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Multiple Choice

Which type of therapy is described as the most directive, with the greatest potential for abuse of power by a counselor?

Directive styles in therapy place the therapist in a more controlling role over the process, which can heighten power imbalances when boundaries aren’t carefully maintained. Gestalt therapy is known for its here-and-now emphasis and active, experiential interventions directed by the therapist, such as experiments, confrontations, and guided explorations. This approach invites the therapist to shape the client’s experience more directly, which can increase the risk of misuse of power if consent, pacing, or boundaries are not vigilantly observed. By contrast, person-centered therapy emphasizes non-directiveness, unconditional positive regard, and allowing clients to lead the pace and focus of sessions, which tends to minimize power imbalances. Existential therapy, while challenging and probing, aims for collaboration and meaning-making rather than the therapist imposing specific experiments or directions. Cognitive-behavioral therapy is structured and goal-oriented, but its directive elements are typically aligned with agreed-upon techniques and collaborative planning, reducing the potential for power misuse compared with Gestalt.

Directive styles in therapy place the therapist in a more controlling role over the process, which can heighten power imbalances when boundaries aren’t carefully maintained. Gestalt therapy is known for its here-and-now emphasis and active, experiential interventions directed by the therapist, such as experiments, confrontations, and guided explorations. This approach invites the therapist to shape the client’s experience more directly, which can increase the risk of misuse of power if consent, pacing, or boundaries are not vigilantly observed.

By contrast, person-centered therapy emphasizes non-directiveness, unconditional positive regard, and allowing clients to lead the pace and focus of sessions, which tends to minimize power imbalances. Existential therapy, while challenging and probing, aims for collaboration and meaning-making rather than the therapist imposing specific experiments or directions. Cognitive-behavioral therapy is structured and goal-oriented, but its directive elements are typically aligned with agreed-upon techniques and collaborative planning, reducing the potential for power misuse compared with Gestalt.