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25 Cards in this Set

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What is brief therapy?

What are the core assumptions of brief therapy:
1. A conscious and conscientious use of time
2. A belief that therapy in not timeless but rather may be intermittent throughout the person’s life (mean number of sessions is 5 – 6)
3. An emphasis on pragmatism, parsimony (doing the most you can in the most efficient way) and change versus cure. The client receives the amount of therapy needed. No more and no less.
4. Limited and specific goals, maintenance of a clear specific treatment focus with clearly defined outcomes.
5. Small changes are all that is necessary.
6. The strengths and resources of the client are emphasized and utilized.
7. Creative, pragmatic and flexible use of techniques.
What isn’t brief therapy?
It is not compacted and compromised long-term therapy.
What are the six ways brief differs from long term therapy:
1. specific objectives
2. directive techniques – active and involved
3. communication – solution-focused
4. clear plan
5. treatment of symptoms is legitimized- real issue is often a conglomerate
6. responsibility for accomplishing goals
What is solution focused therapy?
1. Most popular of 50 BT models.
2. No problem always occurs with the same frequency, intensity and duration.
3. Solution can be developed by building on and doing more of what is already working.
4. Finding exceptions to problems offer keys and clues to solving problems and that it is more profitable to pay attention to the activities that center around successful solutions than to the problems
5. Expand on what the client is already doing right.
Bill O’Hanlon’s --What are the three Waves of Psychotherapy?
1. Psychodynamic/Biological(intrinsic – just in me)- began with Freud past focused, pathology focused
2. Problem focused (interactional) – behavioral, Gestalt, cognitive – didn’t entirely replace wave 1 moved to more here and now; looked not at just individual but systems and groups; started in early 50’s
3. Competence based – early 80’s ; move beyond just problems; move to looking at solutions within the clients; looked at client’s resources that they brought in; strengths based approach
What are 2 interventions of solution focused or Milwaukee?
1. Miracle question—When and if there are no past successes to build on, the client can be helped to forge a different future by imagining “a miracle” and identifying small but realistically achievable steps toward that event.
2. Exception finding—These exceptions become the pathway to future solutions.
What is the MRI Model – Mental Research Institute?
Tactics of change - Find out what doesn’t work and do something different. Prescribe the symptom which extinguishes the behavior; problem exploration is key part.
What is Insoo Kim Berg’s -- 3 different ways to people present to therapy?
What does SSPAMO stand for?
S = small
S = specific
P = positive
A = achievable
M = measurable
O = observable
What are the 3 components of key integration?
1. Bible/theology
2. Psychology
3. Spiritual formation
How much change is enough?

Goal setting is essential! Pick one where they will experience meaningful change; impossible to help someone change every area at once.
1. Unconscious Incompetence – areas of life are not working
2. Conscious Incompetence – sense of where I need help
3. Conscious Competence – this may be at 5th or 6th session
4. Unconscious Competence – reprogram our reflexes; respond in new ways
What are the 6 stages of Prochaska/DiClemente change model?
Stage 1: Precontemplation – don’t want to change or don’t know they need to
Stage 2: Contemplation – recognize they have a problem; weigh pros and cons
Stage 3: Preparation – made a decision to do something but do not have a plan
Stage 4: Action- just do it; takes most time and energy; some risk; find failsafe
Stage 5: Maintenance – many therapists ignore stage/what worked or didn’t work – minimize lapses or relapses
Stage 6: Termination – less than 20% of those who come in for counseling are ready to do something about it 90%+ of programs are geared to this >20%
Moving from change to growth – change implies growth; when I focus as a counselor on growth instead of change it erases a lot of negativity ; help people grow, mature, extend, develop, thrive, flourish, expand, prosper, bloom; you can change without growing but you can’t grow without changing

Good goals imply the presence of something and are positive
Find your own counseling voice
What are the 3 approaches to helping people change and how to differentiate?
1. Focus on Problems – moving from past orientation
2. Focus on Solutions – by ignoring problems—move to present orientation
3. Focus on Growth – every problem we have is an opportunity to grow
What are the key assumptions of Growth Focused Brief Therapy – first session is critical?
1. All people are created in the image of God and as image bearers have infinite value and worth.
2. All have sinned and fall short of the glory of God.
3. Different approaches can be helpful with different kinds of people presenting with different kinds of problems at different stages in their life. GFBT acknowledges the value of differences.
4. The Psalm 139:23-24 Principle- Taking Personal Responsibility for Growth (Search me O God)
5. Change is inevitable, growth is optional.
What are the key assumptions of Growth Focused Brief Therapy – first session is critical?
6. Small changes can be significant. Ex. Christ instructed man to wash mud from his eyes: First step of obedience is critical.
7. People bring many resources into the counseling session. Effective therapy builds on a client’s strengths rather than dwelling on their weaknesses.
8. Problems are solved, growth is encouraged, people aren’t cured.
9. Failure can be an invaluable resource for learning (II Corinthians 12:7 – 10 theology for failure)-importance of learning from failure ex. Penicillin was made from a mistake.
10. The most effective treatment takes into account the whole person: body, soul, and spirit.

11. Cultivating emotional intelligence (EQ) is critical dimension of the growth process.
• What are the 7 Essential Focal Shifts of growth focused brief therapy? Growth is indicated by the presence of something and not just the absence of something.
1. From change to growth – God wants us to grow – one of his greatest goals for us; metaphor for who God wants us to be; grow is God’s love language
2. From weaknesses to strengths
3. From the past to the present – change can only take place in the present
4. From problems to possibilities
5. From excuses to exceptions – identify exceptions
6. From uniformity to uniqueness – everyone, every couple is different; may have similarities but must take into account their uniqueness
7. From head to heart
What are the 2 ways presession phone call is valuable part of treatment plan?
1. How will you know you are doing better and don’t need to come in anymore
2. Presession change
What are the 2 unique interventions during presession phone call?
1. Initial phone call
2. Pre-session assessment and seeding of a growth focus
What are 2 values of using testing or assessment?
1. Provides a lot of information in a short period of time
2. Is a good source of additional insights
3. Is like having a second opinion
4. Is cost effective and time effective
5. It helps the counselor not to leave out important areas
6. Provides an objective baseline to measure change and growth
7. Facilitates communication and case consultations with other counselors
What are the 2 values of appropriate diagnosis?
1. Simplification of complex data
2. Simplification of communication between professionals
3. Improved prognostic judgments
4. Assistance in selection of appropriate treatments
What are some ways diagnosis is misused?
1. Will label someone
2. Treat the diagnosis and not the person
3. A preoccupation in looking for what is wrong can obscure what is right
What are the 6 – 7 values of using homework?
1. It can help strengthen the individual’s commitment to take responsibility for their growth
2. It helps clients to gain new perspectives
3. It reinforces insights and knowledge the client has gained in the actual counseling session
4. It builds a sense of self-efficacy
5. It helps to develop dependency on God rather than on the therapist
6. It makes it possible to communicate more information in a shorter period of time
7. It helps the client to experience growth in between sessions
How is GFBT is distinguished from SF or other models?
Medical history – medications
Spiritual component
What does Insoo Kim Berg EARS stand for?
E = elicit
A= amplify
R= reinforce
S= start over