Managed Care Solution-Focused Therapies Some Term Paper

Download this Term Paper in word format (.doc)

Note: Sample below may appear distorted but all corresponding word document files contain proper formatting

Excerpt from Term Paper:

Likewise, the therapist in front of the mirror is expecting a credible "performance" that illuminates and furthers the therapeutic process (Johnson et al., 1997).

Solution-focused therapy encourages all participants to attend to their own wants and needs, not just those of their partners. Depending on the goal, therapists recommend that each participant take charge of caring for oneself as well as appreciating how his or her own actions influence others (Dermer et al., 1998).

Dermer et al. (19918) went further to express that solution-focused methods encourage clients to discuss ones desires and wishes at length but to do so in positive terms (such as through the "miracle question). Positive insights are encouraged, but negative insights are not. When clients complain and blame, the job of the therapist, is to redirect the conversation back toward searching for exceptions and use solution talk, rather than excluding insights, they selectively reinforced.

Solution-focused therapists' belief in people's competence may also be expressed with language. Therapists are well aware of the power of language. Dermer et al. (1998) remarked that therapist use exceptional (looking for exceptions to the problem) and presuppositional (assuming people have the ability to change) language to emphasize clients strengths, competencies, and areas of expertise. Therapists also use language to foster an internal locus of control in clients, so that clients take full credit for change.

There are instances where therapists may not have the tools necessary to deal with a particular situation. Solution-focused therapy does not provide a therapist with a mechanism for challenging stereotyped behaviors, Solution -focused therapy does not comment on therapist shopping or sexual boundary violations. Solution-focused therapists are expected to follow professional codes of ethical practice prohibiting sexual relationships (Dermer et al., 1998).

Even though there have been cons to this theory King & Kellock (2002) remarked that through their research they concluded that their study provided an overview of the rationale and operational procedures used to enable Solution-focused therapy to be provided to children and their families, on a basis that acknowledged the severity of the problems for the child and for the family. This approach addressed the issue of how a response from Psychological Services could be if allowed sufficient client time to be given to the counseling. It addressed the need to set aside a dedicated team of psychologists using the approach for the benefit of the client base as a whole. The results from the evaluation showed that clients found the approach useful in helping them to find solutions to their problems. The findings indicated that the number of sessions provided to each family (average, 6.8 sessions) was broadly in line with other researched (McKeel, 1996) and indicate the approach is cost-effective for both the client group and for the Psychological Service. For clients responding to the evaluation questionnaire, 67% in total felt 'the problem had improved a lot' or 'had ended'. Ninety-four per cent of responding clients reported they would recommend the approach to others'. The setting up of a solution-focused therapy team required time allocations to tasks within the Psychological Service to be reviewed and re-prioritized.

Dermer et al. (1998) concluded by stating that solution-focused therapy emphasizes symptom relief, highlights strengths, and assumes competency. They went further to conclude that Solution-focused therapists understand their influence of pathologizing language on clients and its influence on how clients view their situation. Therapists endeavor to reframe situations in workable, solvable terms with the context of the client strengths.


Brooks, D.K., & Gerstein, L.H. (1990). Counselor credentialing and inter-professional collaboration. Journal of Counseling & Development, 68, 477-484.

Bubenzer, D.L., & West, J.D. (1993). Interview with William Hudson O'Hanlon: On seeking possibilities and solutions in therapy. The Family Journal, 1, 365-379.

De Shazer, S. (1991). Putting difference to work. New York: Norton.

Dermer, S.B., Hemesath, C.W., & Russell, C.S. (1998, Jul-Sep). A Feminist Critique of Solution-Focused Therapy. American Journal of Family Therapy, 26(3), 239-250.

Erickson, M.H., Rossi, E.L., & Rossi, S.I. (1976). Hypnotic realities: The induction of clinical hypnosis and forms of indirect suggestion. New York: Irvington.

Huber, C.H. (1991). The twenty-minute counselor: Transforming brief conversations into effective helping experiences. New York: Continuum.

Johnson, C., Waters, M., Webster, D., & Goldman, J. (1997, March). What do you think about what the team said? The solution-focused reflecting Team as a virtual Therapeutic Community. Contemporary Family Therapy: An International Journal, (19), 49-63.

Juhnke, G.A. (1996, September). Solution-Focused Supervision: Promoting Supervisee Skills and Confidence through Successful Solutions. Counselor Education & Supervision, 36(1), 48-58.

King, E., & Kellock, L. (2002). Creating a solution - Focused Counseling Team. Educational Psychology in Practice, 18(2),.

Kingsbury, S.J. (1997, April). What is solution-focused therapy? Harvard Mental Health Letter, 13(10), 1.

Littrell, J.M., Malia, J.A., & Vanderwood, M. (1995). Single-session brief counseling in a high school.. Journal of Counseling & Development, 73, 451-458.

McKeel, A.J. (1996). Handbook of Solutions - focused brief therapy methods. London: B.T Press.

Miller, G. (1997, March). Systems and Solutions: The Discourse of Brief Therapy. Contemporary Family Therapy: An International Journal, 19(1), 5-23.

Murphy, J.J. (1994). Working with what works: A solution-focused approach to school behavior problems. The school Counselor, 42, 59-65.

O'Hanlon, W.H., & Weiner-Davis, M. (1989). In search of solutions: a new direction in psychotherapy. New York: Norton.

Quick, E. (1998, October). Doing…[continue]

Cite This Term Paper:

"Managed Care Solution-Focused Therapies Some" (2005, September 05) Retrieved December 9, 2016, from

"Managed Care Solution-Focused Therapies Some" 05 September 2005. Web.9 December. 2016. <>

"Managed Care Solution-Focused Therapies Some", 05 September 2005, Accessed.9 December. 2016,

Other Documents Pertaining To This Topic

  • Therapy Also Called Solution Focused Brief Therapy Uses

    therapy, also called "Solution-Focused Brief Therapy," uses practical strategies to help clients make significant, positive changes in their life as a result of their therapy in a relatively short period of time. Brief therapy focuses on what is going on in the client's life at the time of the therapy and does not delve into the subconscious or early childhood experiences. It contrasts markedly with psychoanalytic approaches that may

  • Managed Care

    Nursing Tasks, Methods, And Expectations State of the Industry The Art and Science of Nursing Relative Pay Scales Male Nursing Roles Sex Stereotypes The Influence of the Nationalized Healthcare Debate Proposed Methods toward Recruiting Nurses Joint Corporate Campaigns Steps to Recruiting Men Wages issues Recent employment trends in the nursing field have demonstrated a disconcerting drop in the number of employed and employable nurses. In what has been traditionally a female dominated filed, the exit rate of both men and women,

  • Brief Therapies

    Therapy Constructivist Perspective of Brief Therapy Understanding the basis of theories and therapy is a necessary element of the therapist's trade. Without some knowledge of why certain therapies are practiced, or where they came from, it is difficult to develop a personal theory and a personal view of how to conduct therapy. Since one of the basic concepts presently is that of brief therapy, it is necessary to see how that

  • Health Care Industry in America Today Is

    health care industry in America today is suffering greatly. It is suffering from spiraling costs, decreasing availability of qualified personnel, increasing demand for its services, and uncertainty relative to its future. Some of these problems are the result of mismanagement, lack of foresight, an aging population, and, perhaps greed but regardless of the causes the solutions must be determined and the present political climate makes this difficult. The Obama administration

  • Healthcare Reform Review of Literature

    (Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics. The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use

  • Wound Care

    Wound Care Chronic wounds represent a devastating health care problem with significant clinical, physical and social implications. Evidence suggests that consistent, meticulous and skilled care provides the primary means by which successful wound care and healing is promoted. The occurrence of wounds has plagued humankind throughout recorded history and remains a major source of morbidity and mortality in several disciplines of clinical medicine. Within this thesis, an effort will be made

  • Dialectical Behavior Therapy Dbt Dialectical

    For them to survive crisis they are equipped with the skills to; self-soothing, thinking of the pros and cons, improving the moment and looking for destructive things to do. They can also exhibit acceptance skills by turning the mind to accept, radical acceptance and willingness vs. willfulness. Individuals with under this therapy are taught how to regulate their emotions. This is because most of those suffering from this disorder are

Read Full Term Paper
Copyright 2016 . All Rights Reserved