Contextual, Narrative, Solution-focused Flashcards
Who was the creator of contextual therapy?
Ivan Boszormenyi-Nagy
What is the foundational philosophy of contextual therapy?
Based on relational ethics
Families have an ethical system: a ledger of entitlement and indebtedness
Inbuilt longing
Theoretical assumptions of CT: An innate longing for connection and trust
Connection and trust
Theoretical assumptions of CT: Humans need to be connected to others in trustable and loving relationships
Reciprocity
Theoretical assumptions of CT: We all have principles of personal accountability for relational consequences rooted in the assumption of reciprocity
Future generations
Theoretical assumptions of CT: Every person has his/her impact on other people, including future generations
CT: Justice and fairness
Monitoring fairness keeps the relationship “trustworthy”. Trustworthiness is proven through actions.
CT: Entitlements
“ethical guarantees” to merits that are earned in the context of relationships
CT: Destructive entitlements
Result when children do not receive the nurturing to which they are entitled and later project this loss onto the world
CT: Invisible loyalties
Trans-generational loyalties felt within families
CT: Revolving slate
A destructive relational process in which one person takes revenge in one relationship based on the relational transactions in another
CT: Split loyalties
When a child feels forced to choose one parents over another because of mistrust between the caregivers.
What is the stance of the therapist in CT?
Multi-directed partiality, non-judgmental, facilitator
CT Assessment
Four dimensions: Facts, individual psychology, family transactions, relational ethics
Acknowledge past - identify trans-generational revolving slates
CT Techniques
Multi-directed partiality, acknowledgement, crediting, anticipatory listening, direct address of fairness issues, suggestions, summary/interpretations, making accountable, exonerations
Founders of Narrative Therapy
Michael White, David Epston, Steven Madigan
Narrative philosophy
People are separate from problems. People are NOT problems - Problems are problems.
Problems are socially constructed, upheld by those in power, and used to subjugate others.
Problems hijack a person’s personhood and identity, often convincing the person that they themselves are the problem.
Role of the therapist
Non-expert role/position, Client is the expert
Expert in the PROCESS of therapy, not client’s life
Nonjudgmental/Impartial
Ethnographer, journalist/Reporter, co-editor/Co-publisher
Attenuation to power dynamics
Shame-free, stigma-free, non-pathologizing
Person-first language
Curious at all times
Self of the therapist work, manages biases
Case Conceptualization: NT
Externalize the problem. Assess other areas of the person’s life to “meet them outside of the problem”, identify problem saturated narratives.
Look at unique outcomes: Influence of persons when the problem is less of a problem
Dominant discourses and diversity
Preferred identity and discourses
Interventions
Externalization of Problems Problem Saturated Stories Deconstructing Questions Scaffolding Mapping the Influence Exceptions, Unique Outcomes, and Sparkling Moments Relative Influence Preferred Outcomes & Stories Dis-membering, re-membering Reauthoring Outsider Witness Reflection Teams Definitional Ceremonies Letter Writing Questions Landscape of Action Landscape of Identity
Mapping influence
Looking beyond how the person normally imagines the problems influence and mapping its effects across a broader range
Scaffolding
Moving clients incrementally from areas of familiarity in experience towards more novel experiences
Founders of solution-focused
Steve de Shazer, Insoo Kim-Berg, Bill O’Hanlon
Goals of solution focused
Goals involve increasing positivity and resource utilization; recognizing existing strengths and building on them
