solution focused therapy leslie hollenbeck meggen sixbey steve de shazer insoo kim berg
TRANSCRIPT
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Solution Focused TherapyLeslie Hollenbeck
Meggen Sixbey
Steve de Shazer Insoo Kim Berg
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What is Solution Focused Therapy?
• A therapy that produces rapid change
• A therapy that is reported to have a higher degree of client satisfaction
• A therapy that is extremely effective in very little time
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Other Practitioners Like it Because…
• It is easy to understand and to apply
• The cost per client is comparatively lower, attracting HMO’s
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History
• SFBT grew out of the Mental Research Institute’s (MRI) model of Strategic Therapy
• Steve de Shazer – main theory developer
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Similarities with the Strategic Model
• Emphasis on brevity
• Clear behavioral goals
• Extensive use of reframing
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Differences Between SFBT and Strategic Theory
Strategic• Client’s problems serve
them a purpose• Client is “resistant” to
change• Therapist is
expert/manipulator• Strategic model is
complex, intellectual, and intimidating
SFBT
•Client truly wants to change
•Resistance is only a mis-match between the therapist’s suggestion and the client’s worldview
•Client is expert, therapist is a collaborative partner
•SFBT is straightforward and easy to understand
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Responding to the Issues of…
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Sociocultural, Demographic and Lifestyle Diversity Issues
• A true solution focused therapist would claim that SFBT is a completely unbiased model of therapy
• The client’s worldview is completely valid and meaningful
• Little to no focus on the past, history or context
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The Question of Cosmology• Future-focused, not past• Offers little to the
discourse on a person’s context within a system of others
• “Languaging” is highly emphasized – people use language to create their own social contexts and realities
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The Question of Aesthetics
• Emphasis on simplicity, obviousness and common sense
• Searching for “underlying issues” is a no-no!
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The Question of Relationship
• Collaborative
• Partnership
• Horizontal, not hierarchical
• Importance of Fit
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The Question of Ethics
• “Is there a choice to be made? Can we continue to diagnose if, or when, we know different and maybe faster and simpler ways to find out what can be helpful?” H. Korman
• The diagnosis trap
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The Question of Cognition/Knowledge/Truth
•SFBT believes that individuals and their families have the knowledge to build their own solutions
•Cognitions vs. Emotions
•Mediated through language
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The Question of Motive/Motivation
• Initial distress
• Client already has tools for success and has been successful and productive in the past
• Compliments as a therapeutic tool that help motivate people and build solutions
• Quick effectiveness
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The Question of Expressiveness
•Traditionally emotions linked to cognitions/behavior
•Traditional emphasis on behavior when emotion is experienced
•Emotion is created through “language games.” Thus, emotion can be impacted by a change in language, and therefore a change of meaning
•Others feel emotions deserve a more central role
•Contend that using “language games: relegates the therapist to an expert/manipulator
HOT TOPIC…
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The Question of change
• Clearly defined goals elicit the expectation for change
• Emphasis on reframing and creating new meanings
• Small changes naturally lead to larger change
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The Question of Participation
• “A tap on the shoulder”• Collaborative Partnership
– co-constructing solutions for a preferred future
• Using language to focus attention to client’s strengths and past successes while incorporating the client’s own language and ideas
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The Question of First Cause
If it ain’t broke don’t fix it
If it works do more of it
If it doesn’t work don’t do it again
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References