Narrative TherapyNarrative Therapy
National UniversityNational University
College of Letters and SciencesCollege of Letter...
The NarrativeThe Narrative
 Focus of the narrativeFocus of the narrative
 Externalize!Externalize!
 The role of stories...
Example: the story of my driving…Example: the story of my driving…
 Dominant Story:Dominant Story: A way ofA way of
under...
Therapy GoalsTherapy Goals
 Invite the client to describe theirInvite the client to describe their
experience in new and ...
Gently guide the patientGently guide the patient
 So, our general goal in therapy is toSo, our general goal in therapy is...
Narrative Therapy differentNarrative Therapy different
approachapproach
 Instead of goals, we tend to speak ofInstead of ...
Deconstructive listening isDeconstructive listening is
guided by the Pts beliefguided by the Pts belief
 The story may ha...
Therapy helpsTherapy helps
 The patient’s reality?The patient’s reality?
 Our presence/makes theOur presence/makes the
D...
The Role of the TherapistThe Role of the Therapist
Facilitator/CollaboratorFacilitator/Collaborator
 We are active facili...
Techniques and ProceduresTechniques and Procedures
1.1. Questions and more questionsQuestions and more questions
2.2. Help...
Encourage the patient to thinkEncourage the patient to think
 That each instance is a potentialThat each instance is a po...
Questions and more questionsQuestions and more questions
 The therapist uses carefully craftedThe therapist uses carefull...
Externalizing and DeconstructingExternalizing and Deconstructing
““It is not the person that is theIt is not the person th...
Search for Unique OutcomesSearch for Unique Outcomes
 The therapists talks to the clientThe therapists talks to the clien...
Alternative Stories and ReauthoringAlternative Stories and Reauthoring
 The turning point in this therapy isThe turning p...
Narrative TherapyNarrative Therapy
Guide them and tell them the problems are separate fromGuide them and tell them the pro...
Documenting EvidenceDocumenting Evidence
 Narrative therapists believe newNarrative therapists believe new
stories take h...
Overview of the TherapeuticOverview of the Therapeutic
Process (O’Hanlon, 1994)Process (O’Hanlon, 1994)
1.1. Come up with ...
Overview continuesOverview continues
1.1. Discover moments when theDiscover moments when the
client wasn’t dominated, orcl...
Overview continuesOverview continues
1.1. Ask the client to speculate aboutAsk the client to speculate about
what type of ...
We must approach therapy asWe must approach therapy as
an experimental processan experimental process
 In therapy clients...
The mechanism of changeThe mechanism of change
 In Narrative Psychotherapy is theIn Narrative Psychotherapy is the
tellin...
Stories and TherapyStories and Therapy
We are really worried aboutWe are really worried about
Sean because he is stealingS...
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Narrative psychotherapy with couples 121614

Psychology
Published on: Mar 3, 2016
Published in: Education      
Source: www.slideshare.net


Transcripts - Narrative psychotherapy with couples 121614

  • 1. Narrative TherapyNarrative Therapy National UniversityNational University College of Letters and SciencesCollege of Letters and Sciences Steven Mendoza, PhDSteven Mendoza, PhD Psychology Adjunct ProfessorPsychology Adjunct Professor
  • 2. The NarrativeThe Narrative  Focus of the narrativeFocus of the narrative  Externalize!Externalize!  The role of storiesThe role of stories  The stories we tellThe stories we tell and hear concerningand hear concerning our livesour lives  Listening withoutListening without judging or blamingjudging or blaming
  • 3. Example: the story of my driving…Example: the story of my driving…  Dominant Story:Dominant Story: A way ofA way of understanding a situation that hasunderstanding a situation that has been so widely excepted that itbeen so widely excepted that it appears toappears to represent reality.represent reality.  Generally, we have many storiesGenerally, we have many stories occurring at the same time..Extoccurring at the same time..Ext  The broader social context impactsThe broader social context impacts our stories.our stories.
  • 4. Therapy GoalsTherapy Goals  Invite the client to describe theirInvite the client to describe their experience in new and freshexperience in new and fresh language. Present and future onlylanguage. Present and future only  In doing this client opens up newIn doing this client opens up new ideas of what is possible in theideas of what is possible in the future.future.
  • 5. Gently guide the patientGently guide the patient  So, our general goal in therapy is toSo, our general goal in therapy is to collaborate.collaborate.  Identify the life story that they preferIdentify the life story that they prefer  As therapist we are more interestedAs therapist we are more interested in exploring possibilities and what isin exploring possibilities and what is more satisfying for the patient.more satisfying for the patient.
  • 6. Narrative Therapy differentNarrative Therapy different approachapproach  Instead of goals, we tend to speak ofInstead of goals, we tend to speak of “Projects” or direction in life.“Projects” or direction in life.  Listen to the patient, and let themListen to the patient, and let them experience what it feels to beexperience what it feels to be understood.understood.  Usually they will tell you the problemUsually they will tell you the problem
  • 7. Deconstructive listening isDeconstructive listening is guided by the Pts beliefguided by the Pts belief  The story may have differentThe story may have different meaningmeaning  We ask people to fill in the detailsWe ask people to fill in the details  We interrupt at intervals to reflectWe interrupt at intervals to reflect our senses to what they are sayingour senses to what they are saying
  • 8. Therapy helpsTherapy helps  The patient’s reality?The patient’s reality?  Our presence/makes theOur presence/makes the DifferencesDifferences  Listen to their ambiguity!Listen to their ambiguity!
  • 9. The Role of the TherapistThe Role of the Therapist Facilitator/CollaboratorFacilitator/Collaborator  We are active facilitators, we careWe are active facilitators, we care  We show, interest, curiosity, openWe show, interest, curiosity, open  Main task is to help clients constructMain task is to help clients construct a story line to address the nowa story line to address the now  Client are the expert when it comesClient are the expert when it comes to what they wants in life..LISTENto what they wants in life..LISTEN
  • 10. Techniques and ProceduresTechniques and Procedures 1.1. Questions and more questionsQuestions and more questions 2.2. Help pt at externalizing andHelp pt at externalizing and DeconstructingDeconstructing 3.3. Search for Unique OutcomesSearch for Unique Outcomes 4.4. Alternative Stories andAlternative Stories and ReauthoringReauthoring 5.5. Documenting EvidenceDocumenting Evidence
  • 11. Encourage the patient to thinkEncourage the patient to think  That each instance is a potentialThat each instance is a potential beginning for an alternativebeginning for an alternative narrative.narrative.  Encourage patient to think of theEncourage patient to think of the present and help them prepare forpresent and help them prepare for the future.the future.
  • 12. Questions and more questionsQuestions and more questions  The therapist uses carefully craftedThe therapist uses carefully crafted questions and dialogue that helpquestions and dialogue that help  generate new experiences for thegenerate new experiences for the client.client.  Questions are used to discover theQuestions are used to discover the client’s experiences.client’s experiences.
  • 13. Externalizing and DeconstructingExternalizing and Deconstructing ““It is not the person that is theIt is not the person that is the problem, but the problem that is theproblem, but the problem that is the problem”problem”  Externalizing ConversationExternalizing Conversation: Is a way: Is a way of speaking in which the problemof speaking in which the problem may be spoken of as if it were amay be spoken of as if it were a distinct entity separate from thedistinct entity separate from the person.person.
  • 14. Search for Unique OutcomesSearch for Unique Outcomes  The therapists talks to the clientThe therapists talks to the client about success regarding theabout success regarding the problem.problem.  This is done by selecting anyThis is done by selecting any experience that stands apart fromexperience that stands apart from the problem story.the problem story. Help the patient to externalizeHelp the patient to externalize conversations.conversations.
  • 15. Alternative Stories and ReauthoringAlternative Stories and Reauthoring  The turning point in this therapy isThe turning point in this therapy is when the client makes the choice towhen the client makes the choice to stop living in a problem saturatedstop living in a problem saturated story and create an alternative storystory and create an alternative story (reauthoring).(reauthoring).  Dev. an alternative story. ReframeDev. an alternative story. Reframe  Reauthoring occurs either in freeReauthoring occurs either in free flowing conversation, or throughflowing conversation, or through questioning.questioning.
  • 16. Narrative TherapyNarrative Therapy Guide them and tell them the problems are separate fromGuide them and tell them the problems are separate from people.people.  In therapy, we seek to ask small questionsIn therapy, we seek to ask small questions that ask people, one small step at a time.that ask people, one small step at a time.  We also assist the patient at selfWe also assist the patient at self evaluating to assess on weather thoseevaluating to assess on weather those ways of living suit them.ways of living suit them.  As therapist we prefer hearing aboutAs therapist we prefer hearing about directions in life……directions in life……
  • 17. Documenting EvidenceDocumenting Evidence  Narrative therapists believe newNarrative therapists believe new stories take hold when there is anstories take hold when there is an audience to appreciate and supportaudience to appreciate and support them.them.  Therefore, encourage…….Therefore, encourage…….  LETTER WRITING…Keep it in theLETTER WRITING…Keep it in the presentpresent
  • 18. Overview of the TherapeuticOverview of the Therapeutic Process (O’Hanlon, 1994)Process (O’Hanlon, 1994) 1.1. Come up with a mutually acceptableCome up with a mutually acceptable name for the problem.name for the problem. 1.1. Personify the problem and attributePersonify the problem and attribute oppressive intentions to it.oppressive intentions to it. 2.2. Investigate how the problem hasInvestigate how the problem has disrupted, dominated, or discourageddisrupted, dominated, or discouraged the client.the client.
  • 19. Overview continuesOverview continues 1.1. Discover moments when theDiscover moments when the client wasn’t dominated, orclient wasn’t dominated, or discouraged by the problemdiscouraged by the problem byby searching for exceptions to thesearching for exceptions to the problem.problem. 2.2. Find evidence to bolster a newFind evidence to bolster a new view of the client as competentview of the client as competent enough to have defeated theenough to have defeated the dominance or oppression of thedominance or oppression of the problem.problem.
  • 20. Overview continuesOverview continues 1.1. Ask the client to speculate aboutAsk the client to speculate about what type of future could bewhat type of future could be expected from the strong competentexpected from the strong competent person that is emerging.person that is emerging. 2.2. Find or create an audience forFind or create an audience for perceiving and supporting the newperceiving and supporting the new story.story.
  • 21. We must approach therapy asWe must approach therapy as an experimental processan experimental process  In therapy clients reclaim, relieve,In therapy clients reclaim, relieve, and make meaning of storiesand make meaning of stories  that add new substance and newthat add new substance and new possibilities to their lives.possibilities to their lives.  In couple therapy the stories can beIn couple therapy the stories can be used as alternatives.used as alternatives.
  • 22. The mechanism of changeThe mechanism of change  In Narrative Psychotherapy is theIn Narrative Psychotherapy is the telling, retelling, witnessing, andtelling, retelling, witnessing, and living out multistoried lives.living out multistoried lives.  We encouraged meaningWe encouraged meaning  Discouraged: DSMV, drugs testingDiscouraged: DSMV, drugs testing etc. is out.etc. is out.
  • 23. Stories and TherapyStories and Therapy We are really worried aboutWe are really worried about Sean because he is stealingSean because he is stealing and we have tried to stop himand we have tried to stop him but he just won’t.but he just won’t. He’s alwaysHe’s always been a problem child from thebeen a problem child from the time he was little.time he was little. He didn’t get much attentionHe didn’t get much attention when he waswhen he was a small boya small boy because Anne [his mother] wasbecause Anne [his mother] was ill. Since then he always gets inill. Since then he always gets in trouble at school. He didn’ttrouble at school. He didn’t toilet train himself and istoilet train himself and is always starting fights with hisalways starting fights with his brothers. Now he’s stealing tobrothers. Now he’s stealing to get people toget people to notice him.notice him.