Doing What Works in Brief Therapy A Strategic Solution Focused Approach

ISBN-10: 0123741750

ISBN-13: 9780123741752

Edition: 2nd 2008

Authors: Ellen K. Quick

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Description:

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 clients 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 between the positive psychology movement and this approach and the potential for collaboration * Emphasizes an acceptance-based stance and how acceptance often leads to change * Proposes that "doing what works and changing what doesn't" can provide a transtheoretical perspective for therapists of any orientation
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Book details

List price: $60.95
Edition: 2nd
Copyright year: 2008
Publisher: Elsevier Science & Technology Books
Publication date: 12/31/2007
Binding: Paperback
Pages: 336
Size: 6.00" wide x 9.00" long x 0.75" tall
Weight: 1.254
Language: English

Ellen K. Quick, Ph.D., earned her undergraduate degree from Wellesley College and her doctorate in clinical psychology from the University of Pittsburgh. She has practiced psychology for over twenty years, specializing in brief psychotherapy. Since 1981, Dr. Quick has worked at Kaiser Permanente in San Diego, California.

Preface
The Model and Its Origins
Additional Perspectives
The Model
Brief Strategic Therapy: The Mri Approach
Solution Focused Therapy: The BFTC Approach
Combining Models
The Strategic Solution Focused Model
Summary of Chapter 1
Clarifying the Problem: What's the Trouble?
Prioritizing Problems
"Who, What, When, and Where?"
In What Way Is This a Problem?
To Whom Is This a Problem?
Why Now?
Translating Vague Constructs to Clear Complaints
When the Problem Is the Past
A Different Problem Every Time
Problem Clarification as Intervention
Celeste: "My Mother Was Very Sick Mentally"
How Is Therapy Supposed to Help? The Worst and Best Messages
Summary of Chapter 2
Amplifying the Solution: Variations on the Miracle Question
The Miracle Question
David: "I Wouldn't Hate Going to Work"
Identifying and Amplifying Exceptions
Scaling Questions
Variations on the Miracle Question
Miracle Questioning as Problem Clarification
Miracle Questioning as Intervention
The Future Creates the Present
Summary of Chapter 3
Evaluating Attempted Solutions: If It Doesn't Work, Do Something Different
Eliciting Attempted Solutions
"What Else?"
Being Specific
When "Nothing" Has Been Tried
Did It Work?
Conceptualizing Pattern Interruption
Disrupting Solutions
Reversing Solutions
Change Slowly
Depression: When "Cheer Up" Doesn't Work
Depression After a Loss
Depression "Without Reason"
Anxiety: When "Calm Down" Doesn't Work
Interrupting Avoidance
Reversing "Concealing"
Interrupting "Perfectionism"
Interrupting Unsuccessful Attempted Solutions in Relationships
Reframing
Interrupting Ineffective Communication
"You Don't Have to Like It"
Interrupting Promises of Change
Interrupting "Please Stay"
Interrupting "You Must Decide"
Parents and Children: Reversing What Doesn't Work
Problems with Children
Problems with Parents
Attempted Solutions to Eating Problems
Sexual Solutions: Interrupting "Forced Arousal"
Recognizing Individualized Attempted Solutions
Summary of Chapter 4
Designing the Intervention: Validation, Compliment, and Suggestion
The Three-Part Intervention
The "Break"
Validating
Complimenting
Designing Suggestions for Customers, Complainants, and Visitors
What Message Will Help Most Today?
Introducing the Counterintuitive
Suggestions, Specific and "Generic"
Specific Suggestions
Generic Suggestions
Counterintuitive Approaches: Empathy, not Manipulation
Summary of Chapter 5
You Can Take It With You: What Do You Want to Remember?
Useful for Therapists and for Clients
Therapist Influence on Take-Home Points
Common Themes
Recognizing Progress, Coping, and Insight
Therapeutic Relationship Variables
Images, Metaphors, and Didactic Information
Plans for Action
Changes for Relationships
Acceptance
Acceptance and Action Simultaneously
Take-Home Messages Over a Course of Therapy
Summary of Chapter 6
Therapist Decisions: Clarifying, Amplifying, or Interrupting
General Guidelines
Speak So the Client Will Hear
Do What Works
Other "Rules"
Straightforward Approaches First
If It Doesn't Work, Do Something Different
Breaking the Rules
When Problem Clarification Doesn't Clarify
"When Miracle Questions Don't Create Miracles"
When the Miracle Is the Unsuccessful Attempted Solution
Shifting from Amplifying to Interrupting
When Acceptance and Doing Something Different Don't Help
Back to Specific Techniques
Return to Clarification of Problems and Expectations
Shifting Stances as Therapy Progresses
Amplifying What Works and Interrupting What Doesn't
Summary of Chapter 7
Practical Considerations: Using the Model in Behavioral Health Care
Medication and the Model
A Model that "Works" in Managed Care
Intermittent Care: "The Family Practice Model"
How Many Sessions? "Not one More Than Necessary"
Spacing Sessions
Follow-up Sessions
"Termination" in Intermittent Care
Practical Considerations
Single-Session Therapy
Caveats in Brief Therapy
Summary of Chapter 8
Couples: Problems and Solutions
Starting with the Couple Together
Clarifying the Problem(s)
Elaborating the Solution(s)
Three-Part Interventions for Couples
Jill and Nick: "Communication is a Problem"
Follow-Up: Together or Separately?
Follow-Up Together
Individual Follow-Up
Individual Sessions in Difficult Situations
Therapist Concerns
Starting with one Person
Values and a Marriage Friendly Stance
Summary of Chapter 9
Doing What Works Group Therapy
Group Format
Research on the Group
The Ingredients of Change
Case Example
Summary of Chapter 10
Appendix: Doing What Works Group Visualizations
Group Helped You in Just the Way You Hoped
Crystal Ball
Miracle Question
Act Two
One Year Reunion
Positive Psychology and the Strategic Solution Focused Model
Some Positive Psychology Principles and Techniques
Using Positive Psychology Tools in Strategic Solution Focused Therapy
A Technology for Positive Psychology
Case Examples
Jamie
Marla
Byron
Miguel
Some Concerns about the Positive Psychology Movement - and Some Possible Solutions
Summary of Chapter 11
Acceptance and Change and the Model
The Acceptance Change Cycle in Multiple Approaches
Acceptance in the Strategic Solution Focused Approach
Clarifying and "Deconstructing" Difficult Problems
Coping Questions
Amplifying the Coping Response
Interrupting Unsuccessful Coping Solutions
Coping with Indecision
Using Therapist Impotence: "I Can't Make it All Go Away"
The Acceptance/Change Cycle in Therapy
Summary of Chapter 12
Doing What Works as a Transtheoretical Approach
Common Factors and the Model
A Doing What Works Philosophy with Techniques from Other Models
The Research on "What Works"
Master Therapists Combine Techniques and Improvise
A Unifying Framework
A Few Basic Principles
Summary of Chapter 13
Case Examples: Intermittent Care
Harriet: "I Guess I Come When I Need You"
Gail: "Rage Attacks Forever"
Jeffrey and Claudia: Sex Drive Differences
Excerpts: Single-Session Therapy
Mary's Miracle
Liz: "I Blow Up at Him"
Case Examples and Excerpts: Brief Therapy
Megan: "Problems with My Father"
Al: The Words and the Music
Gloria: The Inconsistent Overeater
Case Example: Crisis Intervention
Craig: "It Was Just Time to End It"
Case Examples: Doing What Works with Longstanding Patterns
Betsy: Depression and "Losing It"
Leanne: "I Think I've Always Been a Liar"
Discussion
References
Index
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