Solution-focused therapy October 26, 2009 due 30

Map Branches

• Case studies
  • Mary w/bulimia
    • had the urge to purge / binge but didn't
      • she was away from parents
      • thus, she didn't feel she was dissapointing them
      • she decides then it is time to become more independent
  • distressed couple
    • therapist asked them constructive questions
      • if by miracle that trust would be there tomorrow, how would u know?
  • Lucinda who lost custody of her kids and was in an abusive relationship
    • t. highlights Lucinda's competence and does miracle question
    • t. asks scaling questions
      • Berg & De Jong believe that if both t. & c. can reorient themselves in the direction of strengths then therapy can be quite brief
        • exceptions to problem
        • clarified goals
        • strategies to acheive them
        • assumption of constructivism and the power of sugestion
          • self fulfilling prophecies
          • snowball effect of change
  • Name
    • Role Played
      • Challenges Faced
• Memorable Quotations /References/Things
  • SFT emphazises cognition
    • for therapists exceptions are seen as primary
      • interventions meant to help clients make a similar inversion
        • which will lead to the development of s solution pp 321
      • they help clients to see that their problems have exceptions
        • these exceptions are solutions they still have in their repertoires
  • Eve Lipchick
    • "SFT is a philosophy, not a collection of techniques"
  • Berg & de Shazer
    • as the client and therapist talk more and more about the solution they want to construct together, they come to believe in the truth or reality of what they are talking about. This is the way language works, naturally"
  • "...These exceptions can be used as building rocks in the construction of a solution...solutions involve determining `what works` so that the client can do more of it", de Shazer
  • de Shazer
    • "Language constitutes ´the human world´and the human world constitutes the wholw world¨
  • compliments in therapy help foster self confidence!
• Evaluating therapy theory and results
  • therapy needs compassion in it
  • solution forced therapy?
  • the relationship is really important
    • is collaboration really taking place?
  • techniques have work within the context of the solution-oriented philosophy, which takes time to assimilate
• Author Opinions: Language creates reality. Problem solving faculty in people
  • Agree with the idea of the problem solving faculty in people
  • I don'y fully understand the idea that language creares reality, but I have no problems with it
• Therapeutic technique and suggestions t. makes to c.
  • formula first session task
    • standard assignment
  • exception question
    • times when they didn't have the problem
    • are there times when you don't have that problem?
    • what's different at those times?
    • how does that make a difference to u & to others?
    • what will others notice about u?
    • how come things aren't worse?
    • asking coping questions
      • what keeps u going under such difficult circumstances?
      • what is the smallest thing you can imagine doing thatcould make a difference?
  • miracle question
    • to do the things that the problem has been obstructing
  • therapist begins with a 3 step process
    • t. actively reframes problem and compliments client
    • t. clarifies the logical bind c. have created for themselves
    • links hypnotic-like directive to an inevitable sign of progress
  • scaling questions
    • "on a scale of 1 to 100, with 1 being never, and 100 being always, what percentage of the time...
    • "what would a step from 70 to 75 look like?
  • compliments
    • compliments in therapy help foster self confidence!
  • summary message
    • feedback(?) on w therapist has heard during the session
    • compliments on positive steps already taken
    • framework within which to place the client's predicament, usually emphasizing the normality of the situation
    • a suggested task to be carried out between sessions
  • suggestions used commonly
    • the formula first-session task
    • do more of what works
    • do something different
      • it can be given as an experiment
        • eg. potty and toy boat
    • go slowly like the MRI model
    • do the opposite, taken from MRi model
    • the prediction task
      • New-Branch
• De Shazer- founder, Insoo Kim Berg
• Nichols, M & Schwartz, R.
  • NY> PEARSON
  • FAMILY THERAPY
  • USA
• Reactions
  • I think it is very important to remember the ability to solve problems in people
    • helping the client understand what works seems right
  • What was left out?
  • Will I change anything as a consequence
• Background
  • theoretical formulations
    • focus on the present where problems are maintained
    • rather than searching the past to discover what caused them
    • the death of resistance as a concept
    • clients really do want to change
    • de Sahzer: language creates reality
      • therapist is only concerned with complaints and shouldn't impose values
    • steering clients from problem talk to solution talk
  • Goals of therapy
    • clear and achievable
  • Therapy
    • assessment
      • clarifying goals
        • 1. w is problem now?
        • 2.how will u know when prob is solved?
        • 3.signs that u don't have to come here anymore
        • 4.w has to be different f/that to happen in your behavior, thoughts, and feelings?
        • 5.what will u notice that is different about others involved in the situation?
        • 6. what is your wildest fantasy about what u want to have happen?

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