Solution-Focused Practice - Chapter 20 Flashcards
T/F - clients are not viewed as having the necessary strengths and capacities to solve their own problems
false
Solution-Focused is future-oriented which means when the problem will no longer be WHAT?
a problem.
The past is de-emphasized other than times when WHAT to problems occurred (when the problem lessened in terms of duration, severity, frequency, or intensity)
exceptions
instead of stopping / changing the existing problem you want to create WHAT from exceptions
solutions
T/F - When exceptions are identified, clients explore the strengths and resources that were utilized.
true
T/F - resources are enlarged through the use of questions presupposing that positive change will occur i.e “When you are doing better, what will be happening?”
true
In Solution-Focused Therapy the individual is de-pathologized and there is an emphasis on situational aspects which include who, what …
where, when, and how of a particular behavior
The history Solution-Focused Therapy rose out of the field of
family therapy
T/F - theoretical influence on solution-focused therapy is social conservatism
False - Social constructivism (the view that knowledge about reality is constructed from social interactions)
The 5 phases of helping include what?
Engagement, Assessment, Goal Setting, Intervention, and Termination
“Joining” is the SW task of establishing a positive, mutually cooperative relationship is what phase?
Engagement, Assessment, Goal Setting, Intervention, and Termination
Engagement
idiosyncratic (individual) phrasing / language the client uses does not help them feel understood and is part of what phase
false - they DO feel understood it’s engagement
Which phase includes reframing and normalizing
Engagement
Recognize that every problem behavior contains within it an inherent strength i.e. a parent describes their child as “hyperactive” but this could be viewed as “energetic” and “high spirited.
Is which phase?
Engagement
T/F - reframing makes more manageable problems that were previously viewed as insurmountable and “de-escalates” the tendency of some problems to exacerbate beyond their original nature.
false it’s normalizing
Which phase involves determining the client’s relationship to the helping process, finding strengths, and inquiring about pretreatment changes.
Engagement, Assessment, Goal Setting, Intervention, and Termination
assessment
There are three main client relationships in the solution-focused model (that you explore during the assessment) include the customer, the complainant, and the visitor
which is comes in voluntarily to make changes in their life
customer
There are three main client relationships in the solution-focused model (that you explore during the assessment) include the customer, the complainant, and the visitor
Which is - they want someone / something else outside of themselves to change – might blame other people, events, and circumstances for their problems
complainant - can be engaged through questions designed to elicit the resources people use to cope with difficult circumstances: “This sounds very hard. How do you manage?
There are three main client relationships in the solution-focused model (that you explore during the assessment) include the customer, the complainant, and the visitor
which is mandated to visit SW with a goal of ending contact with the helping system
visitor - can be engaged toward the goal of getting the mandating body “off their backs”
During engagement or assessment should the SW be vigilant for strengths clients display outside the problem area, such as in their employment, schooling, hobbies, and relationships
assessment
During Goal Setting or Assessment where the intent is to help clients see themselves as resourceful and build upon existing strengths in order to solve presenting problems.
Assessment
Asking the client about pretreatment changes (what kind of changes they have noticed between the time they first scheduled their appointment and the first session) will help with 2 things
Hint - energy and snow
bolster client motivation
might have a “snowball effect” in that small changes lead to bigger changes. For example, if someone feels more hope for the future as a result of scheduling an appointment, they might be more prone to see people as helpful and react to them in kind.
T/F - During Goal Setting you ask questions using words such as when and will i.e. When you are sober, what will you be saying/doing?”
ex. “What will be different about your life when you don’t need to come here anymore?”
true
During Goal Setting, there is an emphasis is on well-formulated goals that are achievable within a WHAT? time frame
brief
During the Goal Setting or Intervention phase do you use the Miracle Question and Scaling
Goal Setting
T/F - the Miracle Question is when clients are asked to conjure up a detailed view of a future without the problem (envision a brighter future)
true
Is it Scaling or the Miracle Question when specifics are elicited about this no-problem experience so that clients may develop a vision of a more hopeful and satisfying future.
Miracle Question
T/F - Scaling involve asking clients to rank order themselves on a scale from 1 to 10 with “10” representing when the problem is no longer a problem.
true
T/F- Scaling will not help clients to realize they have already made some progress toward their goals
false
T/F - Scales can also be used to guide task setting (“What will you need to do to move up to a 6?”). The SW identifies specific behaviors that will help them move up one rank order on the scale.
False - the client identifies specific behaviors that will help them move up one rank order on the scale.
Scales or the Miracle Question can be used to track progress over time.
Scales
o Who (“Who was there? What did they do? How was that helpful?”)
o What (“What did you do differently? What’s different about those times?”)
o Where (“Where does the exception occur? How does that contribute to the outcome?”)
o When (“When is the problem a little better? At what times of the day and what days? Before or after?”)
o How (“How did you get that to happen? How are you managing to do this?”)
is part of assessment or intervention phases?
intervention
T/F - the major intervention is identifying exceptions - times when the problem is not a problem or when the client solved similar problems in the past
true
T/F - Exceptions do not assist people to access and expand upon the resources and strengths they already own
False - they do assist
To find and build on exceptions you could externalize the WHAT?
problem
T/F - To externalize the problem, involves personifying the problem as an external entity (e.g., “the anger,” “the arguing,” “the urge to use”).
True
Externalizing enables you to take a lighter approach to “serious” problems i.e. WHAT?
“sneaky poo”
T/F - Another way to help clients discover exceptions is to prescribe the “first formula task” for homework after the first session.
The purpose of the task is to have clients focus on what is already working for them.
true
T/F - Work is not oriented toward termination at the beginning of treatment
false
T/F - Termination is geared toward helping clients identify strategies so that change will be maintained and the momentum developed will cause further change to occur
true
It is during the Goal Setting or Termination phase that possibility rather than definitive phrasing is used.
i.e. “What would be the first thing you’d notice if you started to find things slipping back?” “What could you do to prevent things from getting any worse?”
Termination
Is it during the intervention or termination phase that involves building on the changes that have occurred, with the hope they will continue into the future.
termination
T/F - Solution-focused therapy does not work well with couples and families
false
- Solution-focused questions are asked of family members so that they can under¬stand the way their behavior influences others (“What are you doing when he is behaving?”).
- Solution-focused therapy also poses advantages for family work because it addresses the various types of relationships that present to the change process. There are strategies for com¬plainants, typically parents who bring their children to treatment. Solution-focused questioning further engages children, who usually represent the visitor type of relationship, in developing treatment goals and in tak¬ing responsibility for the work in the helping process.
Solution-Focused Therapy works well for groups because it is WHAT to closed-ended (brief nature) or open-ended groups & good for which type of clients
adaptable and mandated
T/F - Solution-focused therapy does not emphasize the problem; it does not assume that an understanding of a problem leads to its solution.
true
