Treatment Models Chosen for Comparison
1. Narrative Therapy the role of the therapist, views of people and their problems, and the approach for helping. Narrative therapy is a way to look at a person’s life story and their struggles from an outside looking in approach. The problems become separate from the individual. Narrative therapy helps the client examine their life story from a strengths perspective. Instead of focusing on the problems the worker helps the client identify their strengths and skills. Individuals also identify the functional aspects of their life. When the client can think about how their struggles have effected their lives, the client is then able to identify what in their life is valuable and important as a whole. When the client can identify a connection to how their choices have had positive and negative consequences and actions they can start to understand the cause and effects of their actions. The role of therapist is to facilitate the client in creating a narrative for the next chapter of their life. It is by these reflective processes the client can focus on the strengths, values, skills and the positive aspects of their lives.
2. Cognitive Behavioral Therapy views of people and their problems, and the approach for helping. Cognitive behavioral therapy guides the client to look at and reflect on the connections between thoughts and feelings, and how that effects behaviors. The goal is to help a client in recognizing their
This paper will recount the development and history of narrative therapy and provide a brief background assessment on the founders and significant contributors to the postmodern approach of Narrative Therapy. The role of the therapist, the theory of change, the target of intervention, the assessment from this approach, and what the approach says about normalcy, health, and pathology will be presented. It will also discuss how narrative therapy might work with and be sensitive to the cultural and diversity factors and give some examples of intervention from this approach. It will then discus the case using concepts and ideas from narrative therapy and the application of the essential ideas of the narrative therapy in the case and, where appropriate,
The goal of narrative therapy is to change the impact that the problem or issue has on one’s life (Shapiro & Ross, 2002, hence changing the individual. The individual narrates their life story as the clinician strives to assist the client’s in identifying with their experience and to address concerns in their life after a social, political and/or cultural lifestyle. (Shapiro & Ross, 2002).
Cognitive therapy is one of the few theories that have been extensively scientifically tested and found to be highly effective in over 300 clinical trials. It focuses on the immediate or automatic thoughts the client has and how these thoughts affect their feelings and behaviors. The goal of cognitive therapy is to identify these thoughts that are poorly affecting the client. Then teach the client how to identify these automatic thoughts and how they can effectively change them. Through the very structured sessions of cognitive therapy, a client should essentially learn the tools to be their own cognitive therapist for future problems they may encounter. The therapy session will not make them an expert but they will be better prepared to
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
Narrative therapy is guided by the idea that people’s lives have dominant storylines and people get stuck in problem-saturated stories (Morgan, 2000). When these dominant storylines begin to emerge, individuals will remember events that support the storyline, and forget events that don’t (Kelley, 2011, p. 317). The Brice family’s problem-saturated story when they presented to therapy
I was in high school the first time I had to write a narrative. I was a freshman. This was Ms. Bradley’s first time teaching at Union Christian Academy. On her first day, she gave us our syllabus and said, “I do not accept late work, especially on writing assignments.” We, literally, sat there stunned. My freshman class had it very easy during eighth grade year. We were not expecting this. As I looked through the syllabus, I saw that our first assignment was due in a week and it was a narrative. At this time, I did not even know what a narrative was. Ms. Bradley explained that a narrative was an account or story of events. It could be either true or false. Our narrative had to be true. It had to be a true account of something that happened to us over the summer. She wanted to gauge how are writing skills were. Our narrative had to be at least two to two and a half pages long. I chose to write my first ever narrative on my trip to Fort Worth, Texas. Once again, I was plagued with writer’s block. I had the story in my head, but everything I
This paper will look at the logic of narrative therapy by focusing on 5 major points. This paper will begin by discussing how the narrative approach defines and perceives problems. It will address how narrative therapy views the nature of the relationship between the client and the professional. This paper will look at how problems are solved using the narrative approach. It will also focus on three main techniques used in narrative therapy, which will include externalization, deconstruction and re-authoring. This paper will also include a short narrative critique of the medical model.
Narrative therapy is way in which a therapist can help externalize sensitive issues, by allowing the client to take the reigns by talking through it outload with the therapist as the active listener. This objectification dissolves struggle and resistances and allows the client to address this issue in a more productive manner.
The following essay is a case study of a client named John who is suffering from major depression and was sent to see me for treatment by his concerned wife. I will provide brief background information about John then further discuss interventions and strategies I believe can be applied in each session with my client in order to make John's life more manageable. In the essay, I will be writing as the therapist, and the sessions are based on a ten week period.
Narrative therapy is a social constructive philosophical approach to psychotherapy that has been developed to help clients deconstruct their negative and self-defeating life stories while rebuilding healthy and positive life stories through the use of various techniques. This paper will discuss the leading figures, some concepts and techniques, ethics, some similarities and dissimilarities of other theories compared to Narrative therapy. This paper will also address my personal integration of faith regarding the theory of Narrative therapy.
It is important that counselors empower clients as experts of their own lives because it gives them autonomy and this will be beneficial when the counseling relationship eventually comes to a close. When clients recount their own stories from their individual perspectives, agendas, and beliefs, this is powerful and significant because no one else can testify about their own life better than they can. Storytelling reweaves people’s perspective to see their potential for strength, renewal
Whomever is implementing Social Stories must ensure that the vocabulary and content is truly representable of the client’s daily life and skill-level. Social stories may include descriptive sentences that are truthful, opinion and assumption-free statements of fact; perspective sentences that refer to an individual’s internal state, thoughts, feelings, beliefs, or physical condition; directive sentences that describe desired responses; affirmative sentences that express a commonly shared value or opinion within a given culture; cooperative sentences that identify who can assist the individual in a situation; and control sentences that use analogies to explain situations (Cosgrave, n.d.). While there is great variability in the effectiveness of Social Stories, and their success varies across clients, researchers have discovered that for those whom social stories were successful for, “100% of those participants who gained skills during intervention maintained those skills” and many parents reported a generalization of skills in other contexts, as well (Hutchins & Prelock, 2013). Client-motivation level, the use of repetition in teaching the story, and the clarity of the expected behaviors or skills are critical factors of whether a social story will be
Systemic therapy was based on Minuchin’s Structural Therapy model (1968) followed by Bateson's cybernetic model (1972) The first order cybernetic model considerd that problems within a family system should be focused on by strategically solving problems, meeting family goals and help change a person's dysfunctional behaviour. D Shazer (1985). These concepts in Systemic therapy were known as the major paradigms and were taught by therapists such as Minuchin in Milan until the information-processing systems were introduced. They were characterized by the therapist's observation of the system from the external social world. Minuchin S & Fisherman,HC (1981)
The intervention approached should be gentle with caution to translate what the client’s story means to them and guide them towards change in a meaningful and productive way (Phipps & Vorster, 2015). For example, the this particular client may explain their series of events as devastating and life altering. Using a narrative theoretical approach externalizing the words the client uses. The client expresses