Solution focused therapy Flashcards
(12 cards)
Theory of change
Change curse through assessing client strength and resources. Emphasizes finding solutions to a problem, not uncovering the cost or origins of the problem.
Therapist role
Therapist is a consultant, coach
Treatment goals
Client implements small and large changes to achieve their preferred future. Client builds on current strings and resources.
Exception questioning
The therapist asked the client to think of a time in their life when the particular problem did not exist and what the client did differently during this time. The goal here is to focus someone has worked in the past to provide the client with the positive perspective. Example: tell me about the times when you don’t get angry.
Mirror questioning
The therapist asked the client to envisioned how the future will be when the problem no longer exist and what their life looks like then.
Scaling questions
The therapist asked a client to think of a scale ranging from the worst things could be the to the best. Client reads her current position on the scale and it’s asked to identify how they can move upper down the scale. The client is encouraged to identify point on the scale would be good enough or where their perfect future is
Pre-supposing change
Rather than focusing on the problem that brought the client in, the therapist can ask the client questions to focus on the positive changes that have been occurring. Example: what’s different or better since the last time we met?
Coping questions
If a client has trouble identifying positive change coping questions are asked by therapist in order to illustrate resources that the client already has. This can include validating the clients difficulties while also showing that they are still able to get up in the morning, go to school, etc. This highlights the client strengths without undermining their view of reality. These questions are supportive will also challenging the client and shifting the focus away from problem focus narratives. Example: How do you keep going each day even when it feels like there is no hope?
Affirmations/ compliments
Regularly acknowledge progress, strengths, and resources. Example: tell the client, I am impressed you’re sitting in that chair again after what you went through.
Phases of treatment: beginning
Joining with client competencies; ambition prefer future; begin to identify client strength; use solution oriented language; come up with the cheap goals
Phases of Treatment: Middle
Identify strength, resources, and traits client already has used to deal with problem; utilize solution talk; identify exceptions to problems; utilize scaling questions to reflect on the nature of change the client has experience; feedback to clients that include compliments and tasks; and highlights more changes; compliments/ cheerleading.
Phases of treatment: End
Assist client to identify things they can do to continue the changes they have made; identify hurdles or perceive barriers that could get in the way of the changes they made.
