Listening For Solutions2010

Listening for Solutions

Skillfully and patiently weaving a therapeutic
conversation

Therapeutic Options Embracing Diversity © 2010 Albert Morrison MNurs (AdvPrac)

MANDALA

Therapeutic Options Embracing Diversity

Gosford Mental Health Centre


Talk Therapies

Does therapy work?

Study after study and studies of studies
clearly demonstrate that it does and the
average client is better off than 80% of the
untreated sample.
The Heart and Soul of Change: What works in Therapy, p4. 2009


What really works?
Cognitive Behavior Therapy
Dialectical Behavior Therapy
Mindfulness Therapy
Solution Focused Brief Therapy
Rational Emotive Behavior Therapy
Humanistic Existential Therapy
Transpersonal Therapy
Gestalt Therapy
Brief Therapy
Motivational Interviewing
Acceptance and commitment therapy
Existential therapy
Systemic therapy
Narrative therapy
Eclectic therapy
Integrative Problem-Solving therapy


All approached work equally as well with
some of the people some of the time.

No difference in outcomes between
different types of treatment or different
amounts of competing therapeutic
approaches.

Godley, S. H. Jones, N., Funk, R., Ives, M Passetti, L. (2004). Comparing Outcomes
of Best Practice and Researched-Based Outpatient Treatment Protocols for
Adolescents , Journal of Psychoactive Drugs. 36(1), 35-38


Meta-analysis of all studies between 1980-2006
comparing bona fide treatments for children
with ADHD, conduct disorder, anxiety, or
depression:

No difference in outcome between approaches
intended to be therapeutic;

Miller, S. D., Wampold, B. E, & Varhely, K. (2008). Direct comparisons of treatment
Modalities for youth disorders: A Meta-analysis. Psychotherapy Research, 18(1). 5-14


Which approach “fits with, engages, and
helps” that particular client at this moment
in time?

Miller, S. (2004)


“If its not working its not the
technique it’s the relationship”

“engagement is the number one
predictor of outcomes”

Miller, S.(2004)


THE ALLIANCE
Biggest Predictor of Outcome


Solution Focused in a Nutshell



The client constructs his or her own
solution based on his or her own
resources and successes

De Shazer, 1988, P. 50


First developed at the brief family therapy
practice Milwaukee in the United States.

Not for profit organisation started in 1978
and in 1982 therapists noticed exceptions
to problems in the therapeutic engagement.

Centre closed in 2007 rights transferred to
the Solution Focused Therapy Association

http//www.sfbta.org (2009)


Outcome Research
SFBT may be helpful to clients
May be useful in a broad range of
applications
Research moving in the right direction
Efficacy phase
More careful study needed

Gingerich, J. W., & Eisengart, S. (2000)


How will you know that talking to me today
will be helpful?

When discharged how will you know that
being here in hospital has been helpful?

How will you know that you're ready for
discharge?

How will the magistrate know that you are
ready to go home?


What’s better?

What tells you that things are better?

What’s different?

What are you doing instead?


Exception
When the problem is less or absent what
happens?

Getting the detail


What is the first thing, the smallest thing
you will you notice that will tell you that
the miracle has happened?

What else will be happening?

What else will you notice?



SCALING

0--------------------------------------------------10


THE PROJECT


TINI SURVEY 1

Prior to the commencement of this
practice development activity a pre-project
survey was distributed to all 32 nursing
staff on the 19th January 2009.

A total of 50% returned their
survey by the due date 4th February 2009.


TINI SURVEY 1
Nurses were asked to list 3 things that
they knew about SFBT 81% were able to
list at least something

56% felt moderately confident in using
SFBT in their practice


TINI SURVEY 1

62% indicated that SFBT should be part of
their practice

56% had greater than 5yrs experience


TINI In-service & Workshop
In-


TINI 2
23 surveys were distributed to staff at the
conclusion of project with 12 surveys
returned 52%

75% of respondents had more knowledge
of SFBT than at the start of the project


TINI 2
66% of respondents had used SFBT in their
nursing practice in the last 12 months

90% of respondents indicated that SFBT
was helpful in establishing and maintaining a
therapeutic relationship with their clients


TINI 2
91% of respondents would like to see SFBT
as an ongoing part of nursing practice

66% of responded that they would like
more training in SFBT


De Shazer, S. (1988) Clues: Investigating solutions in brief therapy. New York; Norton

Gingerich, J., W. & Eisengart, (2000). Solution-Focused Brief Therapy: A Review
of the Outcome Research. Family Practice 39. (4) 477-498

Godley, S. H. Jones, N., Funk, R., Ives, M Passetti, L. (2004). Comparing Outcomes
of Best Practice and Researched-Based Outpatient Treatment Protocols for
Adolescents , Journal of Psychoactive Drugs. 36(1), 35-38

Jong, P. & Berg, I (2008) Interviewing for Solutions (3rd ed.). Belmont, CA
Thomson.

http//www.sfbta.org (2009)

Miller, S. D., Wampold, B. E, & Varhely, K. (2008). Direct comparisons of treatment
Modalities for youth disorders: A Meta-analysis. Psychotherapy Research, 18(1). 5-14

Duncan, B. I., Miller, S. D., & Sparks, J. A. (2004). The Heroic Client. Wiley San Francisco


Listening for Solutions

Skillfully and patiently weaving a therapeutic
conversation

Listening For Solutions2010

Recommended

Recommended

More Related Content

What's hot

What's hot (19)

Similar to Listening For Solutions2010

Similar to Listening For Solutions2010 (20)

Recently uploaded

Recently uploaded (20)

Listening For Solutions2010