Preview

Resistant Therapy Strategies

Good Essays
Open Document
Open Document
914 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Resistant Therapy Strategies
Differences: Strategies for Resistant Clients Unlike narrative therapy, solution-focused therapy presumes that some clients will be resistant to counselling and to change. While some clients are described as 'customers' who voluntarily want to make changes in their lives, not every client will present in this way (Corcoran, 2008). Solution-focused therapy strategizes for 'complainants', people who attend voluntarily but are convinced someone else or something outside of themselves needs to change, and 'visitors' who are non-voluntary, mandated clients whose only goal is to end therapy (Corcoran, 2008). For complainants, the social worker will employ questions and strategies that focus on coping skills. This will still provide an opportunity …show more content…
In both therapies, the conversational abilities of the social worker are relied upon, while the postmodern premise of the social worker as the 'expert' about the client is rejected (Anderson & Goolishian 1988; Buckman et al., 2008; Corcoran, 2008). In narrative therapy, the focus is on collaborative conversations and hearing client stories rather than scientific methods, assessment, or interventions (Buckman et al., 2008). However, social workers are skilled in the use of questions to guide the conversation and process (Anderson & Goolishian, 1988; Buckman et al., 2008). This concept is similar for solution-focused therapy where 'joining' describes the process in which the client and the social worker develop a positive and cooperative relationship (Corcoran, 2008). In this relationship, the social worker does not intervene, rather they demonstrate acceptance of the client's perspectives and proposed solutions (Corcoran, 2008). Similarly, the social worker in solution-focused therapy is also skilled in asking questions, including the miracle question and scaling, but they are not experts about the client's life (Corcoran, 2008). The social worker uses language to influence how the client views their problem, recognizes their strengths, and understands solutions or alternatives (Corcoran, 2008). Both therapies are led by the client, thus, …show more content…
However, this changes the relationship between the client and the social worker, specifically in narrative therapy. In families for instance, each individual has a personal narrative in addition to the family narrative. Furthermore, the larger cultural and societal meta-narratives affect both individuals and their families (Miller & Forrest, 2009). "The narrative family counselor's goal is to assist clients in co-constructing narratives that better fit the individual goals, while aligning with the family's goals and objectives" (Miller & Forrest, 2009, p. 159). Alternatively, in solution-focused therapy, there are strategies in place when working with groups or families whose members have different goals or willingness to change. As mentioned previously, a social worker using solution-focused therapy would incorporate strategies intended for 'complainants' and 'visitors' to address these differences (Corcoran, 2008). The ability to manage groups or families requires the social worker to be knowledgeable about the theory being used and may take

You May Also Find These Documents Helpful

  • Good Essays

    By identifying the client’s competencies, strengths and resources used to solve problems and reach goals the therapist would be able to work collaboratively with the client to reach solutions that are successful. So for the therapist to reinforce competency, hope, empowerment and a sense of strength the discussions focus on strengths, solutions and change talk. Therefore the use of the recovery model aspects with solution-focused therapy would allow the client to use personal strengths towards solving problems and treatment would be successful (Gehart,…

    • 1984 Words
    • 8 Pages
    Good Essays
  • Good Essays

    This is especially necessary as each individual is essentially their own truth or phenomenon. However, the progressive movements that led to the creation of social work constricted the client-social worker relationship in different ways. This view helped to reshape the original view of social work that limited the client-centered approach of viewing and meeting the client where they are. The new view helped shape the helping relationship and starting what seems to me to be the generalist intervention model: from the beginning of the helping process to the termination of the helping…

    • 501 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Solution-focused Practice is a relatively new therapy which is just turning into a well-developed counseling model within these 20 years but there do not have much information about working this therapy with the elderly. There are many literatures about SFT working on different services groups like eating disorders person (McFarland 1995), long-term psychiatric patients (Rowan and O'Hanlon 1999), children (Selekman 1997), and the couple relationship (Hoyt and Berg 1998; Hudson and O'Hanlon 1991; Quick 1966). Especially with the aging population, this is one of the efficient and fast counseling methods to help clients to solve their problems. In this essay, three main theories which are role, activity and continuity will use for supporting as an evidenced based and helping to explain what factors might lead to the elder arise some problems. Then, it will take Mr. Poon as a case study to illustrate the whole process of SFT which will include intervention skill and questioning strategies. The ethics issue that may arise from the practice will, also, be discussed. Some suggestions is given which assist to further elaborate how can SFT be more wisely use in the elderly filed.…

    • 4794 Words
    • 13 Pages
    Good Essays
  • Powerful Essays

    Therefor I will be using Solution-Focused therapy with Jordan. I will be exploring in depth how this theory works effectively with the patient. The patient is the expert in their own life and able to define their goals. One of the areas in which I will show how it works effectively is by describing the effectiveness of the theory with Jordan, providing questions that can be used to assess my client and exploring the social worker/client relationship. After focusing and explaining the areas mentioned above I will develop an intervention plan, goals and objectives to help my client work through his presenting…

    • 1884 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    SFT is a family systems approach in which the family is looked at as whole rather than individual units. Solution-focused techniques are organized around two fundamental strategies which are to develop a well-focused goal and generate a solution (Nichols, 2014). Therapists who use solution-focused therapy choose interventions from behavioral and cognitive treatments. Many of the techniques used are goal setting, scaling, identifying, miracle question, and solution talk. Hepworth et al. (2013) states “The solution-focused therapy approach involves practical procedures and techniques that can be readily learned and applied in many practice situations” (p. 437). Nichols (2014) states “Solution-focused therapists assume that people are resilient and resourceful” (p. 227). Solution focused therapy is one approach one could use when working with Selena and her family. This intervention was most beneficial as this approach allows Selena to emphasize on the identification of solution, rather than resolving problems. It also allows Selena to emphasize on her own strengths and attributes which also promotes a positive image of herself and her capacities (Hepworth & Rooney, 2013). The solution focused approach brings about empowerment and positive change within oneself. The intervention also asserts that Selena has the right to determine her desired outcome which encourages long lasting change. It gives Selena a since of control over her own life. With solution focused therapy, the principle of the intervention is that the client is the expert of their life and the therapist takes the stance of curiosity and uses questions and responses (Nichols, 2014). There is, however, substantial evidence of the effectiveness of the approach in practice settings and with different populations (Hepworth & Rooney, 2013). There is evidence in the effectiveness of SFT with…

    • 1226 Words
    • 5 Pages
    Powerful Essays
  • Better Essays

    As the name suggests, solution focused therapy uses an approach based on solution building rather than the typical problem solving approach. Wand (2010) advocates that talking solely about problems and deficits are not sufficient enough to help a client to make a change. The only time SFT focuses on the past is to ascertain what abilities, if any, of the…

    • 1047 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Socratic Dialouge

    • 1449 Words
    • 5 Pages

    By using Socratic dialogue in the approach of cognitive therapy methods I have used the dialogue to change the client’s thinking which resulted in a change of behaviour and feelings, I have found when I have directed questions in a discovery way such as; how does this relate to what you told me earlier or do you see any connection ,unlike ‘self-directed’ (as in PCT) I have found that there are recurrent themes in cognitive therapy methods of management, control and monitoring, particularly around behaviour. Whereas from the outset person centred therapy notes that the client is their own best authority the focus of PCT is always on the client’s own feelings and thoughts. Conceptualisation involved devising a ‘mini-theory’ of the client’s problems with her agreement (McLeod, 2003). PCT typically does not give advice or interpretations as Rogers believed that people are trustworthy with a great potential for self awareness and self-directed growth (Cooper, 2007). Therefore working in this way with my client using the skill of Socratic dialogue and work collaboratively has enabled the client to identify and prioritise difficulties and look for solutions.…

    • 1449 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Solution-focused brief therapy allows me to use this concepts, due to the belief that the client is the expert within his/her problem(s). As the counselor, I would make sure that I focus on the solution rather than the problems, by bring emphasis to “change talk (creating a solution) rather than problem…

    • 802 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    The therapist will help the family learn to communicate by modeling and many different exercises that will help them develop better communication skills. The structural approach is used when the family structure is out of balance. The family therapist will help align the family structure by establishing the roles and responsibilities of each family member. The family systems approach is used when the family is not working as a team, but as an individual entity. A family connection and boundaries must be set with the help of the therapist for this approach to be successful. The strategic family approach will help families develop rules and spread out the power within the family dynamic. The family therapist will also help a family work on a pattern of behavior that is appropriate for each family. A therapist will use tools from behavior therapy and behavior modification therapy with the social learning approach. This approach helps members of a family cope with issues and teach them basic skills in communicating, interacting, and behaving as a family unit. A family therapist will use the narrative approach when helping the family identify and describe their problems by comparing them to stories, fables, movies, etc. (Shearor, Horejsi, & Horejsi,…

    • 3407 Words
    • 14 Pages
    Powerful Essays
  • Good Essays

    Narrative Therapy Model

    • 673 Words
    • 3 Pages

    There are two articles in regards to this topic that shows the effectiveness of the Narrative therapy to assist clients and promote the healing process in their relationship:…

    • 673 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Management 330

    • 1025 Words
    • 5 Pages

    Solution focused family therapy is based on the beliefs that people have the power to change their lives and problems. Sometimes they just need a little help finding the solution or even looking at the problem differently. The role of the therapist is to build guidelines and directions for the client to see that they have the potential to change whatever is needed in their lives.…

    • 1025 Words
    • 5 Pages
    Good Essays
  • Good Essays

    The methods of practice differ in each situation, but they are similar in preparation. Practitioners must first make an evaluation or assessment of their client. This process take’s patience and practitioners must be able to listen actively to their client with no distractions and without any preconceived notions of what the speaker is saying (Martin, 2007, p. 47). After a practitioner makes a clinical assessment, they can decide on what intervention strategy to use with a client. The Task-Centered Approach is an example of one intervention strategy that a counselor may use. This strategy helps clients who think they are powerless over simple challenges caused by psychosocial problems and allows counselors help define these challenges and set small, agreed upon goals with clients to help them increase self-esteem (Martin, 2007, p. 55). Reframing is another intervention strategy. This strategy helps clients look at the different perspectives of a situation instead of only the negative. Sometimes people hesitate to act on a situation because of the viewpoint that it will always result in a negative outcome. An opposite approach to this strategy would be emotional regulation. Some people do not…

    • 1144 Words
    • 5 Pages
    Good Essays
  • Best Essays

    Narrative therapy falls within the Social Construction Model. In this type of therapy, the therapist is not central to the process, but rather influential to the client. The therapist helps the client internalize and create new stories within themselves and draw new assumptions about themselves by opening themselves up to future stories. This enables the client to not focus on the negative narratives that have defined their lives, but rather on future positive stories that can re-define their lives. To narrative therapists, the problem is the problem and the client is not the problem. Externalizing the problem is usually how therapy begins, therefore defining the problem and getting it out in the open. Narrative therapies typically are in the form of questioning to break down the problem and create alternative narratives to connect the new story line to future options.…

    • 2807 Words
    • 12 Pages
    Best Essays
  • Good Essays

    In solution-focused counseling, the counselor leads the session. Counselors set the tone for the counseling session. They lay out clear expectations and expect the clients to actively participate, in order to produce change. (Goldenberg & Goldenberg, 2013). Solution-focused therapists guide the counseling session, while the clients come up with goals to achieve. Narrative therapy is client-led. The clients lead the session by sharing their stories with the counselor, and come up with new stories that will free them from their past problems. Narrative therapy is also client-led because “narrative therapists reject the expert role, that of believing they understand clients better than clients do themselves” (Goldenberg & Goldenberg, 2013, p. 398). Narrative therapy encourages clients to examine their own lives through the stories they tell, with the hopes they will positively change their stories. Narrative therapy is also client-led because the counselor does not enforce goal achievement. Clients determine whether or not they will achieve their goals. Their ultimate goal is to rewrite their story and change their lives for the…

    • 532 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Resistance In Therapy

    • 165 Words
    • 1 Page

    I can understand how patients may have resistance to participating in therapy. There are so many reasons for resistance. Therapists should not pressure clients to talk. Therapist should remain objective and have a clear understanding to what is going on. Often times people feel ashamed or embarrassed which prevents them from speaking their mind and doing certain things. Risk stance may be challenging to deal with but therapists should be patient and allow families to share at the pace they are comfortable with. Therapists should allow families to start with opening up with easy Experiences and let them take their time to open about the more serious ones. If I also think it would be better if the therapy not focus too heavily on the past experience…

    • 165 Words
    • 1 Page
    Satisfactory Essays