NRNP 6645 COMPARING HUMANISTIC-EXISTENTIAL PSYCHOTHERAPY WITH OTHER APPROACHES
NRNP 6645 COMPARING HUMANISTIC-EXISTENTIAL PSYCHOTHERAPY WITH OTHER APPROACHES
NRNP 6645 COMPARING HUMANISTIC-EXISTENTIAL PSYCHOTHERAPY WITH OTHER APPROACHES
Comparing Humanistic-Existential Psychotherapy with Other Approaches
Various psychotherapy approaches can be used to address mental health issues among patients. These approaches vary depending on their goals and objectives, and desired outcomes. Knowing the differences can help the mental health nurse practitioner make informed decisions on the best interventions. This essay evaluates the differences between humanistic-existential psychotherapy and other psychotherapy approaches.
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Humanistic-Existential Psychotherapy and Cognitive Behavioral Therapy
Humanistic-Existential psychotherapy emphasizes individual inherit growth and self-determination capacities. It helps promote self-awareness and personal growth by focusing on who the individuals are in their current life. The emphasis is on the individual and having them accept personal responsibility and consequences for their actions. The approach holds that only after we take responsibility for our actions can we control them. The basic philosophical foundation holds that people are inherently good and conflicts within us result from individual confrontation with our existence. Concepts include the inevitability of death, free will, responsibility, existential isolation, and meaninglessness (Heidenreich et al., 2021). Yudiati et al. (2022) note that humanistic-existential psychotherapy approaches can be complex but are helpful when helping patients own up to their lives and actions and overcome self-inflicted limitations. Cognitive behavioral therapy helps individuals identify and change disabling thoughts and beliefs that affect their feelings and behavior and address them (Gautam et al., 2020). Cognitive behavioral therapy points out flawed processes such as anxiety and how it negatively affects the person and others and interferes with their everyday life. The psychologist also attempts to address these flawed processes by working together to establish strategies to change the flawed processes.
Differences Between Humanistic-Existential Therapy and Cognitive Behavior Therapy and the Effects of the Differences on Practice as a PMHNP
Humanistic-existential psychotherapy (HE therapy) and CBY share similarities and differences. Heindrinch et al. (2021) note that existential concerns such as isolation are also encountered in CBT but interpreted and addressed differently based on the underlying circumstances. The significant differences are in the core focus, approach, and time frame. CBT focuses on identifying, challenging, and addressing negative thought patterns and behaviors, as Guatam et al. (2020) note. On the contrary, HE therapy focuses on self-actualization, self-awareness, and personal growth by ensuring a safe, non-judgmental, and therapeutic client-provider relationship. The difference will be significant to my practice as it will help assess clients’ needs and determine the best psychotherapy approach based on their needs.
The second difference is based on the approach of psychotherapy. CBT is structured and directive, focusing on identifying flawed thought patterns and replacing them with healthier, more realistic patterns. HE therapy is more open-minded and patient-centered than CBT, and the psychologist supports the client in exploring their deepest values and truths (Heidenreich et al., 2022). This difference will impact my selection based on the outcomes and objectives of psychotherapy. Psychiatrists select interventions with an objective, and the difference will help determine which approach to use based on the objectives.
Time is also an essential factor in psychotherapy. CBT is goal-oriented, and the goals and their achievement determine the number of sessions. Beehler et al. (2019) note that CBT is the “time-limited goal-oriented” type of therapy; hence time and goals are significant to CBT. The HE therapy approach is more long-term, focusing on ensuring clients gain deeper self-awareness, understanding, and insight through the patient’s personal growth and self-discovery journey. This difference will impact my practice in that it will help determine the best intervention based on the time available. Understanding the time and goal orientation will also help prepare for each psychotherapy intervention. These three differences outlined are significant to my PMHNP practice.
Video Reflection
The video of interest is PsychotherayNet (2009). The video explores the presentation of an older man with a distorted reality. The humanistic-existential psychotherapy was used because the patient says they do not feel alive, is constricted, and has problems expressing his emotions and ideas (PsychotherapyNet, 2009). He also has a varied expression of reality. His explanation of reality is also distorted, and his explanation of simple facts is complicated. The approach was used to help gain a deeper self-understanding, awareness, and insight into their journey of self-discovery. If CBT was used with the patient, the expected outcome is identifying the disordered thought pattern and its effects on the patient’s life and management. The potential outcome is the patient’s realistic understanding of the word. All the sources used are peer-reviewed and were published within the last five years, meaning they are reliable and current. In addition, they were sources from reputable databases and published in reputable journals. Their analysis to determine their usability was also completed.
Summary
Psychotherapy approaches overlap but differ in their implementation, goals, and objectives, and a PMHNP can select psychotherapy based on the patient presentations of the desired patient outcomes. CBT and Humanistic-Existential therapy have similarities and differences in focus, approach and timing. They are both fundamental approaches to psychotherapy and treatment goals inform the choice of approach. These differences will help inform the PMHNP decisions and ensure quality patient outcomes.
References
Gautam, M., Tripathi, A., Deshmukh, D., & Gaur, M. (2020). Cognitive behavioral therapy for depression. Indian Journal of Psychiatry, 62(Suppl 2), S223. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_772_19
Heidenreich, T., Noyon, A., Worrell, M., & Menzies, R. (2021). Existential approaches and cognitive behavior therapy: Challenges and potential. International Journal of Cognitive Therapy, 14, 209-234. https://doi.org/10.1007/s41811-020-00096-1
Beehler, G. P., Murphy, J. L., King, P. R., Dollar, K. M., Kearney, L. K., Haslam, A., Wade, M., & Goldstein, W. R. (2019). Brief cognitive behavioral therapy for chronic pain. The Clinical Journal of Pain, 35(10), 809-817. https://doi.org/10.1097/AJP.0000000000000747
PsychotherapyNet. (2009, June 29). James Bugental live case consultation psychotherapy videoLinks to an external site. Video]. YouTube. https://www.youtube.com/watch?v=Zl8tVTjdocI
Yudiati, E. A., Sugiharto, D. Y. P., Purwanto, E., & Sunawan, S. (2022, October). Application of Humanistic Existential Positive Basic Dimensions in Meeting the Psychological Needs of Self-Injury Perpetrators. In International Conference on Science, Education, and Technology (Vol. 8, pp. 632-638).
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Back to Week at a Glance
COMPARING HUMANISTIC-EXISTENTIAL PSYCHOTHERAPY WITH OTHER APPROACHES
Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an essential skill of the psychiatric-mental health nurse practitioner. In this Assignment, you will compare humanistic-existential therapy to another psychotherapeutic approach. You will identify the strengths and challenges of each approach and describe expected potential outcomes.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
• Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.
• Reflect on humanistic-existential psychotherapeutic approaches.
• Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.
LEARNING RESOURCES
Required Readings
• American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disordersLinks to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
o “Culture and Psychiatric Diagnosis”
• Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.
o Chapter 7, “Experiential Family Therapy”
• Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
o Chapter 6, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy”
Required Media
• Grande, T. (2019, January 9). Theories of counseling – Existential therapyLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=YvAvc2aWup0
• PsychotherapyNet. (2009, June 29). James Bugental live case consultation psychotherapy videoLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=Zl8tVTjdocI
• ThinkingallowedTV. (2010, September 20). James Bugental: Humanistic psychotherapy (excerpt) – A thinking allowed DVD w/ Jeffrey MishloveLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=mjDNKGIvWPQ
THE ASSIGNMENT
Address the following:
• Briefly describe humanistic-existential psychotherapy and the second approach you selected.
• Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.
• Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.
• Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
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Criteria | Ratings | Pts | |||
Develop a 2- to 3- page paper comparing humanistic-
existential therapy to another psychotherapeutic approach of your choice. Be sure to address the following: · Briefly describe humanistic- existential psychotherapy and the second approach you selected. |
25 to >22.0 pts
Excellent 90%– 100% The response includes an accurate and concise description of humanistic- existential psychotherapy and your selected approach. |
22 to >19.0 pts
Good 80%–89% The response includes a description of humanistic- existential psychotherapy and your selected approach. |
19 to >17.0 pts
Fair 70%–79% The response includes a somewhat vague or inaccurate description of humanistic- existential psychotherapy and your selected approach. |
17 to >0 pts
Poor 0%–69% The response includes a vague and inaccurate description of humanistic- existential psychotherapy and your selected approach, or is missing. |
25 pts |
· Explain at least three differences between humanistic- existential psychotherapy and the approach you selected. · Include how these
differences might impact your practice as a PMHNP. |
25 to >22.0 pts
Excellent 90%– 100% The response includes an accurate and clear explanation of three differences between humanistic- existential psychotherapy and your selected approach. The response includes a thoughtful and throrough explanation of how the differences between humanistic- existential psychotherapy and your selected approach might impact your practice as a PMHNP. |
22 to >19.0 pts
Good 80%–89% The response includes an accurate explanation of three differences between humanistic- existential psychotherapy and your selected approach….. The response includes an explanation of how the differences between humanistic- existential psychotherapy and your selected approach might impact your practice as a PMHNP. |
19 to >17.0 pts
Fair 70%–79% The response includes a somehwat vague or inaccurate explanation of three differences between humanistic- existential psychotherapy and your selected approach….. The response includes a somewhat vague or inaccurate explanation of how the differences between humanistic- existential psychotherapy and your selected approach might impact your practice as a PMHNP. |
17 to >0 pts
Poor 0%–69% The response includes a vague and inaccurate explanation of three differences between humanistic- existential psychotherapy and your selected approach, or is missing….. The response includes a vague and inaccurate explanation of how the differences between humanistic- existential psychotherapy and your selected approach might impact your practice as a PMHNP, or is missing. |
25 pts |
Criteria | Ratings | Pts | |||||
· Explain why humanistic- existential
psychotherapy was utilized with the client in the video and why it was the treatment of choice. · Describe the expected potential outcome if the second approach had been used with the client. · Support your response with at least three peer- reviewed, evidence- based sources from the literature. PDFs are attached. |
35 to >31.0 pts
Excellent 90%– 100% The response includes a thorough and accurate explanation of why humanistic- existential psychotherapy was utilized with the client and why it was the treatment of choice. The response includes a thorough and accurate description of the expected potential outcome had the second approach been used with the client. The response is supported by at least three peer- reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached. |
31 to >27.0 pts
Good 80%–89% The response includes an accurate explanation of why humanistic- existential psychotherapy was utilized with the client and why it was the treatment of choice….. The response includes a description of the expected potential outcome had the second approach been used with the client….. The response is supported by three peer- reviewed, evidence-based sources from the literature that provide appropriate support for the rationale provided. PDFs are attached. |
27 to >23.0 pts
Fair 70%–79% The response includes a somewhat vague or incomplete explanation of why humanistic- existential psychotherapy was utilized with the client and why it was the treatment of choice….. The response includes a somewhat vague or incomplete description of the expected potential outcome had the second approach been used with the client…………. The response is supported by two or three peer- reviewed, evidence-based sources from the literature. Resources selected may provide only weak support for the rationale provided. PDFs may not be attached. |
23 to >0 pts
Poor 0%–69% The response includes a vague and inaccurate explanation of why humanistic- existential psychotherapy was utilized with the client and why it was the treatment of choice, or is missing….. The response includes a vauge and incomplete description of the expected potential outcome had the second approach been used with the client, or is missing….. The response is supported by vague or inaccurate evidence from the literature, or is missing. |
35 pts |
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Written Expression and Formatting – Paragraph
Development and Organization: Paragraphs make clear points that support well- developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused— neither long and rambling nor short and lacking substance. A clear and comprehensive |
5 to >4.0 pts
Excellent 90%– 100% Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineates all required criteria. |
4 to >3.5 pts
Good 80%–89% Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…… Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. |
3.5 to >3.0 pts Fair 70%–79%
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%– 79% of the time…. Purpose, introduction, and conclusion of the assignment are vague or off topic. |
3 to >0 pts
Poor 0%–69% Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time….. No purpose statement, introduction, or conclusion were provided. |
5 pts | ||
Criteria | Ratings | Pts | |||||||
purpose statement and introduction is provided which
delineates all required criteria. |
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Written Expression and Formatting – English writing standards: Correct grammar,
mechanics, and proper punctuation |
5 to >4.0 pts Excellent 90%–100%
Uses correct grammar, spelling, and punctuation with no errors. |
4 to >3.5 pts
Good 80%–89% Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…… Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. |
3.5 to >3.0 pts Fair 70%–79%
Contains 3 or 4 grammar, spelling, and punctuation errors. |
3 to >0 pts
Poor 0%–69% Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. |
5 pts |
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Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins,
indentations, page numbers, parenthetical/in-text citations, and reference list. |
5 to >4.0 pts
Excellent 90%– 100% Uses correct APA format with no errors. |
4 to >3.5 pts
Good 80%–89% Contains 1 or 2 APA format errors. |
3.5 to >3.0 pts Fair 70%–79%
Contains 3 or 4 APA format errors. |
3 to >0 pts
Poor 0%–69% Contains many (≥ 5) APA format errors. |
5 pts |
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Total Points: 100 |
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