Solution focused therapies are founded on the rationale that there are exceptions to every problem and through examining these exceptions and having a clear vision of a preferred future, client and counsellor, together, can generate ides for solutions.
Solution focused therapists are competency and future focused. They highlight and utilise client strengths to enable a more effective future. In this article, we will look at commonly utilised solution focused techniques.
The following assumptions provide the framework on which solution focused therapy is founded:
Source: Corey, G. (2005). Theory and practice of counseling and psychotherapy. (7th ed.). Belmont, CA: Wadsworth.
The Miracle Question
The miracle question is a technique that counsellors can use to assist clients to think ‘outside the square’ in regard to new possibilities and outcomes for the future.
“The miracle question has been asked thousands of times throughout the world. It has been refined as practitioners have experimented with different ways of asking it. The question is best asked deliberately and dramatically.
Now, I want to ask you a strange question. Suppose that while you are sleeping tonight and the entire house is quiet, a miracle happens. The miracle is that the problem which brought you here is solved. However because you are sleeping, you don’t know that the miracle has happened. So, when you wake up tomorrow morning, what will be different that will tell you that a miracle has happened and the problem which brought you here is solved?” (de Shazer, 1988, p. 5.)
Asked this way, the miracle question requests clients to make a leap of faith and imagine how their life will be changed when the problem is solved. This is not easy for clients. It requires them to make a dramatic shift from problem saturated thinking to a focus on solutions. Most clients need time and assistance to make that shift. (De Jong & Kim Berg, 2002)
Having created a detailed miracle picture, the counsellor has started to gain some understanding of what the client hopes to achieve and the counsellor and client can begin to work towards these solutions. This is achieved through highlighting exceptions in a client’s life that are counter to the problem. This helps empower clients to seek solutions.
Exception questions provide clients with the opportunity to identify times when things have been different for them.
Examples of exception questions include:
“When exploring for exceptions, be aware that such questions can be phrased to ask for the client’s perception of exceptions (individual questions) and the client’s perception of what significant others may notice (relationship questions).
Examples of each follow.
Elicit – So when the miracle happens, you and your husband will be talking more about what your day was like and hugging more. Are there times already which are like the miracle – even a little bit? If your husband was here and I were to ask him the same question, what do you think he would say?
Amplify – When was the last time you and your husband talked more and hugged more? Tell me more about that time. What was it like? What did you talk about? What did you say? When he said that, what did you do? What did he do then? How was that for you? Was else was different about that time?
If he were here, what else might he say about that time?
Reinforce – Nonverbally: Lean forward raise eyebrows, take notes. Do what you naturally do when someone tells you something important. Verbally: Show interest. (Was this new for you and him? Did it surprise you that this happened?) And compliment. (Seems like that might have been difficult for you to do, given everything that’s happened in the relationship. Was it difficult?)
Explore how the exception happened – What do you suppose you did to make that happen? If your husband was here and I asked him, what do you suppose he would say you did that helped him to tell you more about his day?
Use compliments – Where did you get the idea to do it that way? That seems to make a lot of sense. Have you always been able to come up with ideas about what to do in difficult situations like this?
Project exceptions into the future – On a scale of 1 to 10, where 1 means every chance, what are the chances that a time like that (the exception) will happen again in the next week (month, sometime in the future)? What will take for that to happen?)
What will it take for that to happen more often in the future? Who has to do what to make it happen again? What is the most important thing for you to remember to do to make sure that _________________ (the exception) has the best chance of happening again? What’s the next most important thing to remember?
What do you think your husband would say the chances are that this (the exception) will happen again? What would he say you could do to increase the chances of that happening again? Suppose you decide to do that, what do you think he would do? Suppose he did that, how would things be different for you…around your house… in your relationship with him?”
(De Jong & Kim Berg, 2002, pp. 302-303)
Scaling questions invite clients to perceive their problem on a continuum. Scaling questions ask clients to consider their position on a scale (usually from 1 to 10, with one being the least desirable situation and 10 being the most desirable). Scaling questions can be a helpful way to track coachees’ progress toward goals and monitor incremental change.
“To use these types of questions, the therapist begins by describing a scale from one to ten where each number represents a rating of the client’s complaint(s). The therapist might say, “On a scale of one to ten, with one being the worst this problem has ever been, and ten being the best things could be, where would you rate things today?”
Once a therapist is given a number, he or she explores how that rating translates into action-talk. For example, if the client rates his or her situation at a three, the therapist asks, “What specifically is happening to indicate to you that it is a three?” The next step is to determine the goals and preferred outcomes. To do this the therapist asks the client where things would need to be for him or her to feel that the goals of treatment have been met or that therapy has been successful.
We aim for small changes that will represent progress in the direction of goals and preferred outcomes.” (Bertolino & O’Hanlon, 2002, pg. 4)
Examples of scaling questions include:
…You said that things are between a 5 and a 6. What would need to happen so that you could say things were between a 6 and a 7?
…How confident are you that you could have a good day like you did last week, on a scale of zero to ten, where zero equals no confidence and ten means you have every confidence?
When clients are focused on changing the negative aspects (or problems) in their lives, positive changes can often be overlooked, minimized or discounted due to the ongoing presence of the problem.
The solution focused approach challenges counsellors to be attentive to positive changes (however small) that occur in their clients’ lives. Questions that presuppose change can be useful in assisting clients to recognise such changes. Questions such as, “What’s different, or better since I saw you last time?” This question invites clients to consider the possibility that change (perhaps positive change) has recently occurred in their lives.
If evidence of positive change is unavailable, counsellors can pursue a line of questioning that relates to the client’s ability to cope.
Questions such as:
These questions can be followed up by the counsellor positively affirming the client with regard to any action they took to cope.” (Geldard & Geldard, 2005)
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