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Narrative Therapy Relationship-based Practice

Narrative therapy slides

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Page 1: Narrative therapy slides

Narrative Therapy

Relationship-basedPractice

Page 2: Narrative therapy slides

Premise

People make sense of their world through language and stories

Can be brief

View people as competent

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How Problems are Seen

• Problems arise because of subscriptions to narrow and self defeating views of world

• People are not problems; the problem is the problem

• Problems are to be deconstructed and externalized

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New Insights Through Stories• Drawing people’s attention to subtle changes

in their lives can foster new insights, promote empowerment, and help people develop better ways to resolve difficulties

• People become authors of their own lives• Clients are experts on their lives. • Externalization allows re-authoring (hidden

problems can’t be changed)

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Emphasis in Therapy

• Listening, accepting, making non-judgmental, non-confrontational comments

• Can ask multiple forms of same question (intricate and delicate process)

• Therapist as linguistic detective• Not seeking to heal or fix, but to learn about

client and understand them

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Goals

• Therapists invite clients to describe their experience in new language; facilitate process of discovery

• Create shift to bring about new meaning to client’s story

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Therapist Role

• Suggest alternative viewpoints• Mirroring • Emphasis on being encouraging of client

strengths and resources• Participatory, interactive• Careful listening, empathic, summarization,

paraphrasing to give people ownership

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Therapist Role continued

• Search for exceptions to the problem• Ask clients to speculate about what kind of

future they could expect from new feelings of competence

• Separate person from problem

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Techniques

• Questions!! More questions!!

• Creating alternative stories, identifying preferred directions

• Externalizing – when has client been successful, new (less problem-saturated) stories around problems

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Techniques continue

• Raise Dilemmas

• Predict setbacks

• Celebrations, certificates

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Limitations

• No set formulas• Attitude is critical• Therapist needs to be able to make quick

assessments, assist clients in setting up goals and effectively use appropriate interventions