POST modern therapies Flashcards
Solution-Focused Therapy - Phase of Treatment
Middle
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 clients that include compliments and tasks; catch and highlight small changes; compliments / cheer-leading.
Solution-Focused Therapy
Theory of Change
– 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.
Narrative Therapy - Interventions
Deconstructive Questions
WHAT IS THE PERSON REALLY TRYING TO SAY (what does it mean to be an underachiever) Questions that clarify meaning and help people unpack their stories. They encourage clients to situate their narratives in broader contexts.
Narrative Therapy - Interventions
Writing a Letter
client writing a letter to self and others to reinforce a new story
Narrative Therapy
Theory of Change
–Change occurs by separating patient from problem and creating a new narrative or story, which emphasizes the client’s competencies and strengths.
Narrative Therapy - Phase of Treatment
End
–Document and support new story; Write letter to self and others
Solution-Focused Therapy - Interventions
Exception Questioning
– The therapist asks the client to think of a time in his life when the particular problem did not exist and what the client did differently during this time. The goal here is to focus on what has worked in the past to provide the client with a positive perspective. Example: “Tell me about the times when you don’t get angry.”
Solution-Focused Therapy - Phase of Treatment
End
– 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.
Solution-Focused Therapy - Phase of Treatment
Beginning
– Join with client competencies; Envision preferred future; begin to identify client’s strengths; use
solution-oriented language; come up with achievable goals.
Solution-Focused Therapy - Interventions
Presupposing Change
– LEAD OFF BY ASKING ABOUT THE GOOD THINGS Rather than focusing on the problem that brought
the client in, the therapist can ask the client questions to focus on the positive changes that have been occurring. Example: “What’s different, or better since the last time we met?”
Narrative Therapy
Treatment Goals
– •Deconstruct problem-saturated stories in order to create more helpful stories.
•Re-authoring the story—having a new story emerge.
Solution-Focused Therapy - Interventions
Coping Questions
– A WAY OF HELPING CLIENTS IDENTIFY RESOURCES THAT WILL HELP THE CLIENT DO BETTER If a client has trouble identifying positive change, these questions are asked by the therapist in order to illustrate resources that the client already has. This can include validating the client’s difficulties while also
showing that she is still able to get up in the morning, go to school, etc. This highlights the client’s strengths without undermining her view of reality. These questions are supportive while also challenging the client and shifting the focus away from problem-focused narratives. Example: “How do you keep going each day even when it feels like there is no hope?”
Narrative Therapy - Interventions
Externalizing the Problem
–Separating the person from the problem story;
Example: “What is anxiety trying to tell you to do?”).
Solution-Focused Therapy - Interventions
Miracle Questioning
– The therapist asks the client to envision how the future will be when the problem no longer exists and what her life looks like then. Example: “Imagine that tomorrow morning you wake up and a miracle has happened. What would be different that will tell you a miracle has happened and your problem has been solved?”
Narrative Therapy - Phase of Treatment
Beginning
–Client is invited to tell their Problem-Saturated Stories –the reason client is seeking therapy
