NO-THEORY THERAPY BILL O'HANLON COMMON FACTORS RESEARCH COMMON - - PowerPoint PPT Presentation

BILL O'HANLON

NO-THEORY THERAPY

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

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

• 1. THE CONCERN

GOOD BEGINNINGS THE LONGING

GOOD BEGINNINGS

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

• 2. THE LONGING

MOTIVATION BASICS: AWAY FROM/TOWARD PAST/PRESENT/FUTURE

VIDEOTALK: A TOOL FOR MUTUAL UNDERSTANDING AND CLARITY

VIDEOTALK

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.

METHODS FOR CLARIFYING

GOOD BEGINNINGS WHAT HAS WORKED (AND WHAT HASN’T)

GOOD BEGINNINGS

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?

• 3. WHAT HAS WORKED (AND

WHAT HASN’T WORKED)

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

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

• 1. ACCEPTANCE/VALIDATION

THE GOOD NEWS AND BAD NEWS ABOUT BRAIN PLASTICITY

PATTERNING AND DEPATTERNING/ REPATTERNING

THE THREE PLACES TO CHANGE PATTERNS

THE CHANGE PROCESS

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

• 2. CHANGE THE DOING

WHAT’S WORKED - DO MORE OF THAT

DO SOMETHING DIFFERENT

SMALLEST CHANGE

THE CHANGE PROCESS

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

• 3. CHANGE THE VIEWING

STORYTELLING

STORY EDITING: REFRAMING

STORY EDITING: DEFRAMING

THE CHANGE PROCESS

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

• 4. CHANGE THE CONTEXT

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