simple therapy a step beyond sfbt plamen panayotov solutions brief therapy and counseling centre...
TRANSCRIPT
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Simple Therapy
a step beyond SFBT
Plamen PanayotovSolutions Brief Therapy and Counseling Centre Rousse
Bulgaria
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‘ Improvisation requires
a profound process of assimilation
verging on
forgetting. ’
Paolo Pandolfo
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What is the most useful definition of SFBT ?
A psychotherapeutic approach
A way of thinking
A life philosophy
A toolbox(Steve de Shazer)
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How is this definition useful ?
It allows for …
- Discovering new tools- Trying them out in practice
- Evaluating them- Sharing them with others
- Adding them to the toolbox
… thus developing the SFBT practice.
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Solution FocusQuestion:
Who needs to be solution-focused ?
The therapist ?( not necessarily )
The client ?( preferably )
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Question:Can we help clients
become solution-focused without necessarily
asking them SF questions ? The obvious answer :
No .Paradoxically :
Yes .If yes, how ?
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Question:
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to ask a certain question ( to use a particular tool )
?
Answer: You either guess,
or you follow the client.
Question: Which one is better ?
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How do we follow clients ?
by
Listening to them
and
Observing their reactions
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quoted Ludwig Wittgenstein:
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DON'T THINK,
BUT OBSERVE !
http://brianmft.talkspot.com/aspx/templates/topmenuclassical.aspx/msgid/362961
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Question:Since the therapist is too busy
Observing ,
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Who will do the Thinking ?
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Obviously, the Client !
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How are we going to help her do it
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By including
in most of our questions
to clients:
… what do you think … ?
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Examples:
• ‘… what do you think you will notice after the miracle …’
• ‘… where do you think you are on a scale from …’
• ‘… what do you think s/he would say (see, notice) …’
• ‘… what do you think the next step might be (look like) …’
• ‘… when do you think it was a little bit better …’, etc.
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the Thinking Tool / Question
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The Basic Question ( Main Theme ) :
What does the client want …
- to talk about in her session ?
- to be asked about ?
- from our conversation ?
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Thus we
come to
…
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The Opening Questions :
What do you think is the most useful question
I can ask you as a beginning ?
What do you think we need to talk about first ?
What do you think we need to do first ?
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Opening Questions
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What do you think is the most
common answer to the Opening
Questions
? ? ?
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Most clients reply with
Laughter
or at least
a Smile
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Insoo and Steve
About Laughter
video
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How does this question/tool
“What do you think is the most
useful question I can ask you
as a beginning ?”provoke laughter ?
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By changing the focus from the client to the
therapist and the conversation at
hand.It’s implicit meaning is:
I don’t know anything about your problem,
about the possible solutions, but I don’t know also …
what to ask you !
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This turns the therapeutic situation
Upside Down
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When the client tells us the most useful question ,
we just …
R e p e a t I t
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Echoing - the Therapeutic Wheel
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What happens
if the client replies to the Opening Questions
with :‘ I don’t know . ’
This works as an invitation for us to use
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The Classical SFBT Tools :Exceptions-finding Qs
Miracle Question
Scaling Questions
Relationship Questions
Coping Questions
Compliments
Tasks
EARS
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What happens
if in response to the Opening
Questionthe client asks
W H YW H Y her problem is there ?
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HistoricallyWhen talking about why problems
exist
used to say:
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Shit
A habit
Happens.http://en.solutions-centre-rousse-bulgaria.org/files/The_Vomiting_Girl.pdf
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Exercise
Try to think of an exception
to this ‘explanation’ :
It happened first ,and then became a
habit .
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The Final Cut of the Ockham’s razor :
Everything happens first , and then becomes a habit .
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Clearing the ‘why’ Questions
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Instead of saying this to clients …
we ask themthe Why Clearing Questions:
When did this habit happen for the first time ?
How often does this habit happen lately ?
When did this habit happen for the last time ?
because of ...
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the Process:
Most therapists reply with
clever answers
SFB Therapistsreply with
useful questions
(a Jesuit habit)
Clients come with their questions …
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What do you think
happens when the ‘why’ is cleared ?
After answering one, two, or several
echoing questionswhat usually happens is …
A Miracle:
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Clients BECOME Solution-Focused,
and THEY ask …
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The Awakening Question :
What are we going to do
about it ?
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Then the therapist
simply writes downtheir answers
to the Awakening Questionon…
what, do you think ?
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a Prescription
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…
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…
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What does a Prescription contain ?
From 1 to 5 (usually 3 - 4)
self-prescribed tasks(answers to the Awakening
Question)
in client’s preferred order
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Rp./
• Pills• A cigarette in the morning• Verdi’s ‘Requiem’, page 107 of ‘War
and Peace’, then talking to friends• Buying a dog• A walk in the park• A cognac with the afternoon coffee• Two-sided prescriptions• Whatever clients prescribe to
themselves
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How does a Prescription work ?
Written texts are usually more powerful than spoken words.
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A Prescription works also as a Reminder
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Handing SOMETHING to clientsis better than ‘just talking’ to
them.
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What do you think
needs to happen next ?
We need to ask for a permission
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to follow-up the client.
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Follow-up Permission Quest
If you let one of us ask you 6 months from now
on the phone …
• How are things going on for you ?and
• Was our meeting(s) useful for you ?
please write down your phone number.
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How does it work ?
From now on the client will have to
change not only for herself,
but also for the therapist.
Her progress will beOBSERVED.
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After the agreed upon TIME
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Phone call by someone from the team
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Follow-up Questions:
How are things going on for you ?
and
Was our meeting 6 months ago
useful for you ?
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Feedback database
Date Phone/e-mail
Client's Name(s)
Client(s)Okay
Client(s)Not Okay
Therapy Useful
Therapy Useless
uuu uuu uuu x x
vvv vvv vvv x x
www www www x x
xxx xxx xxx x x
yyy yyy yyy x x
zzz zzz zzz x x
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How does it work ?
- As an additional phone session
- As a reminder
- As a sign of engagement from the therapist
- And …
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As a tool for efficacy studies
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Does Simple Therapy work ?
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Reprise
TherapeuticImprovisation
requires a profound process of assimilation
of therapeutic tools verging onforgetting
them .
after Paolo Pandolfo
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for
Questions & Comments
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Don’t forget that the
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is waiting for …
Your new tools !!! So,
Good Luck with discovering them with Your
clients !
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Visit our web-site at
http://en.solutions-centre-rousse-bulgaria.org/