Solution-Focused Brief Therapy: A Case Study

This paper will focus on client’s presenting concerns and her biopsysocial system. Reader will explore how Solution Focused Therapy and Harm Reduction Therapy are relevant to client’s problems and why they would be most effective for client. Two intervention models that are relevant to the theories chosen will be outlined and how they relate to the client. An intervention plan that includes goals for the client will be evaluated and measured. Finally, the paper will discuss how the model chosen for intervention will have an impact on the macro level of change.

 Solution focused therapy is a model of therapy developed by Steve de Shazer and Insoo Kim Berg in the late 1970's (Dolan, n.d.). This model has become well known for its non-traditional approach to client problems as it does not explore clients issues in relation to their cause and affect but rather the goals and solutions to achieving a future free of any present issues. i will be discussing the evident concepts, principles and intervention techniques of this particular model. it will be explored in the context of a case scenario of a therapy session to observe how the model can be actively applied to therapy sessions and why this is the best model to meet the client's needs. The effectiveness of the model

Brief therapy helps people by focusing on solutions, instead of problems. The therapist asks questions thereby facilitates the client by helping formulates solutions. The client leads the meeting by actively formulating ideas in which he/she can serve to improve the client's negative circumstances. This is contrary to cognitive therapy, which focuses on a client's cognitive processes (how he or she thinks about people/places/things). The therapist collaborates with the client to help the client develop alternative solutions.

When viewing this family in a Solution Focused Brief Therapy (SFBT) lens, we would focus on the solutions rather than the problem. Although the initial assessment would be similar to that of structural and strategic therapy, all of these issues would be explore, we would focus on the solutions rather than the problem. Although the initial assessment would be similar to that of structural and strategic therapy, all of these issues would be explored in a way that allowed for less “problem talk” and more solution based ideas.

Solution-Focused Therapy (SFT) was drawn out from the work of Milton Erickson. Most people identify SFT with the variation work from Steve de Shazer and Insoo Kim Berg. Solution-focused therapy is a therapy that is action oriented and focuses on finding solutions. In SFT, the client is considered the expert (they know exactly what the problem is), and the client has the resources to find a solution. SFT does not focus on diagnoses or assessments but focuses on what the client brings to therapy. Depending on the client and the problem, SFT has a 50% successful rate. SFT has many techniques to use to assist in finding solutions for problems. These techniques range from questioning the client to having the client complete homework assignments.

As Insoo Kim Berg, MSW and Steve de Shazer, M.S. (Solution Focused, n.d), explained the theoretical underpinnings of Solution-Focused Therapy (SFT) in this week's video, I made note of several similarities and differences between SFT and Cognitive Behavioral Therapy (CBT). One of the first things Insoo Kim Berg, MSW mentioned was the difference between who was considered the expert: the client or the therapist. SFT views the client as the expert above all else. Steve de Shazer indicated that the client and the therapist often had a difference of opinion as to what a successful solution looked like, and since the client is the customer and the one who has to live with the outcome, it is they who gets to

Throughout the class, many aspects of the curriculum were seen as useful in future social work practice. Before this course, in other course work, treatment planning and goal setting was often something that was reviewed briefly, yet within the coursework of the capstone seminar this matter had been gone over in more detail. Within this course, it was possible to gain more insight into a more balanced way of setting treatment goals that included conversations with the client concerning what they desired out of treatment in addition to what was needed. This aspect of the course was particularly useful when it came to working towards the development of the treatment plan with the client who was presented during the case presentation, Sarah.

Solution-focused therapy has been criticized for abandoning the expressive progressions of clients, yet, an analysis of works challenges this argument and shows that the use of positive self-talk within the changing process of Solution-focused therapy has been existing since its beginning expansion. This paper will explore the historical context of Solution Focused Therapy and how the theory has evolved. The author will also examine the underlying assumptions of the theory and causes, components of change, target of clinical intervention, and the role of therapist who practice Solution-focused therapy. The author will also attempt to identity multicultural, gender, and social justice issues and compare their targeted theory with other theoretical approaches involving Solution-focused therapy. In the end suggest possible modifications to overcome identified strengths and limitations of Solution Focused Therapy.

In this paper, I will discuss the case study of “Ana”. Ana is 24 years old, has lost her job, and worries about becoming homeless. She currently is a single parent due to her husband being deployed in a combat zone overseas for the next eight months. Ana is a first generation immigrant from Guatemala; she comes from a large family. She claims to have a close relationship with her family but has not seen her family for about a year. Her father is a banker and her mother an educator, her three siblings all has graduated college and have professional careers. Ana has completed one year of college, but needed to leave school after her son was born, finding it difficult to manage being a parent, student and a full-time employee as well. While showing signs of being depressed and anxious, she has agreed to eight sessions for treatment. Using this background information in this paper will cover the use of Solution Focused Brief Therapy (SFBT) for the treatment of Ana.

This term paper is about solution-focused therapy and experiential therapy. In solution-focused therapy, the therapy does not emphasize the problem at all; it stresses and highlights the solution. The client is the expert and not the therapist. The experiential approach is often used to facilitate meaningful changes in individuals. SFBT is a short-term goal focused therapeutic approach which directs clients to focus on developing solutions, rather than on dwelling on problems. The theoretical framework, how change occurs, therapeutic techniques, postmodern perspective, the role of the therapist and some clinical examples are given in this term paper.

Problem solving approach is a traditional and foundational aspect of general Social Work practice. It is based on identifying a problem or set of problems facing a client and formulating a framework of possible options with the hope of fixing the problem or improving the situation. Although, the worker may guide the client and inform them of the possibilities and options available, the client is still solely responsible for their own choices and actions. The formal application of this principle is the definition, assessment, setting of goals, intervention and resolution.

Modern day counselling is equipped with a wide variety of therapies, techniques and approaches. The purpose of this essay is to compare and contrast two approaches of therapy. Also in this essay the views of the person and the Therapeutic process will be discussed. The two models that are going to be compared are Gerald Egan’s The Skilled Helper model and Steve De-Shazer’s Solution Focused Brief therapy (SFBT).

As a solution focused brief therapist (SFBT), one needs to understand that the outcome of therapy is partially up to the client’s thoughts and understanding of therapy. Since this portion of therapy success is substantial, one needs to make sure that the client feels comfortable in therapy. Creating a safe environment for the client will help the client feel comfortable to talk about what has brought him or her into therapy. This safe environment will also include the inform consent forms stating what is said in therapy will remain confidential, and the therapists legal obligation to protect children from harm.

This paper uses the application, concepts and techniques from The Solution-Focused Brief Therapy and The Satir Model under Family Therapy in working with the case study of George.

Understanding that solution-focused therapists operate under the assumption that clients already have the necessary skills to solve their problems, it is our job as therapists to help them regain insight into their problems. Therefore, it is understandable why solution-focused therapy is considered a brief therapeutic approach. If the clients already have the ability to solve their own issues then they just need to be reminded of their strengths and resources, shifting the focus.