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Preface | |
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The Atmosphere of Practice | |
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The Big Picture: Macro Factors and Helping Relationships | |
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The General Efficacy of Psychotherapy | |
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Professional Discipline | |
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Competency and Effectiveness | |
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The Scientist-Practitioner | |
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The Reflective Practitioner | |
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Therapist Effects | |
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Practice and Setting | |
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Personal Philosophy and Worldview | |
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Opening Conversations for Change: Becoming Strengths-Based | |
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Creating a Culture of Care and Respect | |
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An Ecology of Ideas: Foundations of Strengths-Based Engagement (SBE) | |
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Multiple Perspectives and Ecology | |
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Hybrid Responses: Eclecticism and Integration | |
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Beyond Macro and Micro Levels: Strengthening Integration through Research | |
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Primary Agendas in Research | |
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Agenda 1: Empirically Supported Treatments (ESTs) and Evidenced-Based | |
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Practices (EBPs) (Model-Based Research) Agenda 2: Common Factors | |
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Agenda 3: Empirically Supported Therapy Relationships (ESRs) | |
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Agenda 4: Outcomes Management | |
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Intersection and Convergence in Research | |
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Effective Therapy and Universal Principles | |
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Reflecting on Philosophy and Research | |
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Core Premises of SBE | |
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Client Contributions | |
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The Therapeutic Relationship and Alliance | |
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Cultural Competence | |
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Change as a Process | |
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Expectancy and Hope | |
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Method and Factor of Fit | |
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Keys to Collaborative Partnerships: First Steps in Engagement | |
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Keys to Collaboration in Initial Engagement | |
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Collaboration Key #1: Service Expectations | |
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Collaboration Key #2: Attendance of Meetings/Sessions | |
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Collaboration Key #3: The Format of Meetings/Sessions | |
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Collaboration Key #4: The Physical Space and Setting of Sessions | |
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Collaboration Key #5: The Timing, Length, and Frequency of Sessions | |
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Collaboration Key #6: The Open-Door Perspective | |
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Collaboration Key #7: Pre-Meeting/Session Change | |
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Collaboration Key #8: Process and Outcome-Informed | |
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Active Client Engagement: The Language of Change | |
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Creating Listening Space | |
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Attending, Listening, and Change | |
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The Effects of Language on Psychology and Physiology | |
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Attending and Listening as Core Conditions of Client Engagement | |
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Acknowledgment as a Path to Possibility | |
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Dissolving Impossibility Talk | |
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Future-Talk: Acknowledgement and a Vision for the Future | |
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Creating Further Possibilities of Change through Language | |
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Giving permission | |
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Inclusion | |
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Normalizing | |
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Utilization | |
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Matching Language | |
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Incorporating Process-Oriented Feedback | |
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Putting it all Together: Constructing Conversations for Change | |
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Establishing Structure and Direction: Using Information-Gathering Processes | |
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Generative Conversations: Information-Gathering Processes as Gateways to Change | |
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Strengths-Based Information-Gathering: Formal Processes | |
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Introducing Formal Information-Gathering Processes | |
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General Information-Gathering Questions | |
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Specific Content Area Questions | |
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Diagnosis | |
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Implementing Outcome Measurement | |
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Strengths-Based Information-Gathering: Informal Processes | |
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Funneling: Creating Direction and Increased Focus | |
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Action-Talk: Gaining Clarity with Problems and Goals | |
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Further Techniques for Gaining a Focus Future | |
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Determining Progress Toward Goals: Identifying Indicators of Change | |
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Using Scaling and Percentage-Based Questions Determining Concerns and Goals with Multiple Clients Collaborating with Outside Helpers | |
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Mapping the Topography of Change: Understanding Clients' Orientations | |
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Therapy Theories and Factor of Fit | |
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From Philosophy to Theory | |
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Inviting, Acknowledging, and Matching: Client Orientations as Compasses to Change | |
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Influences of Context | |
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Clients' Theories of Change | |
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Developing a Framework Through Secondary Matching | |
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Domains of Change | |
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Stages of Change | |
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Further Considerations in Differential Matching | |
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In Sum: Mapping the Client's Territory | |
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Collaboration and Decision-Making | |
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Collaboration in Case Conferences, Staffings, and Meetings | |
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Changing Views and Perspectives, Part I: Exceptions and Differences | |
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Negotiating the New: Orienting Toward Views | |
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Clients' Stories as Pathways to Problems and Possibilities | |
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Problematic Stories | |
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Cognition, Attention, & Reciprocation | |
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The Matter of "Questions" | |
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Identifying and Building on Exceptions | |
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Build Accountability Through Language | |
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Find Counterevidence to Problems | |
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Draw Distinctions between Multiple Statements, multiple Actions, or Between Statements and Actions | |
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Use Splitting to Draw Distinctions | |
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Find Alternative Stories or Frames of Reference to Fit the Same Evidence or Facts | |
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Search for hidden strengths | |
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The Q-As of Resilience: Fostering the Person of the Client | |
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Identify valuing witnesses | |
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Rewriting New Life Stories | |
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The Person is Not the Problem: Using Externalizing Conversations | |
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Changing Views and Perspectives, Part II: Patterns of Attention | |
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Facilitating Shifts in Attention | |
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Finding a Vision for the Future | |
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Suggest That Clients Focus on What Has Worked rather than What Has Not | |
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Suggest That Clients think of at Least One Thing That Would Challenge or Get Them to Cast Doubt on Their Thoughts | |
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Suggest That Clients Recall Other Aspects of Situations They Are Remembering | |
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Suggest a Change in Some Quality of Remembered Experience | |
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Identify and Integrate Unincorporated Aspects of Self | |
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Shift between the Past, Present, and Future | |
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Suggest That Clients Shift from Focusing on Their Internal Experience to Focusing on the External Environment or Other People or Vice-Versa | |
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Suggest That Clients Shift Their Sensory Attention | |
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Orient Toward Balance | |
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Stories and Metaphor | |
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Further Mediums of Change: Written Word, Music, and Film | |
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Conversational and Consulting Teams (CCTs) Introduction of CCTs to Clients | |
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Foundational Ideas | |
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Preparation and Posture of the CCT | |
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The Format | |
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Changing Actions and Interactions, Part I: Identifying and Altering | |
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Repetitive Patterns | |
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Action and Interaction in Context: The Construction of Patterns | |
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The Landscape or Action and Interaction: Identifying Problematic Patterns | |
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Preparing for Movement: Orienting Toward Action | |
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Depatterning Patterns of Action and Interaction | |
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Change the Frequency/Rate of the Complaint or the Pattern Around theComplaint | |
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Change the Location of the Performance of the Complaint | |
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Change the Duration of the Complaint or the Pattern Around the Complaint | |
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Change the Time (Hour/Time of Day, Week, Month or Time of Year) of the Complaint or the Pattern Around the Complaint | |
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Change the Sequence (order) of Events Involved in or Around the Complaint | |
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Interrupt or Otherwise Prevent the Occurrence of the Complaint | |
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Add a new element to the Complaint | |
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Break Up Any Previously Whole Element of the Complaint into Smaller Elements | |
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Reverse the Direction of Striving in the Performance of the Problem (also Referred to as Paradox or Prescribing the Symptom) | |
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Link the Occurrence of the Complaint to Another Pattern That is a Burdensome Activity(also Referred to as Ordeal) | |
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Change the Body Behavior/Performance of the Problem or Complaint | |
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Changing Actions and Interactions, Part II: Identifying and Amplifying | |
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Solution Patterns | |
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Repatterning Through Solutions | |
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Find Out About Any helpful Changes That Have Happened Before therapy Began | |
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Find Out About Previous Solutions to Problems (Exceptions), Including Partial | |
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Solutions and Partial Successes, and Actions Associated with Those Solutions | |
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Search for Contexts in Which There is Evidence of Competency and/or Good Problem Solving or Creative Skills | |
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Find Out What Happens as the Problem Ends or Starts to End | |
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Find Out Why the Problem is not Worse/Using Strengths as a Countermeasure Rituals of Connection and Continuity: Balancing Security and Change Rituals of Transition: Action Methods with Meaning | |
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Putting Ideas to Work: Creating Action Plans | |
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Future Interactions and Sessions: Patterns of Client Responses | |
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Continuous Engagement: Exploring Client Experiences and Revisiting Preferences | |
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Beyond First Sessions: Continuing Conversations for Change | |
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Revisiting the Role of Outcome-Oriented Feedback | |
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Each Session as its Own Entity: Reorienting to Clients' Stories | |
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When Clients Report New Concerns or Problems | |
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When Clients Reports are Ambiguous or Vague | |
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Integrating Outcome-Oriented Feedback to Clarify Ambiguity | |
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When Clients Report No Change or Deterioration | |
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Coping Sequence Questions | |
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Joining the Pessimism | |
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"No-Talk" Clients | |
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Keys for Negotiating Impasses | |
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Emerging and Evolving Stories: Building on Progress and Change | |
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When Improvement is Reported or Identified | |
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The Dynamic Duo: Attribution and Speculation | |
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Share Credit for Change | |
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What Else? Continuing Conversations to Build on Change | |
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Making New Connections Though Linking | |
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Revisiting Outcome-Oriented Feedback | |
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Situating Change in Relation to Goals and Preferred Futures | |
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Extrapolations: Growing New Stories | |
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Therapeutic Letters to Clients | |
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Documenting New Life Stories | |
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Preparing for Transitions | |
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Putting Change in Context: Managing Setbacks | |
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Anticipating Hurdles and Perceived Barriers and Extending Change into the Future | |
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Transition/Celebratory Rituals | |
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In Through the Out Door: States of Transition | |
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Evolution in Context: Constructing New Worlds through Respect and Dignity | |
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Changing Therapists' Views and Patterns | |
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Ongoing Self-Reflection | |
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Using Frameworks to Stimulate New Ideas | |
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Supervision as a Parallel Process | |
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Reflecting Consultations | |
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Characteristics of Successful and Effective Therapists | |
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Effectiveness, Longevity, and Self-Care | |
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We All Go Together: Creating Strengths-Based Organizations | |
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A Culture of Feedback | |
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Proactive Inquiry | |
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Philosophy in Action | |
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People in Places | |
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Coming Full Circle | |
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Appendix "A" | |
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References | |