A brief history on Solution-Focused Brief Therapy is given, followed by pragmatic assumptions, offering a new 'lens' for looking at clients. SFBT originated from social constructionism: reality is subjective and there are many realities, all equally correct. Outcome studies indicate that SFBT has a positive effect in less time and satisfies the client's need for autonomy. Indications and differences between problem-focused psychotherapy and SFBT are outlined. SFBT can be seen as a form of cognitive behavior therapy. Instead of reducing problems, the solution-focused question is: 'What would you rather have instead?' A lot could change for the better for both clients and therapists.
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Results of several studies suggest that traumas need not be debilitating and that most people are resilient and even grow in the wake of a trauma. Understanding and highlighting the sources of this resilience and posttraumatic growth and focusing on hope and optimism help professionals foster these strengths in their clients, as opposed to focusing on what is wrong with them, which can have a discouraging effect. From a solution-focused perspective, the focus in treatment shifts from posttraumatic stress to posttraumatic success.
Solution‐Focused Brief Therapy (SFBT) is a short‐term, goal‐focused, and client‐directed therapeutic approach that helps the client construct solutions rather than dwell on problems. SFBT has rarely been used with clients with intellectual disabilities (ID). The authors discuss how this relatively new form of therapy in an adapted form can be made suitable for clients with ID. The assumptions of this therapeutic approach, the types of problems and settings addressed by SFBT, and a description of the interventions used in SFBT are considered. Indications and contraindications for SFBT and empirical data on the effectiveness of the therapy are discussed both with regard to clients with or absent ID. The authors suggest that tailoring SFBT to clients with ID can be done by using simple language, modified interventions, and inserting other adaptations into the therapy process. In practice, even though clinical practice experience with SFBT has shown great promise, empirical research into SFBT applications with clients with ID is lacking. Research is thus needed to demonstrate whether SFBT with this target group can yield sufficiently effective results and to what extent SFBT is valued by clients and their carers.
Individual and Group Treatment Protocols for Positive Cognitive Behavioral TherapyPositive CBT integrates positive psychology and solution-focused brief therapy within a cognitive-behavioral framework. It focuses on building what is right, rather than on reducing what is wrong. This fourth wave CBT, developed by Fredrike Bannink, is now being applied worldwide for various psychological disorders. After an introductory chapter exploring the three approaches incorporated in positive CBT, the research into the individual treatment protocol for use with clients with depression by Nicole Geschwind and her colleagues at Maastricht University is presented. The two 8-session treatment protocols provide practitioners with a step-by-step guide on how to apply positive CBT with individual clients and groups. This approach goes beyond symptom reduction and instead focuses on the client's desired future, on finding exceptions to problems and identifying competencies. Topics such as selfcompassion, optimism, gratitude, and behavior maintenance are explored.In addition to the protocols, two workbooks for clients are available online for download by practitioners.
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