only known by that individual person.
03:02 - 03:05
The second component is that the person's behavior depends
03:05 - 03:09
on the phenomenal field rather than outside stimulating factors
03:09 - 03:10
In 3rd,
03:10 - 03:12
Rogers believed that the phenomenal field was
03:12 - 03:15
made up of conscious and unconscious experiences.
03:18 - 03:19
Congruence and
03:20 - 03:22
in congruence refer to the acceptance or non
03:22 - 03:25
acceptance of the organism with their ideal self.
03:26 - 03:29
Rogers believes that we want to feel experience and behave in
03:29 - 03:32
ways that reflect what we would like ourselves to be.
03:34 - 03:37
Congruence occurs when the self accepts their organism,
03:37 - 03:39
experiences without threat or anxiety.
03:40 - 03:43
This allows the individual to think and make realistic decisions
03:44 - 03:45
rarely does total
03:45 - 03:46
congruence occur,
03:46 - 03:50
but a state of congruence allows a person to achieve self actualization.
03:53 - 03:55
In congruence is when there is little overlap
03:55 - 03:57
between one self image in their ideal self.
03:58 - 04:01
This causes an individual to feel threatened and anxious and can
04:01 - 04:05
cause defensive behavior and rigid thinking resulting in behavioral issues.
04:08 - 04:11
Rogers believed that behavior is basically the goal oriented
04:11 - 04:13
attempt of the organism to satisfy its needs.
04:13 - 04:15
As experienced
04:15 - 04:16
according to Rogers,
04:16 - 04:21
every individual has to learn needs that of positive regard and self regard.
04:22 - 04:26
Positive regard is how other people evaluate and judge our behaviors and actions.
04:27 - 04:31
People who received both positive and negative evaluations by others allow for
04:31 - 04:34
individual learning to decipher actions that might be worthy or unworthy.
04:35 - 04:37
Unconditional positive regard means that
04:37 - 04:39
individuals receive acceptance even when
04:39 - 04:42
the individual does something wrong or makes a mistake,
04:43 - 04:45
conditional positive regard is conditional to behavior
04:45 - 04:47
which is approved by the individual,
04:47 - 04:48
providing the regard.
04:49 - 04:49
For instance,
04:49 - 04:54
parents only providing acceptance for behaviors which they believe to be correct
04:58 - 05:02
self regard or self worth is how one thinks about themselves and develops early
05:02 - 05:05
in childhood from the interactions a child has with their mother and father.
05:06 - 05:09
This later comes from close relationships with others. In adulthood,
05:10 - 05:14
the concept of self birth is fundamental and psychological health attainment
05:14 - 05:17
of goals and ambitions in life to achieve self actualization.
05:18 - 05:21
Positive self regard increases confidence and positive feelings,
05:21 - 05:24
allowing one to face challenges in life and accept failure.
05:25 - 05:27
Negative self worth can lead to an individual who is
05:27 - 05:29
guarded to others and who avoids challenges in life.
05:33 - 05:35
So let's discuss the person centered theory
05:35 - 05:37
in relation to the nursing meta paradigm.
05:38 - 05:41
We know that this theory is considered a shared theory to our practice,
05:41 - 05:43
but exploring the nursing meta paradigm
05:43 - 05:46
helps us understand the application further.
05:47 - 05:49
Roger's theory emphasizes that individuals are
05:49 - 05:52
unique as our nursing medical paradigm suggests
05:53 - 05:57
those that we treat patients families, communities have various psychosocial,
05:57 - 05:59
physical and intellectual needs.
06:00 - 06:02
Rogers concept of self and ideal self.
06:02 - 06:05
Show us how nursing care can help the congruence between the
06:05 - 06:09
two by advocating educating and providing support for our patients.
06:09 - 06:13
In doing so, we can help our patients reach self actualization
06:14 - 06:17
in order for patients to reach a state of health and well being.
06:19 - 06:23
Patient behaviors occur for the organism to maintain and enhance itself.
06:24 - 06:28
When we consider behaviors that affects one affect one's health, such as diet,
06:28 - 06:30
exercise and smoking cessation.
06:30 - 06:33
Roger's theory suggests that the individual's perception of his
06:33 - 06:36
or her needs drive their goal oriented actions.
06:40 - 06:44
Rogers believe that individuals are able to experience strong influence from
06:44 - 06:48
their environment and that social environment can make a significant impact.
06:48 - 06:52
Roger's theory discusses positive regard and how unconditional positive regard,
06:52 - 06:56
value and respect allows individuals to self actualize
06:57 - 06:59
nurses can consider this concept when providing
06:59 - 07:01
care to their patients by listening,
07:01 - 07:04
avoiding judgment and being supportive in one's journey to health.
07:06 - 07:07
Lastly,
07:07 - 07:09
an important goal of nursing in the meta
07:09 - 07:12
paradigm is helping individuals attain their human potential.
07:13 - 07:14
When we aid the patients,
07:14 - 07:17
families and communities we serve in reaching their potential.
07:17 - 07:20
We are ultimately guiding them to self actualization.
07:20 - 07:23
Nurses do this through the care they provide, the patients who are sick,
07:23 - 07:25
the therapies and medications they administer,
07:25 - 07:28
serving as an advocate and through communication
07:28 - 07:31
and assistance they provide to their patients.
07:35 - 07:38
The person centered model model emphasizes the uniqueness
07:38 - 07:41
of individuals in the perception of their experiences.
07:41 - 07:43
This is important in nursing application as nurses
07:43 - 07:45
can use this model to guide care by
07:45 - 07:47
making sure to involve their patients and planet
07:47 - 07:50
care development to allow for better treatment outcomes.
07:51 - 07:53
An effective nurse patient relationship includes
07:53 - 07:55
unconditional positive regard from the nurse,
07:55 - 07:59
empathetic understanding and genuine concern for the patient.
07:59 - 08:03
Let's consider this application across different patient populations.
08:04 - 08:05
I'm sure many of us,
08:05 - 08:09
if not all have cared for patients who have migrated from other countries.
08:09 - 08:13
It's important in our care to consider the factors which precipitated their move
08:13 - 08:16
and the impact that plays in the person's self and positive regard.
08:16 - 08:20
One nursing study that I found discusses the importance of patient centered care
08:20 - 08:22
for migrant populations and their integration into
08:22 - 08:24
the healthcare system for better health outcomes
08:25 - 08:27
because of cultural and language barriers.
08:27 - 08:31
There's often a misunderstanding and the care provided to migrant populations.
08:31 - 08:35
This leads to decreased outreach to health care even when necessary.
08:36 - 08:38
Using Rodger's patient centered approach,
08:38 - 08:40
nurses can provide patient centered care by
08:40 - 08:43
considering the unique circumstances of individuals,
08:43 - 08:43
culture,
08:44 - 08:45
use of interpreters,
08:45 - 08:49
adapted teaching explanation of healthcare access and having
08:49 - 08:53
a general awareness of one's own preconceived ideas.
08:53 - 08:55
This applies to Roger's theory,
08:55 - 08:58
as ultimately as it is important to consider the uniqueness
08:58 - 09:01
of each individual we interact with in our nursing care
09:01 - 09:03
and allow patients to be involved in gold setting to
09:03 - 09:07
improve their self regard and congruence of their ideal self
09:11 - 09:14
nursing and palliative care also provides a unique perspective to
09:14 - 09:18
carl Rogers application of person centered theory to our practice.
09:18 - 09:22
One nursing article discusses Rogers person centered approach by exploring the
09:22 - 09:25
impact of the nurse relationship with the patient and their family
09:25 - 09:27
to help create positive change to the person
09:27 - 09:29
through the course of their terminal illness.
09:30 - 09:32
When nurses use empathy,
09:32 - 09:35
unconditional positive regard and genuine approaches
09:35 - 09:36
in their relationships with clients,
09:37 - 09:40
they can allow they can allow for increased self worth.
09:41 - 09:43
Roger's psychotherapy model,
09:43 - 09:46
encourages listening and open communication to establish trust.
09:46 - 09:49
When we consider caring for patients with terminal diagnoses,
09:49 - 09:52
establishing trust in the nurse patient relationship can
09:52 - 09:53
allow the patient to confide in me,
09:53 - 09:56
confide in the nurse and helping with mental and physical needs
09:57 - 10:01
that arise due to illness, so that the nurse could provide holistic end of life care.
10:05 - 10:07
Shared theories can be important in nursing
10:07 - 10:10
practice as they provide outside perspectives which
10:10 - 10:13
can be relatable to serving our patients to communities as best as we can.
10:14 - 10:15
Rogers.
10:15 - 10:18
Person centered psychotherapy model is a useful tool to help guide
10:18 - 10:22
nurses in connecting with their patients to achieve positive health goals.
10:23 - 10:26
Now that we have discussed the patient centered approach by carl Rogers,
10:26 - 10:28
I have a couple of questions for you all.
10:28 - 10:30
Can you think of an example where you
10:30 - 10:33
used unconditional self regard while caring for a patient
10:34 - 10:38
and how do you think the person centered model can be used in your current practice?
10:40 - 10:43
Thank you for listening to my presentation today.
10:43 - 10:45
I hope you enjoyed learning about this patient centered approach
10:46 - 10:48
and I look forward to learning more and
10:48 - 10:50
shared theory through viewing your presentations as well.
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