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ABOUT D.W. JOHNS

 

Douglas Wilson Johns, MSW, LCSW

Portland, Oregon

Psychotherapy

"The really decisive moments in psychotherapy, as every patient or therapist who has ever experienced them knows, are unpredictable, unique, unforgettable, always unrepeatable and often indescribable."

~ R. D. Laing, M.D.

I have a working definition of psychotherapy: Giving people a different experience of themselves in relationship. Quality psychotherapy is a process by which people experience themselves in new ways and develop skills for living more creatively and adaptively. In this sense psychotherapy is about cultivating skillful living. Moreover, it is about learning to stay present with oneself to generate these skills internally. The experience may be both painful and joyous but it is the safe and respectful experience of the therapeutic relationship that encourages the transformations you want in your life.

Over forty years of research into the benefits of psychotherapy has provided two important conclusions. First, psychotherapy works. Most people report success and satisfaction with their therapy experience. Second, it's clear why psychotherapy works: It's the relationship between client and therapist that's most important in determining quality outcomes. Furthermore, that's the evidence across all problem areas (anger, depression, anxiety, ADD/ADHD, etc.).

What cultivates good client-therapist rapport? Foundationally it is something called core conditions. These conditions include how the client experiences the therapist. For example, does the relationship feel emotionally safe? Can the client truly be her/himself? Does the client experience respect and unconditional acceptance from the therapist? Research has repeatedly demonstrated that these relationship factors aren't just nice, they are crucial to quality care. And most importantly, these are always the client's experience of the relationship. This requires therapists to actively cultivate feedback from clients to ensure the relationship is helpful.

Although I have training in several psychotherapy disciplines I primarily identify with two traditions that are particularly compatible. The first is the Existential-Humanistic perspective. The core conditions outlined above originated with this perspective. The second is Zen Buddhism. I have been a formal student of Zen Buddhism since 2002 but I have been interested in its psychology since 1985. Both traditions emphasize human experience in the present moment.

In our daily life, with all its complexity, it's easy to become detached from our core experience and understanding of self. Perhaps a traumatic life experience has deepened this rift. My method attends to the client-therapist relationship and to the client's internal relationship with her/himself. The cultivation of love and compassion for self is structured and honed. Authenticity is also emphasized as I continually refine that process within myself and facilitate the same for my client. Therapy is a shared experience founded on deepening trust between people.

Please feel free to call me with any questions you may have about my practice at 503-252-3739.