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SFBT
| Question | Answer |
|---|---|
| Solution Focused Brief Therapy is based on _______ _______ rather than problem solving. | Solution building |
| In SFBT, focus is on a client's past problems and current conflicts. T/F | False: focus is on the client's desired future |
| SFBT premises that problems happen at all times. T/F | False. SFBT premises that no problem happens all the time. Exceptions - times when problem could have happened but didn't. These times are used to co-construct solutions. |
| In SFBT, therapist help clients find _________ to current ______ patterns of behavior, cognition, and interaction that are within the clients' repertoire or can be co-constructed by therapist and client. | alternatives; undesired |
| SFBT assumes that ________ _________ already exist for clients. | solution behaviors |
| In SFBT, it is asserted that ______ increments of change lead to ________ increments of change. | small; large |
| In SFBT, clients' solutions are not necessarily directly related to any identified problem by therapist or client. T/F | True |
| In SFBT, the conversational skills required of therapists to invite clients to build solutions are different from those needed to diagnose and treat client problems. T/F | True |
| In SFBT, clients are encouraged to increase the frequency of current useful ___________. | behaviors |
| SFBT is mot similar to Motivational Interviewing, T/F | True |
| SFBT has many similarities to CBT, T/F | False, some similarities, though in CBT, the therapist assigns changes and tasks; while in SFBT therapists encourage clients to do more of their own testing of behvaiors that are part of their goal. |
| SFBT is most dissimilar in terms of underlying assumptions with any approach which requires "working through" or intensive focus on a problem to resolve it, or any approach primarily focused on the past rather than the present or future. T/F | True |
| Goals in SFBT are desired (4): | 1. desired emotions 2. cognitions 3. behaviors 4. interactions - in different contexts of client's life |
| Specific "active" components of SFBT include: a) developing a cooperative alliance with client, b) creating a solution vs. problem focus, c) setting mesaurable changeable goals, d) focusing on future, e) scaling ongoing attainment of goals. T/F | True: also includes focusing conversation on exceptions to the client's problems and encouraging them to do more of what they did to make the exceptions happen. |
| Nature of client-therapist relationship in SFBT. | Therapist is seen as collaborator and consultant, there to help clients achieve their goals. |
| Who does more of the talking in SFBT? | Client - and what they talk about is considered the cornerstone of the resolution of their complaints. |
| Usually, SFBT therapists will use more _______ methods such as the use of extensive questioning about previous solutions and exceptions. | indirect |
| In SFBT, the ______ is the expert, and ________ takes the stance of "not knowing" and of "_________ from one step behind." | client; the therapist; leading |
| The general attitude of the therapist in SFBT is (3): | positive, respectful, and hopeful |
| In SFBT, there is a general assumption that people are strongly _________ and continuously utilize this to make ________. | resilient; changes |
| An exception in SFBT is thought of as: | a time when a problem could have occurred but did not. |
| Difference between a previous solution and an exception: solution, something the family/client tried on their own, worked but they have not continued for some reason; exception, something happens instead of problem, with or without client's intention. T/F | True |
| In SFBT, therapists make questions the primary communication and intervention tool. T/F | True |
| In SFBT, therapists tend to make no interpretations, and they rarely directly challenge or confront a client. T/F | True |
| In SFBT, questions asked by therapists are almost always focused on the past. T/F | False, almost always focused on the present or future and exclusively on what client wants to have happen in their life or what part of this is already happening |
| SFBT reflects the basic belief that problems are best solved by focusing on what is already working. T/F | True |
| SFBT may be useful as the primary treatment for many individuals in _______ _______. However, those with severe _______Psychiatric or medical problems, or unstable living situations will likely need additional social & psychological services. | outpatient therapy; psychiatric |
| SFBT has been found to be clinically helpful for both adults and adolescents. T/F | True |
| SFBT can easily be used as an addendum to other therapies. T/F | True: can be combined with medication, self-help groups, family therapy. - should be used as an addition or as a component of a comprehensive treatment program |
| Specific Interventions in SFBT include: ___________ change, _________-focused goals, ________ question, and scaling question | pre-session change; solution-focused goals; miracle question |
| Follow-up SFBT sessions focus on: | What is better, even a little bit, since last time we met. Done at start of each session, then having client rate themselves on their progress, and check on how assignment went - though does not have to be completed for change to happen so not addressed |
| Primary question types used in SFBT (3): | 1) Miracle question 2) Scaling questions 3) Coping questions |
| The miracle question: | asks client to pause and pretend that when they wake up the next morning, a miracle happens and their problem that they came to see you for is solved. Then asking how they know the problem is solved. |
| Scaling questions ask client to rate from 0-10, where 0 means when initial appointment made and 10 means day after miracle where things stand now. T/F | True |
| Coping questions are used when a client reports problem is not better. Therapist asks: | how client has managed to prevent it from getting worse or says "this sounds hard, how are you managing to cope with this to the degree that you are?" |
| Second SFBT Session: | Client describing problem, info can be useful, not concerned with cause of problem, compliment what client has done to try to solve problem, listen for hints client already has ideas about solution |
| The single most powerful question you can ask in SFBT is: | What would you like to feel instead of all of those things? or if all of those things went away, what would you like to be there in its place? |
| Most powerful word in SFBT is __________. | Instead |
| Ex. if client says "I would like to be strong, and the best me I can be." Can follow up with: | Suppose it is tomorrow and you are confident and strong and best version of you, what is the first thing you would notice (then get to description. |