Post Modern Therapies

Question 1

2 Types of Post Modern Therapies

Answer 1

1) Narrative

2) Solution Focused

Question 2

Narrative Therapy

Theory of Change

Answer 2

Change occurs by separating patient from problem and creating a new narrative or STORY, which EMPHASIZES the client’s competencies and STRENGHTS

Question 3

Narrative Therapy

Therapist’s Role

Answer 3

• Collaborator
• Investigator
• Co-author
• Views individuals as the experts on their own lives
• NO FAMILY OF ORIGIN

Question 4

Narrative Therapy

Treatment Goals

Answer 4

• Deconstruct problem saturated STORIES in order to create more helpful STORIES
• Re-authoring the STORY, having a new story emerge

Question 5

Narrative Therapy
Phases of Treatment
Beginning

Answer 5

Client is invited to tell their Problem Saturated STORIES- the reason they are seeking therapy

Question 6

Narrative Therapy
Phases of Treatment
Early / Middle

Answer 6

• The problem is externalized
• Mapping the influence / effects of the problem
• Identify / explore unique outcomes
• Re-author STORY
• Enlist a witness

Question 7

Narrative Therapy
Phases of Treatment
End

Answer 7

• Document and support new STORY

- Write letter to self and others

Question 8

Narrative Therapy

Interventions: Externalizing the Problem

Answer 8

• Separating the person from the problem STORY

* What is anxiety trying to tell you to do?

Question 9

Narrative Therapy

Interventions: Mapping the Influence

Answer 9

• Process of eliciting from the client a detailed description of the problem’s effect and influence on their life and relationships
• What is its impact on their life

Question 10

Narrative Therapy

Interventions: Deconstructive Questions

Answer 10

• Questions that CLARIFY meaning and help people unpack their stories
• Encourage client to situate their narratives in BROADER CONTEXTS

*What does it mean to you?

Question 11

Solution-Focused Therapy

Theory of Change

Answer 11

• Change occurs through ACCESSING client’s STRENGTHS and RESOURCES
• Emphasizes finding SOLUTIONS to a problem, not on discovering the cause or origins of the problem
• NO EXPLORATION OF THE PAST

Question 12

Solution-Focused Therapy

Therapist’s Role

Answer 12

• Consultant

- Coach

Question 13

Solution-Focused Therapy

Treatment Goals

Answer 13

• Client implements small and large changes to achieve their preferred future
• Client builds on current STRENGTHS and RESOURCES

Question 14

Solution-Focused Therapy
Phases of Treatment
Beginning

Answer 14

SHORT TERM MODEL

• Join with client competencies
• Envision preferred future
• Begin to identify client’s strengths
• Use SOLUTION oriented language
• Come up with achievable goals

Question 15

Solution-Focused Therapy
Phases of Treatment
Middle

Answer 15

SHORT TERM MODEL

• Identify strengths, resources and traits client already has used to deal with problem
• Utilize solution-talk
• Identify exceptions to problems
• Utilize SCALING QUESTIONS to reflect on the nature of change the client has experienced
• Feedback to client that include compliments and tasks
• Catch and highlight small changes
• Compliments / Cheerleading

Question 16

Solution-Focused Therapy
Phases of Treatment
End

Answer 16

SHORT TERM MODEL

• Assist client to identify things they can do to continue the changes they have made
• Identify HURDLES or perceived barriers that could get in the way of the changes they made
• Always look for SOLUTIONS!!

Question 17

Solution-Focused Therapy

Interventions: Exception Questioning

Answer 17

• Think of a TIME when your PROBLEM DID NOT EXIST, what did the client DO DIFFERENTLY during that time
• Focus on what has WORKED IN THE PAST to provide a positive perspective

*Tell me about the times when you didn’t get angry

Question 18

Solution-Focused Therapy

Interventions: Miracle Questioning

Answer 18

• Envision a future where the PROBLEM DOES NOT EXIST, what does your life look like
• WHAT WOULD BE DIFFERENT that will tell you a miracle has happened and your problem has been solved?

Question 19

Solution-Focused Therapy

Interventions: Scaling Questions

Answer 19

• Think of a SCALE ranging from the worst things to the best
• Client rates current position and is asked to identify how he could move up or down the scale
• Identify what point on the scale would be good enough or where “perfect future” is

*What would need to happen to get things higher on the scale?

Question 20

Solution-Focused Therapy

Interventions: Presupposing Change

Answer 20

• Ask questions to FOCUS ON THE POSITIVE CHANGES that have been occurring
• What’s different, or better since the last time we met?

Question 21

Solution-Focused Therapy

Interventions: Coping Questions

Answer 21

• If client has trouble identifying positive change, questions are asked to illustrate resources the client already has
• Supportive while challenging the client and shifting focus from problem focused narratives

*How do you keep going each day even when it feels like there is no hope?

Question 22

Solution-Focused Therapy

REMEMBER FOR TEST

Answer 22

FOCUS: creating SOLUTIONS to problems instead of evaluating root cause

TEST: does not use the word “problem” so any answers with the word “problem” can be disregarded