SFT Group Project

Category: Education

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Solution-Focused Therapy:

Solution-Focused Therapy Jodi Underhill, Keydra Johnson, Lauren Feeney, and Adrienne Gratz

The Rizzo Family :

The Rizzo Family Lets Focus on building upon the families strengths The fact that the Rizzo’s are all coming in for treatment shows that they want to enhance their relationships and work together. It is important to acknowledge this strength in order to motivate and encourage each family member. The Rizzo’s are using external resources and welcoming help from community resources

Strengths continued… :

Strengths continued… Marco and his father both display an extremely strong work ethic Marco has a very strong loyalty to his father Antonio knows that his son is capable of running the family business Sophia is encouraging to Marco Seems as though they are a close knit family.

Strengths as a Family Unit :

Strengths as a Family Unit How has the family successfully coped with stress, tension and difficult situations in the past? How have the parents ( Antonio and Anna) dealt successfully with difficult situations and how have the subsystems ( Sophia and Marco) done it. It would be important to ask each family member what they believe each others strengths/ positive qualities are, and build upon that.

Solution-Focused Therapy:

Solution-Focused Therapy Solutions Realistic Present “Here and Now” Successful Outcome Rating Scale (0-10) Exceptions Positive Negative Goals Achievable Frequency How often Date/Time Deadline Treatment Plan Contract Mutual Future

Solution vs. Problem :

Solution vs. Problem Solution Main Focus Marco Obtain degree Earn Respect Antonio Retirement Anna Respect Sophia Empowerment Problem Not Main Focus Marco Dropped out Antonio Ownership Hierarchy/Power Anna No Input Sophia Exception

Realistic Goals:

Realistic Goals 1 st Session Positive Rapport Client’s: Perception Beliefs Effect Cope Scaling Questions Communication Identify Strengths Goal Setting Challenging Marco/Antonio Antonio/Anna Sophia/Marco Triangulation Focus/Steps: Positive Relationship Motivation Boundaries


Change-Talk Key theme – seeking difference Found in the beginning of the session Question of difference helps to continue goal development Example: What changes have occurred? How have the changes come about? What do you suppose that needs to be different in your life that will let you know that is was good thing that you came in today?


Solution-Talk C onstructing the future that the client wants. The counselor uses pre-suppositional questions Examples: Miracle Question “I am going to ask you a rather strange question. The strange question is this: After we talk, you will go back to your work (home, school) and you will do whatever you need to do the rest of today, such as taking care of the children, cooking dinner, watching TV, giving the children a bath, and so on. It will become time to go to bed. Everybody in your household is quiet, and you are sleeping in peace. In the middle of the night, a miracle happens and the problem that prompted you to talk to me today is solved! But because this happens while you are sleeping, you have no way of knowing that there was an overnight miracle that solved the problem. So , when you wake up tomorrow morning, what might be the small change that will make you say to yourself, ‘Wow, something must have happened—the problem is gone!’”


Strategy-Talk This conversation is related to what the client was doing or planning to do about managing the problem This kind of talk is done towards the end of the interview Its includes: Coping questions Multiple choice questions Scaling questions


Procedures 1: Get entire family (including Sophia) to attend family therapy session. 2. After first session, come up with at least one SMART goal (Specific, Measurable, Attainable, Realistic, and Time-conscious) that the Rizzo’s can agree on as a family. 3. Challenge the Rizzo’s to mindfully practice setting boundaries and discuss compromises within the time frame before session #2 (Example- “Mr. Rizzo, have you discussed with your son the option of attending school online?” “Marco, is working at the restaurant, even part-time, something you can see yourself doing in the future?”)


Criteria Is the family willing to work together as a cohesive unit? Can there be a compromise anywhere in the family without sacrificing any individual’s happiness? Which family member will take the lead and which will falter? Is everyone willing to meet somewhere in the middle? If the family answers YES to all of these, we can successfully practice SFT. The difficulties in this case involve the risk of Antonio not willing to explore Marco’s options besides running the family business. (I anticipate Marco, Sophia, and Anna as being more willing to engage in SFT/with challenges).

Effective Interventions:

Effective Interventions Identify who is in need of an intervention. In this case: Marco- struggling with depression Sophia- detached and feeling resentful towards parents Anna- passive Antonio- overbearing and argumentative Without change, Marco is apt to seek treatment for his depressive episodes.

Effective interventions:

Effective interventions The focus is primarily working towards a solution, and not focus directly on the family issues at hand. We will still cover the issues that brought them in, however, it will be brief, since we may not have many sessions available with the entire family. After an agreed 3-4 sessions, if there is no resolution, an intervention will be necessary (Individual sessions, treatment for Marco, teaching Anna techniques on empowerment, follow-up meetings)

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