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Solution focused therapy flashcards
Solution focused therapy case study
Solution focused therapy flashcards
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The emphasis of SFBT is on the process of developing an image of a realistic solution rather than dwelling on the past manifestation of the problem, with the focus being on identifying past successes and exceptions to the problem in an effort to accomplish set goals (Kim, 2014). SFBT views problems as fixable and change as viable by concentrating on the achievement of small, concrete behavioral goals (Berg & De Jong, 2008). The discussion of exceptions and movement toward future adaptive behaviors allows the clinician and client to focus on solutions to the client’s problem, rather than dwelling on the problem itself (Berg & De Jong, 2008). In fact, simply talking about improvement has an encouraging effect on the client (Banks, 2005). The …show more content…
An important assumption of SFBT posits that clients possess capabilities and resources for resolving their problems. Thus, the task of therapy is to assist clients in utilizing these resources to reach a solution to the problem in question (Kim, 2014). When utilizing this intervention for the treatment of substance use disorders it is important to understand and see where the client is coming from and what goals are they attempting to get out of this treatment. In SFBT, counselors ask specific types of question to help guide the session. Some ways in which they do this is by asking coping questions that can help demonstrate their resiliency and the number of ways in which they are capable of coping with all the different challenges that may arise in their lives. Another way is by asking a miracle question, this helps individuals envision a future in which the problem is absent. This type of questioning allows them to explain how their lives would look if the problem did not exist, which in turn can allow them to take those small steps toward …show more content…
Strength-based SFBT approach can be just as effective in helping clients address substance use and trauma-related problems. The use of SFBT in treating substance use and trauma provides an alternative approach that is more strengths based and less problem focused. Rather than superimpose expectations of abstinence, AA participation and long-term recovery, solution-focused therapy is based on a collaborative process between the client and the therapist which takes into consideration the individual, the problem and the particular goals or outcome sought (Rosen, 1993). Examining the use of this approach and the effectiveness is not stating that the other way of thinking is wrong it is just different. Traditional alcoholism programs are not rejected but are viewed as one part of a multidimensional approach to problem drinking (Rosen, 1993). Even though there has been several known successes and studies showing the overall effectiveness of this intervention it is still not the norm and opposes the traditional problem centered approach. When looking at the evidence we can see how SFBT is still just as effective or in certain areas even more effective than the traditional approach. This is probably due to the fact that clients
Depending on their conditions, many people resort to substances to help them cope. These substances are widely abused and are unhealthy. The British Journal of Social Work surveyed three different rehabilitation centers. They came to the conclusion that “There is a very large international body of research on substance use and abuse, ranging from problem etiology to treatment (Valtonen 59)”. This suggests that because of what people are dealing with, they often resort to substance abuse. However, there are many better ways to cope. People use substances to try and figure out their diagnoses. During the surveys of the rehabilitation centers, they found out some other coping mechanisms. Some of these coping mechanisms are sleeping, eating, smoking, and drinking. These mechanisms are not a healthy way to deal with the situation at hand. This study shows that people who avoid substances to cope and instead talk to a therapist have better outcomes. This is also true with people who go to focus groups and verbally discuss their problems rather than resorting to
SFBT focuses on solution/success and not the problem/failure. Both therapies avoid using the medical model. In these two therapies the patient is not viewed as sick. Building a strong and solid relationship with the client is salient in both therapies. This article mentioned a lot about changing a client’s distorted thinking and how that will hopefully impact behavior. Some other theoretical concepts include: empathic listening;non judgemental acceptance; demonstrating respect for the clients and establishing a cooperative and equal relationship with the client. Counselors must also exhibit faith and confidence in the client. Clients are viewed as the “decision makers”. As counselors we are to help the client discover their strengths and resources that they may develop or may already be internal. (Watts & Pietrzak, 2000,
Smyth, N. (1994). Addictions counseling: a practical guide to counseling people with chemical and other addictions/The addiction process: effective social work approaches/Clinical work with substance-abusing clients (book). Social Work, 39(5), 616.
Doctors Peter Johnson and John Chappel believe that AA is not considered self-help and by contributing to the 12-step process as doctors the program experience will be enhanced. Self-help programs are considered to be a form of therapy used to better oneself without scientific research supporting the success rate and usually attended without a physician’s input. The support shown for programs like AA is attributed to the abundant success rate they found when a doctor takes some minimal preparation for the patient. These preparations include such tasks as locating the closest meeting and the type of meeting the patient would prefer. The person who is suffering normally takes on these tasks; if discouraged at this point faith in the program may be ceased. They state in the article, ”AA is more important over the long term than professional treatment.” (Johnson, Chappel.1994) The article shows effective guidelines for professionals in the treatment of addiction. We know that AA predates the American Medical Associations’ ruling that alcohol addiction (along with other addictions) is a disease. We know from experience, either personal or second-hand, that addiction can not be cured without intervention of some kind – with the help of a professional and others’ suffering it can. Is that enough of a scientific approach to rely on a group-help program? – Dr. Jarlais does not think so.
(Miller, 1996) A Harm Reduction approach to therapy begins with the intent to lessen any high-risk behavior that can be linked back to substance abuse. A treatment plan that focuses on the clients positive behaviors is developed. Hazardous behaviors are addressed through means of educating, motivating, and educating the client. Once a client is properly educated in the positive ways to prevent or lessen harm through substance abuse, they are often motivated to begin to use their treatment as something that focuses on working towards complete recovery from their addiction.
Recent years have seen such cognitive approaches expanded to interest in interventions that combine the principles of cognitive and behavioural approaches. However, despite all the research available providing evidence of their effectiveness, these approaches are not widely available in routine clinical... ... middle of paper ... ... nd assertive case management: the social and independent living skills program of the Brentwood Veterans Affairs Medical Center.
The purpose of this paper is to summarize the main assumptions as well as techniques of Cognitive-Behavioral Therapy (CBT), Reality Therapy, and Solution Focused Therapy; and to compare, contrast, and state the strengths and limitations/weakness of each therapy. In addition, expand on why Solution Based Therapy and Cognitive-Behavioral Therapy may work best out of all three therapy methods, with adolescents who have substance abuse problems.
Dialectical behavior therapy (DBT) is a form of cognitive behavioral therapy, specifically developed for borderline personality disorder (BPD), in which the clinician attempts to motivate the client towards change in behavior while simultaneously validating existing thoughts and feelings. (DeVylder) The goal of dialectical behavior therapy is to minimize maladaptive behaviors related to impulse control and emotion regulation, especially those that may result in self-injury or death. (DeVylder) The desired outcome of DBT is a resolution of maladaptive behaviors related to impulse control and emotion regulation, especially those behaviors that may result in self-injury or death. (DeVylder)
Scheel, K. R. (2000). The empirical basis of dialectical behavior therapy: summary, critique, and implications . Clinical Psychology: Science and Practice .
Substance use does not only affect the individual with the problem but the whole family unit. Family therapy is treatment that can reduce substance use and improve the family dynamics in a household (Szapocznik, 2013). BSFT is a type of psychotherapy. It is a evidence based practice that works to reduce drug use, behavioral problems, and strengthen the family unit. The main goal of psychotherapy is change. When an individual has a problem with substance use, the actions of that individual impact those close to them. The family starts to suffer along with the individual. Family therapy is a way for the entire family to heal together and work on their problems together. Brief Strategic Family Therapy can be effective only when the family is willing to come in and work together to overcome their
Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., . . . Wilson, G. T. (2009). Mind the gap: Improving the dissemination of CBT. Behaviour Research and Therapy, 47(11), 902-909. doi:http://dx.doi.org/10.1016/j.brat.2009.07.003
“Modest goals are seen as the beginning of change”. Clients talking about the exceptions to the problems. No problem is constant and change is inevitable. When clients begin to truly change their views and become more positive about their situation they have engaged in change. Positivity concerning their strengths leads to the more desireable outcome which is a brief series of sessions. Small changes make way for larger changes.
However, CBT relies heavily on therapeutic relationship for the success of the treatment. Many may decide that CBT feels cold and too mechanical due to the heavy focus on cognitions and the structure. In Beck’s earliest manuscripts, however, he stresses the importance of developing a strong therapeutic relationship with the client (Beck, 2011). Throughout the counseling process, the counselor works to build trust and rapport with the client through collaboration and encouraging optimism (Seligman & Reichenberg, 2014). The therapeutic relationship remains collaborative, empathetic, active, flexible, nonjudgmental, and goal-oriented (Seligman & Reichenberg, 2014). Due to the collaborative nature of the therapeutic relationship, the counselor encourages the client to provided feedback throughout the process. Anytime problems arise within the relationship, the counselor and client explore them together (Beck,
According to Graham (2005), CBT aims to change a patient’s unhealthy behaviour through examining assumptions behind the thought patterns (cognitive restruction) and also through using behaviour therapy techniques. In CBT, therapist and patient work with each other to identify the thoughts that may cause distress, and the therapist employs behavioural therapy techniques to modify the resulting behaviour. It aims to address patients’ certain fundamental core beliefs (schemas) that lead to negative influences on their behaviour and functioning (Rufer et al, 2000).
Dozois, D. A. (2013). Psychological treatments: Putting evidence into practice and practice into evidence. Canadian Psychology/Psychologie Canadienne, 54(1), 1-11. doi:10.1037/a0031125