sfbt solution focused behavioral theory
TRANSCRIPT
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Solution-Focused Therapy
Lisa Chock Charles Flemister
Brenna Mlinar
Ami Hickmon
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The roots of SFBT start with Milton
Erickson who really got the ball rolling
for brief therapy with emphasize onsolutions
The Mental Health Institute in Palo
Alto, CA also had a hand in wanting amore briefer, goal-oriented andpragmatic approach (Visser, 2013)
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Solution-Focused Brief Therapy
(SFBT) was founded by Insoo Kim
Berg and Steve de Shazer in the late
1970s
Berg and de Shazer were based in
Milwaukee, Wisconsin.
They also co-founded the Brief Family
Therapy Center (BFTC) in 1978
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At the BFTC, Berg, de Shazer, and co.
did experiments to decide what workedbest in therapy
Through this process and other
readings they came up with SFBT
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SFBT has been used for counselingand has been used largely in addictioncounseling
Throughout the years SFBT wasemployed in other settings than intherapeutic ones
Usage in businesses, educationalinstitutions, and many other fields
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Solution focused : Basic concepts
First thing to consider: Solution focused does
not worry about the cause or the problem as
much as other types of therapy.
Looking at the problem can confuse the
counselor and client.
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Basic concepts continued
Focus on the clients strength.
Knowing what they can utilize to solve their
problems
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Still continued
Over arching principle: Clients at one point in
there lives have solved problems using their
own resources. Counselors are a
guide/reminder
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Last one I swear
Pragmatism: Three Rules
1. If it isnt broken dont fix it
2. If it works keep using it
3.If it isnt working use something else
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Techniques
Main Points:
Looking at the cause of the problem is irrelevant
to client change.
Talking about the problem itself:
Mires the counselor and client in unnecessary
conversation
Results in client discouragement
Results in feelings of hopelessness
Managed care, and efficient clinical practice
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Approach based on 5 basic assumptions:
If it doesnt work, do something different, and if
it works, do more of it.
Clients have the strengths and resources to
change.
Client problems result from not recognizingalternatives rather than underlying pathology.
A small change in any aspect of a problem begins
the process of solving it. Change comes from focusing on future
possibilities and solutions.
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Process Outline
Client has hired the counselor to facilitate
solution finding as efficiently as possible
Several sessions, however rarely more than
10
NOT problem talking
Solution talk focused
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5 Main Techniques
The Miracle Question
Pretending
Exception Finding Scaling Questions
Task Assignments
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The Miracle Question
If by some miracle the problem no longer
existed, what would be different and how
would I know?
Clarity and concreteness about what life
would be like if the problem were solved
Client imagines a story of how life would be,
and within the story lies the solution
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Pretending
Strategy that Madanes preferred when
working specifically with children that are
disruptive.
Shifting power within the family
Changing the style of interaction in the family
Posing paradoxical tasks i.e. client is given
instructions that the counselor hopes he will
disobey
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Exception Finding
Playing detective: search for a time in the
clients life when the problem did not occur
Find how the client employed an effective
solution during that time
Helps create a solution for the situation they
are in now
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Scaling Questions
The counselor asks the client to rate their
progress in achieving their goals
Numbers 1-10, scale allows the counselor to
set point goals for client
Used to collect meaningful data about the
nature of the problem
Questions are critical as interventions to
encourage clients to take different actions
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Task Assignments
Client must perform certain tasks betweensessions
Ask clients to repeat the strategies unearthed in
the exception finding intervention Recreate in their daily life details of the story
that helped them answer their miracle questionresponse
The emphasis is on formulating goals tailoredspecifically to match the clients personal
strengths and problem-solving capabilities.
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Strengths
A focus is placed solely on finding asolution to the clients problem
Solving one problem leads to solvingothers
Other symptoms can be improved
Clear goals are identified in thebeginning
Easier to identify an end
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Weaknesses
Possibly elpful only because of a placeboeffect.
Clients may not grow or learn
Some clients need to talk about and exploretheir problems
Self-understanding is emphasized
Difficult to research Many of the strategies are difficult to learn
and apply
(Kottler, 176)
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Sources
Antin, L. (2013, 05 14). Solution focused therapy. Retrieved fromhttp://www.goodtherapy.org/Solution_Focused_Therapy.html
Dolan, Y. (n.d.). What is solution-focused therapy? . Retrieved from
http://www.solutionfocused.net/solutionfocusedtherapy.html
Insoo Kim Berg. What is solution-focused brief therapy (sfbt)?. Retrieved
from http://sfbta.org/about_sfbt.html Kottler, J. A., & Shepard, D. S. (2011). Introduction to counseling: voices
from the field (7th ed.). Belmont, Calif.: Brooks/Cole ;.
Langer, S. (n.d.). Solution-focused breif therapy: What is it & what's the
evidence?. Retrieved from
http://casat.unr.edu/docs/StephenLanger_SolutionFocusedBriefTherapy
Visser, C. (2013). The origin of the solution-focused approach.
International Journal of Solution-Focused Practices, 1(1), 10-17.
http://www.goodtherapy.org/Solution_Focused_Therapy.htmlhttp://www.solutionfocused.net/solutionfocusedtherapy.htmlhttp://www.solutionfocused.net/solutionfocusedtherapy.htmlhttp://www.solutionfocused.net/solutionfocusedtherapy.htmlhttp://www.goodtherapy.org/Solution_Focused_Therapy.htmlhttp://www.goodtherapy.org/Solution_Focused_Therapy.html