Counseling/Therapy Theories. Travis Ingersoll Meghan Root Heather Witt

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1 Counseling/Therapy Theories Travis Ingersoll Meghan Root Heather Witt

2 Theories Solutions Focused Therapy Narrative Therapy Reality Therapy

3 Solution Focused Therapy Steve de Shazer and his wife Insoo Kim Berg are noted as the originators of the specific steps involved in Solution Focused Brief Therapy (early 1980s)

4 Solutions Focused Therapy positive constructive strengths-based

5 Solutions Focused Therapy Focuses on exceptions, the instances where the problem or problems do not occur. Focuses on reframing the client s viewpoints and perspectives to become more constructive and positive. Focuses on what the clients want to achieve as opposed to the problem that brought them into therapy in the first place.

6 Solutions Focused Therapy Goals: Helping the client to change how they perceive the problem Helping the client to change what they are doing that contributes to the problem Helping the client use their strengths as a result of the intervention

7 Solutions Focused Therapy Interventions: Miracle Question Scaling Questions Looking for the Exception Coping Questions

8 Solution Focused Therapy in Action Solution-Focused Therapy Video (till 8:50)

9 Premises of the Theory: Narrative Therapy 1. Sexual problems/dysfunctions are viewed as external 2. Sexual problems should be confronted by combining and using resources. 3. Empower by emphasizing strengths and resiliencies Developed by Michael White & David Epston The person is not the problem, the problem is the problem.

10 Key Phrases to use Narrative Therapy 1. Unique outcomes 2.Constructivism 3. Multiple perspectives

11 Narrative Therapy One goal is to externalize problems Questions can be used to help distance themselves from the problem, couples can combine their resources and combat sexual issues and finding solutions to their problems Circular questions Holds a strong emphasis to de-center the therapist and allow the client system to take the lead in navigating and re-storying their lived experiences

12 Enactments Enactments are used for the following reasons: Help clinicians to develop a better understanding of client narratives and understand couple interaction in context Assist clients in understanding their own and their partner s narratives To adjust existing narratives or mutually create new ones together For the couple to experience one another in a different way

13 Enactments Five Stages of Enactments: Stages one, two, and part of three, involve deconstructing the problem Stages three, four, and five, work in re-writing the narrative of the couple Possible for therapist to bring in outsider witnesses to help deconstruct the original narrative 1. Shielded enactments 2. Buffered enactments 3. Talk-turn enactments 4. Episode enactments 5. Relationship enactments

14 Narrative Interventions 6 Narrative Interventions 1. History taking 2. Loosening the paradox/rehabilitating the middle ground 3. Continuing to resist the pull of the all-or-nothing narrative 4. Uncover details of partners individual stories 5. In vivo applications 6. When narratives are replaced and the couple can engage in new narratives the therapy is over

15 Criticisms Social constructionist theory Focus on qualitative outcomes, not quantitative

16 Reality Therapy Reality Therapy is a Cognitive- Behavioral approach to counseling. It was developed by Dr. William Glasser in 1965.

17 Choice Theory Everyone has their own unique quality world. Total objectivity is a myth; everyone sees things from a different perspective. Only things that are unimportant to us can be seen as they truly are. Individual wants exist as an internal hierarchy of priorities.

18 Choice Theory The behaviors engaged in to fulfill quality world wants are always composed of four elements: actions, thinking, feeling, and physiology = Total Behavior. However, we only have direct control over two of them: Actions & Thinking.

19 Choice Theory (5 Basic Human Needs) 1. Belonging: The feeling of connection and love to others 2. Power: Achievement, learning, feeling worthwhile, winning and a sense of accomplishment 3. Freedom: Independence, autonomy, and the sense of having one s own space. 4. Fun: Pleasure and enjoyment 5. Survival: Food, clothing, nourishment, shelter, and personal security

20 Characteristics of Reality Therapy Reality therapy focuses on what a client can actually control in their relationships and environments. It avoids finding fault or focusing on what the person can t control.

21 Characteristics of Reality Therapy A crucial part of Reality Therapy is to help the client understand that they can only control their own actions and behaviors; but that they can control them all.

22 Characteristics of Reality Therapy Reality therapists strive to present themselves as they truly are (keeping it REAL!) in order to build a positive, productive working relationship with the client, and to teach them how to relate to others. Transference is rejected in this form of therapy.

23 Characteristics of Reality Therapy It is important to keep the therapy in the present and not dwell on the past. Although Glasser acknowledges that we are products of the past, and endorses that we listen to such experiences briefly, we should emphasize to the client that we are only victims of the past if we choose to be.

24 Characteristics of Reality Therapy Psychological issues arise when: 1. The behaviors we choose, in an attempt to control our quality world do not satisfy our wants. 2. When we are involved in unsatisfying relationships, or are lacking relationships.

25 Reality Therapy Techniques After establishing a trusting relationship with the client, the following questioning framework should be utilized: WDEP by Wubbolding & Brickell (1997)

26 W = Want 1. Clarify the client s wants: their quality world (AKA: ideal situation) 2. Questions: 1. What do you want? 2. What do you want that you are getting? 3. What do you want that you are not getting? 4. How will you know whether you are getting it or not?

27 D = Direction and Doing 1. Overall direction of client s goals and specific actions/behaviors that occurred recently 2. Questions: 1. Where are you heading? 2. What are your recent successes? Your recent challenges? 3. What have you tried so far?

28 E = Evaluation 1. Getting clients to evaluate their behavior(s) 2. Questions: 1. Is what you are doing helping you? 2. Is it working?

29 P = Planning 1. Characteristics of good plans = SAMIC S = Simple A = Attainable M = Measurable I = Immediate C = Controllable

30 Video Example Of Reality Therapy In Action Reality Therapy Video (till 12:03)

31 Activity Based on the scenario, how would you treat the clients? Which theories would you use? Why? What other factors would you consider?

32 References Cooper, M. & Lesser, J. (2008). Clinical social work practice: An integrated approach. New York: Allyn & Bacon, Third Edition. Glasser, W. (2000). Reality therapy in action. New York: Harper-Collins. Glasser, W. (1998). Choice theory. New York: Harper-Collins. Glasser, W. (1965). Reality therapy. New York: Harper-Collins. Leiblum, S.R. & Rosen, R.C. (Eds.) (2000). Principles and practice of sex therapy (3rd ed.). New York: Guilford. Long, L., Burnett, J. & Thomas, R. (2006). Sexuality counseling: An integrative approach. Upper Saddle River, NJ: Prentice Hall. Maguire, L. (2002). Clinical Social Work: Beyond a Generalist Practice with Individuals, Groups, and Families. Pacific Grove, CA: Brooks/Cole. The William Glasser Institute: Teaching the world choice theory. (2010, February 6). Retrieved February 6, 2010, from Turnage, B. F., Jacinto, G. A., & Kirven, J. (2003). Reality therapy, domestic violence survivors, and self-forgiveness. International Journal of Reality Therapy, 22(2), White, M. & Epston, D. (1990). Narrative means to therapeutic ends. New York: WW Norton. Wubbolding, R. E., & Brickell, J. (1997). Qualities of the reality therapist. International Journal of Reality Therapy. 17(2), 47.

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