Constructivism - Narrative Flashcards

1
Q

What are the assumptions of Narrative therapy?

A
  • No absolute reality: Reality is constantly being constructed (including during therapy)
  • People have different truths
  • “Self” is not a stable entity but rather is created through interactions
  • A person’s sense of self derives from the dominant narrative
  • Stories organize our experience & shape our behavior
  • People are not their problems; the problem is the problem
    – Non-pathologizing
    – Probs are external, & exert influence
    – Probs viewed in a social context
  • People have filters that process messages from society, others
  • Therapy is designed to collapse the historic, emotional response of family members to the subjugated story
    – Techniques are designed to generate neutrality
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2
Q

What is a Subjugated Narrative in Narrative Therapy?

A

A person’s own story that is suppressed by the dominant story

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3
Q

What is an Alternate Story in Narrative Therapy?

A

The story that is there, but not noticed

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4
Q

What is the role of the therapist in Narrative Therapy?

A
  • Genuine curious listener
  • Questions client assumptions
  • Open space to make room for possibilities
  • Remain neutral & open to client; transparent
  • Expert on questions, conversation
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5
Q

Who developed Narrative therapy?

A

Michael White
David Epston
Jill Freedman
Gene Combs

(1980’s)

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6
Q

What is the concept of “Constitutionalist Self” in Narrative therapy?

A

The “Constitutionalist self” is the idea of self, which is continuously deconstructed and reconstructed through
interactions.

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7
Q

What is the goal in Narrative Therapy?

A
  • Help client create a new narrative that emphasizes their preferred way of relating to themselves in the larger culture.
  • Change how the Ct views themselves.
  • Help them find alternatives to their problem story.
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8
Q

Who developed Narrative therapy?

A

Michael White (Australia).
- Society’s discourses (large scale narratives)
maintain distribution of power
Influenced by cybernetics’ information processing &
effects of cognitions on behavior
- Influenced by Bruner’s “The Narrative Construction
of Reality” (cognitive psychology)

David Epston (NZ)
- Focused on individual narratives that people
construct
- Developed line of questions to draw out people’s stories
- Recognized need for client support system
– “Leagues” (linking clients with similar problems)
– Letter-writing

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9
Q

What is “Normal” vs “Dysfunctional” in Narrative Therapy?

A
  • No specific notions about normal development
  • Doesn’t label problems with diagnoses
  • Narrative stories exert powerful influence over lives of clients, to create concepts of problems
  • Problems also exist because of negative social, political, and cultural influences that affect narratives
  • Problems can come from internalization of dominant cultural norm
  • Therapists need to be aware of larger societal pressures and discourses and their influences
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10
Q

What is the role of Narrative stories in Narrative therapy?

A
  • People are not viewed as dysfunctional, but rather under the influence of “problem saturated stories”
  • Some are more helpful than others
  • Stories affect what ppl notice and how they understand experiences
  • Ppl tend to select data that supports stories and ignore data that does not
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11
Q

What is the goal of Narrative therapy?

A
  • To deconstruct problem-saturated stories and dominant cultural discourses
  • To co-author new, more helpful stories
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12
Q

What are some key Interventions in Narrative therapy?

A
  • Revealing narrative stories
  • Asking Questions to enact change
  • Exploring landscapes of action, consciousness
  • Enabling openings (opp’s for change)
  • Externalize & Personify problems
  • “Opening space”
  • Deconstructing
  • Extending story into future
  • Effects of problem on fam/Ct; effects of fam/Ct on problem
  • Mapping, Journaling, Drawing
  • Find preferred storylines
    Find unique/alternate outcomes via dialog or visualization
  • Life Story
  • Meditation
  • Letters from Therapist
  • Certificates of award
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13
Q

What is a Deconstruction Question in Narrative therapy?

A

Externalize the problem
- “What does Depression try to tell you to do?”

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14
Q

What is an Open Space Question in Narrative therapy?

A

Uncovering unique outcomes
- “Has there been a time that Guilt did not take control over your life, even when you might have expected it to?”

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15
Q

What is a Preference Question in Narrative therapy?

A

Ascertaining if the unique outcome is preferred
- “Do you think this way of reacting was better or worse?”

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16
Q

What is a Story Development Question in Narrative therapy?

A

Broadening the story from the unique outcomes
- “Who will notice your new way of handling these situations?”

17
Q

What is a Meaning Question in Narrative therapy?

A

Developing a more positive view of self
- “What does this new reaction say to you?”

18
Q

What is a Question to Extend the Story Into the Future in Narrative therapy?

A

Reinforcing the positive changes
- “What will your life be like now that Fear does not have the upper hand?

19
Q

What is the role of Externalizing and Personifying in Narrative therapy?

A

First goal: identify and externalize (separate the person from) the problem

Once identified, the problem is personified – portrayed as an unwelcome invader that tries to dominate the family members’ lives
- This unites the family against the common enemy of “the problem”

20
Q

What is Deconstruction in Narrative therapy?

A

Deconstruction is taking apart a problem-saturated story to externalize and re-author it.
It is an encouraging tool that allows the client to face small parts/elements of the problem at a given time instead of feeling crippled by the weight of the whole problem all at once.

21
Q

What are the assumptions of Narrative therapy?

A
  • No absolute reality: Reality is constantly being constructed (including during therapy)
  • “Self” is not a stable entity but rather is created through interactions: A person’s sense of self derives from the dominant narrative
  • People are not their problems
    – Non-pathologizing
    – Probs are external, & exert influence
    – Probs viewed in a social context
  • Therapy is designed to collapse the historic, emotional response of family members to the subjugated story
    – Techniques are designed to generate neutrality
21
Q

What is a Landscape of Action in Narrative Therapy?

A

How people do things

22
Q

What is a Landscape of Consciousness in Narrative therapy?

A

What meaning the problem has - what people think about it

23
Q

What is the Statement of Position Map in Narrative therapy?

A

The client maps out the effects of the problem in all the domains of their life, evaluates these effects on these domains, and reflects on the client’s values that are impacted – why does it bother them?

24
Q

What is the “Unique Outcomes” technique in Narrative therapy?

A

A “Unique Outcome” is a piece of a deconstructed story that would not have been predicted by the dominant story or the problem-saturated story.

The unique outcomes technique focuses on a different storyline or storylines than the one holding the source of your problems. The therapist encourages the client to pursue new storylines.

25
Q

What are Sparkling Moments in Narrative Therapy?

A

Sparkling moments are the times when we don’t cooperate with problems, when we push back and recognize we have it in us to redefine who we are apart from our problems.

26
Q

How is existentialism useful in Narrative therapy?

A

The client can make new meaning from their experiences. They are not bound by the old stories.

The “My Life Story” intervention encourages a client to write out chapters and summarize seasons of their life. This helps them see that the past does not define their future, always.

27
Q

What is Narrative therapy good for?

A

Anxiety
Depression
Trauma
Addictions
Eating problems
Anger
General difficulties with emotion regulation

28
Q

What is Assessment like in Narrative therapy?

A
  • Get the family’s story
  • Identify problems & assumptions
  • Assess alternatives and unique outcomes (via deconstruction)
29
Q

How does change happen in Narrative therapy?

A
  • By opening space (expanding possibilities); cognitive
  • Helping client see numerous possibilities
  • Expanded sense of self
30
Q

When does termination happen in Narrative therapy?

A

The client decides

31
Q

Who developed Narrative Therapy?

A

Michael White
David Epston