Small Steps: The Practical Origins of Brief TherapiesSmall steps... · Shared assumptions, one...

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Small Steps: The Practical Origins of Brief Therapies Janet Beavin Bavelas Department of Psychology University of Victoria Canada 1

Transcript of Small Steps: The Practical Origins of Brief TherapiesSmall steps... · Shared assumptions, one...

Page 1: Small Steps: The Practical Origins of Brief TherapiesSmall steps... · Shared assumptions, one small change Central philosophy of Brief Therapy 1. If it ain’tbroke, don’t fix

Small Steps:The Practical Origins of Brief

Therapies

Janet Beavin BavelasDepartment of Psychology

University of Victoria

Canada

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Page 2: Small Steps: The Practical Origins of Brief TherapiesSmall steps... · Shared assumptions, one small change Central philosophy of Brief Therapy 1. If it ain’tbroke, don’t fix

Outline

• Which “brief therapies”?

• Which came first: philosophy or practice?

• The practical context

• Seven small steps to big changes

• Implications for therapy and research

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Which “brief therapies”?

The original Brief Therapy(Brief Therapy Center,

MRI, Palo Alto, CA)

Solution Focused Brief Therapy

Brief Family Therapy Center

(Milwaukee, WI)

Commoncore

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From Brief Therapyto Solution-focused Brief Therapy

John Weakland

(Brief Therapy Center, Palo Alto)

Insoo Kim Berg

(Brief Family Therapy Center, Milwaukee)

Steve deShazer

(Brief Family Therapy Center, Milwaukee)

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Shared assumptions, one small change

Central philosophy

of Brief Therapy

1. If it ain’t broke, don’t fix it.

2. If it doesn’t work, don’t do it again: Do something different.

3. Once you know what works, do more of it.

BFTC revision of central philosophy

1. If it ain’t broke, don’t fix it.

2. Once you know what works, do more of it.

3. If it doesn’t work, don’t do it again: Do something different.

From: deShazer & Berg, 1991 , pages 250 & 252 5

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John Weakland:

“People know how to be well.”

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Which came first: philosophy or practice?

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Brief Therapy

&

Solution Focused Brief

Therapy

Grand theories and

Philosophies

Testing small

but vital assumptions

E.g., de Shazer & Weakland, in M. Hoyt (2001), pages 1-33. 8

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Philosophical connections came later

Brief Therapy

&

Solution Focused Brief

Therapy

Grand theories and

Philosophies

Testing small

but vital assumptions

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The practical context

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The mid-20th century

Mental Research Institute

(The Palo Alto Group)

Cybernetics (Weiner, Ashby,

Cherry, Shannon & Weaver; Bateson)

Psychoanalysis

The Natural History of an Interview

(NHI) project (Frieda- Fromm

Reichmann)

E.g., Leeds-Hurwitz (1987, 1989); Conway & Siegelman (2005); Bavelas, McGee, Phillips, & Routledge (2000)

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The MRI

Therapy

Family

Communi-

cation

Brief Therapy Project

E.g., Jackson, 1968a, 1968b; Watzlawick & Weakland, 1977; Watzlawick, Beavin Bavelas, & Jackson, 1967;

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Seven small steps to big changes

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Steps to a different view of clients: 1

What they didn’t do

• Assume that therapy takes a long time.

• Therefore, take years to “rebuild” a person.

What they did do

• Assume that therapy could be very short.

• Therefore, limit themselves to 10 sessions.

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Steps to a different view of clients: 2

What they didn’t do

• Assume that problems behaviours are driven by mental processes (e.g., emotions, cognitions, motivations, perceptions).

• Therefore, focus on and diagnose these processes.

What they did do

• Assume that problem behaviours are the problem.

(Mental processes exist but are not what needs to be addressed).

• Therefore, focus on and identify observable, behavioural phenomena.

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Steps to a different view of clients: 3

What they didn’t do

• Assume that the cause of the problem is in the client’s past.

• Therefore, search the past intensively for clues.

What they did do

• Assume that the problem exists in the present and must be addressed in the present.

• Therefore, focus intensively on the present.

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Steps to a different view of therapists: 4

What they didn’t do

• Assume that therapists do not influence their clients.

• Therefore, do therapy “non-directively.”

What they did do

• Assume that therapists are inevitably influential.

• Therefore, do therapy actively and be responsible for these actions.

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Steps to a different view of therapists: 5

What they didn’t do

• Assume that a well-trained and experienced therapist knows what to do.

• Therefore, – Work primarily alone.

– Don’t permit observation or intervention by others.

What they did do

• Assume that even experienced therapists benefit from a team.

• Therefore, – Work in a team; meet regularly.

– Observe each other’s sessions; intervene in each other’s sessions.

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Steps to a different view of therapists: 6

What they didn’t do

• Assume that the therapist remembers what happened.

• Therefore, – Don’t record.

– Focus on the therapist’s interpretations, not the details of sessions

What they did do

• Assume that a recording of the session is essential and that it will reveal important insights.

• Therefore, – Record sessions.

– Discuss the precise details of sessions.

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Steps to a different view of studying therapy: 7

What they didn’t do

• Assume that the purpose of studying psychotherapy is to confirm one’s model.

• Therefore, – Focus on what one already

knows.

– Seek evidence that it works.

What they did do

• Assume that the purpose of studying psychotherapy is to discover new possibilities and new puzzles.

• Therefore, – Be open to new insights.

– Embrace puzzles rather than dismissing them.

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Implications for therapy and research

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Paths to innovationAssumptions Observations

Bavelas (1987)

Question an unquestioned practiceWhat alternatives are there?What assumptions does this change?

Notice a new action or something that doesn’t fit.

Examine it closely; make sense of it

Question an unquestioned assumption

Would this lead to new actions?

Examine one of your own assumptions.

What is it based on?

What actions does it lead (and not lead) to?

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References

Bavelas, J. B. (1987). Permitting creativity in science. In D. N. Jackson & J. P. Rushton (Eds.), Scientific excellence: Origins and assessment (pp. 307-327). Beverly Hills: Sage.

Bavelas, J.B., McGee, D.R., Phillips, B., & Routledge, R. (2000). Microanalysis of communication in psychotherapy. Human Systems, 11, 47-66.

Conway, F., and Siegelman, J., 2005. Dark Hero of the Information Age: in search of Norbert Wiener, the father of cybernetics. New York: Basic Books.

De Shazer, S., & Berg, I.K. (1991). The Brief Therapy tradition. In J.H. Weakland & W.A. Ray (Eds.),. Propagations: Thirty years of influence from the Mental Research Institute (pp. 249-252). New York: Haworth.

De Shazer, S., & Weakland, J.H. (2001). A conversation with Steve de Shazer and John Weakland. In M.F. Hoyt (Ed.), Interviews with Brief Therapy experts (pp. 1-33) . Philadelphia, PA: Brunner-Routledge (Taylor & Francis Group).

Fisch, R., Weakland, J.H., & Segal, L. (1982). The tactics of change. Doing therapy briefly. San Francisco: Jossey-Bass.

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Jackson, D.D. (Ed.). (1968a). Communication, family, and marriage. Palo Alto: Science and Behavior Books.

Jackson, D.D., (Ed.). (1968b). Therapy, communication, and change. Palo Alto: Science and Behavior Books.

Leeds-Hurwitz, W. (1987). The social history of the Natural History of an Interview: A multidisciplinary investigation of social communication. Research on Language and Social Interaction, 20, 1-51.

Leeds-Hurwitz, W. (1989). Frieda Fromm-Reichmann and the Natural History of an Interview. In A-L. S. Sliver (Ed.). Psychosis and psychoanalysis (pp. 95-127). Madison, CN: International Universities Press.

Watzlawick, P., Beavin Bavelas, J., & Jackson, D.D. (1967). Pragmatics of human communication. New York: Norton.

Watzlawick, P., & Weakland, J.H. (1977). The interactional view. New York: Norton.

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