NO-THEORY THERAPY BILL O'HANLON
COMMON FACTORS RESEARCH
COMMON FACTORS IN SUCCESSFUL THERAPY: 1. CLIENT FACTORS (RESOURCES AND CONNECTIONS) 2. THERAPIST-CLIENT CONNECTION 3. PLACEBO/POSITIVE EXPECTATION 4. THEORY/METHOD
RESOURCE ORIENTATION
SEARCH FOR/NOTICE RESOURCES IN: 1. CLIENT’S INNER REALM 2. CLIENT’S SOCIAL REALM 3. CULTURAL REALM 4. SPIRITUAL REALM
THE PLACEBO EFFECT/ POSSIBILITY ORIENTATION
POSSIBILITY/POSITIVE EXPECTANCY: POSITIVE PRESUPPOSITIONAL LANGUAGE FUTURE LANGUAGE PAST LANGUAGE PARTIAL LANGUAGE PERCEPTION VS. TRUTH/FIXED REALITY LANGUAGE
GOOD BEGINNINGS
GOOD BEGINNINGS THE CONCERN
GOOD BEGINNINGS 1. THE CONCERN START WITH THE CONCERN/COMPLAINT • WHO IS CONCERNED? • ABOUT WHAT ARE THEY CONCERNED? ARE THEY CONCERNED ABOUT WHAT IS THERE? ABOUT WHAT IS MISSING OR LONGED FOR? • WHO IS UPSET AND COMPLAINING? • WHO IS SUFFERING? • ENSURE THAT THE CONCERN OR COMPLAINT IS SOMETHING YOU CAN MORALLY HELP WITH AND IS APPROPRIATE FOR THERAPY • MAKE SURE YOU CHECK YOUR UNDERSTANDING ABOUT THE CONCERN OR COMPLAINT WITH THE PERSON WHO IS YOUR CLIENT/ OR THE PEOPLE WHO ARE YOUR CLIENTS TO ENSURE YOU HAVE REALLY UNDERSTOOD
GOOD BEGINNINGS THE LONGING
GOOD BEGINNINGS 2. THE LONGING NEXT, FIND WHAT THE PERSON OR PEOPLE WANT OR LONG FOR • HOW WILL THEY KNOW THAT THERAPY IS DONE, SUCCESSFULLY? • WHAT DO THEY LONG FOR? • WHAT DO THEY HOPE FOR? • BY WHEN DO THEY HOPE FOR THIS FUTURE? • WHAT WILL IT LOOK LIKE AND SOUND LIKE? [VIDEO TALK] • WHO ELSE WILL KNOW WHEN THEY DRIVE AT THIS DESTINATION? • RUN YOUR UNDERSTANDING OF THE LONGING BY THE PERSON OR PERSONS TO ENSURE YOU HAVE UNDERSTOOD AND ARE WORKING TOWARD THE SAME GOALS
MOTIVATION BASICS: AWAY FROM/TOWARD PAST/PRESENT/FUTURE
VIDEOTALK: A TOOL FOR MUTUAL UNDERSTANDING AND CLARITY
VIDEOTALK METHODS FOR CLARIFYING IMAGINE YOU COULD SEE OR HEAR IT ON A VIDEOTAPE • WHAT ACTIONS WOULD YOU SEE? • WHAT SOUNDS OR WORDS WOULD YOU HEAR? • WHAT WOULD HAPPEN FIRST, NEXT, NEXT? • WHO WOULD BE IN THE SCENE? • WHAT WOULD OTHERS SEE AND HEAR? • HOW WOULD OTHERS KNOW THE SITUATION IS HAPPENING? • NO INNER REPORTS, JUST OUTER EVIDENCE • NOT FEELINGS, INTENTIONS, THOUGHTS, INTERPRETATIONS, SENSATIONS, ETC.
GOOD BEGINNINGS WHAT HAS WORKED (AND WHAT HASN’T)
GOOD BEGINNINGS 3. WHAT HAS WORKED (AND WHAT HASN’T WORKED) NEXT, FIND OUT WHAT ANYONE HAS TRIED TO SOLVE THE PROBLEM OR REACH THE GOAL(S) PREVIOUSLY • WHO HAS DONE WHAT? • DID ANY OF THAT HELP, EVEN A LITTLE OR FOR A LITTLE WHILE? • DID ANY OF THAT MAKE THINGS WORSE? • WHAT WAY OF THINKING ABOUT THE SITUATION OR SEEING IT HAS HELPED? • WHAT WAY OF THINKING ABOUT THE SITUATION OR SEEING IT HAS CAUSED MORE TROUBLE OR MORE SUFFERING?
GOOD BEGINNINGS 1. THE CONCERN 2. THE LONGING 3. WHAT HAS WORKED (AND WHAT HASN’T WORKED)
THE MIDDLE: THE CHANGE PROCESS
THE CHANGE PROCESS 1. ACCEPTANCE/VALIDATION START WITH ACCEPTING AND VALIDATING TO CREATE CONTEXT FOR CONNECTION AND CHANGE • LISTEN • BE CURIOUS AND BE CAREFUL OF THINKING YOU UNDERSTAND TOO QUICKLY • COMMUNICATE ACCEPTANCE OF THE PERSON OR PEOPLE AND THEIR INNER WORLDS, FEELINGS, CONERNS, MOTIVATIONS, UNDERSTANDINGS • THIS DOESN’T MEAN YOU HAVE TO ACCEPT OR CONDONE ALL OF THEIR ACTIONS • COMMUNICATE THAT THEIR UNDERSTANDINGS AND EXPERIENCES ARE VALID • VALUE THEM • NOTICE THEIR RESPONSES TO WHAT YOU SAY AND DO AND CHECK OUT/ALTER ANYTHING THAT HS GIVEN THEM THE SENSE THAT YOU JUDGE THEM, CONDEMN THEM OR THINK THEY ARE CRAZY, WRONG, BAD OR INCORRECT IN THEIR EXPERIENCE OR PERCEPTIONS
THE GOOD NEWS AND BAD NEWS ABOUT BRAIN PLASTICITY
PATTERNING AND DEPATTERNING/ REPATTERNING
THE THREE PLACES TO CHANGE PATTERNS
THE CHANGE PROCESS 2. CHANGE THE DOING FIND ANY ACTIONS, INTERACTIONS AND WAYS OF SPEAKING THAT ANYONE IS DOING AROUND THE CONCERN AND WORK WITH THEM TO ALTER ANY OF THAT • IDENTIFY PATTERNS THAT DON’T SEEM TO WORK AND THAT REPEAT • FOCUS ON ACTIONS, INTERACTIONS AND TALK • FIND SOMEPLACE IN THE DOING THAT SOMEONE CAN CHANGE AND DO SOME EXPERIMENTS TO DISCOVER WHETHER THOSE CHANGES MAKE A DIFFERENCE AND STICK
WHAT’S WORKED - DO MORE OF THAT
DO SOMETHING DIFFERENT
SMALLEST CHANGE
THE CHANGE PROCESS 3. CHANGE THE VIEWING FIND WHERE ANYONE IN THE SITUATION OF CONCERN IS FOCUSING THEIR ATTENTION OR ASCRIBING MEANING AROUND THE CONCERN AND WORK WITH THEM TO ALTER ANY OF THAT • IDENTIFY FOCI AND MEANINGS THAT DON’T SEEM TO WORK AND THAT REPEAT • FOCUS OF ATTENTION AND MEANINGS/INTERPRETATIONS • FIND SOMEPLACE IN THE VIEWING THAT SOMEONE CAN CHANGE AND DO SOME EXPERIMENTS TO DISCOVER WHETHER THOSE CHANGES MAKE A DIFFERENCE AND STICK
STORYTELLING
STORY EDITING: REFRAMING
STORY EDITING: DEFRAMING
THE CHANGE PROCESS 4. CHANGE THE CONTEXT FIND ANYTHING THAT IS PART OF THE BACKGROUND OR SURROUNDING SITUATION • IDENTIFY WHICH OF THESE SEEM HELPFUL AND WHICH SEEM TO SUPPORT THE PROBLEM AND KEEP PROBLEMATIC THINGS IN PLACE • LEANINGS: NEUROLOGICAL, FAMILY, CULTURAL, GENDER BACKGROUNDS, PHYSICAL LOCATIONS/SETTINGS, SPIRITUAL PRACTICES, BELIEFS AND BACKGROUNDS • DRAW ON THINGS IN THE CONTEXT THAT CAN SUPPORT HELPFUL CHANGE AND CHALLENGE THOSE THAT SEEM TO BE PART OF THE PROBLEM
THE WIND IN THE SAILS AND THE HOLES IN THE BOTTOM OF THE BOAT
THE MIDDLE VALIDATION CHANGE THE DOING THE VIEWING THE CONTEXT
CLIENT/THERAPIST COLLABORATION
PROGRESS ASSESSMENT
PROCESS ASSESSMENT
GOOD ENDINGS
GOOD ENDINGS KNOWING WHEN TO STOP
GOOD ENDINGS 1. NO LONGER CONCERNED 2. PROBLEM HAS STOPPED HAPPENING
GOOD ENDINGS HAVE WE COVERED OUR LEGAL, ETHICAL AND MORAL RESPONSIBILITIES?
GOOD ENDINGS STANDING AGAINST INHUMAN OR IMMORAL RULES/ETHICAL STANDARDS
OVERVIEW 1. GOOD BEGINNINGS 2. CHANGE PROCESS 3. GOOD ENDINGS
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