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Week 10 Discussion: Group-Facilitated Discussion – Solution Focused Therapy – TWO Classmates Replies.

Week 10 Discussion: Group-Facilitated Discussion – Solution Focused Therapy

TWO Classmates Replies.

1.         Reply each of the following discussions (2 discussions below) from a Solution Focused Therapy Standpoint in well-developed paragraphs (200-250 words each reply).

2.         Use between one to three references to support your statements in each reply. The references must be within 5 years.

3.         Replies must be courteous, professional, and oriented to support the ideas of my peers.

4.         Use the name of my peers in each reply, and use the second person to reply his/her discussions (e.g. “Hello Steve, I agree with your statement because you…”)

5.         Write references right after each reply.

1st Discussion by David Stewart

Solution-Focused Therapy Discussion

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Describe how you would approach this patient. List 2-3 SFBT techniques that you could use as Kiran’s therapist.
Solution-focused therapy is an optimistic approach to therapy that is based on the assumption that individuals all have the ability to self-heal (Corey, 2017). It is a future-oriented therapy that focuses on what is possible rather than the patient’s past behaviors (Corey, 2017; Franklin et al., 2016). It only looks backwards insomuch as to validate the patient’s experience rather than attempting to understand how an individual’s problems developed (Corey, 2017). Foundational to this therapy is the belief that individuals often know the solutions to their problems but become enmeshed in the webs of their problems and lose both perspective and their ability to self-heal (Franklin et al., 2016).
Like all forms of psychotherapy, solution-based therapy is integrally tied to the use of language (Zatloukal et al., 2018). Metaphors are an integral part of human language and communication and can be used as a device for human change (Zatloukal et al., 2018). As solution-based therapy is considered minimalistic, brief, and question-based, metaphors are not often used as tool (Zatloukal et al., 2018). This being noted, they are often used devices in other therapies as they can provide points that allow patients to grasp and manipulate problems allowing for a clearer understanding (Zatloukal et al., 2018). As such, they can also be used as part of a solution-based therapy session by providing a way for clients to understand their problem and visualize solutions.
One technique to utilize this in solutions-based therapy is to pay attention to the language and metaphors the client is using. Listening to the patient’s language, key words, and metaphors, the therapist is treating the patient as an expert and making use of their language to empower the development of a personal solution. The richness of the client’s language can also provide a segue to other therapies that can be directed towards the client (Zatloukal et al., 2018). I feel that listening carefully to Kiran’s language and using the same language and metaphors would not only provide insight and nuance but convey presence and authenticity fostering the therapeutic alliance.
An often-used technique in solution-based therapy is the “miracle question.” Simply put this is accomplished by asking the client that if a miracle occurred and their problem was resolved, how would they know is was solved and what would be different in their life (Corey, 2017). This simple solution‐focused question has been shown to significantly increase in self‐efficacy, and positive approach to goals as opposed problem‐focused questions (Neipp et al., 2015). This question can also be framed using the client’s same metaphors reinforcing the meaning to the patient (Zatloukal et al., 2018). Framing the miracle question with this attention to Kiran’s language and personal metaphors further empowers Kiran as the expert. This is fundamental to solution-based therapy.
A third technique that be used after asking the miracle question is to examine how Kiran sees her “future self.” The concept of future or possible selves offers a solution-focused and future-focused way to help Kiran construct meaning (Campbell & Taylor, 2019). By integrating possible selves or future self into solution-focused therapy, the therapeutic conversation focusses on “being” and the future rather than the current point in time of the problem. This shift allows Kiran to create goals based on hoped-for selves and address concrete steps away from the problem that is preventing self-healing. The focus becomes on of  “doing” rather than being enmeshed in the problem at hand (Campbell & Taylor, 2019).
By focusing on being, Kiran could possibilities helping her find meaning, motivation, and solutions (Campbell & Taylor, 2019). This focus on the future can be put within the framework of Kiran;s personal metaphors and language to further enhance the effect (Zatloukal et al., 2018). By framing it in using positive language and metaphors, Kiran’s self-efficacy is further reinforced (Neipp et al., 2015).

“Hanging indentation was not retained.”

References

Campbell, M., & Taylor, E. (2019). A way of being: Integration of possible selves Into Solution-Focused Therapy. Journal Of Systemic Therapies, 38(3), 1-10. https://doi.org/10.1521/jsyt.2019.38.3.1
Corey, G. (2017). Theory and practice of counseling and psychotherapy (10th ed.). Cenage. ISBN:978-1-305-26372-7.
Franklin, C., Zhang, A., Froerer, A., & Johnson, S. (2016). Solution Focused Brief Therapy: A systematic review and meta-summary of process research. Journal Of Marital And Family Therapy, 43(1), 16-30. https://doi.org/10.1111/jmft.12193
Neipp, M., Beyebach, M., Nuñez, R., & Martínez-González, M. (2015). The Effect of solution-focused versus problem-focused questions: A replication. Journal Of Marital And Family Therapy, 42(3), 525-535. https://doi.org/10.1111/jmft.12140
Zatloukal, L., Žákovský, D., & Bezdíčková, E. (2018). Utilizing metaphors in Solution-Focused Therapy. Contemporary Family Therapy, 41(1), 24-36. https://doi.org/10.1007/s10591-018-9468-8

 

2nd Discussion by Johnnie Bradley-Goodman

Group Facilitated Discussion – Solution Focused Brief Therapy

Describe how you would approach this patient. List 2-3 SFBT techniques that you could use as Kiran’s therapist.
According to the case study presented, Kiran has a diversity of issues that have resulted from an impaired relationship with her mate. In the case study, it did not state how long she was in the relationship and how long she has been dealing with these symptoms, which has affected the mental status that has affected her holistically. Due to Kiran’s denial to take the recommended prescriptive medication that she needs for her depressed mood, she is willing to take psychotherapy to resolve her issues. Therefore, the approach that I would utilize for Kiran as her therapist in Solution Focused Brief Therapy are the following techniques:
• Miracle Questions
• Exception-finding Questions
• Scaling Questions.
I would first address Kiran utilizing the technique in the miracle question. In the assessment, the stage includes the miracle question, assessing the client’s vision of what the “solution” would look like allowing the therapist to understand his or her motivation better to change, discuss problem clarification, and identify the potential strengths possessed by the client (Stermensky & Brown, 2014). I would ask Kiran if a miracle was to happen and she was to go to sleep and wake up the next morning, what would be different and how would she know that the miracle had occurred? With this form of a question(s), as the therapist, it would allow for the client to portray her life differently without the problem being associated in her life and that life would be better without the problem, which is in this aspect – the relationship.
The next technique that would be utilized for Kiran is the exception-finding question. In SBFT, the therapists would ask the client exception questions, which would help direct her to when the problem did not exist, or when the problem was not as intense (Corey, 2017). Exceptions are those past experiences in a client’s life when it would be reasonable to have expected the problem to occur, but somehow it did not (Corey, 2017). Therefore, as the therapist the question would be aimed around the goal for the client to focus when her life was at its best without the problem.
The third technique that would be utilized for Kiran is the scaling question. This technique would allow the patient to rate the issue on a scale of 0-10, which is a numerical scale that rates the severity of the problem occurring in her life. Therefore, by asking Kiran the scaling question, with ten being the very worst, how would she rate how she feels now? With the scaling question, the therapist would see increments of change as therapy progresses in each session. However, the only downfall with this type of therapy is that this form of treatment (SFBT) is brief, where clients also do not have much time to come for more sessions, but solution-focused therapy would be beneficial (Reddy et al., 2015). Therefore, Kiran would benefit from SFBT for the issues that she is experiencing at this time.

References
Corey, G. (2017). Theory and Practice of Counseling and Psychotherapy (10th ed). Boston, MA:
Cengage Learning.
Reddy, P. D., Thirumoorthy, A., Vijayalakshmi, P., & Hamza, M. A. (2015). Effectiveness of
solution-focused brief therapy for an adolescent girl with moderate depression. Indian journal of psychological medicine, 37(1), 87–89. https://doi.org/10.4103/0253-7176.150849
Stermensky, G., 2nd, & Brown, K. S. (2014). The perfect marriage: solution-focused therapy and
motivational interviewing in medical family therapy. Journal of family medicine and primary care, 3(4), 383–387. https://doi.org/10.4103/2249-4863.148117

 

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