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Brief solution focused therapy examples
Solution-Focused Brief Therapy (SFBT) conclusion
Solution focused therapy examples
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Running head: Solution Brief Focused & Task Centered Models Signature Assignment: Model Comparison Carolina I. Alarcón Western New Mexico University April 24, 2016 Introduction The purpose of this signature assignment is to analyze and compare the solution-focused brief therapy and task-centered intervention models. This signature assignment will include a description and information on how each model is used in treatment; to include the strengths and weaknesses of the two models. The reason I chose these models is because both models are considered brief therapies in the social work practice due to the short length of intervention. I wanted to better understand the main ideas, strengths, weaknesses and when these two models …show more content…
are best used. The solution-focused brief therapy and the task-centered models were developed by psychotherapists, social work practitioners and researchers with the intention of providing an effective clinical practice and to improve client services. In 1982, solution-focused brief therapy model was developed by psychotherapists Steve de Shazer and Insso K. Berg at the Brief Family Therapy Center in Wisconsin. In the mid-1960s, the task-centered model was developed by social work practitioners and researchers Laura Epstein and William J. Reid at Columbia University. Both intervention models emphasize on effective and time limited intervention (usually between 6-12 weeks), that assists the client in resolving a targeted problem. Use of Solution Focus & Task Centered Model The solution-focused brief therapy (SFBT) model focuses on the solution of a problem and not the problem itself. In addition, it focuses on the client’s strengths and not the client’s weaknesses. The role of the practitioner is to guide the client by asking questions, then having the client differentiate between a problem and an unhappy situation to determine and focus only on the targeted problem. The practitioner then assists the client in evaluating the problem at hand and viewing it in a different perspective. In this model the client is in control of the intervention session. Jones (2014), presented on his video of solution focused brief therapy explains the intervention as “dancing with the client”, if the client moves forward, then the practitioner moves forward with the client during the intervention. The practitioner avoids any analytical labelling as it discourages the client by focusing on the “label” given, rather than the targeted problem. According to Bavelas et al (2013), SFBT is used and effective with depressed adults (p.3). The task-centered model is a combination version of learning theory, behavior model, and problem solving method. This model is a short-term intervention of 6 to 12 weeks. The task-centered approach is a model that encourages the client to decide what they wish to improve and or to change. This model empathizes on the client’s motivation to work on the client’s problem, focusing only on the tasks the client agrees to do. This model is mainly used to improve family and interpersonal relationships, to release emotional distress, and during social transitions. Strengths and Weaknesses The strengths of the model solution-focused brief therapy approach are many. This model emphasizes on listening to the client, it is time limited, it uses an optimistic approach which makes the client believe that change is possible. In addition, there is less risk of dependency on the practitioner and it takes a less intrusive approach compared to other popular intervention approaches. In task-centered approach the strengths are that the sessions are controlled by the client, it also allows the client to use learned coping skills when dealing with future issues. Other strengths to this model approach are that the client believes that it can overcome any issue with the right support. In addition, the number of sessions are less and may help the client to stay committed to treatment approach. The weaknesses of the model solution-focused brief therapy may not be appropriate approach to be used with clients that have a difficult time opening up or responding to the practitioners’ questions. A potential weakness to this approach may also be that the client may focus on the behavior and perception aspect of the problem rather the emotional. For example, with a sex offender, this approach would not be efficient if the approach is focused on the behavior of the offender and not much attention given to the emotion and solution to the problem. In addition, it may not be ideally or effective to use when the client has a crisis or the client has low self-esteem which prevents them from believing they have strengths. In the task-centered approach the potential weaknesses in that model could be that the practitioner could generalize the issue the client is experiencing. In addition, it may not be effective with clients that are overwhelmed by the issue or crisis they are facing. Role of the Social Worker In the Solution-focused brief therapy model, the practitioner collaborates with the client, is there for support and to assist the client in moving forward towards a resolution of the client’s problem.
In this approach the practitioner learns more from the client as which tasks are more efficient to goal accomplishment, because the client chooses the goals they wish to accomplish. As cited by Bavelas et al (2013), the process of the solution-focused brief therapy is “listen, select, and build” (p.5). Assumptions are often made in this approach; the best way to help a client is to work in collaborative relationship to discover options for coping. In addition, focusing on the past may not be helpful to the client, it may however hinder the progress of the intervention and may even create distrust in the …show more content…
practitioner. In the task-centered model, the practitioner provides a systematic approach where the client and practitioner agree to work on the client’s problem while the client agrees to do the desired tasks. In this approach, as referred by Edwards and Forbes (n.d.), the task-centered is divided in three phases. The first phase is “active listening”, where the practitioner works in conjunction with the client to identify the problems. In the second phase of this approach the practitioner jointly with the client “break down and detail the problem areas.” Once the problems have been identified, in the third phase the targeted problems are prioritized in order of importance to the client. In addition, in this phase the client may sets its goals that will demonstrate improvement towards the resolution of the problem. Also, during this phase the practitioner and client jointly decide which tasks will help the client achieve the goal of resolving their problem. The time frame is set at the initial session in collaboration with the client. Human condition and Approach All individuals have inherited strengths and the capacity to solve their own problems. However, with the guidance or support of a professional, the targeted problem becomes easier to overcome. In the solution-focused brief therapy, as described by Simon and Berg (n.d.), the practitioner “tends to be curious about the individual and his/her social context, resources and future visions.” The task-centered model sees the client and its problems in a perspective way in which an individual, a group or the ecological system of the client’s life may hinder or enable the resolution of a clients’ problem. Completion The work in both approaches, the solution-focused brief therapy and task-centered model is based on strengths perspective and goal oriented approaches. In addition, both approaches have been applied in the macro system in social work that works within the social conditions and cultural values of the practices. In solution-focused brief therapy the focus is on the solution and not so much on the problem, this helps the client to create a positive outcome and achieve its goals. Since the client is in control of the sessions, the practitioner continues to empower the client; this gives the client a positive outlook on any possible issues it may face and therefore the client makes positive behavior changes causing a positive “ripple effect”. As referred by Simon and Berg (n.d.), the client “experienced” its own empowerment and “the therapy served simply to affirm the progress that had become more and more evident” (p. 10). In the task-centered approach the practitioner emphasizes the accomplishments made by the client. In addition, the practitioner may identify and review the problem-solving skills that the client developed during the treatment process to help the client simplify any problems they may encounter in the future. Conclusion The use of task-centered and solution-focused brief therapy models are good because of time limitation of the practitioner to intervene with the client, in addition it is great for the agency because it saves time and money.
However, it doesn’t really help the client because of the short length of the intervention frame (3-12 weeks), plus it doesn’t allow the client to resolve in depth problems. As mentioned by Edwards & Forbes (n.d.), task-centered approach is relevant in the social work practice. In addition, according to Simon and Berg (n.d.), “solution-focused brief therapy approach will work with clients who have had long time involvement in the mental health system.” However, there isn’t sufficient knowledge of the model to apply it with an in depth issue (problem). I believe that if such approach is going to be implemented, then the practitioner should be well trained because it’s not the same to have knowledge of the either model as understanding and applying any of the models during an intervention with a
client. References Bavelas, J., De Jong, P., Franklin, C., Froerer, A., Gingerich, W., Kim, J.,…Trepper, T.S. (2013). Solution Focused Therapy Treatment Manual for Working with Individuals. Solution Focused Brief Therapy Association, 2. 1-42. Retrieved from: http://r.search.yahoo.com/_ylt=AwrTHQ52FhtXsVUAalZXNyoA;_ylu=X3oDMTEyNHVwMXNiBGNvbG8DZ3ExBHBvcwMzBHZ0aWQDQjE4NzlfMQRzZWMDc3I-/RV=2/RE=1461421814/RO=10/RU=http%3a%2f%2fwww.sfbta.org%2fPDFs%2fresearchDownloads%2ffileDownloader.asp%3ffname%3dSFBT_Revised_Treatment_Manual_2013.pdf/RK=0/RS=ZKPL5ix96gqh.OWkz2OU4iv_aRc- Edwards, R. & Forbes, R. (n.d.). Task Centered Casework. Iriss.org. Retrieved from: http://content.iriss.org.uk/taskcentered/index.html Jones, D. (2014). Brief Introduction to Solution Focused Therapy. Retrieved from: https://www.youtube.com/watch?v=1bJWVR1-Ko8 Kim, J.S. (2015). Examining the Effectiveness of Solution-Focused Brief Therapy: A Meta-Analysis. Research on Social Work Practice, 18(2).107-116. Retrieved from: https://wnmu.instructure.com/courses/1109456/files/54073286/download?wrap=1 Simon, J.K. & Berg, I.K. (n.d). Solution-Focused Brief Therapy with Long-Term Problems. 1-11. Retrieved from: http://www.0to10.net/sflong.pdf
This method is grounded in the strengths perspective, a perspective in which the worker center’s their sessions around the clients’ abilities, gifts, and strengths (Shulman, 2016). Instead of focusing on what is wrong with the client, the worker highlights what is right with the client building on their strengths instead of emphasizing their deficits: the client already has what they need to get better or solve their problem (Corcoran, 2008). The role of the worker in this model is to help the client recognize their potential, recognize what resources they already have, and discuss what is going well for the client and what they have been able to accomplish already (Shulman, 2016). Techniques commonly used in this model, although they are not exclusive to this model, include an emphasis on pre- and between-session change, exception questions, the miracle question, scaling questions, and coping questions (Shulman, 2016). These questions are used for many reasons: for example, the miracle question is used because “sometimes asking clients to envision a brighter future may help them be clearer on what they want or to see a path to problem-solving.” (Corcoran, 2008, p. 434) while coping questions are used to allow the client to see what they are already accomplishing, rather than what they are transgressing (Corcoran, 2008). All
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackle a client’s needs. Therefore, I draw upon concepts from various theories to assist clients in achieving their goals. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this in the sense that one must examine and establish their cognitive misconceptions; however, I prefer to extract this concept from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them (Corey, 2013). This Person-Centered therapy concept has overlap with CBT as
Seligman, L., & Reichenberg, L. W., (2010). Solution-focused brief therapy. In J. Johnston (Ed.), Theories of counseling and psychotherapy: systems, strategies, and skills.Upper Saddle River, New Jersey: Pearson Education
Although, this session ended with amazing results, I feel as though I need more practice with this type of therapy. I have to continue to practice on allowing the patient to come up with their own solutions. I found it hard not giving advice to my client, because I already knew the situation. However, in the end I found myself very proud, because even though this was not a real therapy session, but the client was able to find a real solution to her problem. This experience is one that teaches the therapist restraint, it allows one to step back and listen. It also gives the client the opportunity to reach a solution themselves without someone giving them the answer to their
Interventions: describe cognitive restructuring and explain its uses, gather background information from the client to discover how problem was handled in the past, identify and track patterns of thought outside of session.
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
For this reason, some of the brief therapies, such as strategic family therapy or solution-focused therapy, that focus on rapid change without much attention to understanding, might be more appropriate. However, I believe these brief therapies do not give clients enough time to really parse out their problem. I am wary of counseling that limits clients’ ability to tell their stories fully, which seems like just one more way of silencing people, oppressing them, and keeping them in line. In working with my clients I want to collectively understand how problem-saturated stories developed, the cultural, familial, or biological factors that might be involved, and the availability of choices. I believe that narrative therapy is the most flexible approach in this respect because although not brief, it is efficient and seems to be effective long-term, although more research is needed, which is challenging because of the subjective nature of this approach (Madigan, 2011). In my therapy practice, I want to leave clients feeling hopeful and liberated by helping them to see the problem as separate from their identities and as only one story to choose from several, and by acknowledging the contextual factors contributing to the
...p their own solutions to problems. Clients may need some guidance, education, or direction depending on their abilities and how the therapy is going. It is then that I want to be able to help them feel more empowered and recognize that they can make changes with effort on their part.
People inherently have the power to solve their own problems and come to their own solutions. Clients are expected to play and active role in their own change by being open to expressing their problems,creating goals and ultimately evaluating their progress. Clients often use stories to explore their problems in preparation for deciding which goals they want to set and subsequently accomplish. Each client has specific issues and life experiences which the goal should reflect. Clients are expected to put great effort into discovering a desire that the client has deep convictions about and will commit to putting in the work it takes to change behaviors that are no longer working in their life. When the client discovers what they want to be changed it can become their goal. The goal needs to be important to the client and not something that someone else wants them to change. When ...
The goal of this therapy is to focus on the past traumatic memories that are contributors of the traumatic problem, disturbing present situations and the necessary skills that could be beneficial to the client for the future (Shapiro, 2014). The focus of this therapy is to provide effective psychotherapy treatment without need to expose the client to detailed description of the traumatic event (Shapiro, 2014). Some of the other goals of this therapy is to strengthen positive beliefs, eradicate negative physical events, and ascertain skills needed for functioning and integrating learning (CEBC, 2015).
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
If modifying the questions is not effective, I will evaluate my relationship with the clients. Their reluctance in providing information may result from inadequate socializing activities and lack of trust in me. That is to say, I should work more on building therapeutic rapport. Another possibility may be that the clients encounter some difficulties in the preceding week. Before reading this chapter, I did not think about this point. In my future practice, if the clients fail to describe their problems and are reluctant in agenda setting, I will investigate further about their thoughts of why they feel difficult to do so. Is it because they have too many problems and do know how to select a major one? Or is it because they do not fully believe the efficacy of the therapy? If it is the former reason, I will tell the client that we can work one by one but he/she needs to make selection first. If it is the latter reason, I should be sensitive and give them enough space. If I push too hard and force them to name their problems, the therapeutic relationship may be
The important method has done differently in each clients. With each therapeutic methods he had learned, he has to find a model that fits with the client, and if that method does not work, they do more research and find a method of therapeutic that can help the client overcome his obstacle.
In the 1970s, Steve de Shazer and Insoo Kim Berg began developing a new therapeutic approach called Solution-Focused Brief Therapy (SFBT). (Trepper, et al., 2006) Over the next thirty years, Shazer and Berg continued to refine the approach. (Trepper, et al., 2006) There are both benefits and limitations of SFBT. Until more recently, there has not been a large amount of research showing valid results of utilizing this approach. However, since 2005, SFBT has been growing in popularity in the United States and Europe, thus prompting more studies to be conducted. (Trepper, et al., 2006)
I think the major technique is focusing on the person and not the problem which would help the client to achieve independence and allow the client to cope with current and future problem they may face. Another major technique is the client determines the course of directions of therapy. Another technique is the person-centered therapy which is a non-directive which allows the client to be the focus of the therapy session without the therapy giving advice.