Reality testing is the psychotherapeutic function by which the objective or real world and one's relationship to it are reflected on and evaluated by the observer. This process of distinguishing the internal world of thoughts and feelings from the external world is a technique commonly used in psychoanalysis and behavior therapy, and was originally devised by Sigmund Freud. [1]
Within psychotherapy and counseling settings, practitioners use reality testing to influence the patient or client to recognize their negative thoughts, evaluate the thoughts logically rather than emotionally, and then determine whether the thoughts are valid (ie: internally consistent and grounded in reality). The focus of reality testing is not necessarily concentrated on the source of the behavior or thought, but rather on the fact that current thoughts are occurring and influencing behaviors in the here-and-now. After undergoing this technique, the patient or client is often able to see that the thoughts they have been experiencing are, in fact, not valid or based on reality, and should therefore not be used as the basis for life decisions. [2]
Reality testing can be used in this way to help facilitate corrective emotional experiences by disconfirming and altering previously held negative or unrealistic expectations in favor of more adaptive functions. [3] Psychotherapy methods such as rational emotive behavior therapy and cognitive behavioral therapy rely heavily on the client's ability to frequently self-examine internal thoughts and assess their preceding influence on perceptions, judgments, and behaviors. [4]
Continual reality testing directed by therapists can help educate clients on how to habitually examine their own thought patterns and behaviors without the ongoing need for a therapist. Constant and prolonged exposure to a multitude of corrective experiences can lead clients to form their own internal and enduring changes in thoughts, expectations, feelings, and behavior. [4] Reality testing has also been identified as a curative factor when implemented within a group therapy setting. In group counseling, clients can use the perspectives of other group members as the basis of reality testing and receive instant feedback through group discussions, roleplaying, and other group activities. [5]
Therapists using reality testing techniques typically rely upon the client's mental processes of attention, perception, memory, and judgment in order to help guide them to the formation of logical conclusions about how their internal experiences are related to external reality. [6] Limited reality testing capabilities can sometimes be a function of a mental disorder. People exhibiting limited reality testing might lack the insight and ability to distinguish between the external and internal world as a factor of psychosis. For example, hallucinations and delusions are often taken as signs of a failure of reality testing. [7]
Reality testing has been identified as being one of the common therapeutic principles of change. [4] [8] Principles of change are shared by all theoretic orientations of therapy, and include strategies such as: promoting client belief in the effectiveness of therapy, the formation and maintenance of a therapeutic alliance with the client, facilitating client awareness of the factors influencing their problems, and encouraging the client to engage in corrective experiences.
Emphasizing ongoing reality testing in the client's life has been demonstrated to be among the principles of change that can be used to explain and account for the underlying effectiveness of therapeutic counseling techniques, regardless of theoretical ideals. For this reason, aspects of reality testing can be incorporated in a variety of therapeutic treatment plans. [4]
Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience.
Albert Ellis was an American psychologist and psychotherapist who founded rational emotive behavior therapy (REBT). He held MA and PhD degrees in clinical psychology from Columbia University, and was certified by the American Board of Professional Psychology (ABPP). He also founded, and was the President of, the New York City-based Albert Ellis Institute. He is generally considered to be one of the originators of the cognitive revolutionary paradigm shift in psychotherapy and an early proponent and developer of cognitive-behavioral therapies.
Gestalt Theoretical Psychotherapy(GTP) is a method of psychotherapy based strictly on Gestalt psychology. Its origins go back to the 1920s when Gestalt psychology founder Max Wertheimer, Kurt Lewin and their colleagues and students started to apply the holistic and systems theoretical Gestalt psychology concepts in the field of psychopathology and clinical psychology. Through holism, "a person's thinking, feeling, actions, perceptions, attitudes and logical operations" are seen as one unity. Many developments in psychotherapy in the following decades drew from these early beginnings, like e.g. group psychoanalysis (S. Foulkes), Gestalt therapy (Laura Perls, Fritz Perls, Goodman, and others), or Katathym-imaginative Psychotherapy (Hanscarl Leuner).
Gestalt therapy is a form of psychotherapy that emphasizes personal responsibility and focuses on the individual's experience in the present moment, the therapist–client relationship, the environmental and social contexts of a person's life, and the self-regulating adjustments people make as a result of their overall situation. It was developed by Fritz Perls, Laura Perls and Paul Goodman in the 1940s and 1950s, and was first described in the 1951 book Gestalt Therapy.
Clinical psychology is an integration of human science, behavioral science, theory, and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well-being and personal development. Central to its practice are psychological assessment, clinical formulation, and psychotherapy, although clinical psychologists also engage in research, teaching, consultation, forensic testimony, and program development and administration. In many countries, clinical psychology is a regulated mental health profession.
Rational emotive behavior therapy (REBT), previously called rational therapy and rational emotive therapy, is an active-directive, philosophically and empirically based psychotherapy, the aim of which is to resolve emotional and behavioral problems and disturbances and to help people to lead happier and more fulfilling lives.
Integrative psychotherapy is the integration of elements from different schools of psychotherapy in the treatment of a client. Integrative psychotherapy may also refer to the psychotherapeutic process of integrating the personality: uniting the "affective, cognitive, behavioral, and physiological systems within a person".
Person-centered therapy, also known as person-centered psychotherapy, person-centered counseling, client-centered therapy and Rogerian psychotherapy, is a form of psychotherapy developed by psychologist Carl Rogers and colleagues beginning in the 1940s and extending into the 1980s. Person-centered therapy seeks to facilitate a client's actualizing tendency, "an inbuilt proclivity toward growth and fulfillment", via acceptance, therapist congruence (genuineness), and empathic understanding.
Reality therapy (RT) is an approach to psychotherapy and counseling developed by William Glasser in the 1960s. It differs from conventional psychiatry, psychoanalysis and medical model schools of psychotherapy in that it focuses on what Glasser calls "psychiatry's three Rs" – realism, responsibility, and right-and-wrong – rather than mental disorders. Reality therapy maintains that most people suffer from socially universal human conditions rather than individual mental illnesses, and that failure to attain basic needs leads to a person's behavior moving away from the norm. Since fulfilling essential needs is part of a person's present life, reality therapy does not concern itself with a person's past. Neither does this type of therapy deal with unconscious mental processes.
Psychodynamic psychotherapy and psychoanalytic psychotherapy are two categories of psychological therapies. Their main purpose is revealing the unconscious content of a client's psyche in an effort to alleviate psychic tension, which is inner conflict within the mind that was created in a situation of extreme stress or emotional hardship, often in the state of distress. The terms "psychoanalytic psychotherapy" and "psychodynamic psychotherapy" are often used interchangeably, but a distinction can be made in practice: though psychodynamic psychotherapy largely relies on psychoanalytical theory, it employs substantially shorter treatment periods than traditional psychoanalytical therapies. Psychodynamic psychotherapy is evidence-based; the effectiveness of psychoanalysis and its relationship to facts is disputed.
Behaviour therapy or behavioural psychotherapy is a broad term referring to clinical psychotherapy that uses techniques derived from behaviourism and/or cognitive psychology. It looks at specific, learned behaviours and how the environment, or other people's mental states, influences those behaviours, and consists of techniques based on behaviorism's theory of learning: respondent or operant conditioning. Behaviourists who practice these techniques are either behaviour analysts or cognitive-behavioural therapists. They tend to look for treatment outcomes that are objectively measurable. Behaviour therapy does not involve one specific method, but it has a wide range of techniques that can be used to treat a person's psychological problems.
The Dodo bird verdict is a controversial topic in psychotherapy, referring to the claim that all empirically validated psychotherapies, regardless of their specific components, produce equivalent outcomes. It is named after the Dodo character in Alice in Wonderland. The conjecture was introduced by Saul Rosenzweig in 1936, drawing on imagery from Lewis Carroll's novel Alice's Adventures in Wonderland, but only came into prominence with the emergence of new research evidence in the 1970s.
Individual psychology is a psychological method or science founded by the Viennese psychiatrist Alfred Adler. The English edition of Adler's work on the subject (1925) is a collection of papers and lectures given mainly between 1912 and 1914. The papers cover the whole range of human psychology in a single survey, and were intended to mirror the indivisible unity of the personality.
Psychological resistance, also known as psychological resistance to change, is the phenomenon often encountered in clinical practice in which patients either directly or indirectly exhibit paradoxical opposing behaviors in presumably a clinically initiated push and pull of a change process. In other words, the concept of psychological resistance is that patients are likely to resist physician suggestions to change behavior or accept certain treatments regardless of whether that change will improve their condition. It impedes the development of authentic, reciprocally nurturing experiences in a clinical setting. Psychological resistance can manifest in various ways, such as denying the existence or severity of a problem, rationalizing or minimizing one's responsibility for it, rejecting or distrusting the therapist's or consultant's suggestions, withholding or distorting information, or sabotaging the treatment process. It is established that the common source of resistances and defenses is shame. This and similar negative attitudes may be the result of social stigmatization of a particular condition, such as psychological resistance towards insulin treatment of diabetes.
The therapeutic relationship refers to the relationship between a healthcare professional and a client or patient. It is the means by which a therapist and a client hope to engage with each other and effect beneficial change in the client.
Psychoanalytic dream interpretation is a subdivision of dream interpretation as well as a subdivision of psychoanalysis pioneered by Sigmund Freud in the early 20th century. Psychoanalytic dream interpretation is the process of explaining the meaning of the way the unconscious thoughts and emotions are processed in the mind during sleep.
Common factors theory, a theory guiding some research in clinical psychology and counseling psychology, proposes that different approaches and evidence-based practices in psychotherapy and counseling share common factors that account for much of the effectiveness of a psychological treatment. This is in contrast to the view that the effectiveness of psychotherapy and counseling is best explained by specific or unique factors that are suited to treatment of particular problems.
Robert Joseph Langs was a psychiatrist, psychotherapist, and psychoanalyst. He was the author, co-author, or editor of more than forty books on psychotherapy and human psychology. Over the course of more than fifty years, Langs developed a revised version of psychoanalytic psychotherapy, currently known as the "adaptive paradigm". This is a distinctive model of the mind, and particularly of the mind's unconscious component, significantly different from other forms of psychoanalytic and psychodynamic psychotherapy.
Eclectic psychotherapy is a form of psychotherapy in which the clinician uses more than one theoretical approach, or multiple sets of techniques, to help with clients' needs. The use of different therapeutic approaches will be based on the effectiveness in resolving the patient's problems, rather than the theory behind each therapy.
