Person Centered Therapy

Core Conditions for Therapeutic Change

Abhishek D

Department of Psychology, Kristu Jayanti College

Abnormal Psychology I

Ms. Christy Thomas

 Person Centered Therapeutic Change

Core Conditions for Therapeutic Change

Introduction

Person centered therapy is a non-directive, client centered therapy developed by

Humanistic Psychologist Carl Rogers in the early 1940s. This approach holds the view that

people are innately motivated in reaching self-actualization and positive psychological

function. The client or the person himself is believed to know the best course of action for

him and the therapist only give the general directions, thus therapist takes a non-directive

role. The major role of the therapist is to provide a space for the client to explore his self. The

client’s exploration of their feelings would give them a much clear perception of themselves

and lead to psychological growth. The therapist would reflect and carefully clarify their

questions as way to increase the client’s self -understanding. In the present, a very few

therapist would adhere solely to Person-Centered-Therapy. But many aspects of Person

Centered Therapy is widely used and integrated in other types of psychotherapy.

As stated by Carl Rogers, the therapy deems to be effective therapy when there a

positive environment and not because of the knowledge possessed by the psychologist. Carl

Rogers thus proposes certain core principles that must executed by the therapist to create such

an environment. The three major core conditions are Unconditional Positve Regard,

Congruence and Authentic Empathy. These core conditions would be discussed in detail in

this paper. Further the paper aims to discuss other related principles necessary for therapeutic

change. The paper would also bring forth certain case studies of Person Centered Therapy.
Core Conditions for Therapeutic Change

Congruence

In the therapeutic relationship, congruence refers to the therapist's sincerity and openness.

Without putting up a professional front or hiding behind their vocation, the therapist is real

and authentic. Congruence is the state in which the therapist is totally present in the

therapeutic relationship and their ideas, feelings, and behaviours are in harmony.

A trustworthy and transparent atmosphere is fostered by a congruent therapist, and

this inspires the client to be genuine as well. As a result, the client can speak honestly without

worrying about being misunderstood or controlled. The client can learn to be more authentic

in their relationships and with themselves when the therapist models healthy behaviour via

their genuineness.

For example, a therapist who is feeling frustrated might acknowledge that frustration

in an appropriate way, saying, "I notice that I’m feeling a bit frustrated right now because I

care about what we’re discussing and want to be sure we’re on the same page." By sharing

their genuine feelings in a non-threatening manner, the therapist remains real and present in

the relationship, which can help the client feel more connected and understood. This can

deepen the client’s trust in the therapist and lead to more honest self-reflection.

In contrast, if the therapist were to hide their feelings and continue the session while

internally frustrated, it could create a sense of disconnection that the client might pick up on,

even if they are not consciously aware of it

Unconditional Positive Regard

When a therapist practices unconditional positive regard, they provide their patient complete

acceptance and encouragement, regardless of the patient's actions or words. The therapist

creates an atmosphere that is free from criticism and allows the client to feel appreciated for
who they are as a person, unconditionally. As a result, the client can examine even the most

challenging parts of their experiences in a secure setting without worrying about being

rejected.

Clients are more willing to take chances in therapy and explore emotions and ideas

they might otherwise keep buried when they get unconditional acceptance. By teaching

people to see themselves as deserving of respect and care despite of any apparent

shortcomings or errors, it can also aid in the development of self-acceptance. As a result, the

client becomes less dependent on outside validation and is able to cultivate a more positive

self-image.

For example, the client might, for instance, acknowledge that they have lied to their

partner frequently and express regret and shame for their actions. In response, a therapist who

practices unconditional positive regard would say something like, "It seems like you're

finding it really hard to acknowledge this." I'm happy you're discussing it here." The therapist

accepts the client as a person who is attempting to change and grows rather than endorsing or

criticizing the client's actions. The client may feel less defensive or embarrassed as a result of

this acceptance, which will make it simpler for them to consider the causes of their actions

and try to make better decisions.

Accurate Empathy

Empathy involves the therapist’s ability to deeply understand the client’s feelings and

experiences from the client’s perspective. It is about "walking in the client’s shoes" and

seeing the world through their eyes. The therapist not only understands what the client is

going through but communicates that understanding back to the client, showing that they are

genuinely attuned to the client’s emotions.

 Empathy makes it possible for clients to feel that their experiences are fully

understood and recognized, which can lessen feelings of loneliness and increase self-

awareness. Clients who believe that the therapist fully understands their feelings are more

likely to explore their own emotions and gain understanding of their own actions and ideas.

Additionally, empathy can assist clients in processing challenging emotions by offering a

caring and supportive environment in which to do so.

A client may state, "I feel like no one understands what I'm going through," in order to

communicate their intense sentiments of despair and loneliness. "It sounds like you've been

feeling really alone, like you're carrying this heavy sadness all by yourself," an empathic

therapist would reply. The therapist's genuine understanding of the client's suffering and

validation of their emotional experience is demonstrated by this reflection. A sympathetic

reflection of their feelings can help the client feel less alone and closer to the therapist.

Through further exploration of these feelings, the client may be able to better grasp the

underlying causes of their loneliness and melancholy with the use of this compassionate

connection.

Case Study 1

Sarah, a 32-year-old woman, sought therapy due to feelings of inadequacy, low self-esteem,

and persistent anxiety. Despite her successful career as a graphic designer, Sarah constantly

felt like an imposter and struggled with perfectionism. She often avoided social situations due

to fear of judgment and believed she wasn’t worthy of love and acceptance. Early in therapy,

Sarah revealed that her upbringing had been filled with criticism from her parents, who had

high expectations and showed affection conditionally based on her achievements. These

childhood experiences had fostered a deep sense of inadequacy, causing Sarah to impose

harsh self-judgments.
 In person-centered therapy, Sarah’s therapist offered unconditional positive regard,

accepting her without judgment and showing consistent empathy. Over time, Sarah began to

open up about her fears and insecurities, realizing that she had internalized her parents'

conditional love. With the therapist’s congruence, Sarah learned to trust the therapeutic

relationship and started to examine her self-criticism more objectively. The empathetic

environment allowed Sarah to explore her past without feeling blamed or judged, leading to

gradual self-acceptance. By the end of therapy, Sarah had developed a more compassionate

relationship with herself, began to embrace her imperfections, and felt more confident in

social situations.

Case Study 2

Mark, a 45-year-old lawyer, entered therapy after the sudden death of his wife, which left him

feeling emotionally numb and disconnected from his children and work. He reported

struggling with grief but expressed frustration at his inability to cry or feel emotions deeply.

Mark felt pressured to stay strong for his family and avoid showing vulnerability. In his early

sessions, he was guarded, fearing that opening up would make him appear weak.

Through person-centered therapy, Mark’s therapist focused on providing empathy and

congruence, creating a safe and supportive environment for him to explore his feelings.

The therapist consistently communicated understanding of Mark's inner turmoil,

acknowledging the pressure he felt to remain stoic while subtly encouraging emotional

expression. Over time, Mark began to trust the therapist and felt safe enough to explore his

grief. He realized that his inability to connect with his emotions stemmed from societal

expectations that men should be "strong" and not show vulnerability. Gradually, Mark

allowed himself to grieve fully in therapy, expressing deep sadness, fear, and anger. The

therapist's non-judgmental stance helped Mark experience his emotions without shame,
allowing him to reconnect with his emotional world. By the end of therapy, Mark felt more

connected to his children, was able to openly share his grief with them, and had begun to

experience joy and fulfillment again in his life.

 References

 Yao L, Kabir R. Person-Centered Therapy (Rogerian Therapy) [Updated 2023 Feb 9].

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024

Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK589708/

 Psychology Today. “Person-Centered Therapy | Psychology Today.” Psychology

Today, 2016, www.psychologytoday.com/intl/therapy-types/person-centered-therapy.

 Rogers, C. R. (1946). Significant aspects of client-centered therapy. American

psychologist, 1(10), 415-422.

 Rogers, C. R. (1979). The foundations of the person-centered

approach. Education, 100(2), 98-107.

 PsychotherapyNet. “Carl Rogers on Person-Centered Therapy Video.” YouTube, 13

Nov. 2012, www.youtube.com/watch?v=o0neRQzudzw.

 Tickle, E., & Murphy, D. (2014). A journey to client and therapist mutuality in

person-centered psychotherapy: A case study. Person-Centered & Experiential

Psychotherapies, 13(4), 337-351.

 Cepeda, L. M., & Davenport, D. S. (2006). Person-centered therapy and solution-

focused brief therapy: An integration of present and future awareness. Psychotherapy:

Theory, Research, Practice, Training, 43(1), 1.