Title: BRIEF THERAPY
1BRIEF THERAPY
- A- SOLUTION FOCUSED APPROACH
27 PRINCIPLES
- .Emphasis on Mental Health -
- Focus on the success of clients in dealing with
their problems. - Rather than looking for what is wrong and how to
fix it, look for what is right and discover how
to use it.
37 PRINCIPLES
- .Utilization -
- Quality treatment involves eliciting from the
client their strengths, resources, and health
attributes that are needed to solve the
presenting problem. - The therapist utilizes the clients exiting
resources, skills, knowledge, beliefs,
motivations, behavior, social network that leads
them to their desired outcome.
47 PRINCIPLES
- .An Atheoretical/Nonnormative/ Client Determined
View - Therapist serves client by learning his/her
unique way of understanding the problem. - Traditionally, therapy focused on problems and
problem solving. When solution-focused, the
therapist talks about changes, differences that
make a difference and solutions, rather than
talking about difficulties, complaints, and
problems.
57 PRINCIPLES
- Parsimony
- KISS
- Conducting treatment from the bottom up rather
than from the top down. - The solution focused therapist does not believe
that the problem is the tip of the iceberg. The
problem is the problem.
67 PRINCIPLES
- ..Change is Inevitable
- Assumes that change is so much a part of living
that clients cannot prevent themselves from
changing. - Therapy becomes a matter of simply identifying
those naturally occurring changes and then
utilizing them in bringing about a solution.
77 PRINCIPLES
- Present and Future Orientation
- Focus is on the present and future.
- Miracle Question
87 PRINCIPLES
- .Cooperation
- Therapist and client becomes a partner in
solution finding.
97 PRINCIPLES
- .Emphasis on Mental Health - Focus on the success
of clients in dealing with their problems.
Clients strengths, resources, and abilities are
highlighted rather than their deficits and
disabilities. - .Utilization - Quality treatment involves
eliciting from the client their strengths,
resources, and health attributes that are needed
to solve the presenting problem. - .An Atheoretical/Nonnormative/ Client Determined
View - Therapist serves client by learning his
unique way of understanding the problem. - .Parsimony - KISS
- .Change is Inevitable
- .Present and Future Orientation
- .Cooperation
10CENTRAL PHILOSOPHY
- If it aint broke, dont fix it!
- Once you know what works, do more of it!
- If it doesnt work, then dont do it again. Do
something different!
11The Basics
12Problem Description
- Asking for Clients Perception Respecting
Client Language - (Posture of Not Knowing)
13Problem Description
- How does the problem affect the client?
- (How this problem is a problem for the client)
14Problem Description
- What has the client tried?
- (Focus is on client competencies)
15Problem Description
- What is most important for client to work on
first? - Which prayer do you want God to answer first?
- Questions to ask
- Which of these is the most important to work on
first? - What is happening in your life that tells you
its important to work on this first?
167 Qualities of Well-Formed Goals
- .Saliency to the client - (Important to the
client).
177 Qualities of Well-Formed Goals
- .Saliency to the client - (Important to the
client). - .Small - small enough so they can be achieved
187 Qualities of Well-Formed Goals
- .Saliency to the client - (Important to the
client). - .Small - small enough so they can be achieved.
- .Concrete, Specific, Behavioral.
197 Qualities of Well-Formed Goals
- .Saliency to the client - (Important to the
client). - .Small - small enough so they can be achieved.
- .Concrete, Specific, Behavioral.
- .The presence of rather than absence of
something.
207 Qualities of Well-Formed Goals
- .Saliency to the client - (Important to the
client). - .Small - small enough so they can be achieved.
- .Concrete, Specific, Behavioral.
- .The presence of rather than absence of
something. - .A beginning rather than an end.
217 Qualities of Well-Formed Goals
- .Saliency to the client - (Important to the
client). - .Small - small enough so they can be achieved.
- .Concrete, Specific, Behavioral.
- .The presence of rather than absence of
something. - .A beginning rather than an end.
- .Realistic and achievable within the context of
the clients life.
227 Qualities of Well-Formed Goals
- .Saliency to the client - (Important to the
client). - .Small - small enough so they can be achieved.
- .Concrete, Specific, Behavioral.
- .The presence of rather than absence of
something. - .A beginning rather than an end.
- .Realistic and achievable within the context of
the clients life. - .Perceived as involving hard work.
23Goal Setting
- Goals are stated in the positive
- Goals are stated in a process form. What will
you be doing - Goals are stated in the here and now
- Specific as possible
- Goals are within ones control
- Goals are in your own language
24Good Goals/six criteria
- Goals are stated in the positive
- Stated in process (what will you be doing?) form.
- Here and now
- Specific as possible
- Ways that are within their control
- Clients own language
25Goal Negotiation
- What needs to happen as a result of coming here?
- What do you hope is different, so that will make
you think it was a good idea. - Thinking of future outcome
26Miracle Question
- If a miracle happen what would be different?
- What else?
27Detail of the miracle and the solution picture
- What would you notice that is different?
- What would you notice different about them?
- How would you be different?
- What else would be different?
28Solution Finding Questions and Exceptions
- How did you do that!
- When the exception is happening what is
different?
29Scaling Questions
- On a scale from to 1-10, from the time you
decided to call being a 1 to the miracle being a
10. Where are you now? - What would bring it up?
- What keeps it from declining?
30End of Session Feedback/Bridging Statement
Do more of what works. Do one thing different.
31Second Session
- What was better?
- How did you do that?
- How did it affect you?
- Scaling Question (from 1-10) each session?
- Most clients feel the problem is fixed at a 7-8.
32 Client-Therapist Relationship
- Customer - Type Relationship Goal for treatment
has been identified jointly by client and
therapist. Client indicates that he sees himself
as part of the solution and is willing to do
something. - Complaint - Type Relationship Therapists and
client are jointly able to identify goal or
complaint but have identified concrete steps
toward solution. - Visitor - Type Relationship At end of session,
the therapist and client have not jointly
identified a complaint or goal.