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Solution-Focused Brief Therapy

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by

Erika Chavez

on 1 June 2015

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Transcript of Solution-Focused Brief Therapy

What is SFBT?
Focuses on targeting the desired outcome or goal of the client within the therapeutic sessions rather than the symptoms and/or issues.

Focuses on present and future

Look for what is working

Minimal to no self-disclosure

Positive orientation: Explores client's skills, strengths, different attributes, resources, and support in order to create steps and/or plan to progress toward outcome.

Therapist facilitates a client-directed vision of ideal future
Work towards changing what client wants to change and leave the things that the client doesn't want to change
Techniques & Interventions
Previous Solutions
Exception Questions
Present-Future Focused Questions
Compliments
Encouragement
Therapeutic amazement
Miracle Questions
Scaling Questions
Leader is not an expert, adopts a not knowing position
Clear goal setting
Goal negotiation
Eliciting change
Termination Stage
Solution-Focused Brief Therapy
How Does it Work?
Transition: SFBT Integrated
Leader focuses on what is changeable
Teaches members to use past solutions for present issues
Introduces ways to go deeper by presenting SFBT interventions/techniques, including:
Scaling
e.g., On a scale of 1 to 10; how can we go from 3 to 3.5?
Previous solutions/methods used
e.g., A. "I did this before." B. "would you be willing to try it now?"
Miracle question
Working Stage
During this stage, group typically goes more in-depth of any issues that were introduced in previous stages.
Cohesion, depending on level of trust achieved in group.
Working on issues and learning about possible changes occurs within this stage.
Group members provide feedback as well as different perspectives on present issue

Leader goes more in-depth of given issue with the use of SFBT interventions/techniques
Helps members discover their resources and past methods of overcoming present issues
Common interventions/techniques used during this stage can include:
Miracle question
e.g., "if you could have this issue turn out the way you want, how would it look? What would be the outcome?"
Encouragement
e.g., "I believe you are utilizing your resources very well!"

Working: SFBT Integrated

Orientation Stage
Introductions of both leaders and members
Psycho-education of group therapy process and theory are presented.
Members are taught and learn how the group works.
Goals are defined and clarified
Characteristics of members in Orientation stage include:
anxious
keeping up appearances
figuring out how to "enter in" group
fearing rejection
Orientation: SFBT Integrated
Screening
Member Interview:
1) Demographics
2) Individual, Couple goals for group
3) Previous therapy and group experience
4) Psychological strengths and challenges
5) Fear, hopes, expectations and concerns
6) Red Flags
7) Level of defense – primary defense mechanisms


Termination: SFBT Integrated

Leader assists members in monitoring their progress
Members identify changes they can continue into future
Resources to continue individual / couple therapy
Eliciting Change
Therapeutic amazement
The Leader...
Provides structure through psychoeducation; More directive in explaining dynamic of group
define goals and desired outcomes/solutions
Explains theory
SFBT focuses on...
Future outcomes
Encourages and allows group to create their own goals
Transition Stage
Challenges and conflict arise in this stage.
Leadership challenge
Conflict between members
Unsolvable problem
Resistance
Need to establish trust in order to move on to meaningful work
During this stage, group finishes working on issue and moves towards applying solutions to their lives outside the group.
Termination is foreshadowed prior to this stage
Leader will check-in with the group to see where they are at emotionally/mentally.
Explain in detail how the group will end
Closing ceremonies, resources
Underlying Belief of SFBT
Group participants have the internal
resources to discover their own
solutions
Full transcript