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Narrative Therapy

What the research is telling us about the use of narrative therapy

Audrey Willis

on 24 September 2012

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Transcript of Narrative Therapy

Audrey Willis Narrative Therapy Lauren DeBaene & Counseling Theories A Narrative Approach Combining Career and Couples Counseling for College Students Part 1: Blending Postmodern Family Therapy and Career Counseling Career Counseling Career Counseling with Displaced New Traditionalists Foucauldian perspectives in narrative therapy Resisting Anorexia and Bulimia An Introduction for Play Therapists Postmodern Sandplay Narrative therapy allows counselor to explore: Multicultural Developing cultural specific strategies is important Counseling Chinese Clients Implicit cultural assumptions influencing them and their clients • Social forces (racism, sexism) that could present potential barriers to client’s full self-expression. Helps clients recognize the impact of gender, race and other social constructs Interventions: Deconstructing the influence of dominant cultural narratives, externalizing the problem Reauthoring the story Providing context for a new narrative Enables clients to view themselves as consultants with special knowledge from their own experiences Psychotherapy is less effective Important to Chinese Clients: Collectivism
Filial piety
Family bonds
Respect for authority
Educational achievement and academic achievement for family enhancement Respond better to non-directive approaches Narrative therapy can be effective for this group because it looks at cultural and external forces The problem is separated from the person
Allows the client to experience the problem outside of themselves Life experiences are important when reflecting upon one's life relay general curiosity when confronted with a "not knowing" stance from client Sandtray is a venue for creating safe dialogue Counselor needs to consider past traumas expressed through sandtray explore problems without making children feel powerless over individual situations Counselor can: empower the client to relate to and act on the problems from a position of strength and resilience, rather than letting the problem define their identity “The person is not the problem, the problem is the problem” Honor client’s knowledge of life, how a client makes sense of their situation. Focus on how they construct their lives concerning their eating disorder They don’t not have anorexia, anorexia has them: becoming disentangles from the problem. You are the main character in this story! Draw a large line on a piece of paper. This line will represent your existence from birth to present. Mark "birth" on the far left and "present" on the far right with the present date. List major events in your life, both the high and low points. Discussion: Create a Lifeline Fall 2012 Plymouth State University A Postmodern Approach to Career Counseling Part 2: An Approach to Practice Aspects of Life/Work 1. Know what you want 2. Know what you have 3. Know what you hear 4. Know what constrains you 5. Map your preferred story 6. Grow into your story 7. Grow out of your story (Campbell & Ungar, 2004) Trait and Factor Approach client's "traits" are matched with 'factors" for a particular job, for LIFE individuals no longer have stable identities and can reinvent themselves and careers Postindustrial Age vs Postmodern Constructionist Approach focus on way reality of individual is co constructed through individual's experience with others and the language collectively used to describe experiences four aspects of postmodern worldview 1. Realities are socially constructed 2. Realities are constituted through language 3. Realities are organized and maintained through narrative 4. There are no essential truths (Campbell & Ungar, 2004) Ethics of Family Narrative Therapy Professional and Counseling services often separate Undergrads moving through Intimacy vs Isolation & Postgraduation life paths at the same time Integrated Career-Personal Model for College Couples Considerations: Planning Screening Inclusion and Exclusion Sessions: 1. Co-construction 2. Co-construction and Deconstruction 3. Communication skills and Cont. Deconstruction 4. Construction Displaced New Traditionalists "Women of the present era whose primary jobs were working in the home as wives and mothers, but whose marriages end as a result of divorce, separation, or widowhood" Need more than job placement; need counseling to address feelings of guilt, depression, and anxiety Narrative Therapy can: foster healing
instill hope
provide insight into possibilities for successful futures Three Phases: 1. Co-construction:
uncovering/revealing 2. Deconstruction:
opening up/unpacking 3. Construction:
reauthoring Holistic method "The narrative approach addresses the need for the creation of new realities and the relationship of historical context and patterns by exploring life stories, identifying themes, and reconstructing the future" Considerations include: Identify family as the primary client each individual is also the client Using the idea metaphor as a resource "let's pool our ideas" All information needs to be available to the family each family member may be reauthoring his or her own individual, personal, and family narrative time of family dysfunction Continually being aware of the best interest of the client and family work towards “creating a healthy redefined past while building a future that is protected, in the present, by a family counselor who is aware of professional counseling ethics” (Miller & Forrest, 2009) (Locke & Gibbons, 2008) (Gibbons & Shurts, 2010)
Explore the use of double listening (p. 160)

a.Identify problem story

b.Identify client strengths

c.Identify client resources

d.Can you identify any unique outcomes (p. 163) in your client’s lifeline that could help create a richer story? How could these unique outcomes be used to externalize (p. 161) the client’s problem?

(Ivey, D'Andrea, & Ivey, 2012; Locke & Gibbons, 2008) Discuss how the concepts of problem saturated stories (p. 160) and learned helplessness (p. 163) relate. How do you think the narrative therapy principle “the person is not the problem, the problem is the problem” (p. 161) can be effective in restorying these issues? Are there examples of when you think this characteristic of narrative therapy could be less effective? *As the client, choose 1 event that you want to explore with your counselor *Takes turns being the counselor and client Small Group Large Group
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