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Solution-FocusedTherapyMikesLecture_ts.pptx

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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