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Solution Focused Brief Therapy Megan Rohlik. Solution Focused Brief Therapy Megan Rohlik. Free Powerpoint Templates. Intro. Solution Focused Brief Therapy Future focused Goal oriented Shifts from problem solving to focus on solutions Main Figures

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  1. Solution FocusedBriefTherapy Megan Rohlik Solution Focused Brief Therapy Megan Rohlik Free Powerpoint Templates

  2. Intro • Solution Focused Brief Therapy • Future focused • Goal oriented • Shifts from problem solving to focus on solutions • Main Figures • Steve de Shazer and Insoo Kim Berg

  3. Key Concepts • Positive Orientation • Optimistic approach • People are resilient, resourceful, competent • Build on strengths and past successes • Focus on Solutions, Not Problems • Little interest on presenting problem or past issues • Clients choose goals they wish to accomplish • Little attention is paid to the exploration of the problem • Look for What is Working • Instances of successes • Creating situations through narratives to make gains towards their goals

  4. Role and Functions of the Group Leader • Not Knowing Position • Group members as experts • Collaborative stance not consultation • Creating the chance to help clients see themselves as experts • We hold life experience but enter the clients world as unknowing and curious • Use of Language • Avoid diagnosis, assessment and intervention • Narratives and positive solutions • Shifts Responsibility to Group Members • Group leaders assist members to be co-facilitators • Leads to support and encouragement of each other

  5. Therapeutic Partnership • Collaborative Relationship • “What you want to accomplish, not why you are here” • Relational necessities • Care, interest, respectful curiosity, openness and empathy • Solution track not a problem track • Create a climate of mutual respect, dialogue, inquiry and affirmation • Helping the members imagine how they would like things to be different

  6. Process • Find out what clients WANT not what they don’t want • Do not look for a diagnosis • If what members are doing is not working, encourage them to experiment with other solutions • Therapy is to be brief by approaching each session as the one and only session

  7. Process • Setting the Tone • Focus on solutions from the beginning • Describe problems briefly • Setting Goals • Exceptions to the Problem • Asking about times when the problems were not present or less severe • Encourage Motivation • Assisting with Task Development • Offer feedback • Encourage other members to offer feedback • Next steps

  8. ApplicationPre-Therapy Change • Changes made before the initial session • “What have you done since you called that has made a difference in your problem?” • Relies less on therapist and more on their own resources

  9. ApplicationQuestioning • Primary communication tool • Main intervention • Asked from a position of respect, curiosity, interest and openness • Another question stems from each answer • Other members are encouraged to respond to promote collaboration

  10. ApplicationException Questions • Questions that direct members to times when the problem did not exist • Reminds people that problems are not all-powerful and have not always been there • Gives the members to evoke resources, engage strengths and find possible solutions • Change talk • Ask members what has to happen for these exceptions to occur more often • Listen for signs of previous solutions and exceptions

  11. ApplicationThe Miracle Question • “If a miracle happened and the problem you have was solved overnight, how would you know it was solved, and what would be different?” • Designed to enable group members to visualize what life would look like without the problem • Let yourself imagine if you leave this group today and that you are on track to acting more confidently and securely. What will you be doing differently?” • This changes what they are doing • Changing how they view the problem • Conversation about strengths to promote solutions

  12. ApplicationScaling Questions • “On a scale of 0-10…” • Used when changes in human experience are not easily observed • When a member moves only 1 mark it is an improvement • Enables clients to pay closer attention to what they are doing and steps that will lead to change

  13. ApplicationFormula First Session Task • Form of homework between first and second session • Observe in the week what happens within the life situation that you want to continue to happen • Second session you report back and this tends to increase optimism and hope • Generally report change or improvements since the first session after this is competed

  14. ApplicationTherapist Feedback to Group Members • Summary feedback • Compliments • Affirmations of what the client is already doing • Form of encouragement and hope • Bridge • Links initial compliments to suggested tasks • Rationale for suggestions • Suggesting Tasks • Considered homework • Can be observational or behavioral

  15. SFBT in Schools • Offers school counselors a framework to achieving small, concrete changes to help students find a more positive direction • We are able to provide effective counseling to more students in less time • Underscores the importance of small changes and co-constructed goals • Helps students develop positive goals rather than “stop doing it” goals

  16. SFBT in Schools • Effective and practical because it emphasizes “what works” rather than “why” it is a problem • Encourages the acceptance and accommodation of diverse opinions and beliefs • Based on clear concepts and relatively easy to learn • Strength based approach

  17. SFBT in Schools5 steps • Students identify a well-defined goal that has meaning • Students then say what their lives would be like without the problems that are blocking their goals • Counselor facilitates students’ recognition of times when the problem did not exist • Counselor asks students to establish a baseline rating that reflects the severity and then design specific tasks to move up the scale with a clear direction • Counselor constructs a written message to students that compliments effort and tasks to complete

  18. SFBT with Multicultural Populations • Works well with cultures that prefer to engage in direct behavior change rather than focusing on feelings and cognitions • Cultures that want a practical approach to making things better • Counselor questions: • Tell me more about the influence that (cultural aspect) has played in your life • What can you share with me about your background that will help me fully understand you? • What challenges have you faced growing up in your culture? • What if anything about your background has been difficult for you? • How have you been able to draw on strengths and resources from your culture?

  19. SFBT with Multicultural Populations • Limitations, “Client as Expert” • Many cultures elevate the professional as the expert and want direction and solutions from you • Making the client the expert shows lack of confidence in the therapists ability • If clients want ideas because it is culturally proper, the therapist may discuss what these ideas would consist of which keeps the session solution focused

  20. Contributions and Strengths • Optimistic orientation • Non-pathologizing stance • In group work the questioning is very positive and future oriented • Brief approach with promising results • Outcome studies show positive and effective outcomes

  21. Limitations • Some group members think it is an end to itself with no set formulas or recipes • Untrained leaders are enamored by the techniques but may not have the right attitudes about them • The ability to use these questions in a genuine and respectful manner • Strength may not mesh with their experience which can cause conflict • Therapists need to learn how to use the clinical skills in a timely way • Make assessments, assist in formulating goals and effectively use interventions

  22. SFBT Recap • Be POSITIVE • SOLUTIONS not problems • Problem talk stays with the problem • Change talk promotes change • QUESTIONS • Exception • Scaling • Miracle • LANGUAGE

  23. References References Corey, G.(2008). Theory and Practice of Group Counseling (7th ed.). Belmont, CA: Brooks/Cole. • Corey, G.(2008). Theory and Practice of Group Counseling (7th ed.). Belmont, CA: Brooks/Cole.

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