Reality therapy

From WikiMD's Food, Medicine & Wellness Encyclopedia

Reality Therapy is a form of psychotherapy that emphasizes personal responsibility and focuses on the present moment while disregarding past issues. Developed by William Glasser in the 1960s, it is based on Choice Theory and is particularly used in the fields of mental health, education, and management. Reality Therapy is grounded in the concept that we all have basic needs that we strive to fulfill, including the need for love, belonging, power, freedom, and fun. It posits that behavioral problems and unhappiness arise when these needs are not met, often due to poor choices.

Principles of Reality Therapy[edit | edit source]

Reality Therapy is built around several key principles:

  • The focus is on the present and planning for the future rather than dwelling on the past.
  • It emphasizes making choices and taking responsibility for one's actions.
  • The therapy aims to fulfill individuals' basic needs in a responsible manner.
  • It stresses the importance of creating a strong therapist-client relationship based on trust and respect.

Application of Reality Therapy[edit | edit source]

Reality Therapy is applied through the WDEP system—Wants, Doing, Evaluation, and Planning:

  • Wants: The therapist helps the client identify their wants, needs, and perceptions.
  • Doing: The focus is on what the client is doing and how it aligns with achieving their wants.
  • Evaluation: The client evaluates their own behavior to determine if it is helping them meet their needs.
  • Planning: The therapist and client develop a plan for change, focusing on behaviors that the client can control.

Effectiveness and Criticism[edit | edit source]

Reality Therapy has been applied successfully in various settings, including schools, correctional facilities, and mental health centers. It is praised for its straightforward approach and emphasis on personal responsibility. However, critics argue that it may oversimplify complex psychological issues and neglect the importance of understanding one's past.

Conclusion[edit | edit source]

Reality Therapy offers a unique perspective on psychotherapy, emphasizing present actions and future plans over past experiences. Its focus on responsibility and choice provides a clear framework for clients to improve their lives. Despite criticisms, it remains a valuable tool in various professional settings.

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Contributors: Prab R. Tumpati, MD