brief approaches Flashcards
new therapist power ideas from Erickson
1-the therapist knows stuff that the client doesn’t, the therapist is an expert
2-the client does not need to know all that the therapist knows
3-the therapist can adopt techniques without having to explain them or seek cooperation
4-manipulation and deceit are acceptable if done for the client’s own good
what are things that ericksonian therapists do in sessions
1-focus on present
2-when, where, with whom does the problem occur
3-exeptions when problem doesn’t occur
4-design task that are sometimes harder than the problem
5-paradoxical directives designed to be disobeyed
6-ignore insight, it can be dangerous
7-hypnosis to bypass resistance
8-work on the things client is already doing that help
9-asked the person to do things voluntarily
10-use metaphors to approach problem indirectly
what are the assumptions of strategic approach
1-problems are more likely to be solved when defined in a way that says they can be solved
2-the therapist is responsible for the plan of action
3-small changes to create momentum for big ones
4-people are seen doing the best they can so there is no client non compliance
what skills are used for strategic theory
reframing the problem advance preparation directives accentuate the positives remind client that therapy will end predict relapse
suggestions for one session therapy
expect good things therapy starts with the first phone call consider follow up 24hr after choose candidates wisely decide who attends select problem with modest goals don't forget about the power of empathy use humor track time and plan session ahead well work from client's strengths affirm what has been accomplished record the session to give to the client schedule follow-up through phone or internet
who is not suitable for brief intervention
major thought and psychosis disorders
chronic depression
severe personality disorders
unresolved traumatic issues at the heart of the problem
who are the best candidates for brief intervention
high motivation acute, specific problems crisis situations willingness and ability to elaborate concerns ability to form a trusting relationship ability and willingness to stay on task
stages of readiness to change
precontemplation contemplation preparation action maintenance
OARS method
O-pen ended questions
A-affirmation of client’s strengths
R-eflective listening
S-summaries that invite correction
techniques used with motivational interviewing
OARS
decisional balance
scaling to target small changes
rolling with resistance
