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SFBT- EPSY 6325 Arbona

Social Constructionism: Key Concepts a)Postmodernists assume there are multiple truths; b)Reality is subjective and is based on the use of language; c)Postmodernists strive for collaborative and consultative stance; d)Postmodern thought has an impact on the development of many theories
Social Constructionism a)The client is the expert on content; b)Dialogue is used to elicit perspective, resources, and unique client experiences; c)Questions empower clients to speak and to express their diverse positions; d)Therapist supplies optimism and the process
Social Constructionism: Therapy Goals a)Generate new meanings in the client's life; b)Co-develop solutions unique to the situation; c)Enhance awareness of the impact of various aspects of the dominant culture on the individual; d)Help people develop alt ways of being,acting, knowing,& living
SFBT a)Therapy grounded on a positive orientation: people are healthy and competent; b)Shares similarities w/ positive psych; c)Past is downplayed, while present and future are highlighted; d)Therapy is concerned w/ looking for what is working
SFBT a)Therapists assist clients in finding exceptions to their problems; b)There is a shift from problem-orientation to solution-focused; c)Emphasis is on constructing solutions rather than problem solving
Basic Assumptions of SFBT a)The problem itself may not be relevant to finding effective solutions; b)People can create their own solutions; c)Small changes lead to large changes
Basic Assumptions of SFBT a)The client is the expert on his/her own life; b)The best therapy involves a collaborative partnership; c)A therapist's "not knowing" affords the client an opportunity to construct a solution (empowers the client)
Questions in SFBT a)Skillful questions allow people to utilize their resources; b)Asking how questions that imply change can be useful; c)Effective questions focus attention on solutions; d)Questions can get clients to notice when things were better
Useful Questions a)Help people pay attention to what they are doing and b)Open up possibilities to do something different
Types of Relationships in SFBT a)Customer-type relationship, b)Complainant relationship, and c)Visitors
Customer-type Relationship Client and therapist jointly identify a problem and a solution to work toward
Complainant Relationship A client describes a problem, but is not able or willing to take an active role in constructing a solution
Visitors Clients come to therapy because someone else thinks they have a problem
Techniques used in SFBT 1)Pre-therapy change, 2)Exception questions, 3)Miracle question, 4)Scaling questions, 5)Formula first session task, and 6)Therapist feedback end of session
Pre-therapy change What have you done since you made the appointment that has made a difference in your problem?
Exception questions Direct clients to times in their lives when the problem did not exist
Miracle question If a miracle happened and the problem you have was solved, what would be different in your life?
Scaling questions On a scale of 0 to 10, where 0 is the worst you have been and 10 represents the problem being solved, where are you with respect to ____?
Formula first session task From first to second session--observe things in your life that you want to maintain
Therapist feedback end of session a)Compliment the client on work done, b)Bridge-rational for suggestion/homework, then c)tasks: Observational task (focus on positive changes) and behavioral task (do more of or do differently)
Contributions a)optimistic orientation helps clients make significant moves toward building more satisfying lives in a relatively short period of time; b)Postmodern approaches' dim view of diagnosis remind us that people can't be reduced to a specific problem
Contributions a)A major strength of SFBT is the use of questioning to generate solutions; b)Brief therapy has shown to be effective for a wide range of clinical problems
Limitations a)therapists must be skilled in implementing brief interventions; b)Therapists may employ techniques in a mechanistic fashion; c)Reliance on techniques may detract from building a therapeutic relationship
Created by: bseal023