BRIEF THERAPY

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BRIEF THERAPY

• A- SOLUTION FOCUSED APPROACH

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7 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.

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7 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.

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7 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.

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7 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.

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7 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.

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7 PRINCIPLES

• Present and Future Orientation
• Focus is on the present and future.
• Miracle Question

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7 PRINCIPLES

• .Cooperation
• Therapist and client becomes a partner in
  solution finding.

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7 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

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CENTRAL 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!

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The Basics

• Getting Started

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Problem Description

• Asking for Clients Perception Respecting
  Client Language
• (Posture of Not Knowing)

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Problem Description

• How does the problem affect the client?
• (How this problem is a problem for the client)

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Problem Description

• What has the client tried?
• (Focus is on client competencies)

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Problem 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?

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7 Qualities of Well-Formed Goals

• .Saliency to the client - (Important to the
  client).

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7 Qualities of Well-Formed Goals

• .Saliency to the client - (Important to the
  client).
• .Small - small enough so they can be achieved

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7 Qualities of Well-Formed Goals

• .Saliency to the client - (Important to the
  client).
• .Small - small enough so they can be achieved.
• .Concrete, Specific, Behavioral.

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7 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.

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7 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.

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7 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.

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7 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.

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Goal 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

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Good 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

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Goal 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

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Miracle Question

• If a miracle happen what would be different?
• What else?

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Detail 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?

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Solution Finding Questions and Exceptions

• How did you do that!
• When the exception is happening what is
  different?

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Scaling 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?

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End of Session Feedback/Bridging Statement
Do more of what works. Do one thing different.
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Second 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.

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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.