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Simple Therapy a step beyond SFBT Plamen Panayotov Solutions Brief Therapy and Counseling Centre Rousse Bulgaria
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‘ Improvisation requires a profound process of assimilation verging on forgetting. ’ Paolo Pandolfo
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What is the most useful definition of SFBT ? A psychotherapeutic approach A way of thinking A life philosophy A toolbox (Steve de Shazer)
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How is this definition useful ? It allows for … -Discovering new tools -Trying them out in practice -Evaluating them -Sharing them with others -Adding them to the toolbox … thus developing the SFBT practice.
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Solution Focus Question: Who needs to be solution-focused ? The therapist ? ( not necessarily ) The client ? ( preferably )
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Question: Can we help clients become solution-focused without necessarily asking them SF questions ? The obvious answer : No. Paradoxically : Yes. If yes, how ?
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Question:
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to ask a certain question ( to use a particular tool ) ? Answer: You either guess, or you follow the client. Question: Which one is better ?
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How do we follow clients ? by Listening to them and Observing their reactions
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quoted Ludwig Wittgenstein:
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DON'T THINK, BUT OBSERVE ! http://brianmft.talkspot.com/aspx/templates/topmenuclassical.aspx/msgid/362961
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Question: Since the therapist is too busy Observing,
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Who will do the Thinking ?
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Obviously, the Client !
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How are we going to help her do it
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By including in most of our questions to clients: … what do you think … ?
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Examples: ‘… what do you think you will notice after the miracle …’ ‘… where do you think you are on a scale from …’ ‘… what do you think s/he would say (see, notice) …’ ‘… what do you think the next step might be (look like) …’ ‘… when do you think it was a little bit better …’, etc.
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the Thinking Tool / Question
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The Basic Question ( Main Theme ) : What does the client want … -to talk about in her session ? -to be asked about ? -from our conversation ?
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Thus we come to …
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The Opening Questions : What do you think is the most useful question I can ask you as a beginning ? What do you think we need to talk about first ? What do you think we need to do first ?
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Opening Questions
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What do you think is the most common answer to the Opening Questions ? ? ?
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Most clients reply with Laughter or at least a Smile
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Insoo and Steve About Laughter video
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How does this question/tool “What do you think is the most useful question I can ask you as a beginning ?” provoke laughter ?
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By changing the focus from the client to the therapist and the conversation at hand. It’s implicit meaning is: I don’t know anything about your problem, about the possible solutions, but I don’t know also … what to ask you !
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This turns the therapeutic situation Upside Down
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When the client tells us the most useful question, we just … R e p e a t I t
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Echoing - the Therapeutic Wheel
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What happens if the client replies to the Opening Questions with : ‘ I don’t know. ’ This works as an invitation for us to use
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The Classical SFBT Tools : Exceptions-finding Qs Miracle Question Scaling Questions Relationship Questions Coping Questions Compliments Tasks EARS
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What happens if in response to the Opening Question the client asks W H Y her problem is there ?
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Historically When talking about why problems exist used to say:
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Shit A habit Happens. http://en.solutions-centre-rousse-bulgaria.org/files/The_Vomiting_Girl.pdf
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Exercise Try to think of an exception to this ‘explanation’ : It happened first, and then became a habit.
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The Final Cut of the Ockham’s razor : Everything happens first, and then becomes a habit.
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Clearing the ‘why’ Questions
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Instead of saying this to clients … we ask them the Why Clearing Questions: When did this habit happen for the first time ? How often does this habit happen lately ? When did this habit happen for the last time ? because of...
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the Process: Most therapists reply with clever answers SFB Therapists reply with useful questions (a Jesuit habit) Clients come with their questions …
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What do you think happens when the ‘why’ is cleared ? After answering one, two, or several echoing questions what usually happens is … A Miracle:
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Clients BECOME Solution-Focused, and THEY ask …
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The Awakening Question : What are we going to do about it ?
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Then the therapist simply writes down their answers to the Awakening Question on … what, do you think ?
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a Prescription
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…
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…
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What does a Prescription contain ? From 1 to 5 (usually 3 - 4) self-prescribed tasks (answers to the Awakening Question) in client’s preferred order
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Rp./ Pills A cigarette in the morning Verdi’s ‘Requiem’, page 107 of ‘War and Peace’, then talking to friends Buying a dog A walk in the park A cognac with the afternoon coffee Two-sided prescriptions Whatever clients prescribe to themselves
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How does a Prescription work ? Written texts are usually more powerful than spoken words.
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A Prescription works also as a Reminder
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Handing SOMETHING to clients is better than ‘just talking’ to them.
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What do you think needs to happen next ? We need to ask for a permission
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to follow-up the client.
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Follow-up Permission Quest If you let one of us ask you 6 months from now on the phone … How are things going on for you ? and Was our meeting(s) useful for you ? please write down your phone number.
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How does it work ? From now on the client will have to change not only for herself, but also for the therapist. Her progress will be OBSERVED.
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After the agreed upon TIME
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Phone call by someone from the team
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Follow-up Questions: How are things going on for you ? and Was our meeting 6 months ago useful for you ?
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Feedback database DatePhone/ e-mail Client's Name(s) Client(s) Okay Client(s) Not Okay Therapy Useful Therapy Useless uuu xx vvv xx www xx xxx xx yyy xx zzz xx
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How does it work ? -As an additional phone session -As a reminder -As a sign of engagement from the therapist -And …
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As a tool for efficacy studies
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Does Simple Therapy work ?
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Reprise Therapeutic Improvisation requires a profound process of assimilation of therapeutic tools verging on forgetting them. after Paolo Pandolfo
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for Questions & Comments
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Don’t forget that the
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is waiting for … Your new tools !!! So, Good Luck with discovering them with Your clients !
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Visit our web-site at http://en.solutions-centre-rousse-bulgaria.org /
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