Doing What Works in Brief Therapy: A Strategic Solution Focused Approach PDF
Preview Doing What Works in Brief Therapy: A Strategic Solution Focused Approach
Doing What Works in Brief Therapy This Page Intentionally Left Blank Doing .What Works in ];rlef Therapy I I I I I I I I I III I III III III IIJ II II I I I II I I IIIIIIIIII I II I IIII I IIIII I II I IIIIIii A Strategic Solution Focused Approach EUen K. Qu i ck Kaiser Permanente San Diego, California Academic Preu An Imprint of Elsevier San Diego New York Boston London Sydney Tokyo Toro.to Cover graphics credits: 10099, Eric Wunrow; 10094, Carlye Calvin; 10064, Carlye Calvin; copyright O 1993, ColorBytes, lnr This book is printed on acid-flee paper. ~) Copyright O 1996, Elsevier All Rights Reserved. No part of this publication may be reproduced or ~itted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier Science and Technology Rights Department in Oxford, UK. Phone: (44) 1865 843830, Fax: (44) 1865 853333, email: ~r~nions@els .evi.er.co,...u.k. Ypou may also complete your request on-line via the Elsevier homepage: httv:llwww.elsevier.com by selecting "Customer Support" and then "Obtaining Permissions,~ Academic Press An Imprint of Elsevier 525 B Street, Suite 1900, San Diego, California 92101.4495 United Kingdom Editionp ublished by Academic Press Limited 24-28 Oval Road, London NW I 7DX Library of Congress Cataloging-in-Publication Data Quick, Ellen K_aufman. Doing what works in brief therapy : a strategic solution focused approach / by Ellen K. Quick. p. cm. Includes bibliographical references and index. ISBN-13:978-0-12-569660-9 ISBN-10:0-12-5696604 1. Brief psychotherapy. 2. Solution-focused fltet~y. 3. Strategic therapy. I. Title. RC480.55.Q53 1996 616.89' 14--dc20 95-25308 CIP ISBN-13:978-0-12-569660-9 ISBN-10:0-12-569660-4 PRINTED IN THE UNITED STATES OF AMERICA 06 07 9 The author earned her undergraduate degree~om Wellesley College and her doc- torate in clinical po~hologTftom the Uni- versity of Pittsburgh, She has practiced psychology for over twen~ years, speci- alizing in brief p~chotherapy. Since 1981, Dr. Quick has worked at Kaiser Permanente in San Diego. This Page Intentionally Left Blank Contents The Model and Its Origins THEMODEL 2 BRIEFS~TECICTHERAPYITHEMRIAWROACH 3 s0UITION~SEDTHERAPY:THEBEn:APPROACH 6 COMBI”GM0DELS 8 THE STIUTBCIC SOLUTION FOCUSED MODEL 10 clruifyiry the problem: What’s the Trouble? pRloRFFIzMcPRO~S 16 uwHO,WHA~WHEN,ANDWHERE?” 17 IN WHAT WAY IS THIS A PROBLEM? 19 viii Coamm TO WHOM IS THIS A PROB~ 20 TRANSLATING VAGUE CONSTRUCTS TO CLEAR COMPLAINTS 22 WlIEN THE PROBLEM IS THE PAST 23 A DIFFERENT PROBLEM EVERY TIME 24 PROBLEM CLARIFICATIONA S INTERVENTION 25 CELFASTE:" MY MOTHER WAS VERY SICK MENTALLYn 26 3 Amplifying the Solution: Variations on the Miracle Question THEM IRAClZQ UESTION ~4 DAVIDs q WOUI~Nrr HATE GOING TO WORK" 37 IDENTIFYING AND AMPIJItflNG EXCEFrIONS 43 SCALING QUF~TIONS 45 VARIATIONS ON THE MIRACLE QUESTION 47 MIRACLE QUESTIONING AS PROBIZM CIARIHCATION 49 MIPACI~ QUF~TIONING AS INTERVENTION 51 4 Evaluating Attempted Solutions: If It Doesn't Work, Do Something Different EHCITING A~I'RMPTIm SOLUTIONS 56 "What Else?" 57 Being Specific 58 When "Nothing" Has Been Tried 58 Did It Work? 59 INTERRUFrlNG UNSUCCF~FUL ATTEMPTED SOLUTIONS 59 Disrupting Solutions 60 Reversing Solutions 61 CHANGE SLOWLY 62 DEPRESSION: WIIEN "CHEER UP~ DOESN'T WORK 62 Depression after a Loss 63 Depression "Without Reason" 64 Contents ANXIETY: WHEN "DON'T WORRY" DOESN'T WORK 64 Interrupting Avoidance 65 Reversing "Concealing" 65 interrupting "Perfectionism" 66 IN~gRRUM'ING UNSUCCESSFULA TrEMP'IYD SOLUTIONS IN RELATIONSHIPS 66 Reframing 67 Interrupting Ineffective Communication 67 "You Don't Have to Like it" 67 Interrupting Promises of Change 68 Interrupting "Please Stay" 69 Interrupting "You Must Decide" 70 PARENTS AND CHILDREN: REVERSING WHAT DOESN'T WORK 70 Problems with Children 70 Problems with Parents 71 ATTEMPTED SOLUTIONS TO EATING PROBIJ~S 71 SEXUAL SOLUTIONS: INTERRUPTING "FORCED AROUSAL" 72 RECOGNIZING INDIVIDUAL[ZEDA TTEMPTED SOLUTIONS 73 5 Designing the Intervention: Validation, Compliment, and Suggestion THE THREE.PART INTER~ON 76 The "Break" 77 VALIDATING 78 COMNjMENTING 8O DESIGNING SUGGESTIONS FOR CUSTOMERS, C O ~ S , AND VISITORS 82 PRESENTING THE SUGGESTION. USING THE CLIENT'S "POSITION" 84 SUGGESTIONS, SPECIFIC AND ~GENERICz 86 Specific Suggestions 86 Genetic Suggestions 87 Ethics and Humility in Intervention Design 91
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