Unconditional Positive Regard

Unconditional positive regard (UPR) is a method of treatment in client-centered psychotherapy in which the therapist provides psychological support without judging the client on a personal level. The underlying goal behind UPR is to create a positive clinical environment for the patient to foster productive psychological development under a therapist's care.

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Overview

Unconditional positive regard (UPR) was developed by Carl Rogers (1902-1987), a pioneer of humanistic psychology. This method of psychotherapy uses a model in which a patient is encouraged to use self-examination as a curative approach to mental health. Patients in humanistic therapy are pushed to change their core behavior from being overly responsive to others' actions to establishing an understanding of their own internal drives.

In a UPR-centered session, the therapist provides unconditional support, thereby allowing the patient to express opinions and emotions without feeling as if they are being judged. To properly establish UPR, the therapist must show genuine respect for the patient, while demonstrating impartiality to the patient's stated observations. In addition, a therapist using UPR should see the value of the patient as a unique individual and recognize that the patient's needs and struggles have validity.

Many psychologists suggest that to maximize the usefulness of UPR, therapists should be active in their approach, rather than simply showing acceptance. Under this model, therapists offer positive responses to the feelings patients express, thereby providing an empathetic sounding board that allows for self-reflection. This aligns with the core idea behind the humanistic approach to psychotherapy: that people, if given a nurturing environment, have an inherent desire to engage in socially constructive behavior.

Benefits and Criticisms

The goal is to enable the patient to feel respected and safe so that the therapist can provide counseling and support. Ideally, the patient will respond to the positive environment established by the therapist and be receptive to their suggestions for changing negative behaviors. UPR is designed as a therapeutic tool to build trust between the patient and the therapist. As such, proponents of UPR suggest that it is particularly useful to patients with low self-esteem or individuals who have been the victims of abuse. It is believed that people who receive positive feedback about their constructive behaviors will be encouraged to show an enduring commitment to change.

UPR has been the subject of criticism in the field of psychology, however. Its detractors have argued that it is impossible for therapists to establish a genuine empathy for every patient, as some patients are responsible for truly horrifying acts that defy understanding or compassion. Additionally, the establishment of a true dialogue of free exchange can take an enormous amount of time to create, and requires the full, willing cooperation of the patient—a task that may be beyond the skills of the most empathetic or trained therapist. Some patients may also be unused to the sensation of complete acceptance offered by UPR and may show intense resistance to this form of therapy.

Bibliography

Freeth, Rachel. "Understanding Unconditional Positive Regard." In Humanising Psychiatry and Mental Health: The Challenge of the Person-Centred Approach, pp. 133-9. Radcliffe, 2007.

Joseph, Stephen. "Unconditional Positive Regard: If You Think It's About Smiling and Nodding, You Are Doing It Wrong." Psychology Today, 7 Oct. 2012, www.psychologytoday.com/blog/what-doesnt-kill-us/201210/unconditional-positive-regard. Accessed 16 Oct. 2024.

Martin, Anna. "Unconditional Positive Regard." The Counsellor's Guide, 13 July 2020, www.thecounsellorsguide.co.uk/unconditional-positive-regard.html. Accessed 16 Oct. 2024.

"Unconditional Positive Regard." APA Dictionary of Psychology, 15 Nov. 2023, dictionary.apa.org/unconditional-positive-regard. Accessed 16 Oct. 2024.

Wilkins, Paul. "Unconditional Positive Regard Reconsidered." British Journal of Guidance and Counselling28.1 (2000): 23-36. Web. 8 Dec. 2015. http://donnieholland.wiki.westga.edu/file/view/unconditional+positive+regard.pdf

Yao, Lucy, and Rian Kabir. "Person-Centered Therapy (Rogerian Therapy)." StatPearls, National Library of Medicine, National Center for Biotechnology Information, 9 Feb. 2023, www.ncbi.nlm.nih.gov/books/NBK589708/. Accessed 16 Oct. 2024.