09.04.2024 Views

The Brief Therapy Toolkit Ebook V9

Welcome to the "Brief Therapy Toolkit" eBook. This book is crafted as a concise reference guide, complementing my training course under the same title. My goal is to distill the powerful principles of solution-focused brief therapy and tailor them specifically for you, the youth worker. By deconstructing the methodology, we aim to reconstruct it in a manner that transitions seamlessly from the therapy room to your youth club, school, or children's home. As a youth worker, you are often the first point of contact in times of crisis. Armed with these tools, you will gain confidence in your approach and be better equipped to make a difference.

Welcome to the "Brief Therapy Toolkit" eBook. This book is crafted as a concise reference guide, complementing my training course under the same title. My goal is to distill the powerful principles of solution-focused brief therapy and tailor them specifically for you, the youth worker. By deconstructing the methodology, we aim to reconstruct it in a manner that transitions seamlessly from the therapy room to your youth club, school, or children's home. As a youth worker, you are often the first point of contact in times of crisis. Armed with these tools, you will gain confidence in your approach and be better equipped to make a difference.

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

<strong>The</strong> <strong>Brief</strong> <strong>The</strong>rapy <strong>Toolkit</strong><br />

Solutions in a youth work setting<br />

By Michael Dawson


©theactionfactory1995<br />

Remember to keep in touch.<br />

• Listen to our podcast via the website<br />

• Contact me directly<br />

• Become a member for updates<br />

• Check out the range of free courses and resources<br />

Michael Dawson<br />

<strong>The</strong> Action Factory Publishing Limited<br />

Company Reg 12656388<br />

www.theactionfactory.com<br />

info@theactionfactory.com


A sincere hats off to the numerous professionals with whom I<br />

have worked on a personal level, or whose work has<br />

influenced, inspired, or been borrowed from, stolen, or<br />

adapted by me.<br />

Michael Dawson<br />

”If I have seen further, it is by standing on the<br />

shoulders of giants.”<br />

Sir Isaac Newton<br />

'Research your own experience; absorb what is<br />

useful, reject what is useless and add what is<br />

essentially your own.'<br />

Bruce Lee


1 - Introduction<br />

Over decades working in the people business, I've<br />

attended and presented numerous inspiring and<br />

influential courses in various therapeutic<br />

models. As the years passed, I adapted many of the<br />

techniques into my daily work. Later, I developed my own<br />

training as a way of passing on the knowledge I'd acquired.<br />

In time, I came to realise that although my previous<br />

training had been immensely useful, it didn't always copy<br />

and paste into my working life so easily. Secondly, I found<br />

that the various models required a level of loyalty to their<br />

methods. That's why I hope the <strong>Brief</strong> <strong>The</strong>rapy <strong>Toolkit</strong> will


appeal to those who aren't therapists in a traditional sense<br />

and might well have no intention of being so. Instead, you<br />

need the tools of the brief therapy approach to be adapted<br />

and adopted into a working life that's very different from<br />

the therapist's couch.<br />

If your job involves day-to-day contact and influence with<br />

young people, then I wrote this course for you. I've worked<br />

with the health service, police, youth workers, and<br />

educators.<br />

This is why I came up with the phrase;<br />

“Not to make you a therapist, but to not, not<br />

make you a therapist.”<br />

<strong>The</strong> meaning of this phrase is that as youth workers, we<br />

advance and benefit the lives of our clients. Throughout my<br />

decades of experience in varied roles, the solution-focused<br />

approach has always been my first love, my go-to model for<br />

helping young people in every role. Aside from my business<br />

background, I've worked in residential care, mental health,<br />

youth work, and of course, as a therapist in various guises.<br />

<strong>The</strong>se include my work with the young people of East


Manchester as well as family work and one-to-one therapy.<br />

In all those years, I've been a passionate advocate of the<br />

solution-focused model, and it has served me well. I can<br />

honestly say that I saw every role through the solutionfocused<br />

lens.<br />

I believe there’s a real need for the <strong>Brief</strong> <strong>The</strong>rapy <strong>Toolkit</strong>, a<br />

training programme that would help individuals and teams<br />

become solution-focused workers instead of therapists. I<br />

wanted to develop something with a broad tilt towards the<br />

frontline youth workers in every role. Whether working in<br />

youth centres, projects, education, or family work.<br />

In my attempt to do this, I've tried to take the brief therapy<br />

model to pieces in the hope that together, we can put it<br />

back together in a way that can be effective in your daily<br />

life.<br />

In the <strong>Brief</strong> <strong>The</strong>rapy <strong>Toolkit</strong>, I hope to:<br />

Break down the therapeutic model into its core<br />

components<br />

Make the training modular and to the point<br />

Help professionals put the model back together in a way<br />

that suits their role<br />

Reflect our physical training courses as closely as possible


Allow the client to be the expert in the room <strong>The</strong> idea is not<br />

to make you therapists; it's to not, not make you therapists.<br />

I’m excited to share the solution-focused brief therapy<br />

model with you.<br />

"A solution-focused worker does not need a<br />

problem to solve.” - Michael Dawson<br />

It would be ambitious and arrogant to ask you, as a<br />

professional with years of experience, to take everything I<br />

say verbatim. I encourage you to question at every point<br />

whilst being open to new solutions. Like tearing a page<br />

from a magazine at the dentist, I hope you’ll steal these<br />

methods and take them back to the workplace in a way that<br />

works for you.<br />

This is a serious business, so let’s not take it too seriously. -<br />

Michael Dawson<br />

So, I’m very excited to open the <strong>Brief</strong> <strong>The</strong>rapy <strong>Toolkit</strong> for<br />

you. By the end of this book and training, you’ll have a very<br />

good outline of the tools, their uses, and most importantly,<br />

what they can do for you.<br />

Remember, you as the trainee are the expert in the room.


This is not an academic training course; it’s designed to be<br />

experiential.<br />

Have fun, be curious, question, and most<br />

importantly, enjoy the journey.


2 - <strong>The</strong> History of <strong>Brief</strong> <strong>The</strong>rapy<br />

<strong>The</strong>re are some dark days in the history of mental<br />

health, before science separated the physical<br />

brain from the mind. Eventually, we came to an<br />

understanding that there was little connection between the<br />

two. Possession by demons, electric shock treatment, and<br />

lunatic asylums are scattered through modern history.<br />

Some were the root of sayings and expressions that still<br />

exist today. "You need your head feeling,” a phrase my own<br />

mother still used in the 70s, references the practice of


Phrenology, which presumes to offer an explanation of<br />

personality by the bumps and lumps on the head.<br />

Franz Mesmer believed in an<br />

inherent magnetic field that could be<br />

interrupted between humans and<br />

inanimate objects. It was he who<br />

coined the term “Animal<br />

Magnetism.”<br />

He was an early pioneer in hypnosis, and of course, we still<br />

hear the term “mesmerised.”<br />

Early talking therapies developed by Jung and Freud would<br />

often focus on the past, childhood relationships, or trauma.<br />

By the 60s and 70s, we were starting to approach talking<br />

therapy in a new, patient-centred way.<br />

A key player in the development of Solution Focused<br />

<strong>The</strong>rapy was undoubtedly Milton Erickson.


Before he came along, the general belief<br />

was that mental problems had a deeper<br />

causation from the past which had to be<br />

routed out.<br />

In general, it was accepted that therapy would also be a<br />

long and painful process. Erickson took the opposite view,<br />

that therapeutic input could be brief and painless, often a<br />

single session. He also believed that a person and a<br />

problem were part of a bigger system, to this end, he might<br />

even include family members in the solution. He also<br />

worked on symptoms as opposed to root causes, believing<br />

that change happened in stages like the tipping of<br />

dominoes. Anyone who has researched or trained in<br />

Solution Focused work will find all of these principles very<br />

familiar indeed.


<strong>The</strong>n came a computer programmer named Richard<br />

Bandler and a linguist named John Grinder, captivated by<br />

Erickson’s work. <strong>The</strong>y wanted to study successful people<br />

and work out how their behaviours and attitudes differed<br />

from the average person. <strong>The</strong>y studied a handful of<br />

successful therapists in the same way, the objective being to<br />

breakdown their actions into a kind of program that could<br />

be replicated.<br />

A common trait they discovered was how successful<br />

therapists were deliberately vague in their suggestions, thus<br />

opening up the client's mind to subconscious suggestion.<br />

<strong>The</strong>y also saw a pattern of rapport building and working<br />

within the model of the client's world and removing the<br />

traditional authority of the therapist.<br />

<strong>The</strong> result was NLP - Neuro-Linguistic Programming, a<br />

method of exploring how the way people feel and behave<br />

influences their life.


Once again, the principles will be familiar to you as a<br />

solution-focused practitioner. <strong>The</strong> removal of authority and<br />

the use of vague suggestion allow clients the freedom to<br />

find solutions that might not be available to the therapist.<br />

What we now know as the Solution<br />

Focused approach was developed in<br />

the late 70s and early 80s by Steve de<br />

Shazer and Insoo Kim Berg.<br />

<strong>The</strong>y and their colleagues developed the method at the<br />

<strong>Brief</strong> <strong>The</strong>rapy Centre in Milwaukee. De Shazer was highly<br />

influenced by the Mental Research Institute approach. In<br />

essence, this model would involve enquiry into the client's<br />

current handling of their situation and guidance towards<br />

‘doing something different’.<br />

De Shazer’s team soon noticed that there were occasions<br />

when there were exceptions to the problem, and these<br />

could be expanded upon.<br />

For example, a drinker may well have times when she<br />

doesn’t drink quite so much, or an abusive father may get<br />

along with his teenage family. <strong>The</strong>y called these incidents<br />

‘exceptions’ and so would work on how these could be


expanded. <strong>The</strong> idea of exceptions is central to solutionfocused<br />

work and was further developed using the<br />

influence of Milton Erickson and his idea of a crystal ball or<br />

a way to see an imagined future. Clients reacted positively<br />

to a detailed description of the future where the problem<br />

was less apparent.<br />

This, of course, led to the ‘miracle question’.<br />

Steve de Shazer wrote a number of books which are<br />

required reading for those wishing to pursue the model<br />

further.<br />

In particular;<br />

Clues: Investigating Solutions in <strong>Brief</strong> <strong>The</strong>rapy<br />

by Steve De Shazer<br />

Keys to Solution in <strong>Brief</strong> <strong>The</strong>rapy<br />

by Steve De Shazer<br />

<strong>The</strong> Solution Focused approach can be distilled into its<br />

distinct trademark scenarios.<br />

It helps a client discuss a preferred future and aids them in<br />

seeing the progress they are making towards that future.


<strong>The</strong> client is the expert of their own lives, and the therapist<br />

takes a more enquiring approach. <strong>The</strong>y will remove their<br />

authority in the therapy session and replace it with enquiry<br />

and curiosity.<br />

De Shazer worked on the assumption that all people had<br />

the strengths and abilities to cope and make change. Like a<br />

mobile, the smallest change will affect other things in a<br />

person's life.<br />

Change is inevitable anyway; it was more a case of how and<br />

why that change took place.<br />

Solution Focused <strong>The</strong>rapy has proven itself to effectively<br />

help people with a wide range of chronic problems. <strong>The</strong>se<br />

include depression, bulimia, drug abuse, alcoholism, and<br />

family difficulties.<br />

Research shows it to bring about lasting change on average<br />

in 5 sessions or less with a success rate of up to 83%.<br />

In my service, we statistically showed client positive<br />

outcomes with serious issues of 85%. <strong>The</strong>re are now more<br />

than 32 published research studies in solution-focused brief<br />

therapy, which show successful outcomes in 65 - 83% of


cases. <strong>The</strong> highest satisfaction ratings come from clients<br />

themselves. Solution-Focused therapy is often a mindset<br />

and a way of approaching a problem rather than an answer<br />

to a problem itself.<br />

I was recently speaking to a CBT practitioner, and I<br />

mentioned that my specialty was Solution Focused<br />

<strong>The</strong>rapy.<br />

“Yes, I hear it is very cult’ish, isn’t it?”<br />

I thought for a moment and said, “Yes, maybe it is.”<br />

I answered in that way because it’s a model that is most<br />

often criticised by those without a deep knowledge or skill<br />

in it.<br />

Anyone who fully understands its workings cannot deny its<br />

effectiveness. We will indeed address many of these<br />

criticisms, but for now, I’d like to welcome you to the cult.<br />

I hope these pages will serve as a reminder of our training<br />

and be shared with your colleagues in the coming weeks.


3 - Session Walkthrough<br />

As you will know by now, the structure of a<br />

session is the basic format we work to. It is<br />

simply a blueprint for our work with the client<br />

and is important to give structure to the conversation. In<br />

reality, it’s seldom the case that the conversation will follow<br />

this course at all. It often goes off in different directions and<br />

then returns or repeats certain sections; often large parts of<br />

this structure simply do not apply to the session at all.<br />

None of this is of any concern to the therapist. It’s just good<br />

to have that structure there in the first place, providing


security for the therapist regardless of the problem that<br />

comes to you. Working with clients and their families can<br />

be highly charged and very emotional, and at times that<br />

can be hard to control. By having a structure, we provide a<br />

safe retreat for the therapist when they feel a bit lost. We<br />

can gather our thoughts, work out where we are, and<br />

continue. That said, here are the main chunks of a rare<br />

perfect client-therapist session.<br />

Relationship Building<br />

You will remember from the training, and as demonstrated<br />

later in this document, that the relationship between client<br />

and therapist is claimed to provide up to 30% of the<br />

positive outcome. That means that before any intervention<br />

begins, you can be some way there if the client develops a<br />

good relationship with you. I don’t have to emphasize how<br />

quickly, as human beings, we make judgments about each<br />

other. We have spoken in detail about the ethos of your<br />

service and what clients expect when they arrive. It's<br />

important that the client develops a positive relationship<br />

with the service as well as you personally. That being said,<br />

we will assume the clients have found themselves in a


comfortable, welcoming waiting area and will be there for a<br />

short period of time. <strong>The</strong>y will have been offered<br />

refreshments and greeted by any passing members of staff,<br />

etc. Reception staff will be expecting them and greet them<br />

by name. This is the important first part of the session and<br />

allows the client to start to make a relationship with the<br />

therapist. This section is the usual small talk that comes<br />

into play when we meet new people: How was your<br />

journey? Do you know the area? Where are you from? etc.<br />

In some ways, it relates to the two experiences we<br />

discussed at the bank. In experience one, you go in, you<br />

pass your documents over to pay in some money and then<br />

you say thank you and leave. <strong>The</strong>re is no problem, you are<br />

just another pay-in, and there will be many more that day.<br />

You don’t feel you have been given bad service because you<br />

simply got what you expected. In experience two, the<br />

cashier says, “Good morning Mr. Jones, how are you today?<br />

Did you enjoy your holiday? How are the family? What<br />

lovely weather we are having! Is there anything else I can<br />

do for you? Come back soon?" You are no longer just<br />

another pay-in. You are Mr. Jones, who has a family, a life,<br />

and feelings. Which is the better experience? At this point,<br />

the client can be given time to meet you and then be taken


into the session. Bear in mind, of course, that much of my<br />

work, and yours possibly, may involve meeting at other<br />

premises or even on the street, but the same courtesies<br />

apply nonetheless.<br />

How can we help...?<br />

It has been said that the answer lies in the first few<br />

sentences the client says to you once the session starts.<br />

“What one small thing would make our meeting<br />

worthwhile today?” <strong>The</strong> expectations of the client may be<br />

far from the therapist's. By asking this question, we can<br />

determine where the client is starting from. This is<br />

important at the outset to try and determine what the<br />

client’s expectations are of your service. It’s here that<br />

motivation can be determined and how much the client<br />

takes responsibility for their problem. So, reframing the<br />

question in a number of ways can be useful: “What will you<br />

be saying to your husband when you get home and today's<br />

meeting was worthwhile?” “When you leave here later,<br />

what would tell you that you were pleased you had<br />

attended this meeting?” <strong>The</strong>y could give a whole range of<br />

responses that help determine the problem: "you would


take my kids in care", "I wouldn’t be depressed anymore", "I<br />

would be a better parent", etc.<br />

You may at this stage want to define the goal a little more to<br />

make it more concrete. As one therapist once said about<br />

goals, “Can you put it in a wheelbarrow?” i.e., being a<br />

better parent is one thing, but what if you took the kids out<br />

once a week? We will discuss goal setting later. This part of<br />

the session will tend to be where the family lets off steam<br />

with ‘he said, she said’ stuff. I tend to let that burn out<br />

before taking control of the conversation. This can be a<br />

while in some instances, but it tells a lot to watch and listen<br />

to build a good picture of the relationships. In essence, this<br />

can be a large chunk of the session.<br />

What would make today worthwhile to you?<br />

What's been better since your appointment was made?<br />

Quite often, you can instigate positive change before the<br />

client meets you. Having confirmed an appointment, I’d<br />

say, “Oh, just one more thing, just make a mental note of


how things are between now and when we meet.” When we<br />

ask the question in the session, “What’s been better since<br />

your appointment was made?” they start to think of what<br />

has improved in the past week. If we get that, then the<br />

session is off to a great start because we already have<br />

positive exceptions to work with. It works because of where<br />

we focus our attention. Perhaps as you are reading this, you<br />

could do the same: what’s good in your life recently, what<br />

are you positive about? As you now know from the training,<br />

our minds will focus on many different areas of our lives<br />

and completely ignore others, depending on the mindset<br />

we are in. Dr. Richard Wiseman illustrates this in his book<br />

<strong>The</strong> Luck Factor. He proved scientifically that we create our<br />

own good and bad luck.<br />

How? Well, it doesn’t teach you how to win at the horses,<br />

but to put it simply, luck is a mindset. My favorite example<br />

is when he asks the question: If you went to the bank at<br />

lunchtime and it was stuck up and you got shot in the arm,<br />

is that good or bad luck? What do you think? Well, he found<br />

that unlucky people thought it was bad luck; they could<br />

have been killed. Typical for them to end up in that mess.<br />

While the people who considered themselves to be lucky


actually said the opposite. <strong>The</strong>y said how good it was they<br />

didn’t get killed and they would be on the news, etc. Time<br />

and time again, he proves that luck is an attitude. Not only<br />

that, he proved it was behavior; once you believe you are<br />

unlucky, you become blinkered and unwilling to take risks<br />

for fear of failure. It works the same with individuals,<br />

companies, football teams, and countries. How many teams<br />

do you see on a losing streak miss open goals and keep<br />

themselves stuck in a rut? So, by focusing the attention of<br />

the client on things that are already improving, you set up a<br />

positive step forward. I can tell you that there have been<br />

occasions I did this, and the first session was the last. We<br />

talked about how things had improved in the family and<br />

how much they all cared about each other, and guess what.<br />

<strong>The</strong>y decided they didn’t really need to see me after all and<br />

thanked me before heading off home. <strong>The</strong> greatest<br />

compliment a therapist can get is when a client says, “Well,<br />

I came to see you but managed to sort this thing out all by<br />

myself.” It's covert or stealth therapy where you leave no<br />

sign that you were there. Some practitioners call it leaving<br />

no footprints, and it’s the greatest compliment to the<br />

therapist for the client to feel they solved their own<br />

problem.


Miracle Question<br />

<strong>The</strong> miracle question is central to solution-focused therapy,<br />

and yet those who are trained in the model will by now<br />

have realized the skill of this model is the way that this<br />

question is used in therapy. <strong>The</strong>re are a number of tools<br />

that we will need in our solution-focused armory that we<br />

will discuss in more detail later. We will need to probe and<br />

use scaling questions skillfully to help the client build a<br />

picture of the future that is clear and concise. Before we go<br />

further, let’s look at the miracle question in its purest form,<br />

I say this because it can be adapted to the client and your<br />

personality within reason. Having said that, this is the<br />

miracle question verbatim: “If you were to leave this room<br />

today and go home and go to bed and go to sleep. What if<br />

while you were sleeping a miracle happened and all the<br />

reasons you came here were gone. But you would not know<br />

that the miracle has happened. When you get up tomorrow,<br />

what’s the first thing that would tell you that things were<br />

different?” Despite the question being adaptable, you will<br />

know that there are a couple of interesting points to make<br />

here if you are to get the response you need. Firstly, note


how the question says “the reason we are here.” This is vital<br />

when speaking to families in particular because we are<br />

making no assumptions about why they are here, what the<br />

problem is, or even who is to blame. Each client on hearing<br />

that can determine that for himself or herself and thus no<br />

judgments are being made. I have been asked on numerous<br />

occasions why clients don’t just say, well, my mum would<br />

be alive, or I would have won the pools. Well, there are<br />

ways of dealing with this, which I will go into later, but I can<br />

sincerely tell you that in all the thousands of cases I have<br />

dealt with, that has never happened once. This is<br />

confirmed when speaking to other practitioners. Quite<br />

simply, I think the client is aware of the reason they are in<br />

the room and so apply themselves accordingly. It’s also<br />

interesting how we suggest that this miracle happens<br />

without the client’s knowledge. It’s only as they go through<br />

their day that they realize that the problem has gone away.<br />

You will often have to remind them that this is a miracle<br />

day as they tend to drift back to the problem with “yeah,<br />

but that would not happen because etc.” It’s important to<br />

add as many senses to this imaginary day as possible. What<br />

colors, smells, and feelings can you see or feel? What would<br />

your mother, teacher, boss be saying to you? What would


they think? We will discuss questioning later, but it’s vital to<br />

add as much color, smell, and feeling to that day as<br />

possible. During the training, you’ll have heard the story of<br />

me asking the miracle question to a father who went into<br />

great depth about this miracle morning. I could see his<br />

daughter and wife’s shock at how vividly and passionately<br />

he described that day. He described the simplest of things<br />

like his daughter saying good morning and giving him a kiss<br />

before going to school, etc. It was very powerful and<br />

emotional because these were the simple things he wanted<br />

for his family. This is the art of future talk and imagining a<br />

future without the problem. With enough probing and<br />

questions, we can create a picture of the future. Once we<br />

have this day, we can use the tools of the model in a<br />

number of ways. We use this day as a barometer of<br />

perfection if you like, say a ten out of ten day. By doing this,<br />

you can help them get the problem into perspective. For<br />

example, you may say, “If this day is a ten, what is the<br />

nearest you have been to that recently? Also, what number<br />

would you have to be at before you felt you did not need to<br />

come here anymore?” If they were recently a three and<br />

they would be happy to part your company with a seven,<br />

then without acknowledging it, you have halved the


problem. Also, you can use the same barometer in future<br />

sessions to gauge progress. At this point, we are brought<br />

nicely into the theme of scaling questions.<br />

Scaling Questions<br />

Scaling questions are an excellent tool for gauging progress<br />

and getting a consensus of opinion. <strong>The</strong> scale enables the<br />

client to use his or her own judgment of a situation. You<br />

will remember the exercise we did in training where<br />

everyone rated the seriousness of certain situations and<br />

how broad that reaction was. For example, "having a baby?"<br />

Now, for some, that would be a disaster at this stage of life<br />

and so would be rated very low, whereas for others, it<br />

would be fantastic and rated at nine or ten. Everything is<br />

relative, and this is particularly evident in family work. So<br />

often, I have seen parents rate the seriousness of the family<br />

conflict at say six, to the surprise of the young person who<br />

thought it was a nine or ten. With this new information, it's<br />

possible to bring the problem into context for everyone in<br />

the room. Another use of scaling questions is to gauge<br />

progress and ask what would instigate the tiniest change. If,<br />

for example, we have determined that when we get to


seven, the family no longer needs us, and they are at a<br />

three now, “What would get you to three and a quarter?”<br />

What tiny change needs to happen between now and the<br />

next time we meet? In this way, we are looking for the<br />

tiniest changes in their lives. If you remember, one of the<br />

rules of solution-focused therapy is that change is<br />

inevitable; it's just how much control we have over that<br />

change that matters.<br />

Another common belief, certainly in the family therapy I<br />

have practiced, is that families are like a mobile. <strong>The</strong> tiniest<br />

push on one item shifts everything else in relation to it.<br />

This is why the saying “Well, they all get treated the same”<br />

can't make sense. How can that be? <strong>The</strong> first-born was an<br />

only child and the first grandchild; the later children were<br />

then brought up in a bigger household on a tighter budget,<br />

and so on. <strong>The</strong> point still being that we are looking for the<br />

tiniest changes in attitude or behavior to affect the bigger<br />

picture. "If the miracle day is a ten, then what number do<br />

you feel you are at now? Okay, if you are at a three now,<br />

then what number would you have to be at before you felt<br />

you did not need to see me again? Seven? Okay. We have<br />

then psychologically reduced the problem by half. What


would have to happen to get you from a three to say, a<br />

three and a quarter? On a scale of one to ten, how solvable<br />

do you think this problem really is, and what could move<br />

you up a quarter? Okay, if you have not moved up from a<br />

three, what has made you able to stay at three and not go<br />

down a scale?" Scaling questions are good indicators but<br />

should always be calibrated to the client. <strong>The</strong> actual<br />

numbers do not matter because they will be relative only to<br />

the client.<br />

Intervention Break and Task Setting<br />

<strong>The</strong> intervention break is where both the therapist and<br />

client take a break to think about and review the situation.<br />

<strong>The</strong>re is no set time for this, but it tends to come at a<br />

natural part of the family discussion. Now, there have been<br />

so many different ways of using the break and the model<br />

talked about in books, and naturally during our courses,<br />

and I would encourage you to be brave. Some of the earlier<br />

practices seem extraordinary. <strong>The</strong>re could be ten or so<br />

therapists listening in to the whole session and giving<br />

feedback later. Sometimes they are on the other side of a<br />

two-way mirror and will phone into the room with requests


to prompt, clarify, or ask questions of the client. Like some<br />

therapeutic version of deal or no deal. <strong>The</strong>re have been<br />

many takes on the intervention and the task setting, but in<br />

general, if you worked in the environments I did, and most<br />

of you do, you will be alone in a room with the client.<br />

Maybe, as in the story I told earlier, my intervention break<br />

was taken on the stairs of a youth club. In some instances,<br />

you could go up to the team room and discuss the case with<br />

co-workers. Either way, it's a time to gather thoughts and<br />

summarize the case for yourself. So when you're ready,<br />

then you can return to the room with a task in mind, but<br />

before you introduce the task, you need to clarify the<br />

situation. That means going back into the room and saying,<br />

"Okay, let me be sure I understand you correctly, mum,<br />

what I seem to be hearing you say is… etc. Get agreement<br />

from the individuals and ensure that they are happy you<br />

fully understand and have listened to them all. This is vital<br />

before you start to introduce the task. <strong>The</strong> task will be your<br />

intervention that the family can implement between now<br />

and the next session. <strong>The</strong> task should be clear and concise<br />

(can you put it in a wheelbarrow?) and if it’s imaginative<br />

and small, then all the better. It is also better to ask the<br />

client to do something and not to stop doing something.


<strong>The</strong> tasks should be achievable and challenging to the<br />

client. <strong>The</strong>re are many forms the task should take, and<br />

imagination is more successful. My favorite is the case of<br />

the woman who was becoming very distressed by her<br />

daughter's temper tantrums. Whenever there was any<br />

conflict in the house, the daughter would scream and shout<br />

and stamp, even though she was in her teens; this<br />

increased the mum’s stress levels, and the situation<br />

constantly got out of hand. Both the daughter and the<br />

mother were informed that the task was, that for the<br />

coming week, mother was to arm herself with a small water<br />

pistol; she was to carry it with her at all times. In the event<br />

of a tantrum, then mum was to squirt it at her daughter.<br />

<strong>The</strong> family returned the following week to say that things<br />

were so much better. Of course, the mother had not once<br />

taken the water pistol out of the bag. As soon as a tantrum<br />

started, then mum went for the bag, and both of them<br />

would break down into fits of laughter at the thought of<br />

using it. This made it very difficult to remain angry at each<br />

other, and as such, they had a brilliant week. It may have<br />

been Erickson who, on finding himself at a loss, asked a<br />

client had they tried sleeping on the other side of the bed.<br />

Well, the client had not, but agreed to try. Of course, on


their return, they were able to report significant<br />

improvements over the past week. <strong>The</strong>se are extreme<br />

examples, but in reality, you will often find it's the client<br />

who will be telling you what the task should be. It will come<br />

out in the session, hence the importance of the break.<br />

<strong>The</strong>re, in theory, is the first structured session, taking us<br />

from problem to solution. <strong>The</strong>re are many instances of<br />

ending the intervention after the first session, and I have<br />

had many of those myself. <strong>The</strong> thing to remember is that<br />

you are attempting to pick up the client and set them on<br />

their way. <strong>The</strong>y do not need or want us in their lives, and so<br />

we are constantly trying to do this. This can conflict once<br />

more with some carer/social service intervention, which<br />

tends to cultivate a culture of care and reliance. Having said<br />

that, there will, of course, be follow-up sessions, and the<br />

second session or what’s better session is an important one.<br />

<strong>The</strong> "What's Better" session is precisely what it sounds like.<br />

It typically begins with the first question being asked with<br />

great confidence: "What's been better for you?" As we<br />

discussed during the training, there's a concern about what<br />

happens if nothing is better, or if things have worsened. It's


crucial to remember that when a client says nothing has<br />

changed, what they're really saying is, "I haven’t noticed<br />

any changes; can you help me?" Sometimes, the client is<br />

focusing on the negative and hasn't put the whole week<br />

into perspective. Remember the client who mentioned that<br />

her child had stolen from her on Thursday?<br />

Search for Positives<br />

This involves looking for and finding the positives from the<br />

preceding period. Yes, there may be setbacks and difficult<br />

days; those are acknowledged. But sometimes, the positives<br />

have to be actively sought out from the client. I worked<br />

with a young family who described their family life as akin<br />

to the Osbournes': constant noise, shouting, chasing the<br />

kids around, etc. After the session, we agreed on some<br />

changes, which meant that the dad had to keep a grip on<br />

his explosive character. Despite all evidence to the contrary<br />

(I assumed he could do it), I had shared how sometimes<br />

when people are being loud, going quieter can make them<br />

lower their volume to hear you. If you go louder, they go<br />

louder. I asked him to try this for a week, even if it meant<br />

he could come back and tell me it was rubbish to think he


could control the kids by calming down. When the family<br />

returned the following week, I was anxious. But when I<br />

asked, "Well, what's been better for you?" the father was<br />

silent for a moment before shaking his head and saying,<br />

"Unbelievable!" He couldn't believe the change in his house<br />

and the atmosphere. Most times, if you've had a good first<br />

session, the positives are readily presented to you.<br />

However, you must be prepared to search for them if<br />

necessary. Ignoring setbacks involves fishing through the<br />

incidents, finding the slightest positive, and holding onto it<br />

tightly. Questions like "Tell me more about that," "How did<br />

that feel," "How did you do that," and "How would your<br />

mother/teacher/brother have felt when you did that?" can<br />

help amplify the positive.<br />

Crank Up the Volume<br />

Amplify the positive and be enthusiastic about it. Returning<br />

to the doctor analogy, it feels better when a doctor<br />

acknowledges your progress enthusiastically. Remember<br />

the exercises about upgrading our language and the word<br />

tower exercise from our training? Congratulating and<br />

amplifying the significance of the positive is crucial.


Questions like "That is great, how did you do that?" "It must<br />

have been very difficult for you," and "What about the other<br />

kids, how did you get around that?" help amplify the<br />

achievement. We're often dealing with clients who have<br />

much lower expectations of themselves, so achievements<br />

like staying in mainstream classes or getting to school on<br />

time are significant.<br />

Start Again<br />

After establishing the positives, go over the scenario again<br />

in more depth or from a different perspective. Delve deeper<br />

into how they overcame obstacles, ensuring they know you<br />

fully understand how they achieved their success. <strong>The</strong>n,<br />

start back at the beginning and repeat the process all over<br />

again. We did exercises on this, and we know how much<br />

everyone enjoys enthusiasm about their achievements. We<br />

all go to work, do our jobs because we get paid and know<br />

what's expected of us. But we also know how nice it feels<br />

when our efforts are noticed and appreciated with a simple<br />

"Thanks for doing a great job." It's about acknowledging<br />

that while the work would have been done anyway, the<br />

recognition makes it all the more rewarding.


So, here we have the roadmap for a solution-focused<br />

session. While it almost never unfolds as described in my<br />

experience, it does help us understand what we are aiming<br />

for in therapy.<br />

<strong>The</strong> great news is that you're not a therapist; you are a<br />

youth worker, whose job is entirely different. In terms of<br />

youth crises, you will be the first responder, requiring a<br />

distinct set of skills that bear huge similarities to those of<br />

the final carer. I often draw an analogy between the<br />

paramedic and the surgeon. <strong>The</strong>y possess similar skills and<br />

tools, but when you're lying by the side of the road, you<br />

want a paramedic.<br />

In the case of your young people, there will be numerous<br />

support services available, yet at the moment of crisis,<br />

there will be you. This presents us with an exciting<br />

opportunity to employ our solution-focused tools and<br />

deliver our clients in excellent condition to the longer-term<br />

'Problem Solvers’.


4 - <strong>The</strong> Miracle Question<br />

At some point early in our meeting, we would ask<br />

the miracle question.<br />

"If you were to leave here today, go home and go<br />

to bed, and while you were sleeping a miracle<br />

happens, and the reason we are here today goes<br />

away. But you couldn't know because you were<br />

sleeping. As you go through your day, what<br />

would tell you things were different?"


In the video, we discussed how the question works and the<br />

incredible power it holds. To the uninitiated, it can seem<br />

strange and unnatural, but with practice, it flows freely. For<br />

most frontline workers, this version is unlikely to work in<br />

casual conversation.<br />

In the training and the following exercise, we were able to<br />

break down the fabric of the question and give trainees a<br />

chance to design their own version.<br />

What is it saying?<br />

In its simplest form, it's an opportunity to design an<br />

imagined future without the issue that's bothering them. It<br />

asks, how do you see the solution, what will be different?<br />

When adding deeper questioning, it lifts the mood and<br />

tone, and creates an imagined future. It also enables the<br />

client to leapfrog any obstacles that might be perceived and<br />

clear them from the conversation. We spoke about the first<br />

few lines of the answer, how often the entire key to a<br />

solution can lie there.<br />

What if we get silly or unrealistic answers?


In truth, this has never happened with thousands of clients;<br />

it's as if it's always taken in context, however. <strong>The</strong>re are<br />

some textbook responses that can work well if you're stuck.<br />

"I don’t know?" - "Imagine if you did, what then?"<br />

"I'd be rich." - We could have some banter with this; we could<br />

also peel back the layers until we reached a broader context<br />

like, not having the job they hate or being home with the kids.<br />

"I'd be dead." - "That's not possible because you woke up."<br />

Certain organizations have policies around this type of<br />

response, but that will need to be applied separately.<br />

Remember, the miracle question is about imagination and not<br />

fantasy. In most cases, the client will see it in that context.<br />

In the experience in training, we have the opportunity to<br />

think about our own miracle question based on the type of<br />

work we do. We have already discussed how the scenarios<br />

and problems tend to be relatively predictable.


5 - Exceptions<br />

<strong>The</strong> principle of exceptions is a core concept in<br />

Solution-Focused <strong>Brief</strong> <strong>The</strong>rapy (SFBT), which<br />

focuses on identifying and exploring times when<br />

the client's problem does not occur or is less severe.<br />

This idea suggests;<br />

“Since no one is perfect, none of us can have a<br />

perfect problem.”<br />

<strong>The</strong> faults or the times when we are not having very good<br />

problems are what we call exceptions.


This principle naturally follows the miracle question, as the<br />

miracle answer represents the ideal outcome when the<br />

problem no longer exists.<br />

In this context, we might ask,<br />

"In recent times, when were you closest to that 10 out of 10<br />

day? Why was this the case? Why was the problem pushed<br />

away, and your current problem doesn't seem as perfect?”<br />

Understanding or observing these exceptions can provide<br />

valuable insights into potential solutions and strategies that<br />

the client has already successfully employed, even if<br />

unconsciously.<br />

Key Aspects of the Exceptions Principle:<br />

Identification of Exceptions:<br />

<strong>The</strong> therapist asks the client to recall specific instances<br />

when the expected problem did not occur or was<br />

significantly less impactful. This process shifts the focus<br />

from what is going wrong to what is going right, reinforcing<br />

the client's capacity to effect change. For example, there


might be times when an alcoholic drinks less than usual,<br />

for whatever reason.<br />

Detailed Exploration:<br />

Once an exception is identified, the therapist can delve into<br />

the details with the client to understand the context,<br />

behaviors, thoughts, and emotions that contributed to the<br />

different outcome. This aids in identifying effective<br />

elements that can be replicated or expanded upon.<br />

Amplification:<br />

By focusing on these positive exceptions, SFBT amplifies<br />

the client's awareness of their own resources and strengths.<br />

It reinforces the belief that the client has the capability to<br />

change their situation, even if these changes occur in<br />

fleeting instances.<br />

Future-oriented:<br />

Exceptions are not just about understanding past<br />

successes; they also involve applying these insights to<br />

future scenarios. <strong>The</strong>rapists can encourage clients to<br />

imagine how they can use similar strategies in upcoming<br />

situations, fostering a sense of empowerment.


Resource Activation:<br />

<strong>The</strong> exceptions principle is based on the premise that<br />

clients possess the necessary resources to solve their<br />

problems. By drawing attention to these resources,<br />

therapists can motivate clients towards solution-building.<br />

Implementation in <strong>The</strong>rapy:<br />

In practice, therapists might use specific questions to<br />

uncover exceptions, such as:<br />

"Can you think of a time when this problem was not present,<br />

or was less of a problem for you?"<br />

"What was different about that time?"<br />

"What did you do that helped make that situation better?"<br />

Through these inquiries, the principle of exceptions helps<br />

clients recognize their ability to create change, encourages<br />

a positive stance towards problem-solving, and builds<br />

confidence in their capacity to cope with and overcome<br />

challenges.


In essence, we are searching for faults in the problem, the<br />

cracks in their self-written story, which gives them a<br />

foothold towards a solution.


6 - Scaling Questions<br />

Scaling questions ask a client to answer a question on<br />

a scale of one to ten. It's a common practice we may<br />

all be familiar with. Often a doctor will use this to<br />

assess the scale of pain, one being mild and ten being<br />

excruciating.<br />

Scaling questions are simple in principle and<br />

understanding but can be used in various ways.<br />

To agree or set a benchmark to work from:<br />

"If the miracle day is ten, then where are you now?"


"When were you recently closest to the ten, what number was<br />

that?"<br />

"What would move you up the scale by a 1/4?"<br />

To assess our progress:<br />

"We spoke about a seven being the point where we might not<br />

need to see each other, how much closer are we now?"<br />

"How would you rate our progress considering we started at<br />

four?"<br />

To make the issue psychologically smaller:<br />

"So you are at a five now and you believe we need not meet<br />

again once we reach a seven?"<br />

To psychologically manipulate the size of the problem:<br />

This entails shifting the scale upwards or downwards<br />

dependent on how we would like the scale to go.<br />

Example:<br />

"One being okay and ten being very good."<br />

Versus<br />

"One being okay and ten being absolutely amazing."


In the above example, it's likely easier to score lower in<br />

question one. Its scale is narrower.<br />

In question two, the scale is broader and biased towards<br />

the higher level.<br />

Scaling questions deservedly occupy a place of their own in<br />

any solution-focused training. In the next section, we<br />

delved into questioning techniques overall.


7 - Questions, Questions<br />

"<strong>The</strong> answers you get depend on the questions<br />

you ask." — Thomas S. Kuhn<br />

If we are to play the role of curious inquisitor, allowing<br />

the client to be the expert in the room, then questions,<br />

questions, questions are everything. Only through<br />

questioning the client, inquiring from every angle, will we<br />

enable them to find the solution that neither of us are able<br />

to see.<br />

Questions fall into numerous categories, but these<br />

categories are of little importance to us. What is of


importance is that we are aware these types of questions<br />

exist and how we are using them.<br />

MEMORY NOTE: THE FBI NEGOTIATOR STORY.<br />

Closed questions<br />

<strong>The</strong>se will tend to box people in and produce a yes or no<br />

answer. <strong>The</strong>re’s no room for explanation or opening up the<br />

subject matter. It’s important to understand where these<br />

questions might take you, is it somewhere best avoided?<br />

Open questions<br />

<strong>The</strong>se demand more of an opinion or explanation.<br />

"How do you feel about the training methods we have<br />

employed?"<br />

"Would you be willing to tell me more about X, Y, Z?"<br />

Leading Questions<br />

<strong>The</strong>se are questions that encourage a particular answer.<br />

<strong>The</strong>se types of questions can be manipulative. Often used<br />

in court cases by clever lawyers.


Closed question: "Did you burgle the home of Mr. Johnson?"<br />

Answer: "No."<br />

Leading question: "Isn’t it true that on the evening of the 24th,<br />

instead of being home as you claimed, you were in fact<br />

committing the act of burglary at the home of Mr. Johnson?"<br />

As the curious inquisitor, our line of questioning will tend<br />

to be genuine honest curiosity rather than leading a client<br />

in any direction.<br />

No Questions:<br />

This doesn’t often come up as a question technique but it is<br />

one. Silence is a difficult thing to achieve, to allow the client<br />

time to fill the gap. A technique often used by journalists to<br />

encourage more disclosure. When silence is in the air, it’s<br />

almost instinctive to want to fill it.<br />

Exception questions<br />

<strong>The</strong>se seek the exception within the question.<br />

"Can you tell me more about last week when you coped so<br />

well?”<br />

"I'd be very interested to hear how well you did last week?”


Coping questions;<br />

Asking the client or inquiring about how they have<br />

maintained the situation, how it didn’t get worse.<br />

"How have you coped so well up to now?"<br />

"You seem to have developed a way of dealing with the<br />

situation, tell me how that works for you?"<br />

Indirect questions;<br />

Indirect questions are embedded in statements although<br />

they demand an answer.<br />

"I wonder if I might be helping you more than I think?"<br />

"It probably says a lot about your character, don’t you agree?”<br />

Orientation questions;<br />

Used to assess where you are in the process, enabling<br />

everyone to understand whether progress is being made. In<br />

conjunction with or including scaling questions.<br />

"Would you agree that the training is helping your<br />

understanding of the model?"<br />

“Looking at the scale we made earlier, you said you were a 5,<br />

would you say we have moved forward?”<br />

Solution questions;


Designed to push the conversation forward. <strong>The</strong>y avoid<br />

problems and negatives, even though they might address<br />

those problems. <strong>The</strong>y will avoid any kind of problem<br />

confirmation or setting off down that road.<br />

"If this training was a perfect fit, what would you like to<br />

achieve in our training?"<br />

"How would succeeding look to you?"<br />

"Who would you normally find support from?"<br />

To repeat myself the categories are not exhaustive, and<br />

they are of no relevance to solution-focused workers.<br />

<strong>The</strong> solution-focused worker is aware of two things:<br />

Are you genuinely curious about the issue and the client's life<br />

at all times without leading the client to your solution?<br />

Are we maintaining the conversation in a solution-focused and<br />

positive way?


8 - Normalising<br />

In many instances, it's common for troubled people to<br />

assume that they are the only ones who feel the way<br />

they do, that they are alone with their problem. It's<br />

psychologically powerful to realize this might not be the<br />

case.<br />

To be told that your particular issue is, in fact, relatively<br />

common, normalizing helps us do this. We are able to offer<br />

reassurance that this issue is commonplace. We may have<br />

added credibility by our role and the confidence our client<br />

has in us and our professionalism.


You will remember the examples in the training video,<br />

perhaps the young lady who was constantly and<br />

inappropriately crying. <strong>The</strong> use of normalizing in itself was<br />

a key component in finding a solution. You'll remember<br />

how she came for a solution and yet her conclusion was<br />

that she didn't need one after all.<br />

Normalizing has a positive side too; it is used by advertisers<br />

and marketers to provide social proof. If everyone else is<br />

doing it, then perhaps it's a good idea for us to do it.<br />

'40% of social care organizations use the Action<br />

Factory for their training needs.’<br />

'Eight out of ten cats prefer Whiskas.’<br />

'<strong>The</strong> multi-million selling book by Michael<br />

Dawson.’<br />

Refer to the exercises to see how we managed to normalize<br />

some typical issues that you may come across in your<br />

professional and personal life.


9 - Reframing<br />

Reframing allows us to place the issue into a<br />

different context for the client. We do this by<br />

changing the words we repeat back to the client<br />

or reframing the explanation.<br />

MEMORY PROMPTS FROM TRAINING INCLUDE<br />

MUHAMMAD ALI ON A PLANE AND THE BANK<br />

ROBBERY.<br />

Reframing is the art of taking a situation and reinterpreting<br />

it in a more positive light for the client. In some cases, the


client's idea of their situation is fixed and rigid because of<br />

the way they have interpreted it over a long period.<br />

It can be helpful to hear from a professional who may not<br />

see it quite the same way you do.<br />

It's important to say that we have no need to get the client<br />

to agree with our interpretation. In most instances, I would<br />

simply reframe the situation and move on.<br />

Example:<br />

"I'm so bad as a parent, always screaming and shouting at<br />

them for the slightest thing."<br />

"It sounds like you have very high expectations of your<br />

children. Are there times when you're a little more likely to let<br />

things go by?”<br />

"We spend all day every day arguing."<br />

"Reaching agreement on everything can be difficult for couples<br />

sometimes.”<br />

I have also found that switching words and repeating<br />

statements can be useful.


"I'm very depressed at the moment, this week has been the<br />

worst ever."<br />

"It sounds like you’ve been quite low recently. What’s been<br />

better before this week?”<br />

Making a different interpretation can be super helpful for<br />

the client. <strong>The</strong> real skill is when we might register a change<br />

in demeanor from our client. <strong>The</strong>y have no need to say but<br />

certainly, we can see they have taken the message on<br />

board.<br />

<strong>The</strong>y say, depressed. You say, low.<br />

<strong>The</strong>y say, anger. You say, overexcited.<br />

We also use expressions:<br />

"I am such a crap parent." <strong>The</strong> response might be, "Why do<br />

you think you have such high expectations of yourself?"<br />

or<br />

"You seem to set yourself very high standards."<br />

"I constantly lose my rag with the kids."<br />

<strong>The</strong> response might be,<br />

"In what kind of situations do you find you're quite animated."


As the solution-focused worker, we may need to think<br />

about our responses. <strong>The</strong>re's no deceit involved.<br />

Remember the story I told in training about the guy who<br />

had given his precious Manchester United montage to his<br />

pub only to find they had sold it. I had immediately<br />

responded with a reframe to say how it might be a good<br />

thing that it was now with someone who really cared about<br />

it.<br />

This worked so well with him; this was not a client but a<br />

general conversation.<br />

In the training and exercises, you will have the opportunity<br />

to practice reframing a number of general situations.<br />

Asking yourself:<br />

What could be good about this?<br />

By context:<br />

"That sounds challenging, and you coped very well. Tell me<br />

how you did that?"<br />

By interpretation:


"Under the circumstances, your behavior might be<br />

understandable. What would you do differently next time?"<br />

By meaning:<br />

"I’m interested you say that about yourself. Being a little<br />

obsessive is attributed to lots of high achievers."


10 - Client Feedback<br />

As discussed in the previous section, there may<br />

well be an opportunity to give feedback.<br />

Firstly, we would confirm our understanding of the<br />

situation:<br />

"During our last chat, I understood that what was troubling<br />

you was…"<br />

<strong>The</strong>n we lay out the task and ask,


"What's better?”<br />

<strong>The</strong> client can then focus on what has been positive for<br />

them. In our training, we often have time to practice<br />

principles between sessions.<br />

"So, who wants to tell me what’s been better since we were last<br />

together?”<br />

We then use the acronym E.A.R.S.<br />

Elicit;<br />

"So you felt more positive with that client, really. Tell me more<br />

about that. How did that feel for you? Do you think the client<br />

noticed?"<br />

Amplify;<br />

"That’s amazing progress in such a short time. To take what<br />

you learned in a single week is pretty incredible. I had so much<br />

confidence in this group, and don’t you agree it’s so good to


take a model and use it straight out of the box. That’s just<br />

incredible."<br />

Repeat<br />

"So you met the client, and you were more positive. Tell me<br />

more."<br />

Start again.<br />

"Start at the beginning, run me through it again. It sounds<br />

amazing. So you got to work, okay, and then what…"<br />

This method of feedback focuses on positive<br />

reinforcement, encouraging the client or trainee to reflect<br />

on and articulate their progress, thus reinforcing the<br />

behaviors and techniques that have led to improvements. It<br />

also serves to build confidence and motivation by<br />

acknowledging and celebrating successes, no matter how<br />

small, as steps toward achieving their goals.


11 - Getting Unstuck<br />

It’s true that some cases will feel like you are getting<br />

nowhere, as if you are constantly running up against<br />

dead ends and can't seem to make progress. You might<br />

start to ask yourself if the issue lies with you. When I ask<br />

myself that question, the answer is usually yes, but this is<br />

perfectly natural and happens to everyone at some point.<br />

Taking some time away from the case and running through<br />

the following steps may help you to come unstuck.


1. Remember, the client is the expert of their own life.<br />

2. Do you know how they feel about the sessions, and<br />

what helps and what doesn’t?<br />

3. Try confirming with the client what they see as the issue<br />

and what you see as the issue.<br />

4. Have you become preoccupied with your own idea of a<br />

solution, which is different from what the client wants?<br />

5. Are these ideas the same?<br />

6. Likewise, with the goals, are they consistent with the<br />

client's mindset?<br />

7. Are you sure you know who the client is? Is it him or his<br />

wife/children, etc.?<br />

8. If so, you may have to change your approach so the<br />

client can work out his motivation, if he has any.<br />

9. Are the goals and objectives clear and well defined, and<br />

could you "put them in a wheelbarrow"? If they are too


vague, then it's hard to evaluate progress for you and<br />

the client.<br />

10. Have you become emotionally involved in the case, and<br />

has this affected your judgment or your discipline in the<br />

use of the method?<br />

11. Could you be having problems ending the relationship<br />

and allowing the client to move on?<br />

12. Have you become dependent on the client, or vice<br />

versa?<br />

13. Are there hidden costs to change that you or the client<br />

have not considered?<br />

14. Is there a positive relationship between you and the<br />

client?<br />

15. Have you considered doing something different? This<br />

could include the time you meet, the location, the<br />

participants involved.<br />

16. Could a different therapeutic model be more useful?


17. How about getting other workers involved or even a<br />

discussion with colleagues?<br />

18. What about a fresh approach from a different therapist?<br />

19. Change yourself by passing the case to someone else,<br />

someone different than you who will develop a different<br />

dynamic.<br />

Consider all or any of the above if you ever feel your case is<br />

running up a dead end. Sometimes, a fresh perspective or a<br />

slight adjustment in approach can make all the difference in<br />

moving forward.


12 - Frequently asked questions<br />

Here are some of the most frequently asked<br />

questions about solution focused brief therapy<br />

and most importantly some of the most common<br />

objections. This is where we can hopefully provide<br />

satisfactory answers to your on-line questions. If you have<br />

points to make or questions to ask after you have had a<br />

chance to digest the information then please email them in<br />

for addition in future publications.<br />

info@theactionfactory.com


How successful is brief therapy and what evidence do<br />

you have that it works?<br />

<strong>The</strong> use of the term brief therapy to describe an<br />

intervention that is shorter than others can be deceiving.<br />

<strong>The</strong>re are studies to suggest that a lot of other models are<br />

effective in a similar number of sessions. However there<br />

have been a great number of outcome studies and most<br />

show a success rate of between 65 and 85%. A quick browse<br />

on the internet can produce endless studies which clarify<br />

its success. Any of our students who do follow up refresher<br />

training with us will also provide strong anecdotal evidence<br />

that the method is effective and deserves its reputation.<br />

How would you handle an impossible answer to the<br />

miracle question such as “I would win the lottery or<br />

my father would still be alive”?<br />

In my practical experience within a therapeutic setting this<br />

has never happened so I do not have a lot of practical<br />

experience in it. However all the training manuals and<br />

books claim that if it does then it would still be about


probing that answer to see what that would actually mean<br />

and possibly reframing the situation too. First of all are we<br />

making the assumption that by definition all lottery<br />

winners will be exempt from any of life's ups and downs<br />

such as feeling low etc? Secondly by probing we may get to<br />

the real need. By asking as a child would why? Why? Why?<br />

It may be that they would simply be able to spend more<br />

time with the kids because they would not need to work.<br />

We still have to probe in the usual way to find out what this<br />

would mean to them. In reality you will find it simply does<br />

not happen because of the context and the arena the<br />

question is asked in.<br />

What are the main principles of your work in solution<br />

focused brief therapy?<br />

<strong>The</strong> model is completely client led and therefore by<br />

definition non-damaging. By using this model it’s<br />

impossible to make things worse for the client. It crosses all<br />

barriers of race and culture because it works within the<br />

client’s mindset. If it works do more, if it doesn’t then don’t<br />

and if it ain’t broke don't fix it. <strong>The</strong> client is the expert of<br />

their own lives and so they can teach us and help


themselves to find a solution. Solution focused therapy is<br />

also forward thinking and positive.<br />

“I had a terrible childhood, but once is enough”<br />

Richard Bandler<br />

<strong>The</strong> only thing we can all do is do the best we can with the<br />

cards we are dealt, we can affect the future but not the<br />

past.<br />

<strong>The</strong> title of this training session has been, “<strong>The</strong> brief<br />

therapy toolkit” because this therapeutic input is so<br />

strongly based on the power of the tools we use.<br />

What would you expect a referrer to say to a client who<br />

was unenthusiastic about coming to your service?<br />

<strong>The</strong> model we use is non-judgmental and you are not going<br />

to be told what to do. All clients would be welcome to come<br />

and chat about the service as apposed to a chat about<br />

them. <strong>The</strong>y would then be welcome to come back at any<br />

time. If it’s not for them then that is still fine. We would<br />

occasionally have a client who is there at the request of<br />

someone else. This would lead us to ask what the client


thinks the referrer would like to see change. This may be a<br />

judge or social worker.<br />

What qualifies you to tell people how to run their lives?<br />

That is just the point, this model will not tell anyone to do<br />

anything. It enables the client to have the opportunity to<br />

write his own script. <strong>The</strong> therapist will be there to maybe<br />

offer alternative endings to that story and allow the client to<br />

express himself or herself. Once the author has decided on<br />

one of those endings then it is still his story. <strong>The</strong> beauty of<br />

this model is that it is non-intrusive.<br />

Why do you think this method is so different from<br />

other methods of therapy?<br />

Some clients will not know why it is different or why they<br />

enjoy these sessions more. Maybe it is refreshing to feel<br />

empowered to control their own lives and feel that they can<br />

make change happen. I did some work with a young man<br />

who had been self-harming for many years. He had been to<br />

many counsellors and his mother was also a counsellor. He


gave some very positive feedback after our work and I<br />

asked him why he felt I had been helpful.<br />

He said it was not what he had expected because;<br />

“All everyone else ever does is tell me to stop self<br />

harming and you didn’t.”<br />

<strong>The</strong>re is also strong evidence to suggest that reliving past<br />

traumatic experiences can be just as traumatic and the<br />

human mind has trouble differentiating between<br />

experience and imagined experience. We also relive the<br />

trauma and become physiologically distressed. You will<br />

remember the training when you were asked to discuss and<br />

think about the last argument you had. <strong>The</strong> feelings of<br />

anger and tension will rise up again. In the same respect we<br />

feel in control and relaxed when we can visualise a brighter<br />

future. In the same way some therapeutic techniques use<br />

this to their advantage such as positive self-talk and<br />

meditative relaxation.<br />

“You can’t see where your going if you keep<br />

looking back.”


How can you possibly help people who have spent<br />

years in therapy in so short a time?<br />

It’s not exclusive but it has happened. <strong>The</strong> simple answer is<br />

by doing something different and by being willing to get on<br />

the client’s bus without trying to drive it.<br />

What do you do with a family that has no positives to<br />

work with?<br />

That is not possible. In fact the more extreme the problem<br />

then the more positives there will be. I am sure people<br />

remember the advert for the police force where famous<br />

achievers sit in a chair and say;<br />

“I just couldn’t do that.”<br />

That’s what its like for the therapist who may be asked for<br />

help from a person who is able to bring up a family of six<br />

on benefits with an alcoholic husband and the threat of<br />

eviction and says she cannot cope.<br />

I couldn’t do that, how have you? We have to be inquisitive<br />

and find the person’s strengths and talents that they didn’t<br />

recognise were there.


How can you work with a client who is not willing to<br />

co-operate or cannot see his own problems when<br />

everyone else can?<br />

If it ain’t broke don’t fix it. Some things that appear as<br />

major issues for one professional may just be everyday life<br />

for the client. However, it would be worth asking why the<br />

client is here assuming he is not bound and gagged and<br />

delivered like a parcel. If he had to attend then where<br />

would he have to be before his social worker or YOT worker<br />

feels he does not have to attend again.<br />

In a world of the free will there must be some motivation to<br />

do everything even if it is something you don’t want to do.<br />

How do you know when your work with a client is<br />

finished?<br />

<strong>The</strong> client will be the judge of when they no longer feel the<br />

need to attend the sessions. However, the therapist is<br />

constantly pushing the client away anyway. <strong>The</strong> average<br />

time period is six sessions not six weeks. <strong>The</strong> most<br />

productive has shown to be 3 to 5 sessions.


13 - What my clients say<br />

Over the years I have worked with many different<br />

organisations including local authorities, crisis<br />

intervention teams and residential carers.<br />

We get so many positive comments about the training,<br />

which we see as a compliment to the model, as well as the<br />

training. Thank you all very much for working with us and<br />

providing your feedback.<br />

"Feeling I will do my job better.”


"For quite a complicated subject I feel it was delivered in a way<br />

that was clear to understand and for us as workers to deliver.”<br />

"<strong>The</strong> training will be extremely helpful in my work.”<br />

"A very enjoyable program, well presented and interesting.”<br />

"Made me re-evaluate my own way of working.”<br />

"Will be more optimistic and less critical when working.”


14 - About Michael<br />

Michael Dawson founded the Action Factory in<br />

1995. He has experienced both sides of the UK<br />

care system, having spent most of his<br />

childhood in care before going on to become a successful<br />

businessman.<br />

Inevitably, there came a time when he wanted more and<br />

decided to go back to the grassroots level and work with<br />

young people. His early career spanned most forms of<br />

youth work but was shaped by an intense interest in the<br />

profession and three key roles.


FIT<br />

He was a founding member of the Family Intervention<br />

Team, which served as a gatekeeper to the care system. It<br />

was founded on the principle of keeping children at home<br />

rather than allowing them into local authority care. Using<br />

solution-focused therapy, the service showed successful<br />

outcomes in over 85% of cases.<br />

12 Fat Ladies<br />

12 Fat Ladies was a pilot project set up by the National<br />

Health Service to try a multi-service approach with a group<br />

of clinically obese clients. Michael managed the mental<br />

health side of the project, which resulted in his book, 12 Fat<br />

Ladies.<br />

YAT<br />

As part of the mental health service, the project was<br />

designed to catch young people who were likely to slip<br />

through the mental health net, resulting in longer-term<br />

issues. Michael worked across East Manchester, embedded


within most youth services. It was here that he developed<br />

the early version of the Solutions <strong>Toolkit</strong>, a framework for<br />

working with young people.<br />

Michael is trained and skilled in a number of therapeutic<br />

disciplines, including Solution Focused <strong>Brief</strong> <strong>The</strong>rapy,<br />

Neurolinguistic Programming, and clinical hypnosis.<br />

He is the author of a number of fictional books, plays, and<br />

films, as well as his non-fiction work based around the<br />

process of change in young people.<br />

He created '<strong>The</strong> Solution Focused <strong>Toolkit</strong>' as a framework<br />

for youth work teams. It is an amalgamation of his decades<br />

of experience in the youth work industry and is a principlebased<br />

team course that is delivered online.<br />

In his own words, it is designed to be absorbed rather than<br />

learned.<br />

To try out the free version of the course for your youth<br />

work team, simply visit www.theactionfactory.com.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!