Solution-Focused Brief Therapy: Solution-Focused Brief Therapy Alice Baum Gerald Corbin Janelle Deunamuno Yanira Ledezma Eti Zehavi Caitlyn Zita Development: Development Solution -Focused Brief Therapy (SFBT) first appeared in professional literature in the 1970's. No single person has been credited with the development of SFBT It is a theory of many ideas and many people have played important roles to its evolution and development Believed to have origins and affiliated with the Mental Research Institute in Palo Alto, CA. Development: Development Mental Research Institute in Palo Alto, California Richard Fisch John Weakland Paul Watlawick Gregory Bateson Milton Erickson Development: Development SFBT borrows elements from other theories: Brief Psychodynamic Psychotherapy - efficient and results-oriented -streamline therapeutic process Behavioral and Cognitive-Behavioral Treatment -people's lives can impact results -solution focused w/option for intervention Systems Theory -Focus on Family, Community, and Cultural Group Development: Development Important contributions made in the 1990's Steve de Shazer and Insoo Kim Berg Decision Tree Test Client Gave Clues to Client Development: Development Bill O'Hanlon and Michele Weiner-Davis Future Goals of Client Solution in Steps Still Developing and Evolving Role of the Counselor: Role of the Counselor Focusing on changes that are already in progress Change repetitive and nonproductive sequences of behavior Provide rational behind the change Make interventions congruent with the client world view Learn from past solutions Compliment the client to instill optimism Role of the Counselor: Role of the Counselor Focus on developing new behaviors Create an expectancy for a change Make solution practical and specific Good relationships between client and clinician are extremly important Role of the Counselor: Role of the Counselor Use of trances to help people become more open to new possibilities and interpretation Looking for exceptions when difficulties were absent as a source to effect desired change. Role of the Counselor: Role of the Counselor Clinician should choose their words carefully; use language that assumes that problems are temporary in order to instill optimism. Use open questions Focus on coping behavior “what kept you from harming yourself? How do you manage to keep going?” Role of the Counselor: Role of the Counselor 16. Reinforce strengths 17. Create hypothetical solutions-"what if you were not feeling so bad?” 18. Concentrate on changing behavior rather than thoughts Role of the Client: Role of the Client Client should be motivated to face his difficulties Needs to be flexible and creative Can describe the problem or the destructive pattern Have a history of good relationships and can establish good relationship with the clinician Treatment: Treatment SFBT Treatment is designed to help people use strengths and resources they already posses in order to make positive changes in their lives. Usually requires fewer than 10 sessions, with an average of 5. A collaborative clinician/client alliance is very important. 7 Stages:: 7 Stages: Identifying a solvable complaint Establishing goals Designing an intervention Strategic tasks Positive new behaviors Stabilization Termination of treatment Specific Interventions: Specific Interventions Create an environment conductive to change Identify Expectations Solution Talk Make Suggestions Video Talk Who can benefit from SFBT?: Who can benefit from SFBT? Useful in many settings and with many concerns, provided that the clients are motivated to face difficulties have a history of good relationships can be flexible and creative have succeeded in finding solutions in past have a support network (Thompson, 2003) Who can benefit from SFBT?: Who can benefit from SFBT? People with ... Personality disorders Somatoform disorders Impulse control disorders Substance abuse disorders "Imposed" programs Chronic & severe mental illness Suicidal thoughts Severe mental disorders Multicultural Groups?:
Multicultural Groups? Yes! SFBT values cultural backgrounds Emphasis on flexibility Sees importance in connections with environment & others key is client
not normative But! Cultural factors not critical in solution-building paradigm
Current Use of SFBT: Current Use of SFBT Interest & use of SFBT is growing rapidly due to efficiency and effectiveness Well received because it advocates goal setting measurement of progress empowerment of clients collaborative therapeutic alliance brief therapy Current Use of SFBT:
Current Use of SFBT Works well with other phenomenological treatments Existentialism Cognitive Behavioral Therapy REBT Adler’s Individual
Limitations: Limitations Needs more empirical data Client and clinician have to carefully collaborate on problem definitions Takes a skilled clinician Not appropriate for all clients Strengths : Strengths Research being done Time and cost Effective in a broad range of problems and settings Well received by clients Contributions : Contributions Treatment does not need to be long and costly New interventions Questions Solution focused language Emphasis on small behavior change SFBT Counseling Session: SFBT Counseling Session Starring Yanira Ledezma - Counselor Gerald Corbin - Husband Janelle Deunamuno - Wife Thank You!: Thank You! Questions?