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Solution-Focused Brief Therapy

Presentation for EDCO 280 - Fall 2013 - Alix, Jessica, Melissa, Janelle, Tim, & Tam

Tam Nguyen

on 21 November 2013

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Transcript of Solution-Focused Brief Therapy

Fails to address previous issues that may contribute to current and future issues.
Clinicians tend to focus prematurely on the presenting problem and therefore miss a greater importance.
Decision-making is left to the client.
Treatment may cause major life changes, which may be difficult for some clients to transition.
Not appropriate as primary or only treatment for severe or urgent emotional difficulties.
Is not as effective when used alone.
Solution-Focused Brief Therapy
a Postmodern approach
Alixzandria Williams, Janelle Yuen, Jessica Piñales,
Melissa Rueda, Timothy Nurge, & Tam Nguyen

What is the Postmodern approach?
No single truth
Reality is subjective
Social Constructionism
Therapist takes more of a collaborative or consultative stance;
Clients are experts of their own lives
Basic Assumptions:
Client-As-Expert Mindset
Optimistic assumption:
People are...
Solution-Focused Brief Therapy
Narrative Therapy
Feminist Therapy
Theory focuses on strengths of the client.
Focuses on the process of change.
This theory allows the clients to right themselves, client build on what they see best for themselves.
Post-Modern theory allows the client to remain positive in therapy.
Focuses on the present and the future.
Attempts to finding solutions to issues client faces.
Clear goals are identified early on in treatment.
Therapy brief and less expensive rather than other therapies that may take longer period of time.
If it isn’t broken, don’t fix it.
If it works, do more of it.
If it is not working, do something different.
If it doesn‘t work, don‘t “try harder“, rather stop doing it, and do (or view) something else (or differently).

Theoretical Concepts
SFBT Overview
Just like the title, this form of therapy is quick, with termination of treatment in as little as 5 sessions
It has been tried and tested in numerous scenarios
It has uses in both group and individual contexts
It is one of the only theories of its kind that focuses on solutions

Why is it important
Settings and Applications
Family therapy
Traditional psychotherapy
Couples therapy
Domestic violence offenders
Sexual abuse
Substance abuse

Small steps can lead to big changes.
A solution is not necessarily related to the problem.
Solution language is different from problem language.
Change is inevitable, problems do not happen all the time.
Find ways to cooperate with the client.

Theoretical Concepts Cont…
Evolved out of the Brief Family Therapy Center by Insoo Kim Berg and husband Steve de Shazer in 1982
Solution Focused Brief Therapy (SFBT) developed by noticing families that had positive periods in their relationships
Identifying positive behaviors allows the client to not have to relearn any behavior, but repeat a past one.

Quick History
Scaling Question
Require the group to specify improvement on a particular area on a scale.

Coping Question
Used if the client reports the problem is not getting better.

Summary Feedback
Allow time in each group session for sharing feedback with one another
Leader is also able to give members credit for the changes they are making
Experiments and Homework
Suggestions for new things a client can try to make positive change towards their goals
Client usually assigns their own homework

Closing Techniques
Exception Question
Direct group members to times in their life when their problems did not exist.

Miracle Questions
Allows members to describe life without the problem.

Types of Questions
Used to better understand a group member’s experiences.

Members able to describe things in their own words.

Problem- Free Talk
Areas in life that are going well, what is working.
Uncover hidden resources, values, beliefs and strengths

Solution-Focused Goals
Clear, Concrete and Specific
Small, rather than large
Pretherapy Change
Encourages client to rely more on their own resources to reach their goals.

Used to create a climate of:
Mutual Respect
Focus on the future
Solution Track vs. Problem Track

Types of Questions
Social service agencies
Schools/parenting (Parenting Skill Groups)
Business applications
Pastoral Therapy
Postmodern Approaches



Possess ability to create solutions to problems
Antin, L. (n.d.). Retrieved from http://www.goodtherapy.org/Solution_Focused_Therapy.html

Bavelas, J.; De Jong, P.; Franklin, C.; Froerer, A.; Gingerich, W.; Kim, J.; Korman, H.; (2013). Solution focused therapy treatment manuel for working with individuals. Solution Focused Brief Therapy Association. http://www.sfbta.org.

Burwell, R., & Chen, C. (2006). Applying the principles and techniques of. Theory and Practice, 19(2), 189-203. Retrieved from http://www.utb.edu/sa/studentsuccess/Documents/solution20focused20career20help.pdf

Carchesio, H., & Green, M. S. (2011). Postmodern Therapy: Lens of Opportunity. Journal of Feminist Family Therapy, 23(2), 131-145.
Why has the Postmodern Approach grown?
Good fit for a diverse world

Therapy within confines of client's own cultures & values

Clients and problems are not categorized as challenging or difficult.

Spilsbury, G. (2012). Solution-Focused Brief Therapy for Depression and Alcohol Dependence: A Case Study. Clinical Case Studies, 11(4), 263-275. doi:10.1177/1534650112450506

Stride, S. M., Daly, A. R., & Jackson Jr, D. L. (2010). Collaboration: Teaching graduate students postmodern psychotherapy. Journal of Systemic Therapies, 29(1), 1-17.

Sutherland, O., Dienhart, A., & Turner, J. (2012). Responsive Persistence Part II. Practices of Postmodern Therapists. Journal of Marital and Family Therapy.
George, E. (2010). What are the disadvantages of the brief solution focused approach?. Retrieved from http://www.brief.org.uk/view.php?item_id=154.

Iveson, C. (2002) Solution-focused brief therapy. Advances in Psychiatric Treatment, 8, 149–156.

Langer, S. M. Solution focused brief therapy:what is it & what's the evidence?. Retrieved from http://casat.unr.edu/docs/tephenLanger_SolutionFocusedBriefTherapy.pdf

Pichot, T., & Dolan, Y. M. (2003). Solution-focused brief therapy: Its effective use in agency settings. Binghamton, NY: Haworth
Chang, J., & Nylund, D. (2013). Narrative and solution-focused therapies: A twenty-year retrospective.
Journal Of Systemic Therapies, 32(2), 72-88.

Corey, M.S., Corey, G., & Corey, C. (2013). Groups: Process and Practice (9th ed.). Belmont: Brooks/Cole. ISBN: 978-1133945468

Dyblcz, P. (2010). Mimesis: Linking PostModern Theory to Human Behavior. Journal of Social Work Education, 46, 341-355.

Frederick, T. (2008). Solution-Focused Brief Therapy and the Kingdom of God: A Cosmological Integration. Pastoral Psychology, 56(4), 413-419. doi:10.1007/s11089-008-0123-4

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