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

Quick, Ellen K.

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Table of contents
  • Cover
  • Contentsvii
  • Prefacexiii
  • Chapter 1. The Model and Its Origins1
  • The Model2
  • Brief Strategic Therapy: The MRI Approach3
  • Soluition Focused Therapy: The BFTC Approach6
  • Combining Models8
  • The Strategic Solution Focused Model10
  • Chapter 2. Clarifying the Problem: What's the Trouble?15
  • Prioritizing Problems16
  • "Who, What, When, and Where?"17
  • In What Way is This a Problem?19
  • To Whom is This a Problem?20
  • Translating Vague Constructs to Clear Complaints22
  • When the Problem is the Past23
  • A Different Problem Every Time24
  • Problem Clarification as Intervention25
  • Celeste: "My Mother was Very Sick Mentally"26
  • Chapter 3. Amplifying the Solution: Variations on the Miracle Question33
  • The Miracle Question34
  • David: "I Wouldn't Hate Going to Work"37
  • Identifying and Amplifying Exceptions43
  • Scaling Questions45
  • Variations on the Miracle Question47
  • Miracle Questioning as Problem Clarification49
  • Miracle Questioning as Intervention51
  • Chapter 4. Evaluating Attempted Solutions: If It Doesn't Work, Do Something Different55
  • Eliciting Attempted Solutions56
  • Interrupting Unsuccessful Attempted Solutions59
  • Change Slowly62
  • Depression: When "Cheer Up" Doesn't Work62
  • Anxiety: When "Don't Worry" Doesn't Work64
  • Interrupting Unsuccessful Attempted Solutions in Relationships66
  • Parents and Children: Reversing What Doesn't Work70
  • Attempted Solutions to Eating Problems71
  • Sexual Solutions: Interrupting "Forced Arousal"72
  • Recognizing Individualized Attempted Solutions73
  • Chapter 5. Designing the Intervention: Validation, Compliment, and Suggestion75
  • The Three-Part Intervention76
  • Validating78
  • Complimenting80
  • Designing Suggestions for Customers, Complainants, and Visitors82
  • Presenting the Suggestion: Using the Client's "Position"84
  • Suggestions, Specific and "Generic"86
  • Chapter 6. Therapist Decisions: Clarifying, Amplifying, or Interrupting93
  • General Guidelines94
  • When Problem Clarification Doesn't Clarify98
  • When Solution Amplification Doesn't Create Solutions101
  • When Doing Something Different Doesn't Help105
  • Shifting Stances as Therapy Progresses109
  • Chapter 7. Couples: Problems and Solutions113
  • Starting with the Couple Together113
  • Clarifying the Problem(s)114
  • Elaborating the Solution(s)116
  • Three-Part Interventions For Couples117
  • Jill and Nick: "Communication is a Problem"119
  • Follow-Up: Together or Separately?121
  • Therapist Concerns127
  • Starting with One Person129
  • Chapter 8. Coping with Difficult Situations133
  • Clarifying and DeconstructingŽ Difficult Problems and Unattainable Goals134
  • Coping Questions135
  • Amplifying the Coping Response137
  • Interrupting Unsuccessful Coping Solutions139
  • Coping with Indecision142
  • Using Therapist Impotence: "I Can't Make It All Go Away"144
  • Chapter 9. Medication and the Model147
  • When the Client Wants Medicine148
  • When the Client Does Not Want Medicine150
  • Medication as an Option153
  • When It Doesn't Work, Do Something DifferentŽ and Medicine155
  • When the Client is Already Taking Medicine159
  • Chapter 10. Brief Therapy: Problems and Solutions in Managed Care163
  • Cost Containment Issues163
  • A Model That "Works" in Managed Care165
  • Intermittent Care: "The Family Practice Model"166
  • How Many Sessions? "Not One More Than Necessary"168
  • Spacing Sessions169
  • Follow-Up Sessions170
  • "Termination" in Intermittent Care172
  • Practical Considerations173
  • Single-Session Therapy175
  • Caveats in Brief Therapy and Managed Care177
  • Extensions for the Future?179
  • Chapter 11. Case Examples: Intermittent Care181
  • Harriet: "I Guess I Come When I Need You"181
  • Kevin: A Week Away from Work182
  • Gail: "Rage Attacks Forever"184
  • Jeffrey and Claudia: Sex Drive Differences187
  • Chapter 12. Excerpts: Single-Session Therapy191
  • Mary's Miracle191
  • Liz: "I Blow Up at Him"200
  • Chapter 13. Excerpts: Brief Therapy209
  • Megan: "Problems with My Father"209
  • Jack: Trichotillomania216
  • Gloria: The Inconsistent Overeater223
  • References233
  • Index239
Book details
  • Vendor Elsevier S & T
  • SKU 9780125696609
  • ISBN-13 9780080530499
  • Author Quick, Ellen K.
  • Category Psychology
  • Subject Clinical Psychology

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The first of its kind, Doing What Works in Brief Therapy is a guidebook to strategic solution focused therapy, a model which combines the principles and techniques of the Mental Research Institute's brief strategic therapy and the Brief Family Therapy Center's solution focused therapy. The book explains how the strategic emphasis on clarification of the problem and interruption of what does not work can complement and enhance the solution-focused emphasis on amplification of what does work. The text reviews the theory and presents specific treatment techniques. Case examples illustrate how the model has been used in brief, intermittent, and single-session therapy in a managed care setting.
Brief psychotherapy doesn't have to result in chronic frustration for the therapist or superficial, second-rate care for the client. This book presents an approach that is upbeat, practical, and eminently workable in managed care. The reader learns to focus on critical issues with exquisite precision and to construct creative, individualized interventions that amplify what works and interrupt what does not.

Key Features
* Integrates strategic therapy and solution focused therapy
* Includes guidelines for intervention and when to do what
* Provides applications for couples: indications for separate or joint sessions
* Considers both therapy and medication as successful and unsuccessful solutions
* Features excerpts and clinically rich examples