narrative therapy Flashcards
basics of narrative therapy
-No “family” in the name.
-Michael White, David Epston, Jeff Zimmerman, Vicki Dickerson, Galveston Group
-The perfect expression of the post modern revolution—interested in the way people construct meaning rather than how they behave.
-Michael White combined his interest in Bateson (how people construe the world) and Foucault (the dehumanizing effect of institutions and expert discourse).
what does narrative mean
Focuses on client’s understanding and experience, thus, expanding attention to allow the consideration of alternative ways of looking at themselves and their problems.
problem in narrative therapy
- The focus is more in the individual, but Narrative examines the problem’s impact on the family.
goal of narrative therapy
People need to construct new, more positive stories about themselves.
-How people got caught in this problem stricken story of themselves, separate them from their story
The therapy involves deconstructing their unproductive stories—separate people from their problem-saturated stories. Find unique outcomes.
facets of therapy
-Extent to which the family acts “as if” problems are certainties.
-Problem-saturated stories can be destabilized.
-Deconstruction—External conversations
-Externalizing the problem, problem is a blob, who are you when the blob is not around
-Reconstruction– Re-authoring one’s story
-We all need to examine our dominate stories and determine alternate stories to replace them.
explain externalizing
-It challenges people as to who is responsible for the problem.
-It liberates people.
-What is this story doing to your picture of yourself as a person?
-How is your belief in “worthlessness” (or another problem-saturated story) affecting how others see you?
-Map the influence of the dominate story (deconstruct that identity)
-Remove problem from identity so the problem is not their identity
explain reconstructing
Unique Outcomes
-how could this positive thing have happened if the Dominate Story well totally true?
History of Unique Outcomes
-Who, in your past, would have challenged the problem-saturated version of you?
explain revisionary therapist
Neutral
-Not taking on power position, being open to who they are, being gentle
Curious
Compassionate
Everything is information
Go with resistance
Watch for strengths
Give permission to “not know”
Maintain gender sensitive stance
explain special tools
-Recruit an audience for new story
-Write letters to significant others with a re-storying to reduce the impact of the old story on others.
Inoculate against disappointment
Use a reflective team as an audience to appreciate the new story.
-Team would be watching therapy and only thinking about positive connotations, what are people trying to do that is an attempt to service the family
-Was not always clinically effective, they reflected on these things but they were unsure how to change
explain Minuchin article
-Therapists do know something and I want to see if this is useful to you, rather than I know something and I want to teach you
-Not just us asking them questions and them doing all the work
-For real authenticity, it is important to have a reaction to the things that you have a reaction to
-Therapists become too powerful with MRI and Milan, family therapy blew up, led to constructivists and narrative, Minuchin spoke, and led us to where we are now, somewhere in the middle