Family Therapy paper
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SolutionFocusedTherapySp2019.pptxThe Post-Modern World and Family Therapy
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Our interpersonal realities are constructed through interactions with other human beings and human institutions
Focus on the influence of social realities on the meanings of people’s lives
The problem is actually the context in which the problem lives
Social Constructionism
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Solution Focused Therapy
Realities are socially constructed
Realities are constituted through language
Realities are organized and maintained through narrative
There are no essential truths
Social Constructivist Worldview
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Solution Focused Therapy
Expert on the process of therapy
Job to provide a context that fosters empowerment and innate expertise
Conversational (language is key)
All ideas can be challenged and replaced
Social Constructivist Therapist
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Solution Focused Therapy
Solution-Focused Family Therapy
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Solution Focused Therapy
Friendship with John Weakland
Studied in Milwauke, and returned to found the “MRI” of the midwest
“never draw conclusions ahead of the facts”
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Solution Focused Therapy
Steve DeShazer
Born in 1934 in South Korea
Moved to US in 1957
Married to Steve DeShazer
Studied under John Weakland (MRI)
Families and substance abuse
Insoo Kim Berg
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Solution Focused Therapy
Small steps lead to big changes
“better enough”
Manageable steps
Different language needed
Problem talk vs. solution talk
If it works do more of it
Do more of what is already working, no matter what it might be
Assumptions
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Solution Focused Therapy
Problems are maintained by more of the same
Solution is unrelated to how the problem developed
Constrained by narrow, pessimistic views of their problem
Stuck in rigid repetitive patterns of thinking
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Solution Focused Therapy
Theory of Pathology
Small steps are needed
Change in language
Change in possibilities and options
Do something different
Theory of Change
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Solution Focused Therapy
Egalitarian
Avoids interpretations
There to expand options
“leading from one step behind”
Role of the Therapist
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Solution Focused Therapy
Customer
Open and eager for change
Complainant
One who focuses on the problem as something someone else needs to fix
Visitor
Invited to the session but not invested in either the problem of the possibility of change
Assessment
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Solution Focused Therapy
Exceptions
Presuppositional questioning
Scaling questions
Normalize
Miracle question
Compliments
Major Concepts
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Solution Focused Therapy
Suggestions Commonly Used
The Formula first-session task (deShazer, 1985)
“Between now and next time we meet, I would like you to observe what happens in your family that you want to continue to have happen.”
Do more of what works
Do something different
Go slow
Do the opposite
The prediction task
“Before you got o bed tonight, predict whether the problem will be better or the same tomorrow. Tomorrow night rate the day and compare it with your prediction. Think about what may have accounted for your prediction being right or wrong. Repeat this every night before we meet again.”
Times when the problem is not occurring, or did not exist
bed wetting
Fighting
What was occurring during those times
Movement from “problem talk” to “solution talk”
Coping questions: how do you prevent it from getting worse?
Exceptions
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Solution Focused Therapy
Occurs in the second session after the “first session formula task”
What the client does not want to change
Allows clients to view the situation from a different perspective
Open ended
Help pull out exceptions
“were there any good things that happened?”
What good things happened?
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Solution Focused Therapy
Pre-session change
Notice what you want to keep happening over the next week
First Session Formula Task
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Solution Focused Therapy
From “1-10”
From the initial appointment
When therapy is successful
Scaling Questions
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Solution Focused Therapy
In-Class Journal
Come up with a scaling question you could ask a client
On a scale from 1 to 10…
Think of a “problem” in your own life
On a scale from 1 to 10, 1 being “not at all” and 10 being “completely”, how much do you feel like you have control to alter this problem in some way
Way to define goals for therapy
Finding smaller manageable goals
Find things they want different
Miracle Question
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Solution Focused Therapy
An unhappy middle-aged woman, struggles with an inattentive husband and in turn attaches herself to her 20 year old son for male companionship. The husband, who feels peripheral to and excluded from the family often goes easy on the daughter when she acts out in promiscuous behavior. The son is fearful of leaving home at this time when he feels his mother needs him. The mother, distressed that her children are not “normal” and blames their difficulties on her husband, saying “if only he was around more” things would be different. As tensions increase, the daughter’s behavior spirals out of control. The family brings in the daughter for therapy.
Clinical Vignette
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Solution Focused Therapy
What would the first session look like?
What do you want to know from this family?
Miracle question
Write down how you would ask the miracle question to this family
In-Class Journal: Vignette Application
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Solution Focused Therapy
