Doing What Works in Brief Therapy: A Strategic Solution Focused Approach

Quick, Ellen K.

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Table of contents
  • Cover
  • Table of Contentsv
  • PREFACExv
  • Chapter 1 The Model and Its Origins1
  • ADDITIONAL PERSPECTIVES2
  • THE MODEL2
  • BRIEF STRATEGIC THERAPY: THE MRI APPROACH3
  • SOLUTION FOCUSED THERAPY: THE BFTC APPROACH7
  • COMBINING MODELS9
  • THE STRATEGIC SOLUTION FOCUSED MODEL10
  • SUMMARY OF CHAPTER 114
  • Chapter 2 Clarifying the Problem: What's the Trouble?15
  • PRIORITIZING PROBLEMS16
  • WHO, WHAT, WHEN, AND WHERE?Ž17
  • IN WHAT WAY IS THIS A PROBLEM?19
  • TO WHOM IS THIS A PROBLEM?20
  • WHY NOW?22
  • TRANSLATING VAGUE CONSTRUCTS TO CLEAR COMPLAINTS23
  • WHEN THE PROBLEM IS THE PAST24
  • A DIFFERENT PROBLEM EVERY TIME25
  • PROBLEM CLARIFICATION AS INTERVENTION26
  • CELESTE: MY MOTHER WAS VERY SICK MENTALLYŽ28
  • HOW IS THERAPY SUPPOSED TO HELP? THE WORST AND BEST MESSAGES31
  • SUMMARY OF CHAPTER 233
  • Chapter 3 Amplifying the Solution: Variations on the Miracle Question35
  • THE MIRACLE QUESTION36
  • DAVID: I WOULDNT HATE GOING TO WORKŽ39
  • IDENTIFYING AND AMPLIFYING EXCEPTIONS46
  • SCALING QUESTIONS47
  • VARIATIONS ON THE MIRACLE QUESTION49
  • MIRACLE QUESTIONING AS PROBLEM CLARIFICATION51
  • MIRACLE QUESTIONING AS INTERVENTION54
  • THE FUTURE CREATES THE PRESENT57
  • SUMMARY OF CHAPTER 358
  • Chapter 4 Evaluating Attempted Solutions: If It Doesn’t Work, Do Something Different59
  • ELICITING ATTEMPTED SOLUTIONS60
  • What Else?Ž61
  • Being Specific62
  • When NothingŽ Has Been Tried62
  • Did It Work?63
  • CONCEPTUALIZING PATTERN INTERRUPTION63
  • Disrupting Solutions64
  • Reversing Solutions65
  • CHANGE SLOWLY66
  • DEPRESSION: WHEN CHEER UPŽ DOESNT WORK67
  • Depression After a Loss67
  • Depression Without ReasonŽ68
  • ANXIETY: WHEN CALM DOWNŽ DOESNT WORK69
  • Interrupting Avoidance70
  • Reversing ConcealingŽ70
  • Interrupting PerfectionismŽ71
  • INTERRUPTING UNSUCCESSFUL ATTEMPTED SOLUTIONS IN RELATIONSHIPS71
  • Reframing72
  • Interrupting Ineffective Communication72
  • You Dont Have to Like ItŽ73
  • Interrupting Promises of Change73
  • Interrupting Please StayŽ74
  • Interrupting You Must DecideŽ75
  • PARENTS AND CHILDREN: REVERSING WHAT DOESN’T WORK76
  • Problems with Children76
  • Problems with Parents77
  • ATTEMPTED SOLUTIONS TO EATING PROBLEMS77
  • SEXUAL SOLUTIONS: INTERRUPTING FORCED AROUSALŽ78
  • RECOGNIZING INDIVIDUALIZED ATTEMPTED SOLUTIONS79
  • SUMMARY OF CHAPTER 479
  • Chapter 5 Designing the Intervention: Validation, Compliment, and Suggestion81
  • THE THREE-PART INTERVENTION82
  • THE BREAKŽ83
  • VALIDATING84
  • COMPLIMENTING86
  • DESIGNING SUGGESTIONS FOR CUSTOMERS, COMPLAINANTS, AND VISITORS88
  • WHAT MESSAGE WILL HELP MOST TODAY?90
  • INTRODUCING THE COUNTERINTUITIVE91
  • SUGGESTIONS, SPECIFIC AND GENERICŽ93
  • Specific Suggestions93
  • Generic Suggestions94
  • COUNTERINTUITIVE APPROACHES: EMPATHY, NOT MANIPULATION96
  • SUMMARY OF CHAPTER 597
  • Chapter 6 You can Take It With You: What Do You Want to Remember?99
  • USEFUL FOR THERAPISTS AND FOR CLIENTS100
  • THERAPIST INFLUENCE ON TAKE-HOME POINTS102
  • COMMON THEMES102
  • Recognizing Progress, Coping, and Insight102
  • Therapeutic Relationship Variables103
  • Images, Metaphors, and Didactic Information104
  • Plans for Action105
  • Changes for Relationships106
  • Acceptance107
  • Acceptance and Action Simultaneously107
  • Take-Home Messages Over a Course of Therapy107
  • SUMMARY OF CHAPTER 6111
  • Chapter 7 Therapist Decisions: Clarifying, Amplifying, or Interrupting113
  • GENERAL GUIDELINES114
  • Speak So the Client Will Hear114
  • Do What Works115
  • Other RulesŽ115
  • Straightforward Approaches First116
  • If It Doesn’t Work, Do Something Different116
  • Breaking the Rules118
  • WHEN PROBLEM CLARIFICATION DOESN’T CLARIFY118
  • WHEN MIRACLE QUESTIONS DONT CREATE MIRACLESŽ119
  • When the Miracle Is the Unsuccessful Attempted Solution120
  • Shifting from Amplifying to Interrupting121
  • WHEN ACCEPTANCE AND DOING SOMETHING DIFFERENT DON’T HELP123
  • Back to Specific Techniques123
  • Return to Clarification of Problems and Expectations125
  • SHIFTING STANCES AS THERAPY PROGRESSES126
  • Amplifying What Works and Interrupting What Doesn’t126
  • SUMMARY OF CHAPTER 7129
  • Chapter 8 Practical Considerations: Using the Model in Behavioral Health Care131
  • MEDICATION AND THE MODEL131
  • A MODEL THAT WORKSŽ IN MANAGED CARE133
  • INTERMITTENT CARE: THE FAMILY PRACTICE MODELŽ134
  • HOW MANY SESSIONS? NOT ONE MORE THAN NECESSARYŽ135
  • SPACING SESSIONS136
  • FOLLOW-UP SESSIONS137
  • TERMINATIONŽ IN INTERMITTENT CARE138
  • PRACTICAL CONSIDERATIONS139
  • SINGLE-SESSION THERAPY141
  • CAVEATS IN BRIEF THERAPY142
  • SUMMARY OF CHAPTER 8144
  • Chapter 9 Couples: Problems and Solutions145
  • STARTING WITH THE COUPLE TOGETHER146
  • CLARIFYING THE PROBLEM(S)146
  • ELABORATING THE SOLUTION(S)148
  • THREE-PART INTERVENTIONS FOR COUPLES149
  • JILL AND NICK: COMMUNICATION IS A PROBLEMŽ151
  • FOLLOW-UP: TOGETHER OR SEPARATELY?153
  • Follow-Up Together153
  • Individual Follow-Up156
  • Individual Sessions in Difficult Situations157
  • THERAPIST CONCERNS158
  • STARTING WITH ONE PERSON159
  • VALUES AND A MARRIAGE FRIENDLY STANCE162
  • SUMMARY OF CHAPTER 9164
  • Chapter 10 Doing What Works Group Therapy165
  • GROUP FORMAT167
  • RESEARCH ON THE GROUP172
  • THE INGREDIENTS OF CHANGE173
  • CASE EXAMPLE175
  • SUMMARY OF CHAPTER 10177
  • APPENDIX: DOING WHAT WORKS GROUP VISUALIZATIONS178
  • Visualization 1: Group Helped You in Just the Way You Hoped178
  • Visualization 2: Crystal Ball180
  • Visualization 3: Miracle Question181
  • Visualization 4: Act Two183
  • Visualization 5: One Year Reunion185
  • Chapter 11 Positive Psychology and the Strategic Solution Focused Model187
  • SOME POSITIVE PSYCHOLOGY PRINCIPLES AND TECHNIQUES189
  • USING POSITIVE PSYCHOLOGY TOOLS IN STRATEGIC SOLUTION FOCUSED THERAPY191
  • A TECHNOLOGY FOR POSITIVE PSYCHOLOGY192
  • CASE EXAMPLES194
  • Jamie194
  • Marla195
  • Byron196
  • Miguel197
  • SOME CONCERNS ABOUT THE POSITIVE PSYCHOLOGY MOVEMENT – AND SOME POSSIBLE SOLUTIONS198
  • SUMMARY OF CHAPTER 11199
  • Chapter 12 Acceptance and Change and the Model201
  • THE ACCEPTANCE CHANGE CYCLE IN MULTIPLE APPROACHES201
  • ACCEPTANCE IN THE STRATEGIC SOLUTION FOCUSED APPROACH204
  • CLARIFYING AND DECONSTRUCTINGŽ DIFFICULT PROBLEMS204
  • COPING QUESTIONS205
  • AMPLIFYING THE COPING RESPONSE206
  • INTERRUPTING UNSUCCESSFUL COPING SOLUTIONS208
  • COPING WITH INDECISION210
  • USING THERAPIST IMPOTENCE: I CANT MAKE IT ALL GO AWAYŽ211
  • THE ACCEPTANCE/CHANGE CYCLE IN THERAPY213
  • SUMMARY OF CHAPTER 12216
  • Chapter 13 Doing What Works as a Transtheoretical Approach217
  • COMMON FACTORS AND THE MODEL218
  • A DOING WHAT WORKS PHILOSOPHY WITH TECHNIQUES FROM OTHER MODELS219
  • The Research on What WorksŽ219
  • Master Therapists Combine Techniques and Improvise220
  • A UNIFYING FRAMEWORK221
  • A FEW BASIC PRINCIPLES222
  • SUMMARY OF CHAPTER 13224
  • Chapter 14 Case Examples: Intermittent Care225
  • HARRIET: I GUESS I COME WHEN I NEED YOUŽ225
  • GAIL: RAGE ATTACKS FOREVERŽ226
  • JEFFREY AND CLAUDIA: SEX DRIVE DIFFERENCES229
  • Chapter 15 Excerpts: Single-Session Therapy233
  • MARY’S MIRACLE233
  • LIZ: I BLOW UP AT HIMŽ243
  • Chapter 16 Case Examples and Excerpts: Brief Therapy253
  • MEGAN: PROBLEMS WITH MY FATHERŽ253
  • AL: THE WORDS AND THE MUSIC260
  • GLORIA: THE INCONSISTENT OVEREATER266
  • Chapter 17 Case Example: Crisis Intervention277
  • CRAIG: IT WAS JUST TIME TO END ITŽ277
  • Chapter 18 Case Examples: Doing What Works With Longstanding Patterns285
  • BETSY: DEPRESSION AND LOSING ITŽ285
  • LEANNE: I THINK IVE ALWAYS BEEN A LIARŽ291
  • DISCUSSION297
  • REFERENCES299
  • INDEX307
Book details
  • Vendor Elsevier S & T
  • SKU 9780123741752R90
  • ISBN-13 9780080557328
  • Author Quick, Ellen K.
  • Edition 2nd
  • Category Psychology
  • Subject Clinical Psychology

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This book is both a set of procedures for the therapist and a philosophy– one that is shared with clients and one that guides the work of the therapist. This second edition continues its excellence in offering clinicians a guide to doing what works in brief therapy- for whom, and when and how to use it. Psychotherapy that follows these guidelines validates the client’s most important concerns – and it often turns out to be surprisingly brief. Author, Ellen Quick integrates strategic and solution focused therapy and includes guidelines for tailoring technique and interventions to client characteristics and preferences. With clinically rich examples throughout, this book offers applications for couples, including indications for individual or conjoint sessions.

NEW TO THIS EDITION:
* Chapter summaries highlighting key points
* Presents ways of eliciting what clients most want to remember
* Describes the "Doing What Works Group," including outcome research findings and all materials needed to run the group
* Addresses the relationship among the positive psychology movement and this approach and the potential for collaboration
* Emphasizes an acceptance-based stance and how acceptance commonly leads to change
* Proposes that "doing what works and changing what doesn't" can provide a transtheoretical perspective for therapists of any orientation