Week 6 - Solution Focused Brief Family Therapy Flashcards

1
Q

Who was is Milton Erickson’s African Violent Queen?

A

Erickson went to see this depressed woman in a wheel chair. She lived in a mansion alone and rarely ever went outside the house. She was depressed and her nephew was on thinking of suicidal thoughts. The woman showed Erickson around her mansion and they finished the tour in the green house. The whole house was dark and depressing except for the green house where african violet plants grew from the one plant. Erickson told the woman to keep up to date with the newspaper and take an african violet plant to every marriage, death, graduation, birth any event as a condolence or congratulation. The woman followed these instructions and after many years of continuing this she died but had become to be known as the African Violet Queen. Erickson’s way of helping this woman was not to eliminate the depression in her life by drugs, but to bring out the living, thus the african violet plant.

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2
Q

Why is solution focused therapy a revolution in psychotherapy?

A

It has changed the practice of therapy all over the world.
Psychology (positive psychology), social work (strength-based counselling and social work), and organisational consulting (appreciative inquiry) have variations of it in widespread use today

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3
Q

What was Don Norum’s “The family has the solution” approach?

A

Families often have the solution but don’t talk about it because therapists don’t ask

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4
Q

What is MRI/Strategic therapy?

A

Behavioural and interaction focus

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5
Q

What did the Milan Family Therapists say about the solutions to problems?

A

Solution is not necessarily linked to the problem

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6
Q

What does SFT assume people have?

A

People have resources, skills, strengths, abilities, competencies and solutions

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7
Q

What does therapy allow to increase in emphasis and prominence?

A

What gets focused on and talked about during therapy increases in emphasis and prominance

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8
Q

What is the relevance of the cause of the problems in SFT?

A

What caused the problem is not as relevant as what helps make the situation better

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9
Q

What is the main focus of SFT?

A

Focus is more on actions, viewpoints and contexts than on personality traits, feelings or intention

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10
Q

What are clients according to SFT?

A

Clients are experts on their own lives and experiences?

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11
Q

What is resistance according to SFT?

A

Resistance is typically brought about by unhelpful interactions between therapists and clients

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12
Q

What is not always necessary in SFT?

A

It is not always necessary to understand all about the problem in order to begin to change it

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13
Q

What is the principle of SFT that intervening certain things?

A

If it is working for the client(s) and does not harm anyone, there is no need to intervene or change it, even if it does not fit some theoretical model of “mental health”. If you find something that works, even a little, encourage the client to do more of that

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14
Q

What is the principle of SFT relating to unhelpful or problematic conversations?

A

Do not take up unhelpful or problematic conversations. Listen politely and then refocus on what s working, could work or what the client wants

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15
Q

What should be asked, complimented on and recognised in SFT?

A

Ask about and listen for exceptions, solutions and preferences. Compliment people when possible and when congruent and not patronising; recognise their progress, positive coping skills and their competence

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16
Q

How long should SFT take?

A

It should be as brief as possible?

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17
Q

What are the attitudes of SFT?

A

Curiosity, non-expert stance,
not interested in causes, labels, diagnoses or exploring the past,
pragmatic,
not much use of jargon - plain speaking

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18
Q

What is SFT not interested in?

A

causes, labels, diagnoses or exploring the past

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19
Q

What is the normative model of healthy in SFT?

A

There is no normative model for “healthy” thinking or living

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20
Q

Why do SF therapists take a non-expert stance?

A

As clients are experts on their lives, responses to our interventions and experiences

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21
Q

What are the 5 main traits of SFT?

A
Client-directed
Interactional
Goal-directed
future-oriented
competency-based
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22
Q

Who us the customer client?

A

These clients are active and want to do something about their situation?

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23
Q

Who is the visitor client?

A

No problem stance. A client who does not know or cannot verbalise his or her complaint or problem

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24
Q

Who is the complainant client?

A

No control stance. These clients do not want to do anything themselves but want someone or something else to change

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25
Q

What is the generic SFBT interview format?

A
  1. hosting - social stage (non-problem talk)
  2. Pre-session change
  3. Goaling
  4. Exceptions
  5. Scaling questions
  6. Break
  7. Message
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26
Q

What happens in the GOALING stage of SFBT?

A

Goaling for preferences and possibilities. Finding out what the client wants to be different (using miracle questions, coping questions). It is obtaining descriptions of what clients want to be different

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27
Q

What happens in the EXCEPTIONS stage of SFBT?

A

Discovering exceptions to the problem (instances of the miracle) and ‘video-talking’ these

28
Q

What are scaling questions?

A

Questions about scaling progress, motivation and willingness

29
Q

what happens in the MESSAGE stage of SFBT?

A

Compliments, bridge and tasks or experiments

30
Q

What is hosting and problem free talk?

A

Fundamental to the solution focused approach to the importance of building rapport quickly and supporting clients to speak about areas of their lives that they feel are working

31
Q

What does hosting and problem free talk support?

A

This supports the quick generation of rapport and may elicit some contexts of competence/resources and skills that may be relevant to solution building

32
Q

what are examples of hosting and problem free talk?

A

Before we start could you tell me a little but about something you enjoy doing in your life that you’d like to do more of if you could?

What do you guys do as a family that you enjoy? What did you used to do?

What are some things that you appreciate about your mother?

33
Q

What is pre-session change?

A

Amplifying what is already working. Search for chagne that has occurred prior to the first sessions.

ASK:
Whats different for you since you first made the appointent?
How has the concern that you’ve brought today changed since you first decided to come in?
How did yo manage to do this? (Action talk)

34
Q

What did Albert Enistein say about your imagination?

A

“Your imagination is your preview of life’s coming attractions”

35
Q

What vision is developed in the goaling phase of SBT and what does it provide?

A

Developing a vision of what will be different for the client when the problem has been resolved, generates hope, provides possible solution behaviours and clarifies the change that is hoped for. It is a continuous process of inviting clients to explore and define what they want to be different in their lives

36
Q

What does the therapist need to do when goaling?

A

Needs to me monitored an checked during counselling.
ASK:
are we still on track to achieving what you came for?
Is that still what you want or would you like to change this goal?

37
Q

What questions are preferred in SBT?

A

Future or solution questions

Miracle and crystal ball questions.

38
Q

What are examples of future or solution questions?

A

Miracle and Crystal ball Questions
• How will you know that you don’t need us here any longer?
• How will you know that your work with us has been useful?
• What will be the first thing you notice that will tell you that the problem is resolved?
• Imagine a future where the problem has been resolved what is happening differently? How would that be different, how would you feel, how would your day be
different?
• Who would be the first to notice? (interactional difference)
• When your son is more relaxed what would you be doing diffrently? (Interactional
Difference)

39
Q

What do video talk, action and sensory based descriptions establish?

A

Who, what, where and when

40
Q

What do achievable goals consist of in SBT?

A

Achievable goals consist of clients actions or conditions that can be brought about by client actions. Within there sphere of influence. We cannot change someone else only ourselves

41
Q

What does it mean when the goal must be mutual in SBT?

A

When there is more than one client all parties must agree that the goal is relevant and achievable

42
Q

What must be translated in SBT?

A

Translate vague non-sensory based words and phrases into action based language. Find outer observable correlates for feelings and or inner state/qualities

43
Q

What is in positive language?

A

Should be used in SBT - it is the presence of something vs the absence of something

44
Q

What should be assumed about your work as a therapist in SBT?

A

Assume that your work will be successful - use suppositions like “will”, “when” and “yet” when speaking about the clients goal

45
Q

What must the therapist aim to extract from the client in order to keep it a collaborative and competent therapy session?

A

A fundamental tenet in collaborative and competency based practice is that there are always exceptions and moments of change in any problem story. It is our job t task the question that draw these out and bring them to our client’s attention

46
Q

What can you do if the client cannot find exceptions or aspects of coping (assets / qualities)?

A

can always be found in the client’s lives since they are still surviving and attempting to take action by seeking counselling help

47
Q

What must the therapist convince the client?

A

It is the therapist’s job as collaborative practitioners to keep themselves attuned to this in our clients, the idea is not to convince people that they have solutions and competence, but to ask questions and gather information in a way that convinces and highlights for them that they do/

48
Q

When can exceptions be thought of?

A

Exceptions can be thought of as times when:
The problem does not happen
When the problem happens less
When the problem bothers (constricts or constrains) the client less
When there is any change to the problem, both preferred or not preferred

49
Q

What are exception questions designed to do?

A

They are designed to elicit descriptions of time when things went differently from the usual problem situation and form the seeds of “solution building”

50
Q

What do solution exceptions focus on?

A

They focus on the who, what, where, when and how NOT WHY!

51
Q

What are examples of simply solution questions?

A

‘What has been working?
‘Can you think of a time when you solved a situation like this
‘Can you remember a time when you would have expected the problem to occur but it didnt?
What was different before the problem started?

52
Q

How would you amplify an exception?

A

By developing rich descriptions that are behavioural and observable (e.g. so you said you responded to your son in a better way than normal, what did this look like?) and exploring the interactional difference (‘ Who do you think noticed this change, and what difference did it seem to make in how your son behaved?)

53
Q

What are examples of questions accounting for the capacity of people to amplify exceptions?

A

How have you managed to do that?
How did you decide that was good for you?
How did you know that would help?
How did you figure out that it would work?
How did you manage to take this step?
How did you prepare yourself?
What did you say or do to prepare yourself?
What have you thought about trying but have not done yet?

54
Q

What are scaling questions designed to do?

A

Designed to get continual assessment and feedback from the person/family and bring attention to changes or grey areas in the problem situation and the clients movement towards their goal.

55
Q

What are examples of scaling questions?

A

‘On a scale of 1 to 100, 100 being there is no conflict at all between
You and your partner, and 1 being frequent intense conflict, how have things been over the past week or so?
‘So you said that you are a 3 on the scale at the moment, and I was
wondering how you would know that you had moved up to a 4 on this scale, what would be the first sign’ ?
‘ So you say you’re a 4 out of ten in regards to your control over violence, why a 4 and not a 0?’

56
Q

How do you go from a conversation to a plan for action in SBT?

A

Many times people will spotaneously begin using the solutions that have been evoked. Often however it is useful to develop a clear plan for action or a series of action steps with the client. This can take the therapeutic conversation, the changes in the clients perspective and ground them in changes in behaviour.
One option is to suggest some small experiment or action based on the solutions evoked, this can form an action step towards the goals that were Initially developed.

57
Q

What should the therapist notice and acknowledge in SBT?

A

Notice and acknowledge any positive development of positive risk-taking or efforts clients shared

58
Q

What should the therapist compliement in SBT?

A

Compliment client;s for coming to therapy and cooperating with the process

59
Q

What should the therapist outline and summarise in SBT?

A

Outline and summarise the hopes for change and the capacities that the client has discussed

60
Q

What should the therapist discuss in SBT?

A

Stick to what was discussed in the session, not what you think, using the client’s language where possible

61
Q

What should the therapist check in SBT?

A

Check in with the client about one thing they might be taking away with them and something they might do differently between now and next session

62
Q

What are the therapeutic tasks?

A
The Formula First Session Task
Do one thing different
The surprise task
Keep doing more of the same
Notice change task
63
Q

What happens in follow up sessions in SBT?

A

From the beginning of any follow up sessions we focus on change & difference from the outset by asking questions such as:
How have things been better since we last met?
What’s better.? When during the week were their moments that things improved?
Can you tell me about these times?
You say that things have been worse, what’s different then since last time we met?
You say nothing has changed, and I’m wondering what your doing to cope with this?

64
Q

What is the process for SBT practice?

A
Skills and competence change (Past change)
->
Elevator language and video talk
->
Social resources and social allies
65
Q

What questions should be used when dealing with the past in SBT?

A

Exception questions: close (directly related), distant (related), Other (others’ perspective)

66
Q

What questions should be used when dealing with the present in SBT?

A

Coping Questions (how come things are not worst) and scaling questions

67
Q

What questions should be used when dealing with the future in SBT?

A

Preferred future questions (how would you know you had reached your goals? what would you be doing? what is the first step?