Person-Centered Therapy and Older Adults’ Self-Esteem: A Pilot Study with Follow-up

Sofia von Humboldt, Isabel Leal


Objectives: A higher self-esteem (SE) is suggested by a reduced difference between ideal and real self. The present pilot study was designed to investigate if a brief eight-session individual person-centered therapy (PCT) intervention on older adults can promote their SE, as compared with a control group (waiting list). We hypothesized that participants randomized to PCT would report improvements in SE from pre- to post-intervention compared to those not attending PCT sessions. Method: We recruited 81 persons aged between 65-82 years (M = 71.9, SD = 4.77) in the Great Lisbon area, in Portugal and randomized 40 to PCT and 41 to control group. The PCT intervention consisted of an eight weekly individual therapy. Measures were completed, including demographics and the Self-esteem Scale (SES) at the baseline, post-treatment and at the 12-month follow-up. Results: Findings indicated that individual PCT with older adults may improve their SE. The difference between ideal self and real self, evidenced at follow-up (M = 1.251, SD = .524) by the participants who had undergone PCT, was significantly lower (41.3%) in comparison to the baseline score (M = 2.131, SD = .799). Additionally, significant differences between the intervention group and the control group were found in the post-intervention and follow-up. Estimates were statistically significant at .05 level. Conclusions: Results suggest that PCT is beneficial for improving SE. Clinical practice and program development in therapeutic settings may benefit from including PCT as an important component for promoting SE in older adults and for aging well.

Key words: Person-centered therapy; Control group; Follow-up; Older adults; Self-esteem


Person-centered therapy; Control group; Follow-up; Older adults; Self-esteem

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Abood, D. A., & Conway, T. L. (1992). Health Value and Self-Esteem as Predictors of Wellness Behavior. Health Values, 16, 20-26.

Asay, T., & Lambert, M. (1999). The Empirical Case for the Common Factors. In M. Hubble, B. Duncan, & S. Miller (Eds.). The Heart and Soul of Change (pp. 23-55). Washington, DC: American Psychological Association. Retrieved from

Baltes, P. B., & Smith, J. (2003). New Frontiers in the Future of Aging: From Successful Aging of the Young Old to the Dilemmas of the Fourth Age. Gerontology, 49, 123-135. Retrieved from

Barrett-Lennard, G. T. (2007). The Relational Foundations of Person-Centered Practice. In M. Cooper, M. O’Hara, P. F. Schmid, & G. Wyatt (Eds.). The Handbook of Person-Centered Psychotherapy and Counseling (pp. 127-139). New York, NY: Palgrave Macmillan.

Baumeister, R. F., Campbell, J. D., Krueger, J. I, & Vohs, K. D. (2003). Does High Self-Esteem Cause Better Performance, Interpersonal Success, Happiness, or Healthier Lifestyles? Psychological Science in the Public Interest, 4(1), 1-44. Retrieved from

Bernard, L. C., Hutchison, S., Lavin, A., & Pennington, P. (1996). Ego-Strength, Hardiness, Self-Esteem, Self-Efficacy, Optimism, and Maladjustment: Health-Related Personality Constructs and the “Big Five” Model of Personality Assessment. Psychological Assessment Resources, Inc: US, 3(2), 115-131.

Blascovich, J., & Tomaka, J. (1991). Measures of Self-Esteem. In J. P. Robinson, P. R. Shaver, & L. S. Wrightsman (Eds.). Measures of Personality and Social Psychological Attitudes, Volume I. San Diego, CA: Academic Press.

Bozarth, J. D. (2002). Nondirectivity in the Person-Centered Approach: Critique of Kahn’s Critique. Journal of Humanistic Psychology, 42, 78-83. Retrieved from

Branden, N. (1969). The Psychology of Self-Esteem. California: Jossey-Bass.

Brodley, B. T. (1997). The Nondirective Attitude in Client-Centered Therapy. The Person-Centered Journal, 4, 18-30.

Burwell, R. A., & Shirk, S. R. (2006). Self Processes in Adolescent Depression: The Role of Self-Worth Contingencies. Journal of Research Adolescence, 16(3), 479-490. Retrieved from

Campbell, A. (1981). The Sense of Well-Being in America: Recent Patterns and Trends. New York: McGraw-Hill.

Cooper, M., & McLeod, J. (2011). Person-Centered Therapy: A Pluralistic Perspective. Person-Centered and Experiential Psychotherapies, 10(3), 210-223. Retrieved from

Crocker, J., & Park, L.E. (2004). The Costly Pursuit of Self-Esteem. Psychological Bulletin, 130(3), 392-414. Retrieved from

Diener, E., & Diener. M. (1995). Cross-Cultural Correlates of Life Satisfaction and Self-Esteem. Journal of Personality and Social Psychology, 68, 653-663. Retrieved from

Emler, N (2001). Self-Esteem. The Costs and Causes of Low Self-Worth. Joseph Rowntree Foundation, York Publishing Services Ltd: Layerthorpe.

Fernández-Ballesteros, R. (2007). Gero Psychology: European Perspectives for an Aging World. Gottingen: Hogrefe and Huber.

Fennell, M. J. V. (1998). Low Self-Esteem. In N. Tarrier, A. Wells, & G. Haddock (Eds.). Treating Complex Cases: The Cognitive Behavioural Therapy Approach. Chichester: John Wiley & Sons. Retrieved from

Ford, A. B., Haug, M. R., Stange, K. C., Gaines, A. D., Noelker, L. S., & Jones, P. K. (2000). Sustained Personal Autonomy: A Measure of Successful Aging. Journal Aging Health, 12, 470-489. Retrieved from

Gana, K., Alaphilippe, D., & Bailly, N. (2004). Positive Illusions and Mental and Physical Health in Later Life. Aging & Mental Health, 8, 58-64.

Gavrilov, L. A., & Heuveline, P. (2003). Aging of Population. In P. Demeny & G. McNicoll (Eds.). The Encyclopedia of Population. New York: Macmillan Reference USA. Retrieved from

Greenberg, J. (2008). Understanding the Vital Human Quest for Self-Esteem. Perspectives on Psychological Science, 3, 48-55. Retrieved from

Hall, P. L., & Tarrier, N. (2003). The Cognitive-Behavioural Treatment of Low Self-Esteem in Psychotic Patients: A Pilot Study. Behaviour Research & Therapy, 41, 317-332. Retrieved from

Hamarat, E., Thompson, D., Steele, D., Matheny, K., & Simons, C. (2002). Age Differences in Coping Resources and Satisfaction with Life Among Middle-Aged, Young-Old and Oldest-Old Adults. The Journal of Genetic Psychology, 163, 360-367. Retrieved from

Higgins, E. T. (1987). Self-discrepancy: A Theory Relating Self and Affect. Psychological Review, 94(3), 319-340. Retrieved from

Higgins, E. T. (1989). Self-discrepancy Theory: What Patterns of Selfbeliefs Cause People to Suffer? In L. Berkowitz (Ed.). Advances in Experimental Social Psychology (Vol. 22, pp. 93-136). San Diego, CA: Academic Press.

Hurd, L. C. (2000). Older Women’s Body Image and Embodied Experience: An Exploration. Journal of Women and Aging, 12, 77-97. Retrieved from

Instituto Nacional Estatística. (2005). Projecções da população residente, NUTS III-2000-2050 [Projections for the Residente Population, NUTS III-2000-2050]. Lisboa: DECP /Serviço de estudos sobre a população.

Knox, R., & Cooper, M. (2010). Relationship Qualities That Are Associated with Moments of Relational Depth: The Client’s Perspective. Person-Centered and Experiential Psychotherapies, 9(3), 236-256. Retrieved from

Kottler, J. A., Sexton, T. L., & Whiston, S. C. (1994). The Heart of Healing: Relationships in Therapy. San Francisco: John Wiley & Sons Inc..

Kuster, F., Orth, U., & Meier, L. L. (2012). Rumination Mediates the Prospective Effect of Low Self-Esteem on Depression: A Five-Wave Longitudinal Study. Personality and SocialPsychology Bulletin, 38(6), 747-759. Retrieved from

Lynch, M. F., La Guardia, J. G., & Ryan, R. M. (2009). On Being Yourself in Different Cultures: Ideal and Actual Self-Concept, Autonomy Support, and Well-Being in China, Russia, and the United States. The Journal of Positive Psychology, 4, 290-304. Retrieved from

Levitt, B. (2005). Embracing Non-Directivity: Reassessing Person-Centered Theory and Practice in the 21st Century. Ross-on-Wye: PCCS Books.

Lih-Mei Liao, K., Hunter, M. & Weinman, J. (1995). Health-Related Behaviours and Their Correlates in a General Population Sample of 45-Year Old Women. Psychology Health, 10(3), 171-184. Retrieved from

Masson, J. M. (1988, 1994). Against Therapy. Monroe, Maine: Common Courage Press. Retrieved from

Maxfield, M., Solomon, S., Pyszczynski, T., & Greenberg, J. (2010). Mortality Salience Effects on the Life Expectancy Estimates of Older Adults as a Function of Neuroticism. Journal of Ageing Research, 260123. Retrieved from

Mearns, D., & Schmid, P. F. (2006). Being-with and Being-Counter: Relational Depth: The Challenge of Fully Meeting the Client. Person-Centered and Experiential Psychotherapies, 5(4), 255-265. Retrieved from

Mecca, A. M., Smelser, N. J., & Vasconcellos, J. (1989). The Social Importance of Self-Esteem. Berkeley: University of California Press.

Moody, H. (2010). Aging: Concepts and Controversies (6th ed.). Thousand Oaks, CA: Pine Forge Press. Retrieved from

Mruk, C. (2006). Self-Esteem Research, Theory, and Practice: Toward a Positive Psychology of Self-Esteem (3rd ed.). New York: Springer.

Orth, U., Robins, R. W., & Roberts, B. W. (2008). Low Self-Esteem Prospectively Predicts Depression in Adolescence and Young Adulthood. Journal of Personality and Social Psychology, 95(3), 695-708. Retrieved from

Patterson, C. H. (1984). Empathy, Warmth and Genuineness in Psychotherapy. A Review of Reviews. Psychotherapy, 21, 431-438. Retrieved from

Pörtner, M. (2008). Being Old Is Different: Person-Centred Care for Old People. Ross-on-Wye, UK: PCCS Book.

Proctor, G. (2002). The Dynamics of Power in Counselling and Psychotherapy. Llangarron Ross-on-Wye, UK: PCCS Books.

Prouty G., Van Werde D., & Portner M. (2002). Pre-Therapy: Reaching Contact-Impaired Clients. Ross-on-Wye: PCCS Books.

Rafael, G. (2003/2004). O Assistente Social, O Estudante universitário e Rogers: Um estudo sobre a auto-estima e as estratégias de coping realizado com estudantes da Universidade do Algarve [The Social Assistant, the University Student and Rogers: A Study About Self-Esteem and Coping Strategies with Students from the University of the Algarve]. Pessoa como Centro Revista de Estudos Rogerianos, 11/12, 37-50.

Rivas-Torres, R. M., & Fernandez-Fernandez, P. (1995). Self-Esteem and Value of Health a Determinants of Adolescent Health Behavior. Journal of Adolescent Health, 16, 60-63.

Rodewalt, F., & Tragakis, M. W. (2003). Self-Esteem and Self-Regulation: Toward Optimal Studies of Self-Esteem. Psychological Inquiry, 14(1), 66-70.

Rogers, C. (1951). Client-Centered Therapy: Its Current Practice, Implications and Theory. London: Constable.

Rogers, C. R. (1959). A Theory of Therapy, Personality and Interpersonal Relationships, as Developed in the Client-Centered Framework. In S. Koch (Ed.). Psychology: A Study of Science (pp. 184-256). New York, NY: McGraw Hill.

Rogers, C. R., & Dymond, R. (1954). Psychotherapy and Personality Change. Chicago: The University of Chicago Press. Retrieved from

Rogers, C., R., & Kinget, G. (1977). Psicoterapia e Relações Humanas [Psychotherapy and Human Relations]. Belo Horizonte: Interlivros.

Rogers, C. R. (1980). Client-Centered Psychotherapy. In H. I. Kaplan & B. J. Sadock (Eds.). Comprehensive Textbook of Psychiatry. Baltimore: Williams and Wilkins. Retrieved from

Rosenberg, M. (1965). Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press.

Ryan, R. M., & Deci, E. L. (2000). Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Wellbeing. American Psychologist, 55, 68-78.

Sanders, P. (2007). Introduction to the Theory of Person-Centred Therapy. In M. Cooper, M. O’Hara, P. F. Schmid, & G. Wyatt (Eds.). The Handbook of Person-Centered Psychotherapy and Counseling (pp. 9-18). New York, NY: Palgrave Macmillan.

Schmid, P. F. (2002). Presence: Immediate Co-experiencing and Co-responding. Phenomenological, Dialogical and Ethical Perspectives on Contact and Perception in Person-Centred Therapy and Beyond. In G. Wyatt & P. Sanders (Eds.). Rogers’ Therapeutic Conditions: Evolution, Theory and Practice. Vol 4: Contact and Perception (pp. 182-203). Ross-on-Wye: PCCS Books.

Sedikides, C., & Gregg. A. P. (2003). Portraits of the Self. In M. A. Hogg, & J. Cooper (Eds.). Sage Handbook of Social Psychology. London: Sage Publications.

Sexton, T. L. (1996). The Relevance of Counseling Outcome Research: Current Trends and Practical Implications. Journal of Counseling & Development, 74, 590-600. Retrieved from

Šmídová, J., Hátlová, B., & Stochl, J. (2008). Global Self Esteem in a Sample of Czech Seniors and Adolescents. Acta Univ Palacki Olomuc Gymn, 38(4), 31-37.

Staats, S. (1996). Youthful and Older Biases as Special Cases of Self-Age Optimization Bias. International Journal of Aging and Human Development, 43, 267-276. Retrieved from

Stamatakis, K. A., Lynch, J., Everson, S. A., Raghunathan, T., Salonen, J. T., & Kaplan, G. A. (2003). Self-Esteem and Mortality: Prospective Evidence from a Population-Based Study. AEP, 14(1), 58-65. Retrieved from

Swann, W. B., Jr., Chang-Schneider, C., & McClarty, K. L. (2007). Do People’s Self-Views Matter? Self-Concept and Self-Esteem in Everyday Life. American Psychologist, 62, 84-94. Retrieved from

Tap, P., Hipolito, J., Nunes, O., & Santos, R. (2004). Validação Portuguesa das escala de estima de si de Rogers [Portuguese Validation of the Rogers Scale of Self-Esteem and the Toulouse New Scale of Self-Esteem]. 9° Conference of the European Association for Research on adolescence. Book of Abstracts, 16-16.

Temaner, B. S. (1977). The Empathic Understanding Response Process. Chicago Counseling Center Discussion Paper.

von Humboldt, S. & Leal, I. (2010). A promoção do grau de auto-estima dos idosos: O efeito da relação de ajuda [Promoting Older Adults’ Self-Esteem: The Effects of Therapy]. In Saúde, Sexualidade e Género. I. Leal, J. L. Pais Ribeiro, M. Marques & F. Pimenta (Eds.). Actas do 8º Congresso Nacional de Psicologia da Saúde (pp. 889-894). Lisboa: ISPA Edições.

von Humboldt, S. & Leal. I., & Pimenta, F. (2012). Adjustment and Age Through the Eyes of Portuguese and English Community-Dwelling Older Adults. Studies in Sociology of Science, 3(3), 1-9. ISSN: 1923-0176. Retrieved from

Watson, J., & Lilova, S. (2009). Testing the Reliability and Validity of the Scales for Experiencing Emotion with a Canadian Sample. Person-Centered & Experiential Psychotherapies Journal, 8(3), 189-207. Retrieved from

Westerhof, G. J., Barrett, A., & Steverink, N. (2003). Forever Young: A Comparison of Age Identities in the United States and Germany. Research on Aging, 25(4), 366-384. Retrieved from

Westerhof, G. J., Whitbourne, S. K., & Freeman, G. P. (2012). The Aging Self in a Cultural Context: The Relation of Conceptions of Aging to Identity Processes and Self-Esteem in the United States and the Netherlands. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67B(1), 52-60. Retrieved from

Witty, M. (2004). The Difference Directiveness Makes: The Ethics and Consequences of Guidance in Psychotherapy. The Person-Centered Journal, 11, 22-32.

Witty, M. (2005). Non-Directiveness and the Problem of Influence. In B. E. Levitt (Ed.). Embracing Non-Directivity: Reassessing Person-Centered Theory and Practice in the 21st Century (pp. 228-247). Ross-on-Wye, UK: PCCS Books.

World Health Organization. (2008). Age Friendly Cities: Global Ageing and Urbanization Are Successes of Humanity. Retrieved from

World Health Organization Quality of Life Assessment Group. (2011). World Health Statistics 2011. Geneve, Switzerland: Author.



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