Discussion
Solution-Focused Therapy
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Necessary Paradigm Shift
Build solutions rather than solve problems
Emphasize health
Keep it simple
Promote problem-free talk
Change is inevitable
Present and future focus
Do what works
Small changes deal with big issues: “A journey of a thousand miles starts with one step”
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Solution-Focused Therapy
What is Solution-Focused Therapy?
De-emphasizing problem-talk & emphasizing solution-talk
Change is constant & may occur rapidly
Focusing on exceptions to the problem & client’s strengths
Helping clients identify & implement solutions
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Nature of Problems
Problems result from patterns of behaviour that have been reinforced
Rigid beliefs/assumptions/attitudes prevent us from noticing new info in the environment that can provide solutions for the problems
History taking and discussing how symptoms manifest themselves are not detailed
Little need to understand how problem began
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Goals of Intervention
Help client:
Focus on concrete solutions to their problems/challenges
Discover exceptions to their problems
Become more aware of their strengths and resources
Learn to act and think differently
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Intervention
Strong collaborative relationship focused on solutions
Heavy use of future-oriented questions
SFT Process:
Problem articulation
Goals development
Explores for exceptions
Task development
End-of-session feedback
Evaluating progress
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Solution-Focused Therapy
Techniques
Miracle question
Looking for previous solutions
Compliments
Exception questions
Coping questions
Scaling questions
Normalizing
Focus on the client
Noticing
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How do you use Solution-Focused Therapy to help clients?
How does Solution-Focused Therapy conceptualize assessment & intervention?
How do you use Solution-Focused Therapy techniques?
Questions presupposing positive changes
Exception finding
Differentiating customers, complainers, and visitors
Miracle question
Scaling questions & first formula task
How do you use Solution-Focused Therapy in the case scenario?
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Benefits of Solution-Focused Therapy
Focuses on strengths and positives
Tends to strengthen worker-client relationship
Initial change may be small but tends to happen quickly
Identifies and uses client’s inherent change processes
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Critique of Solution-Focused Therapy
Ignores how past experiences, beliefs, or feelings influence presenting problem
Some clients may lack skills or knowledge and education from worker may be helpful
Intervention may be superficial
Easy to do exceptions or miracle question solutions without really addressing problem
Deep-set problems influenced by multiple factors can be resolved by simply doing a “positive” behaviour
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