Lecture 5 - Brief Solution Therapy and Integrative Approach Flashcards
Solution Focused Brief Therapy (SFBT)
- SFBT is a what focused
- It emphasises what
- SFBT is what
- SFBT is a future-focused, goal-oriented therapeutic approach to brief therapy developed by De Shazer and Berg
- It emphases strengths and resiliencies in people by focusing on exceptions to their problems and their conceptualized solutions
- SFBT is optimistic, Anti-deterministic, . Future-oriented approach based on the assumption that clients have the ability to change quickly and can create a problem-free language as they strive for a new reality
SFBT
Key Concepts
-Therapists focus on what is what and they have what
-Behaviour change is viewed as the most effective what
-De Shazer suggests that it is not
-Any person might consider multiple what
-There is some discussion of what problems and this helps to do what to clients
*** clients choose what
Therapists focus on what is possible, and they have little or no interest in gaining an understanding of how the problem emerged
Behaviour change is viewed as the most effective approach to assisting people in enhancing their live
De Shazer suggests that it is not necessary to know the cause of a problem to solve it and there is no necessary relationship between the causes of problems and their solutions
Any person might consider multiple solutions, and what is right for one person may not be right for others.
There is some discussion of presenting problems and this helps to validate clients’ experiences and lets them describe their pain, struggles, and frustrations.
-Clients choose the goals they wish to accomplish, little attention is given to diagnosis, history taking, or exploring the emergence of the problem
SFBT
Positive Orientation
-Based on the what
-We already have the ability to what
-The therapists role is to help clients what
-Therapists can be what in assisting clients in making a what
-One of the goals is to shift clients what by what
Based on the assumption that people are healthy and competent and have the ability to construct solutions that can enhance their lives.
We already have the ability to resolve the challenges life brings us, but at times we lose our sense of direction or our awareness of our competencies.
The therapist’s role is to help clients recognize the competencies they already possess and apply them to solutions
Therapists can be instrumental in assisting clients in making a shift from a fixed problem state to a world with new possibilities.
One of the goals is to shift clients’ perceptions by reframing problem-saturated stories through the counselor’s skillful use of language
SFBT Looking for what is working -The emphasis of SFBT is to what -SFBT focuses on finding out what -When you know what is working, do what
The emphasis of SFBT is to focus on what is working in clients’ lives.
SFBT focuses on finding out what people are doing that is working and then helping them apply this knowledge to eliminate problems in the shortest amount of time possible
When you know what is working, do more of it. If something is not working, try something different.
Characteristics of Brief therapy
- The average what
- The most common length being what
- The main of brief therapy is to what
the average length of therapy is three to eight sessions
The most common length being one session
The main goal of brief therapy is to help clients efficiently resolve problems and move forward as quickly as possible
Defining Characteristics of Brief Therapy
- Rapid what between therapist and client
- Clear what
- Clear division of what between client and therapist
- Emphasis on clients what
- Expectation that change is what
- Here and now what with a primary what
- Specific what
- What assessments of what
- Time what
Rapid working alliance between the therapist and client
Clear specification of achievable treatment goals
Clear division of responsibilities between client and therapist with an active client and a high level of therapist activity
Emphasis on client’s strengths, competencies, and adaptive capacities
Expectation that change is possible and realistic and that improvement can occur in the immediate future.
Here-and-now orientation with a primary focus on current functioning in thinking, feeling, and behaving
Specific, integrated, pragmatic, and eclectic techniques
Periodic assessment of progress towards goals and outcomes
Time sensitive, including making the most of each session and ending therapy as soon a possible.
Five - Step Therapeutic Process
- Clients are given the opportunity to what
- The therapist works with clients in developing what
- The therapist asks what
- At the end of what
- The therapist and client what
- Clients are given the opportunity to describe their problems and the therapist asks, “How can I be useful to you?”
- The therapist works with clients in developing well-formed goals that are stated positively, are action oriented, are structured in the here and now, are attainable, concrete, specific, and measurable. Asks the question, “what will be different in your life when your problems are solved?”
- The therapist asks clients about those times when their problems were not present or less severe – what did they do to make these events happen?
- At the end of each solution-building conversation, the therapist offers clients summary feedback, provided encouragement, and suggests what clients might observe or do before the next session to further solve their problem.
- The therapist and clients evaluate the progress being made in reaching satisfactory solutions by using a rating scale. Clients are asked what needs to be done before they see their problem being solved and what their next step will be.
Integrative Approach
Developing your Integrative approach to communicating therapeutically
Name 5 scenarios -PPITP
1) preschool screening – Obesity and 4 litres of chocolate milk per day
2) Parenting classes – not going to vaccinate
3) Inmate – demonstrating maladaptive behaviour (throwing urine at guards)
4) Three teens during night shift – suicide pact in Stony Rapids Hospital
5) Prenatal class – majority of the women have been subjected to domestic violence
What are you going to say?
-The key task if to find what
The KEY task is to find ways to integrate certain features of each of these approaches s that you can work with clients on all three levels of human experience.
Some of the goals of therapy 14
- Restructuring personality
- Uncovering the unconscious
- Creating social interest
- Finding meaning in life
- Addressing an emotional disturbance
- Examining old decisions and making new ones
- Developing trust in oneself
- Becoming more self actualizing
- Reducing maladaptive behaviour and learning adaptive patterns
- Becoming grounded in the present moment
- Managing intense emotions i.e. Anxiety
- Gaining more effective control of one’s life
- Reauthoring the story of one’s life
Video messages (Kottler) – the essence of good communication
- Work on what
- What and what our patients/clients/elders
- What is catharsis
- What is not enough
- Combination of what
- People need some what what
- Combing what
- All of the what work to what
- What is more important than the other
- All the therapists we studied are what
- Devlop your own what
- Be what to what
- Should be what driven
- Clients are doing their what
- Work on relationships
- Honouring and respecting our patients/clients/elders
- Catharsis – giving people a place “to dump”
- “Insight is not enough” – Rogers was wrong?
- Insight and action in combination
- People need some structure to take action
- Combing cognition with affect
- All of the therapies work to some extent
- The “who” we are is more important than “what” we do
- All the theorists/therapists we studied are charismatic, passionate, caring, and respectful
- Develop your own conceptual model – flexible approach
- Be responsive to patient/client need
- Should be client driven
- Clients are doing their best to cooperate
In the video Kottler calls it generic therapy
- 7 Steps
EAPWIAE
Engage the client
Assessment or diagnostic process
Plan – what outcomes are desired and by whom
What do you want to see happen?
Insight phase
Action – deliberate, intentional, what they do outside of the therapeutic relationship is more important that the therapy
Evaluation – did the client get what they wanted/needed?
Developing your theoretical framework
- Ideally you remain what
- In addition to consider your what
- Ethical Practice implies that you employ what
Ideally you remain open to each theory, do further reading, and reflect on how the key concepts of each approach fits your personality.
In addition to considering your own personality, think about what concepts and techniques work best with a range of clients.
Ethical practice implies that you employ effective procedures in dealing with clients and their problems, and that you are able to provide a theoretical rationale for the interventions that you make.
