Solution Focused 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

Solution-focused therapy is different from narrative and collaborative therapy because it focuses more on discovering solutions to problems by asking miracle and scaling questions (Goldenberg & Goldenberg, 2013). Solution-focused therapists utilize miracle and scaling questions to help clients change their thoughts and behavior. Miracle questions challenge clients to think about what their lives could be like if all their problems suddenly went away and were solved (Henderson & Thompson, 2016). Scaling questions challenge the client to magnify their view of the current circumstance (Goldenberg & Goldenberg, 2013). Solution-focused therapy is also different from narrative and collaborative therapy because the counselor leads the counseling session. Counselors lay out clear expectations for their clients to change, and expect them to actively participate in counseling so change occurs. The third difference between the three approaches is that solution-focused therapy is complaint-based, while narrative and collaborative therapy is not (Goldenberg & Goldenberg, 2013). Clients come to counseling with a complaint, and counselors typically work with those who ready and willing to change. Another difference is that solution-focused therapy consists of five steps, which are “co-constructing a problem and goal, identifying and amplifying exceptions, assigning tasks, evaluating effectiveness, and reevaluating problems and goals” (Goldenberg & Goldenberg, 2013, p. 382). Collaborative and narrative therapy do not follow these five

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.

A few of the techniques explains to the client which technique words and what doesn’t in a family setting. In the beginning, it’s more about bringing out concerns more than something that may or may not be taking place in the household. Solution-Focused Therapy also focuses on goals and helpful strategies. The true purpose for this type of therapy is focusing on family strengths. One example of the solution-focused therapy is the formula first session task. This task is an example of showing the family what helps. Also, the counselor is constantly asking questions and doing observations to see how well things go when the family leaves therapy. Another example is the exception question. This is usually the counselor looking at the family and

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.

This approach allows for a close relationship, which will foster trust, and will ensure that there is mutual understanding of the problem, and the best interventions in order to solve the problem (Henonin, 2010). This approach allows for the client to practice self-autonomy, by giving the client power over what interventions they believe will comprehensively solve the problem that is evident in their life (Henonin, 2010). Furthermore, the client and the social worker may have different understandings of the problem or circumstances that are taking place. Therefore, the first steps of the problem solving approach are crucial in fostering mutual understanding, in order to ensure that both the social worker and the client are on the same page before a proper intervention can be formulated (Henonin, 2010). Additionally, it is incredibly important that throughout the intervention, the social worker garners feedback, and performs “check-ups” with the client in order to ensure that the intervention is having a positive impact (Henonin, 2010). Performing routine check ups, ensures that interventions are working properly, and the client’s voice remains heard. Furthermore, routine check ups ensure that the social worker completely understands the problem at hand, and can be privy to any new information regarding the circumstances of the

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

The need for an alternative approach to therapy was recognized as mental health practitioners began to observe the amount of energy, time, money, and other resources spent discussing and analyzing the challenges revealed during the therapy process, while the issues originally bringing an individual to therapy continued to have a negative impact. Steve de Shazer and Insoo Kim Berg of the Brief Family Therapy Center in Milwaukee, along with their team, developed solution-focused brief therapy in the early 1980s in response to this observation. SFBT aims to develop realistic solutions as quickly as possible, rather than keeping people in therapy for long periods of time, in order to promote lasting relief for those in therapy.

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.

Bannick’s report indicates that since the client being the expert they can find the solutions to their problems and since the client found the solution the solution will sustain.

The theoretical orientation that best suites my personal style is a combination of both client-centered and brief therapy. In the first part of the paper, I try and describe the importance of developing a good client/therapist relationship using a client-centered approach. I like this approach the best because it helps the client to be more open and truthful with the therapist. There are several techniques that I find important in developing this bond such as: genuineness, unconditional positive regard, accurate empathy, and active listening. After building a relationship with the client, a therapist is now faced with identifying and solving a problem behavior. With this in mind, I found that the brief therapy method best fits my style.

In the 1980’s Insoo Berg and Steve de Shazer developed steps into the practice of solution focused therapy in Milwaukee, USA. Solution focused therapy is a practice framework for social workers and other therapists. Solution focused therapy is a framework that primarily focuses on solution development. Other Frameworks lead therapy to focus on the past history of the problem that the client brings to therapy, and ending their sessions with a solution to the problem, or when the problem in no longer an issue for them.

In SFBT, the therapist checks with the George regularly to see how he is doing in reaching his solutions or goals by asking scaling questions. This technique can be creatively applied to tap on the client’s perception about a wide range of

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.