Article

Effectiveness of Solution-Focused Brief Therapy A Systematic Qualitative Review of Controlled Outcome Studies

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Abstract

Objective: We review all available controlled outcome studies of solution-focused brief therapy (SFBT) to evaluate evidence of its effectiveness. Method: Forty-three studies were located and key data abstracted on problem, setting, SFBT intervention, design characteristics, and outcomes. Results: Thirty-two (74%) of the studies reported significant positive benefit from SFBT; 10 (23%) reported positive trends. The strongest evidence of effectiveness came in the treatment of depression in adults where four separate studies found SFBT to be comparable to well-established alternative treatments. Three studies examined length of treatment and all found SFBT used fewer sessions than alternative therapies. Conclusion: The studies reviewed provide strong evidence that SFBT is an effective treatment for a wide variety of behavioral and psychological outcomes and, in addition, it may be briefer and therefore less costly than alternative approaches.

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... We assert that goal setting and strategy implementation as selection and optimization processes as well as being resilient and resourceful share a common characteristic of being proactive in nature; that is, they each involve the purposeful making of choices to improve one's own well-being and maximize one's quality of life. In this context, we use the strengths-based approach (see Hayslip & Smith, 2013) in conjunction with the SOC framework because proactive approaches toward identifying and solving problems and recognizing that everyone has strengths and skills are associated with effective treatments for a wide variety of behavioral and psychological outcomes (Gingerich & Peterson, 2013;Kim, 2007;Kim et al., 2010;Lowe, 2019). Stressing solutions rather than problems may be especially relevant to grandparent caregivers, who often experience stigma and feel judged by others as poor parents, and often experience isolation from others. ...
... Consistent with strength-oriented models to work with grandparent caregivers (Hayslip & Smith, 2013), this study adapted a solution-focused approach to support grandparent caregivers (de Shazer et al., 2007;Lipchik et al., 2012;Lowe, 2019;Metcalf, 2019;Perry, 2019). In a meta-analytic review of the literature, (Gingerich and Peterson, 2013) found solution-focused brief therapy (SFBT) to be utilized across a variety of patient populations, for example, children's academic and behavior problems, adults' mental health disorders, marriage/family dysfunction, occupational rehabilitation, health difficulties, and crime/delinquency. Franklin (2015) found a similarly positive picture of the effectiveness of SFBT, and Carrera et al. (2016) replicated such findings, for example, lessened depression and fewer remissions in clients receiving SFBT than a matched control group. ...
... In session 1, the importance of solution-focused thinking was introduced via presenting each grandparent with the following solution-focused scenario (see Gingerich & Peterson, 2013;Newsome & Kelly, 2004): "Let's suppose that an instant miracle solution reveals itself to you, and that your grandparenting worries disappeared while you were sleeping. When you wake up the next day, what would be the first thing you would notice? ...
Article
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Objectives: The purpose of this article is to evaluate the effectiveness of a psychosocial intervention program to improve the health and social psychological outcomes for grandparents raising grandchildren using the theory of Selection, Optimization, and Compensation (Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In P. B. Baltes & M. M. Baltes (Eds.), Successful aging: Perspectives from the behavioral sciences (pp. 1-34). Cambridge University Press.). Methods: Fifty-two grandparents were randomly assigned either to a 6-session solution-oriented goal-setting program or to a waiting list control condition who subsequently received the intervention. Results: Grandparents in the intervention group, in comparison to the waiting list control group, reduced their level of depression, improved their parental efficacy, overall psychosocial adjustment, and increased their ability to choose effective goals. For the most part, findings were replicated in the waiting list control analyses. Discussion: While these findings are consistent with previous studies using psychosocial interventions with parents and grandparent caregivers, they also provide support for strength-based proactive behavioral approaches to improve the quality of life of grandparent caregivers.
... It is crucial to break this cycle and prevent progression toward destruction. (2013) (or 23%) exhibited some positive trends (Gingerich & Peterson, 2013). The most significant evidence was compiled across four studies that found that SFBT was highly effective at managing symptoms of depression in adults but offered a more timely, cost-efficient solution over first-line therapeutic treatments such as cognitive-behavioural therapy (CBT) (Gingerich & Peterson, 2013). ...
... (2013) (or 23%) exhibited some positive trends (Gingerich & Peterson, 2013). The most significant evidence was compiled across four studies that found that SFBT was highly effective at managing symptoms of depression in adults but offered a more timely, cost-efficient solution over first-line therapeutic treatments such as cognitive-behavioural therapy (CBT) (Gingerich & Peterson, 2013). Depressive symptoms were significantly reduced through one single session of SFBT, but the most significant findings were exhibited after six to ten hourly sessions of SFBT (Gingerich & Peterson, 2013). ...
... The most significant evidence was compiled across four studies that found that SFBT was highly effective at managing symptoms of depression in adults but offered a more timely, cost-efficient solution over first-line therapeutic treatments such as cognitive-behavioural therapy (CBT) (Gingerich & Peterson, 2013). Depressive symptoms were significantly reduced through one single session of SFBT, but the most significant findings were exhibited after six to ten hourly sessions of SFBT (Gingerich & Peterson, 2013). The compiled research indicated that SFBT could achieve similar results to more established therapies in fewer sessions and using shorter therapeutic sessions (Gingerich & Peterson, 2013). ...
Conference Paper
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One in five employees spends at least one hour contemplating their stress weekly (Statista, 2021). General workplace stress has increased by over 20% since the 1990s (Korn Ferry, 2021). Canada's most significant stressors include COVID-19 (i.e., illness, sanitation, changing rules) (83%), groceries (59%), gas, and transportation (40%) (Statistics Canada, 2022). Chronic stress is an internal change that causes physical, psychological, or emotional strain, including Type 2 diabetes, high blood pressure, heart disease, fertility issues, cancer, hair loss, frequent illness, obesity, depression, and anxiety (Fink, 2021). The three phases of chronic stress are alarm, resistance, and exhaustion. Chronic stress increases the risk of early mortality by 50% (Fink, 2021). Canadians lose over $33 billion each year on workplace stress-related health care costs and productivity (CCOHS, 2021). The stakes are significant from health and financial standpoints. This growing problem warrants the integration of an effective solution. Evidence shows that solution-focused therapy (SFT) can resolve the issue in many settings. A comprehensive overview of the evidence surrounding SFT will play a fundamental role in establishing optimal workplace interventions, catered to improving population health outcomes, maximizing productivity, and minimizing accrued costs and expenditures associated with stress and burnout. Workplace counsellors can use SFT as part of employee assistance programs (EAPs) to enhance employee wellness, specifically by reducing stress, the risks for burnout, and the array of adverse health and financial outcomes tied to it.
... " In addition, almost all SF interventions include multiple components, which makes it difficult to identify "active ingredients. " A review by Gingerich and Peterson (2013) illustrates the problem. Their definition of solution-focused brief therapy (SFBT) included no fewer than 10 techniques (e.g., goal setting, scaling, the "Miracle Question", compliments, focusing on "what's better" and so on). ...
... Scaling is universally championed in the SF literature (e.g., Berg & Szabó, 2005;De Jong & Berg, 1998;Jackson & McKergow, 2007;Lutz, 2014;Ratner & Yusuf, 2015;Sklare, 2005). Almost every SF intervention involves some form of scaling (Gingerich & Peterson, 2013). Scaling is said to enhance confidence, expectations, motivation and commitment (e.g., Berg & de Shazer, 1993;Hepworth et al., 2017;Lutz, 2014;Thomas, 2013). ...
Article
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Solution-focused (SF) approaches are widely used in schools. The present study examined the effects of a central SF technique—“scaling”—on female secondary students’ improvement expectancy (IE) and commitment to improvement (CTI). Popular follow-up questions were also tested. In Experiment 1, 120 students were randomly assigned to a “success scaling”, “success scaling” plus follow-up SF question, or control condition. IE and CTI were higher in the scaling conditions than in the control group, but differences were small and not statistically significant. In Experiment 2, 115 students were randomly assigned to a “success scaling” plus one SF question, “success scaling” plus two SF questions, or problem-focused condition. Students in the doubly augmented scaling condition reported higher IE and CTI than students in the other conditions. However, differences were small and not statistically significant. The results of this study suggest that (success) scaling techniques may not be as effective as is widely supposed. Impact Statement Solution-focused (SF) approaches are common in schools and used by both teachers and school psychologists. However, SF approaches are generally multicomponent interventions, making it impossible to identify effective techniques. The present study provides the most thorough experimental evidence to date for the effectiveness of the central SF technique: (success) scaling.
... Treatments to reduce substance abuse and trauma-related problems have historically been based on a problem-focused approach. Yet, research has emerged demonstrating the effectiveness of other clinical approaches to motivate clients and foster coping mechanisms (Gingerich & Peterson, 2013;Kim et al., 2018Kim et al., , 2019. One such approach is solution-focused brief therapy (SFBT), a strength-based therapy model that focuses on co-constructing solutions to client problems. ...
... Kim et al. (2018) noted several primary outcome SFBT studies in substance abuse and mental health clinics (Cockburn et al., 1997;Coe, 2000;Dahl et al., 2000;Eakes et al., 1997) with significant positive findings for internalizing problem behaviors, externalizing problem behaviors, and family-related problems. In their systematic review, Gingerich and Peterson (2013) found significant positive benefits from SFBT for adults suffering from depression and other behavioral and psychological disorders. Smock and colleagues (2008) compared six sessions of manualized SFBT group therapy with a 6-week adaptation of the Hazelden model on the mental health functioning of 38 Level 1 substance abuse outpatients. ...
... Metaanalysis and systematic reviews of experimental and quasi-experimental studies indicate that SFBT is a promising intervention for youth and adults with internalizing disorders and behavior problems. SFBT has also been frequently used with school and academic problems, showing medium to large effect sizes (Gingerich & Peterson, 2013;Kim, 2013;Kim & Franklin, 2008). ...
... Clients residing in institutions, including delinquents and patients with schizophrenia, benefited more from SFBT (d = 0.60) than did non-residential clients such as family/couples (d = 0.40) and students (d = 0.21). Two reviews of the research suggested that SFBT is efficacious with internalizing disorders such as depression (Kim, 2008;Gingerich, 2013). ...
... Hence, senior consumers showed the strongest interest in finding concrete solutions, while the others were more interested in the challenges (municipalities or producers). Although the plastics issue, with many stakeholders involved in the process, defies a single solution, a thorough observation of the complex dynamics and the involvement of systems is valuable for comprehending such a problem (Gingerich & Peterson, 2013). Besides, barriers to a CE for plastics are often analysed in isolation, where contradictory perceptions of the improvement of the current inefficient plastics governance demand the joint acknowledgement of all stakeholders, as proposed by our CE framework (Bening et al., 2021). ...
Article
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Single-use plastics (SUPs) represent one of the largest and rapidly growing segments of the plastics industry. The strategies to mitigate plastic hazards has become more difficult during the COVID-19 pandemic; SUPs have gained positive health-related attributes among consumers and remain the preferred packaging material. One of the most promising strategies to tackle the SUPs problem is a worldwide transition towards a circular economy (CE) for plastics. Here, we propose the reconceptualization of a CE for SUPs based on an analysis of the perceptions of stakeholders and the public from social, psychological, and communication-related perspectives. Our study utilized focus groups with primary and secondary stakeholders-differing in their power regarding SUP CE governance-and general consumers to identify their perceptions regarding challenges to and solutions for a CE for SUPs, thereby unveiling the potential for trustworthy knowledge co-creation. Our findings demonstrate that trustworthy knowledge-inaction is the primary driver for achieving sustainability transitions across stakeholders and suggest a significant discrepancy between young consumers and producers. Furthermore, we argue that exploring diversified approaches to knowledge co-creation necessitates various disciplinary entry points, ranging from different perspectives (challenges vs. solutions, individual vs. systemic levels, diversity in agenda-setting) to innovative attempts to understand knowledge production behaviour, especially for policymakers. Perceiving scientists as science communicators who can effectively inform involved stakeholders and general consumers and engage them in SUP crisis mitigation actions, the results of our study (jointly created manifest followed by a series of posters) are subject to further research and proposals for policy decisions.
... Brief solution focused approaches (BSFA) can be defined as "a goal-directed collaborative approach to psychotherapeutic change that is conducted through direct observation of clients' responses to a series of precisely constructed questions" (de Shazer et al., 2007 p. 101). In a systematic review of 43 controlled outcome studies on BSFA, significant positive benefits were found for 74% of clients (Gingerich & Peterson 2013). The studies were grouped into the following categories: child academic and behavior problems, adult's mental health, marriage and family, occupational rehabilitation, health and aging, and crime and delinquency. ...
Article
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Parental responsibility is often the focus of research and policy surrounding closing the attainment gap between low-income students and their wealthier peers. This article describes a pilot intervention programme which aimed to enable better parental support of their children with their schoolwork and educational engagement. Through interviews with the parents and facilitators involved with the pilot, this article provides an example of how strength-based interventions can promote parental engagement in education in marginalised groups, such as families considered disadvantaged. The programme consisted of six one-to-one sessions with 25 parents. Semi-structured interviews with five parents and four facilitators revealed that parents reported increased self-efficacy and confidence in supporting their children’s education. Key features of the programme contributing to sustainable changes were the programmes person-centred approach and the use of strength-based strategies. The qualitative analysis provides only short-term accounts of behavioral change, but despite these shortcomings the results provide tentative evidence for the efficacy of a brief solution focused programme in supporting low-income parents’ engagement. More research is needed using larger sample sizes with longer data collection periods.
... In our participants, 3 sessions were dedicated for all baseline assessments and a case formulation, and 10 sessions for the intervention. Brief therapy is effective in the past for several psychological and behavioral problems ( Gingerich and Peterson, 2013 ). ...
Article
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Background and Objectives: : Psychotherapy is an established treatment modality for Psychogenic Non-Epileptic Seizures. In the COVID-19 era, when face-to-face psychotherapy may not be possible for the risk of infection, we designed this study of case series, where participants were treated with a Brief Online Psychotherapy to investigate its utility in clinical practice. Methods: : In this single case series with an A-B-C design, 16 participants with Psychogenic Non-Epileptic Seizures were treated with Brief Online Psychotherapy and followed for 6 months. All were assessed at baseline, post-intervention, and after the follow-up phase with Psychogenic Non-Epileptic Seizures Scale, Hamilton Anxiety Rating Scale, and Hamilton Depression Rating Scale, and the outcome measures were changes in scores at the end of the intervention and follow-up phases.Results: : 87.5% (14 patients) had an overall improvement in Psychogenic Non-Epileptic Seizures symptoms. 87.5% (14 patients) and all the patients achieved remission in anxiety and depression respectively at the end of the follow-up phase. The Brief Online Psychotherapy intervention had a large effect size in all the outcome measures both post-intervention and follow-up phases. Limitations: : There were no comparison groups and the online mode of intervention may be a barrier to the thera- peutic alliance.Conclusions: : Brief Online Psychotherapy intervention can be an effective modality of treatment for Psychogenic Non-Epileptic Seizures and needs to be studied further.
... The effectiveness SFBT has been supported by a number of systematic reviews (Bond et al., 2013;Corcoran & Pillai, 2009;Gingerich & Eisengart, 2000;Gingerich & Peterson, 2013;Liu et al., 2015;Suitt et al., 2016;Woods, 2015) and meta-analyses (Carr et al., 2017;Franklin et al., 2020;Gong & Hsu, 2015, 2016Hsu et al., 2021;Huoliang & Weisu, 2015;Kim, 2008;Kim et al., 2015Kim et al., , 2017Park, 2014;Schmit et al., 2016;Stams et al., 2006;Zhang et al., 2018), but the sample of outcomes studies on which each of these reviews and meta-analyses are based is typically small, ranging from six (Suitt et al., 2016) to 50 (Franklin et al., 2020), with an average of 24 studies for meta-analyses and 21 for systematic revisions. This is in part due to the stringent inclusion requirements of meta-analytic procedures, that leave out many available studies, but also to the fact that meta-analyses address specific research questions. ...
Article
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Solution-focused Brief Therapy (SFBT) has generated outcome research worldwide and in a variety of intervention contexts. A systematic literature search yielded 251 published outcome studies on SFBT. SFBT was found superior to control groups or at post-test in almost nine out of every ten studies. Taking only 91 randomized controlled trials (RCTs) into account, SFBT was still found superior in seven out of every ten. Results varied slightly according to intervention type and format, manualization, and components of SFBT. They also varied more according to type of comparator and use of diagnostic criteria. These results widen the evidence base for SFBT. © 2022 The Author(s). Published with license by Taylor & Francis Group, LLC.
... SFBT is relatively brief compared with other psychological therapy approaches (Gingerich & Peterson, 2013 can make a difference and treating each session as if it may be the last. SF therapists 'think of therapy as a short intervention in people's lives that enables people in distress to reconnect with their resources in such a way that they are enabled to again get on with their lives' (p. ...
... Solution-focused brief therapy (SFBT) is a versatile strengths-based approach to psychotherapy that has accumulated substantial scientific support since its development in the late 1970s (Gingerich & Peterson, 2013). Pioneered by Steve de Shazer (1940-2005 and Insoo Kim Berg (1934-2007 in collaboration with their colleagues at the Milwaukee Brief Family Therapy Center, SFBT helps clients to uncover inherent resources for managing most psychological, behavioral, and relational problems (Franklin et al., 2012;Schmit et al., 2016). ...
Article
Purpose A considerable body of research literature on solution-focused brief therapy (SFBT) with clinically diverse populations in Iran has emerged over the past 15 years but has yet to be comprehensively reviewed. This scoping review was conducted to synthesize literature evaluating SFBT interventions in Iran to identify key areas for potential evidence-based recommendations and focus future research priorities. Method We reviewed the SFBT intervention literature using broad eligibility criteria to identify studies published before June 2020 in English or Persian/Farsi that investigated the effects of SFBT for populations in Iran. Two reviewers independently screened all potentially eligible references and completed data extraction for all eligible studies. Results Of the 77 eligible outcome studies, 78% reported positive intervention effects for a wide range of applications across ages and fields of practice. Discussion Our results demonstrate that solution-focused interventions in Iran are heterogeneous, and a wide variety of methodologies have been used to evaluate their effectiveness.
... Specifically, interpersonal functioning, symptom severity, and social roles pre-and post-treatment, have shown improvements in those receiving solution-focused interventions [127][128][129]. Meta-analyses have also shown that 23% of systematic reviews have reported positive trends in depression-related outcomes [130,131]. Applying a solution-focused mindset to other psychotherapies, including CBT and MBSR, has also led to positive outcomes in the treatment of SUD and depression [127,132]. Another advantage of SFBP is its cost effectiveness, due to its brief duration yet surprisingly long-term positive outcomes for many. ...
Chapter
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The recent surge in opioid-related deaths has brought poor pain management practices to the forefront of our nation’s collective consciousness. However, improving treatments for chronic pain, substance use disorders (SUD), and comorbid expression of both requires a better understanding of the pathophysiology involved in their development. In this chapter, the authors present the argument that chronic pain and SUD can be conceptualized similarly from a biopsychosocial perspective to inform a better approach to treatment. The authors describe the common neurobehavioral mechanisms of SUD and chronic pain, then discuss the efficacy of several psychotherapeutic methods employed to combat chronic pain, addiction, and related disorders. Such methods may contribute to positive health outcomes in managing chronic pain and curbing drug addiction by reducing the role of opioid analgesics for long-term pain management.
... SFBT is a psychological therapy that explores a person's resources and expertise rather than focusing on their deficits (de Shazer et al., 2007;Ratner et al., 2012). The strongest evidence for its effectiveness is with adults with depression (Gingerich & Peterson, 2013). A recent meta-analysis of the use of SFBT in medical settings reported a significant effect of SFBT (d = 0.34, p < .05) ...
Article
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Aphasia, a language disability, can profoundly affect a person’s mood and identity. The experiences of participants who received Solution-Focused Brief Therapy, a psychological intervention, were explored in the Solution-Focused brief therapy In poststroke Aphasia (SOFIA) Trial. Thirty participants with chronic aphasia, 14 with severe aphasia, participated in in-depth interviews that were analyzed using framework analysis. Two overarching themes emerged: valued therapy components (exploring hopes, noticing achievements, companionship, sharing feelings, and relationship with therapist) and perceptions of progress (mood, identity, communication, relationships, and independence). Participants were categorized into four groups: (a) “changed,” where therapy had a meaningful impact on a person’s life; (b) “connected,” where therapy was valued primarily for companionship; (c) “complemental,” where therapy complemented a participant’s upward trajectory; and (d) “discordant,” where therapy misaligned with participants’ preference for impairment-based language work. This study suggests that it is feasible to adapt a psychological therapy for people with aphasia, who perceive it as valuable.
... SFBT is a client-centered intervention approach that focuses on the resources of clients themselves, focusing on solutions to rather than causes of the problems, asking the clients to define the goals and inspiring them to generate solutions to their own problems (Bannink, 2007). Core techniques that define SFBT include: (1) goal formulation, (2) presupposing change questions, (3) miracle questions, (4) exception questions, (5) scaling questions, (6) relationship questions, (7) focus on what is better, (8) compliments, and (9) consulting break (Bannink, 2007;Cotton, 2010;Gingerich & Peterson, 2013). SFBT has been efficacious in coping with mental health challenges among various cultures and countries (Franklin & Montgomery, 2013), and has been widely used in China in the last two decades Liu et al., 2015). ...
Article
Purpose: This study aimed to investigate the effectiveness of solution-focused group counseling (SFGC) to reduce depressive symptoms and improve cognitive functions among Chinese rural older adults. Method: In a cluster randomized controlled trial, 290 participants were randomly assigned to a 12-session SFGC intervention or a control group. the Center for Epidemiological Studies Depression Scale and Mini-Mental State Examination was adopted to measure depressive symptoms and cognitive functions, respectively, at pretest and posttest. Results: Repeated measure ANOVAs showed a significant group by time effect for both measures. Paired sample t-tests showed that depressive symptoms significantly decreased in the intervention group, but not in the control group. Cognitive functions did not change in the intervention group, but significantly declined in the control group. Conclusions: Our findings support the feasibility and effectiveness of a culturally adapted SFGC for reducing depressive symptoms and protecting cognitive functions among the disadvantaged older adults in a developing country.
... Professionals in both PBIs are expected to use a mixture of techniques in the individual coaching sessions to address (1) non-specific intervention ingredients (Blase & Fixsen, 2013), such as establishing contact, stimulating motivation, and establishing clear goals with clients; and (2) specific therapeutic solution-focused (Gingerich & Peterson, 2013) techniques (such as exception-, scaling, or wonder-questions) and cognitive behavioral (Andrews & Bonta, 2003;Goldstein et al., 1998) techniques (such as cognitive restructuring) in non-protocoled individual sessions with young people. ...
Article
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Competent delivery of interventions in child and youth social care is important, due to the direct effect on client outcomes. This is acknowledged in evidence-based interventions (EBI) when, post-training, continued support is available to ensure competent delivery of the intervention. In addition to EBI, practice-based interventions (PBI) are used in the Netherlands. The current paper discusses to what extent competent delivery of PBI can be influenced by introducing supervision for professionals. This study used a mixed-method design: (1) A small- n study consisting of six participants in a non-concurrent multiple baseline design (MBL). Professionals were asked to record conversations with clients during a baseline period (without supervision) and an intervention period (with supervision). Visual inspection, the non-overlap of all pairs (NAP), and the Combinatorial Inference Technique (CIT) scores were calculated. (2) Qualitative interviews with the six participants, two supervisors, and one lead supervisor focused on the feasibility of the supervision. Four of six professionals showed improvement in treatment fidelity or one of its sub-scales. Had all participants shown progress, this could have been interpreted as an indication that targeted support of professionals contributes to increasing treatment integrity. Interviews have shown that supervision increased the professionals’ enthusiasm, self-confidence, and awareness of working with the core components of the intervention. The study has shown that supervision can be created for PBI and that this stimulates professionals to work with the core components of the intervention. The heterogeneous findings on intervention fidelity can be the result of supervision being newly introduced.
... Similar to positive psychology interventions, SFBT utilises hope and positive affect as vehicles for positive therapeutic change (Froerer et al., 2018). Evidencebased research supports the effectiveness of SFBT for a variety of mental health problems, including depression, anxiety, perfectionism, substance abuse, and marital and family problems (Gingerich & Peterson, 2012;Schmit et al., 2016;Zhang et al., 2018). Previous studies also suggested that SFBT may facilitate positive characteristics such as hope and subjective well-being in the context of life coaching and brief treatment interventions (Green et al., 2006;Michael et al., 2000). ...
Article
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There are increasing calls for brief, strength-based trauma interventions. We propose a Solution-Focused Brief Therapy (SFBT) intervention model that may facilitate hope and subjective well-being among trauma survivors. Based on our research among South African trauma survivors, the proposed model, “Journey of Possibilities”, focuses on eliciting clients’ desired outcome, describing the presence of their desired outcome, and utilising clients’ resources to move towards the desired outcome. It is distinct from other SFBT models, as it explicitly identifies the therapeutic relationship and collaborative language process as essential components of building hope and subjective well-being. Strength- and resource-orientated questions, especially relational questions, are also highlighted. We suggest that the model has the potential to facilitate hope and subjective well-being among trauma survivors and may inform psychological practice in the context of trauma.
... Through a collaborative communication process of listening, selecting and building, SFBT therapists guide clients towards describing a detailed desired outcome and eliciting strategies to move closer to that outcome Froerer & Connie, 2016). Evidence-based research supports the effectiveness of SFBT for a variety of mental health problems, including depression, anxiety, perfectionism, substance abuse, and marital and family problems (Gingerich & Peterson, 2012;Schmit et al., 2016;Zhang et al., 2018). Despite these findings, only a small number of empirical studies have specifically focused on the use of SFBT with trauma ...
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Positive psychology interventions have been shown to improve well‐being in various contexts. However, few studies have explored the use of these approaches in clinical settings. Considering the high prevalence of trauma and the pressure on public mental health services in South Africa, this study implemented and described solution‐focused brief therapy (SFBT) with South African trauma survivors in order to explore their experiences of hope and subjective well‐being (SWB), during and after exposure to SFBT. Using a multiple case study design, qualitative data were collected from therapeutic sessions and semi‐structured individual interviews with seven black female participants. Following thematic analysis, results indicated that SFBT contributed towards participants’ experiences of hope and SWB. In particular, the therapeutic conversation, empathy and acceptance in therapy, visualising a better future and focusing on strengths instead of the trauma facilitated these experiences. SFBT may thus be an appropriate intervention to facilitate hope and SWB among trauma survivors.
... Research supports MST as a family intervention that improves social responsibility and decreases delinquency among youths displaying antisocial behavior (Curtis, Ronan, & Borduin, 2004). Despite less empirical support, promising results also exist for SFT with couples and families (Gingerich & Peterson, 2013). ...
Article
We explored Masters of Social Work (MSW) student discourses of learning experiences related to Noticing and Attending to Relational Process (NARP) in a course devoted to clinical practice with families and couples. Within two to three weeks after completing recorded peer role-play assignments and receiving audio-recorded feedback from the instructor, five randomly selected students participated in an unstructured interpersonal process recall (IPR) interview. The instructor/first author queried students about specific role-play moments and reactions to instructor-produced, audio-recorded feedback regarding NARP competencies. We used dialogical analysis to identify discourses and rhetorical features of interview data. Five primary themes emerged. Based on our Bahktinian interpretation of interview data with students, our findings also demonstrated multi-voiced discourses, indicating students’ internal struggle to make sense of NARP and respond to instructor feedback. Educators and practitioners can more intentionally attune themselves to these discourses, potentially opening avenues for stronger social work service provision.
... This finding corresponds with a previous study that found withingroup improvement of quality of life among older adults who received a mindfulness-based intervention [40]. Another review also reported positive benefits of SFBT on aging and quality of life [21]. However, as this is a unique hybrid intervention, more research is warranted to confirm the findings. ...
Article
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In Singapore, many older adults suffer from subsyndromal depression and/or subsyndromal anxiety, which can negatively impact their physical and mental well-being if left untreated. Due to the general public’s reluctance to seek psychological help and the low psychiatrist-to-population ratio in Singapore, this study aims to examine the preliminary efficacy, perceptions, and acceptability of a trained volunteer-led community-based intervention on community-dwelling older adults. Twenty-one participants (control: n = 11; intervention: n = 10) completed the randomized pilot study. A mixed-methods approach (questionnaires, semistructured interviews, examining blood samples, intervention fidelity) was adopted. No significant differences were found between the intervention and the control groups in depression, anxiety, life satisfaction, friendship, and quality of life. However, there was a positive change in quality-of-life scores from baseline to 6 months in the intervention group. The control group had significantly higher cortisol levels and lower annexin-A1 levels at 6 months, while the intervention group did not. Three themes emerged from the interviews: (1) impact of the intervention on older adults’ well-being, (2) attitudes toward intervention, and (3) a way forward. However, intervention efficacy could not be established due to small sample size caused by the coronavirus pandemic. Future randomized controlled trials should evaluate volunteer-led, technology-based psychosocial interventions to support these older adults.
... The superior outcomes of the experimental group were achieved with significantly fewer sessions than those used by the control group. This is coherent with the literature on SFBT in clinical settings, that suggest that SFBT may be as effective but briefer than comparative treatments (Bond et al., 2013;Corcoran, 2012;Gingerich & Peterson, 2012;Knekt et al., 2008) something that until now had not been found in child protection samples. Therefore, this study provides some initial support for the costefficiency of solution-focused child protection practices. ...
Article
The purpose of this research was to evaluate the impact on child welfare of introducing solution-focused principles and intervention techniques in the local child protection service of the island of Tenerife, Spain. 152 workers from 34 local child protection teams participated in the study. Goal achievement, parentś and childreńs self-reported well-being, and statutory child welfare measures were recorded during one year. Then the child protection teams were randomly assigned to a control or an experimental condition. 73 workers in the experimental condition, serving 271 families, received 30 hours of training and 30 hours of supervision in solution-focused brief therapy (SFBT). 79 workers in the control condition, serving 206 families, continued to intervene as usual. The dependent variables were evaluated again in the experimental and in the control group one year after the supervision in SFBT had finished. Results indicate that the experimental and the control group had equivalent outcomes at pre-test. At post-test, the experimental group achieved better outcomes than the control group: workerś and parentś goal achievement ratings as well as parentś and childreńs well-being ratings were higher, fewer cases had been referred to risk teams, fewer children had been removed from their homes and recidivism was lower. The effects were small for goal achievement, medium for recidivism, and large for well-being and child removal. The teams that used SFBT reached these outcomes with fewer sessions and allocating fewer additional resources than the control group.
... The emphasis on the strengths and resources of clients, and the straightforward nature of the approach, lead to its expansion to a number of intervention contexts beyond psychotherapy and family therapy: social work (Sundman, 1997), child protection (Berg and Kelly, 2000), coaching (Berg and Szabó, 2005), nursing (MCAllister, 2007), organizational consulting (McKergow, 2012), mediation (Bannink, 2007), pastoral work (Kollar, 1997), school counseling (Kelly et al., 2008), or University teaching (Devlin, 2003), among others. Over the last decades, SFBT has amassed considerable evidence of its effectiveness and costefficiency in a variety of contexts (Kim, 2008(Kim, , 2012Bond et al., 2013;Gingerich and Peterson, 2013;Kim et al., , 2019Carr et al., 2016;Gong and Hsu, 2017), demonstrating outcomes equivalent to those of alternative interventions, both at termination (e.g., Creswell et al., 2017) and at follow-up (e.g., Boyer et al., 2015). ...
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Solution Focused Brief Therapy (SFBT) developed in parallel to Positive Psychology, as a type of intervention that also emphasizes the strengths and resources of clients. The aim of this study was to examine the development of outcome research on SFBT and to determine whether it is predominantly carried out in Western, Educated, Industrialized, Rich and Democratic (WEIRD) countries. A literature review was conducted using a bibliometric methodology, identifying: (a) authors and countries, (b) time trends, (c) language of publications; (d) and journals; (e) samples on which they were tested; (f) characteristics of interventions; and (g) main study designs. A total of 365 original outcome research articles published in scientific journals on solution-focused interventions were extracted. The results show that outcome research on SFBT has grown steadily over the last three decades. Although it started in WEIRD countries, the number of outcome research publications generated in non-WEIRD countries is now higher. There is little international collaboration and, although English is the main language of publication in WEIRD countries, English, Chinese and Parsi predominate in non-WEIRD countries. Productivity is low and most authors have only published one paper. The journals that have published the most papers have a very diverse visibility. The tested interventions are conducted both in clinical and non-clinical samples; mostly in individual and group format; face-to-face; and not only in the form of psychotherapy, but also as coaching and school interventions. Almost half of the publications are randomized controlled trials. The results confirm the wide applicability of SFBT as a single or main component of psychosocial interventions. They support the claim that solution-focused interventions are not a WEIRD practice, but a global practice.
... The solution-focused brief counseling model adapted in this counseling guidebook is a counseling model that has been tested for its effectiveness in intervening various psychological aspects. The use of solution-focused brief counseling as an effective intervention model in various fields has been described in a study by Gingerich & Peterson, (2015). Other research results by Haron, Abu Bakar, & Suranata (2020) suggested that solution-focused brief counseling can be applied in various settings, especially those that require a fast but still effective counseling process, such as the implementation of counseling services in schools. ...
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Social anxiety is one of the psychological problems faced by most of students. Several research findings have revealed negative effects that arise due to the high level of social anxiety experienced by students. Based on this phenomenon, schools play a major role in efforts to minimize the level of social anxiety experienced by students through optimizing guidance and counseling services. This research and development aim at testing the acceptability and effectiveness a solution-focused brief counseling guidebook to minimize students' social anxiety. The development procedure using 4D steps, such as, define, design, develop, and desimination of the product. The amount five judgment involve to validating the contents of guidebook. For the piloting, one group pretest-post test experimental procedure involve 15 junior high school students. The data analysis for judgments results show that the counseling guidebook developed in this study has a special content validity index (CVI). Based on the results of the piloting study, counseling guidebook a solution-focused brief counseling guidebook with the miracle question technique was effective in reducing students' social anxiety. The results of this study contribute to the optimization of guidance and counseling services in schools.
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As practitioners, it is important to find new and innovative ways to connect with our clients. One way to accomplish this goal is by incorporating pop culture into family sessions. This article addresses how counselors can incorporate pop culture with the families they treat. Specifically, this article addresses how practitioners can use Spider-man: Into the Spider-Verse to relate to the clients they serve. The authors focus on how practitioners can use concepts from Structural Family Therapy, Solution Focused Brief Therapy, and Relational Cultural Theory to engage the families they serve.
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Arus globalisasi menuntut keterampilan individu baik soft skills maupun hard skills yang semakin tinggi. Sehingga menentukan karir masa depan seseorang dianggap sebagai tantangan besar untuk hampir setiap mahasiswa apalagi yang sudah berada ditingkat akhir. Melihat fenomena dunia perekonomian yang bergejolak tidak menentu, meningkatnya kebutuhan masyarakat, ketatnya persaingan dunia kerja dan dalam rangka membantu mengurangi pengangguran yang didominasi oleh lulusan perguruan tinggi, maka perlu ditingkatkan planned happenstance skill (PHS) dan career decision self-efficacy (CDSE). PHS adalah kemampuan memahami peristiwa kebetulan/happenstance dalam rangka memaksimalkan pengalaman belajar sebagai peluang yang memiliki konsekuensi positif, meskipun peristiwa ini pada mulanya tidak disengaja atau tak terduga. Sedangkan CDSE adalah keyakinan terhadap kemampuan bahwa dirinya akan sukses dalam menyelesaikan tugas yang diperlukan saat pengambilan keputusan mengenai karir pekerjaannya. Solution focused group counseling adalah intervensi untuk meningkatkan planned happenstance skills dan career decision self-efficacy yang dilakukan dalam dalam suasana kelompok dengan waktu yang singkat dalam kerangka waktu terbatas dan terstruktur, berfokus solusi, serta menitikberatkan pada kekuatan dan sumber daya yang dimiliki konseli. Metode penelitian yang digunakan adalah repetead measure dengan desain pretest and multiple posttest design dengan sampel penelitian 10 orang yang dipilih secara purposive dari 47 orang mahasiswa semester 8 Prodi BK FKIP ULM Banjarmasin yang memiliki planned happenstance skills dan career decision self-efficacy yang rendah. Hasil analisis dengan menggunakan repeated measures menunjukkan bahwa solution focused group counseling efektif dalam meningkatkan planned happenstance skills (F(2,8)= 325,895; p<0.01) dan career decision self-efficacy (F(2,8) = 124,426; p<0.01). Berdasarkan hasil tersebut dapat disimpulkan bahwa solution focused group counseling efektif untuk meningkatkan planned happenstance skills dan career decision self-efficacy mahasiswa. Hasil penelitian ini diharapkan mampu dikembangkan kembali dengan karakteristik subjek penelitian yang lebih homogen.
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Purpose This study investigated clients' willingness to incorporate religion/spirituality in their counseling sessions. Methods Descriptive statistics, logistic regression, and test of moderation were utilized in this study's data analyses. Results Clients in general were willing to incorporate religion/spirituality in counseling sessions. Non-Christians were more willing than Christians. The relationship between clients' religion and their willingness occurred only in clients with a high level of spirituality. Conclusion Rehabilitation educators should consider infusing religion/spirituality in their courses/curricula and encourage students to gain knowledge of various religion/spiritual beliefs in ways that provide a springboard for incorporating religion/spirituality in counseling.
Chapter
Solution-focused brief therapy (SFBT) is one of the psychological counseling methods that are considered as postmodern therapeutic approaches. In postmodern thinking, language is viewed as a fundamental and constructive element, and its use in stories helps the therapist to gain a better understanding of the personality traits of the client. Solution-focused brief therapy has its foundation in the social constructivism theory, which maintains that no problem is independent of social interactions. According to this view, the same way that dialog with an individual leads to the disclosure of hidden issues, solutions also lie in conversations. Instead of focusing on the problem and its history, the solution-focused brief therapy emphasizes seeking solutions and individuals' capabilities and abilities which give him/her a hopeful and forward-looking attitude. The results of numerous studies indicate that SFBT is an effective model for midwifery counseling. Some studies have shown the effectiveness of the solution-focused midwifery approach to the prevention and treatment of childbirth fear and postpartum depression. This chapter introduces in more detail the SFBT approach and its implications and applications.
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Shared leadership is an emergent team phenomenon, emphasizing that it originates from the interaction of all team members. However, previous athlete leadership studies have focused on the individual level, omitting the role of team member interaction. In order to develop shared athlete leadership as an emergent team phenomenon, we utilized a solution-focused brief therapy paradigm, which uses coconstruction to engender change for social systems (e.g., sport teams). Sixty athletes from six sport teams (three in the experimental condition and three in the control condition) participated in a mixed-methods experimental design consisting of parallel quantitative and qualitative data collection along with a combined interpretation of these data. The quantitative results support a difference in development of shared leadership between groups, while the qualitative analysis resulted in four themes that indicate changes in interactional patterns and relational structures within the teams.
Chapter
Families are systems of interconnected and interdependent individuals, none of whom can be understood in isolation from the system. Family systems theory places primary focus on exchanges of behavior that take place in a given moment of interaction between family members. Systemic family theory and therapies pay close attention to repeating transactions that connect the problem behavior of one person with the behavior of others within the family or other primary groups. Family system therapy is not a specific therapy with a specified theoretical orientation. Although it is efficacious for several child and adult mental problems, further efficacy studies are necessary.
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Introduction: Educational stress is a negative psychological condition; with its cognitive and emotional components, threatens students' health. Aim: This study aimed to compare the effectiveness of the solution-focused brief therapy and mindfulness-based therapy to reduce educational stress in junior high school students. Method: Through the framework of a clinical trial plan with pre-test and post-test and quarterly post hoc test, this study was conducted. In a purposive sampling manner, sixty students; among the first year of junior high school male students in Tehran district 13thin the school year 2019-2020, were selected and then surveyed by Don, Hu and Zhou (2011) Adolescent Educational Stress Scale and were randomly divided into 3 groups of 20: control group, solution-focused treatment group and mindfulness treatment group. Then the intervention process was run on the experimental groups and after three months the follow-up test was rerun. The data were analyzed by using SPSS-26 and the covariance analysis and mixed-design analysis of variance tests. Results: This study brought light on the effectiveness of both treatments methods in reducing educational stress among students, but the mindfulness method (Eta2=0.357) worked better rather the brief solution-focused intervention method(Eta2=0.318) to reduce students' stress (P
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La Depresión es un trastorno heterogéneo, complejo y costoso, cuya prevalencia va en aumento. En ese sentido, se requieren propuestas de abordaje eficaces y eficientes, que permitan atender la gran demanda que existe a nivel mundial. La Terapia Breve Centrada en Soluciones plantea intervenciones con un promedio de 10 sesiones, en determinados casos. El presente trabajo explora la eficacia de este modelo, en el tratamiento de la depresión clínica, en comparación con la Terapia de Aceptación y Compromiso. Usando el método Preferred Reporting Items for Systematic Reviews and Meta-Analysesse, se revisaron 35 artículos sobre la aplicación de la Terapia Breve Centrada en Soluciones, así como de la Terapia de Aceptación y Compromiso en el tratamiento de síntomas depresivos. Se encontró que ambos modelos arrojan resultados clínicamente significativos en la reducción de síntomas depresivos, mostrando ser eficaces en el tratamiento de la Depresión.
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Background Parenting support guidelines for public health nurses have shifted from a problem-focused to a solution-focused approach. Given the fundamental differences between these two approaches, implementation of solution-focused parenting support is assumed to be difficult. Since the way public health nurses provide parenting support is largely guided by their beliefs, knowledge about their beliefs concerning solution-focused parenting support is important for its actual implementation. This study aims to explore the behavioral, normative, and control beliefs of public health nurses about solution-focused parenting support for future design of implementation interventions and related research activities. Methods A theory of planned behavior questionnaire was systematically developed and tested using focus groups. Thematic analysis and nominal group technique were used to analyze the data and to reach consensus. Next, this questionnaire was conducted among 449 public health nurses in the Netherlands. Factor analysis and descriptive statistical analysis were performed. Results Factor analysis resulted in three distinguishing subscales: behavioral beliefs (α=.79), normative beliefs (α=.80), and control beliefs (α=.64). Beliefs of public health nurses about solution-focused parenting support were moderately positive to positive (means varying from 4.24 to 5.54, on a 1-7 scale), and differences were statistically significant for various background variables. Control beliefs were less positive than behavioral and normative beliefs. Public health nurses trained in solution-focused parenting support reported more positive control beliefs (M=4.34, SD=.83) as compared to untrained public health nurses (M=4.00, SD=.82). Conclusion This study is the first to provide insight into public health nurses’ beliefs about solution-focused parenting support. The overall moderately positive to positive beliefs of PHNs about solution-focused parenting support suggests that PHNs tend to accept solution-focused parenting support as a viable approach. Compared to behavioral and normative beliefs, PHNs score the lowest on control beliefs.
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This case study employs solution-focused therapy (SFT) to alleviate anxiety and bereavement symptoms in a patient with a BRCA2 gene mutation. The patient was referred to therapy following treatment for breast cancer after describing high cancer anxiety and low mood in relation to two family bereavements and her breast cancer treatment. She completed 10 sessions of SFT over 12 months. The patient reported improvements in her mood and reduction in anxiety symptoms by the fifth session. There was a set-back in therapy at the sixth session which was attributed to bereavement anniversaries and the onset of the COVID pandemic. Over four more sessions the patient resumed the improvements, and five months after the end of sessions she reported that the improvements had been sustained. She felt that the therapy had allowed her to reconnect with her existing strengths and resources and successfully move forward from her genetic cancer diagnosis.
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Bullying among schoolchildren has long-term consequences for children's health. Support groups could be an effective method against this. The aim of this study was to explore the experiences of the children, mothers, and school nurse regarding bullying and support groups. This study is a qualitative exploratory design case study, with interviews of the participants. Individual interviews were conducted with the bullied child, two mothers and the school nurse and focus group interviews were had with seven boys in the support group. The bullied boy coped better after receiving help from the support group, his family and the school nurse. We found that working together as a team is important to prevent bullying, and the school nurse reported being happy to have the support group as a tool.
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The present study examines the impact of change processes on outcomes in a solution-based thinking and goal-setting intervention for grandparents raising their grandchildren. We found that across the 6 program sessions there was stability and/or increases in the salience of hypothesized change processes, i.e., hopefulness about the future, solution-based thinking, positive thoughts about one's grandchild, multiple indicators of decisional personal goal-setting regarding one's own well-being and grandchild relationship quality. Indicators of change processes were for the most part, related to both post-program outcomes as well as to pre-post program outcome difference scores. Regression analyses suggested that change processes in many cases partially mediated pre-post primary program outcome scores. These data suggest that how grandmother caregivers think about themselves and their grandchildren and their approach to setting personal goals are key change processes explaining the impact of a solution-based, goal-setting intervention on them.
Chapter
A strength‐based perspective to reduce intimate partner violence (IPV) with men has historically been anathema to the field of practice. This chapter begins with a rationale for changing the traditional treatment approach to a strengths‐based paradigm by summarizing gaps in the existing evidence. This is followed by an overview of the strengths perspective and the application of the strengths perspective to IPV. Batter Intervention Programs are usually led by trained group facilitators who assist, direct, and challenge a group of men toward full accountability to stop abusive and controlling behavior. The chapter concludes with a summary of the application of solution‐focused practice and narrative therapy and their role with men in group treatment for violence against partners. Solution‐building and narrative therapy provide unique methods to help men be more engaged and proactive to end all violence against intimate partners.
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Solution Focus Behavioural Therapy (SFBT) is a future-situated, objective-guided way to deal with taking care of human issues. Delaying can make an individual distressing and baffling anyway for some, individual it can present more danger bringing about nervousness, brought down temperament, actual grumblings, and diminished prosperity. The reason for this study is to inspect the adequacy of Solution Focused Brief Treatment on Scholastic Pressure and Procrastination. A fast orderly survey was done utilizing Google researcher, Exploration entryway, Sage, pub, and different sources. After evaluating articles 21% observed that there is a connection between scholastic pressure and tarrying, 17% observed the impacts of stalling on understudies’ scholarly life, 21% observed that understudies experience pressure in their scholarly way of life, 17% of the article inspected tracked down the viability of SFBT, 13% of the articles audited tracked down the adequacy of SFBT on delaying and 8.6% tracked down the viability of SFBT.
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This study explained the importance of Solution-Focused Brief Therapy (SFBT) approach in dealing with individuals to find solutions both after and during the occurrence of psychological anxiety, the application of SBFT can be done practically, effectively, and efficiently. This study uses comparative analysis, which refers to various relevant literature between SFBT and psychological anxiety, especially in COVID-19 outbreak in the form of scientific journal articles, reference books, and other information from trusted sources. The results revealed that there is a significant correlation between theories, both basic assumptions and concepts related to the SFBT intervention process in an effort to help individuals find solutions to problems that are or will be experienced. This study can then be a scientific reference for the application of the SFBT approach as an effort to improve the ability to find solutions.
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Objective Parenting support has shifted from a problem-focused to a strengths-based solution-focused approach. This study surveyed public health nurses to explain their intention to provide solution-focused parenting support in their practice. Design The design of this study was cross-sectional. Sample The initial sample included 781 public health nurses who were employed with various youth healthcare organizations in the Netherlands. Measurements Based on the Theory of Planned Behavior, a questionnaire was developed and administered to measure (a) behavioral, normative, and control beliefs, (b) attitudes, subjective norm, and perceived behavioral control, and (c) intention. The data were subjected to structural equation modeling. Results A total of 449 (57.5%) public health nurses completed questionnaires. Associations as indicated by the Theory of Planned Behavior were confirmed with the exception of that between perceived behavioral control and intention. Statistically significant paths and correlations were added. The final model accounted for 53% of the variance in the intention to perform solution-focused parenting support. Conclusions In this study, public health nurses strongly intended to provide solution-focused parenting support, thus indicating their acceptance of the approach. Their intention was predominantly associated with subjective norm.
Book
Książka zawiera charakterystykę wybranych problemów społecznych oraz szczególnych podejść w pracy socjalnej (VHT/VIG, WK, SFA).
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The Guide to Interpersonal Psychotherapy is the definitive, practical guide to Interpersonal Psychotherapy (IPT) for clinicians and researchers. IPT is a well-researched, time-limited, and diagnosis-focused therapy. An update and expansion of the original 1984, 2000, and 2007 IPT manuals, this guide illustrates not only individual IPT treatment for patients with major depression but also adaptations of IPT for different diagnoses, patient populations, and treatment formats. This book is the basis for the extensive research that has validated IPT and led to its listing in treatment guidelines. Written by the originators of the treatment and one of its leading researchers, this updated and expanded guide describes how to approach clinical encounters with patients, how to focus IPT treatment, and how to handle therapeutic difficulties. IPT can be combined with medication, and it is a safe alternative to medication for individuals who may not be able to take antidepressants. IPT has been shown not only to relieve symptoms but to build social skills as well. Learn how to use IPT to effectively treat depression and other disorders including bipolar disorder, anxiety disorders, eating disorders, posttraumatic stress, and borderline personality disorder. With clinical examples and sample therapist scripts throughout, The Guide summarizes the theoretical and empirical background of IPT and focuses on teaching you the best way to deliver this effective, immensely practical treatment.
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This chapter presents an overview to the general structure of solutionfocused brief therapy (SFBT). The chapter inludes an overview, description, and rationale for SFBT, explanation of goals and goal setting in SFBT, a description of how SFBT is contrasted with other treatments, a look at specific active ingredients and therapist behaviors in SFBT, and a discussion on the nature of the client-therapist relationship in SFBT. The chapter also looks at format, session format and content; compatibility with adjunctive therapies; the target population; meeting the needs of special populations; therapist characteristics and requirements; and therapist training and supervision.
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Solution-Focused Brief Therapy (SFBT; de Shazer & Berg, 1997) is rapidly becoming an accepted form of counseling. However, critics of SFBT point to little empirical evidence of effectiveness and to its emphasis on pursuing goals at the expense of the therapeutic relationship. Because the therapeutic relationship is considered crucial for brief interpersonal therapy ( BIT), this study compared the relationship between working alliance and outcome for 26 SFBT clients and 38 BIT clients. Results indicated that although both therapies produced significant positive changes in psychological distress and client satisfaction, the working alliance was associated with positive changes only for BIT. Also, anticipated differences in working alliance bonds were not present between the SFBT and BIT approaches.
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Solution-focused therapy is a strengths-based approach, emphasizing the resources people invariably possess and how these can be applied to the change process. A review was undertaken on the treatment outcome research involving solution-focused therapy to determine empirically its effectiveness. The review involved experimental or quasi-experimental designs conducted from 1985 to 2006 and was limited to published studies written in the English language. Subject, intervention and methodological information on studies were collected, as well as statistical information necessary to calculate effect sizes. After searching the literature, ten studies were located and described. No particular characteristics emerged regarding studies with high versus low effect sizes. Implications for research are advanced based on the review, especially related to social work practice.
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Solution-focused brief counseling (SFBC) is an efficient and direct approach to therapy that emphasizes problem identification and solutions. A multiple-baseline-across-participants design was used to evaluate the effects of a SFBC intervention on mathematics assignment completion and accuracy across six fifth-grade students who were failing math. The majority of the participants showed an immediate improvement in assignments completed and these improvements were generally maintained. Although intervention accuracy rates were higher than baseline accuracy rates, they continued to remain fairly low across phases. Discussion focuses on the utility of SFBC as an academic intervention in school settings. Strengths and limitations of the current study are addressed along with implications for practice and future research.
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A school-based substance abuse prevention program based on the assumptions of the ASCA National Model[R] was designed to change adolescent females' drug-using behaviors. The program was designed to reduce substance abuse, increase negative attitudes toward drug use, and reduce negative behaviors while increasing positive behaviors, knowledge of the physical symptoms of drug use, student achievement, and self-esteem. Group sessions were based on solution-focused brief therapy and action learning theory and were supplemented by mentorship from community members and peers. Positive outcomes were found on five dependent variables. (Contains 1 table.)
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This preliminary study investigated the use of Solution-Focused Brief Therapy (SFBT) with older adults in Mexico. The three session SFBT treatment focused on a self-defined problem, such as relationship issues or psychological well-being. Compared with a waiting list control group, the treatment group showed significant posttest improvements as indicated by the Outcome Questionnaire, the participant and an independent assessor. There was a significant difference between groups on participants' perception of goal achievement and in pre-post change during therapy on the Outcome Questionnaire. This study provides preliminary tentative support for the use of SFBT with the geriatric population in Mexico.
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A clinical research project tested the efficacy of a Solution-Focused Approach for addressing problem behaviors of nursing home residents with dementia. A total of 84 family members and nurses aides participated in a controlled study of 21 residents who were aggressive and/or wandered. A repeated measures analysis of variance indicated: (1) family members perceived behaviors as less problematic than did nurses aides; and (2) family members and nurses aides perceived diminished problems in behaviors over time. Based on these findings, suggestions are offered for both practice and future research.
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A method of assessing outcome after psychotherapy in private practice or clinics is described. Use of this system is illustrated by reference to the progress and rate of recovery of 27 patients seen by a private practice clinician in comparison with base rates from a prior study. The results suggested more rapid recovery in the patients treated by an experienced clinician committed to a brief, solution focused psychotherapy. The methodology reported, based on weekly assessment of patient progress and the use of clinical significance markers, has implications for routine clinical practice as well as for managed health care practices and social policy decisions. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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Crohn's disease patients have a decreased Quality of Life (QoL) which is in part due to extreme fatigue. In a pilot study we prospectively assessed the feasibility and effect of psychological interventions in the management of fatigue. Patients with quiescent Crohn's disease and a high fatigue score according to the Checklist Individual Strength were randomized to Problem Solving Therapy (PST), Solution Focused Therapy (SFT) or to a control group (treatment as usual, TAU). Patients completed the Inflammatory Bowel Disease Questionnaire, the EuroQol-5D, and the Trimbos questionnaire for Costs. Twenty-nine patients were included (12 TAU, 9 PST, 8 SFT), of these 72% were female, mean age was 31 years (range 20-50). The SFT group improved on the fatigue scale in 85.7% of the patients, in the PST group 60% showed improved fatigue scores and in the TAU group 45.5%. Although not significant, in both intervention groups the QoL increased. Medical costs lowered in 57.1% of the patients in the SFT group, in the TAU 45.5% and the in PST group 20%. The drop out rate was highest in the PST group (44%; SFT 12.5%; TAU 8.3%). PST and SFT both positively affect the fatigue and QoL scores in patients with Crohn's disease. SFT seems most feasible with fewer dropouts and is therefore a promising new tool in the management of fatigue in Crohn's disease patients.
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A school-based substance abuse prevention program based on the assumptions of the ASCA National Model® was designed to change adolescent females’ drug-using behaviors. The program was designed to reduce substance abuse, increase negative attitudes toward drug use, and reduce negative behaviors while increasing positive behaviors, knowledge of the physical symptoms of drug use, student achievement, and self-esteem. Group sessions were based on solution-focused brief therapy and action learning theory and were supplemented by mentorship from community members and peers. Positive outcomes were found on five dependent variables.
Book
Therapy is frequently miscast as requiring an enormous amount of time and financial commitment, but helpful, goal-oriented therapy can produce positive results after only a few sessions. Solution-focused brief therapy (SFBT) has been gaining momentum as a powerful therapeutic approach since its inception in the 1980s. By focusing on solutions instead of problems, it asks clients to set concrete goals and to draw upon strengths in their lives that can help bring about the desired change for a preferred future. Chapters review the current state of research on SFBT interventions and illustrate its applications-both proven and promising-with a diverse variety of populations, including domestic violence offenders, troubled and runaway youth, students, adults with substance abuse problems, and clients with schizophrenia. This text also includes a treatment manual, strengths-based and fidelity measures, and detailed descriptions on how to best apply SFBT to underscore the strengths, skills, and resources that clients may unknowingly possess.
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Orthopedic rehabilitation programs utilizing a multidisciplinary approach invite a greater appreciation for the factors which influence the recovery process. This study evaluated variables associated with the psychosocial adjustment of work hardening program participants when exposed to Solution-Focused psychotherapy. Orthopedic patients receiving workers' compensation were engaged in a work hardening program in which they received either Solution-Focused therapy or the standard rehabilitation protocol. Patients and spouses completed questionnaires designed to evaluate psychosocial coping and adjustment to a medical condition. Patients across all investigated orthopedic categories demonstrated enhanced adjustment to their condition when treatment groups were compared with control groups. It is proposed that Solution-Focused therapy, in conjunction with work hardening protocols, is effective for patients when developing effective coping responses to the stressors associated with orthopedic rehabilitation.
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This chapter provides an overview of solution-focused therapy, an approach that emphasizes the strengths people bring and how these can be applied to the change process.The theoretical roots of solution-focused therapy, the underlying assumptions of the approach, and the research on solutionfocused therapy are discussed.The main focus of the chapter is on solutionfocused techniques, such as the purposive use of language, joining with the client to foster collaborative work, exploring non-problem situations for solutions, creating a future without the problem, and scaling interventions for goal-setting and measuring progress.
Book
Such diverse thinkers as Lao-Tze, Confucius, and U.S. Defense Secretary Donald Rumsfeld have all pointed out that we need to be able to tell the difference between real and assumed knowledge. The systematic review is a scientific tool that can help with this difficult task. It can help, for example, with appraising, summarising, and communicating the results and implications of otherwise unmanageable quantities of data. This book, written by two highly-respected social scientists, provides an overview of systematic literature review methods: Outlining the rationale and methods of systematic reviews; Giving worked examples from social science and other fields; Applying the practice to all social science disciplines; It requires no previous knowledge, but takes the reader through the process stage by stage; Drawing on examples from such diverse fields as psychology, criminology, education, transport, social welfare, public health, and housing and urban policy, among others. Including detailed sections on assessing the quality of both quantitative, and qualitative research; searching for evidence in the social sciences; meta-analytic and other methods of evidence synthesis; publication bias; heterogeneity; and approaches to dissemination.
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This study evaluated the effectiveness of solution-focused brief therapy with children who have classroom-related behavior problems within a school setting. Five to seven sessions of solution-focused brief therapy services were provided to 67 children, identified by school faculty and staff as needing assistance in solving behavior problems. Teacher in-service training and three to four consultation meetings were also provided. Externalizing and Internalizing scores from both the Youth Self-Report and Teacher Report Forms of the Child Behavior Checklist were used as outcome measures. Outcomes were evaluated by using a pretest/posttest follow-up design with a comparison group. Effect sizes and improved percentage scores were calculated. Findings provide support that solution-focused brief therapy was effective in improving internalizing and externalizing behavior problems.
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I was interested to read the paper on solution-focused brief therapy by Iveson (2002), and the commentary by Gopfert (2002). Solution-focused brief therapy is a valuable treatment approach within psychiatry, although the outcome research shows that other approaches are needed for some patients. G
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This randomized control trial study evaluated the effectiveness of the solution-focused approach in addressing academic, motivational, and socioemotional needs of 14 children with reading difficulties. The intervention group received five 40-min solution-focused sessions. The control group received academic homework support. Results showed advantages for the intervention condition in 26 out of 38 measures. The mean eta-squared effect size for intervention was .20 (very) large. For the control group, there were only 10 effects favoring it and the mean was .09, a medium sized effect, both significantly greater than 0 (p < .01). Comparisons of the solution-focused brief therapy (SFBT) effect sizes to the mean of the control showed it was significantly larger (p < .001), confirming that SFBT was an efficacious intervention in this sample.
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Objective: A meta-analysis was conducted to evaluate the effectiveness of solution-focused brief therapy (SFBT). Method: Hierarchical linear modeling software was used to synthesize the primary studies to calculate an overall effect size estimate and test for between-study variability. Results: Solution-focused brief therapy demonstrated small but positive treatment effects favoring SFBT group on the outcome measures (d = 0.13 to 0.26). Only the magnitude of the effect for internalizing behavior problems was statistically significant at the p < .05 level, thereby indicating that the treatment effect for SFBT group is different than the control group. Conclusions: This study allows social workers interested in solution-focused brief therapy to examine the empirical evidence quickly and with more definitive information.
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Despite the preliminary studies that support solution-focused brief therapy, limited research has examined the model as a group intervention with students at risk for academic underachievement and school nonattendance. Therefore, the purpose of this study was to evaluate the impact of the model on school attendance and grade point average. Solution-focused brief therapy was evaluated through a quasi-experimental pretest-posttest comparison group design in which 26 students receiving the intervention were compared to 26 students who did not. Compared to students who did not receive the intervention, students in the treatment group increased their grade point average from pretreatment to posttreatment. Conversely, no differences were found between the two groups on attendance. Solution-focused brief therapy shows promise as a group intervention with at-risk students. Moreover, the findings suggest the continued support of the model during a time in which K-12 education emphasizes accountability, hard data, and the bottom line.
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The purpose of this investigation was to explore appropriate intervention methods for helping Korean youth probationers reduce their aggressiveness and increase their social adjustment. This study examined the effectiveness of solution-focused group treatment with Korean youth probationers using a pre- and post-test control group design. The researcher randomly assigned the consented 40 participants either to an experimental group that received the solution-focused session or to a control group that took individual supportive sessions on a needed basis. The pre- and post-test scores of each group were compared using the Aggressiveness and Social Readjustment Questionnaire to confirm the levels of statistical significance between the two groups. Results indicate that solution-focused group treatment was followed by positive changes with the participants' aggressiveness and social adjustment problems. This study also suggests that a solution-focused program is an appropriate short-term intervention for Korean probation youth.
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The purpose of this study was to determine whether solution-focused group therapy has an effect on the psychological health and return-to-work rates of people on long-term sick leave. The Swedish Health Insurance program in Värmland chose the sample. A total of 30 individuals who had been on sick leave between 1 and 5 months participated. Participants were randomized to two conditions after the pretest measures were completed. The two conditions were solution-focused group therapy or a waiting list control group. The solution-focused groups met for eight 3-hour sessions. The outcome measures included both return-to-work status and psychological measures, specifically the Outcome Questionnaire-45.2 (OQ-45.2), Symptom Checklist-90 (SCL-90), Pain Beliefs and Perception Inventory (Williams & Thorn, 1989), and Visual Analogue Scales (VAS).The study found that the treatment group returned to work at a significantly higher rate than the control group, worked more days, and that their psychological health had improved at the end of treatment. The difference between the groups regarding psychological health continued, and the difference in work status increased at a follow-up assessment 3 months after completion of treatment. These findings suggest that solution-focused group therapy may be useful in helping patients on sick leave to return to work. Continued research is necessary, of course, including replication of the study by research teams.
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Behavior problems are the most common reason that children and adolescents are referred to treatment. This study presents a rationale for the application of solution-focused therapy to behavior problems and tests this assumption. Children who were referred from the school setting for behavior problems (N = 239) were treated with either solution-focused therapy or “treatment-as-usual” at a school of social work-sponsored mental health clinic. Hypotheses for this quasi-experimental, pretest/posttest design were that treatment engagement would be higher in the solution-focused therapy group and that the solution-focused therapy group children over the “treatment-as-usual” group would show greater improvement according to both parent and child reports. Logistic regression and MANOVA were the data analysis procedures to test hypotheses. Findings were as follows; the solution-focused therapy group had better treatment engagement, but there were no statistically significant differences between groups on perceptions of child behaviors from either parents (Conners Parent Rating Scale) or child reports (Feelings, Attitudes, and Behaviors Scale for Children). An examination of pre-and posttest differences over time for each group indicated similar improvements in treatment according to parent reports. Implications for practice and research are discussed.
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Counseling designed to be time-limited is a valuable tool for counselors in school settings. Three approaches to brief counseling were investigated in this naturalistic study: problem-focused with task, problem-focused without task, and solution-focused with task. Quantitative and qualitative measures were used to explore aspects of single-session brief counseling. 61 high school students made significant changes from the 2nd- to the 6th-wk follow-up in alleviating their concerns and increasing the percentage of goal achieved. Students dramatically decreased the intensity of undesired feelings from before the counseling session through the 2nd follow-up. Solution-focused counseling was as effective as the other 2 approaches, while taking less time. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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Investigated the effectiveness of Solution Focused Parenting group participation as an intervention strategy for parental management of common adolescent problem behavior. Parents of adolescents were randomly assigned to an experimental ( N = 30) or control ( N = 12) group (mean age 41.2 and 39.8 yrs, respectively). A pre- and post-test design using the Parenting Skills Inventory (L. Nash, 1988) and the Family Strengths Strengths Self-Report (N. Stinnet, 1981; D. Olson et al, 1983) were used to assess change. The experimental group received a 6-wk Solution Focused Parenting Intervention. Statistical results indicate significant differences between the 2 groups, the Parenting Skills Inventory provided the majority of the statistical significance. Specific Parenting Skills Inventory scales are discussed in terms of their contribution to parenting and therapy interventions. This outcome lends support to the basic theoretical assumptions of the effectiveness of Solution Focused therapy. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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The purpose of this study was to examine the effect of selected solution-focused therapy techniques on levels of hope in clients with depressive symptoms. A pretest-posttest control group design was utilized for the study. Fifty-two participants were equally divided into experimental and control groups and tested at two locations in central Mississippi. The experimental group was exposed to three solution-focused therapy techniques, while the control group was exposed to a more traditional past-focused treatment plan. The Nowotny Hope Scale (NHS) was used to measure levels of hope and the Beck Depression Inventory (BDI) was used as a criterion for inclusion. After the posttest data was collected, an analysis of covariance was conducted to determine whether or not levels of hope increased significantly. The results indicated that, consistent with the hypothesis, the experimental group had significantly higher levels of hope than did the control group (p < .05). Unexpectedly, however, BDI scores did not improve significantly. The research study concludes with possible reasons for the increase in hope scores and the unexpected findings, as well as possible implications for therapy and suggestions regarding future research. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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The purpose of the study was to pilot a family centred brief solution-focused therapy model (BSFT) with families and clients diagnosed with schizophrenia. A control group of clients and their families received traditional outpatient therapy, while an experimental group of clients and their families were treated with a BSFT model. All participants were pre-tested and then post-tested with the Family Environment Scale after five therapy sessions over a ten-week period. Significant differences between the groups were found on expressiveness, active-recreational orientation, moral-religious emphasis and family incongruence. The participation of families and clients with schizophrenia in family centred brief solution-focused therapy produced encouraging results and demonstrated the need for expanded studies using BSFT with other chronically mentally ill clients and their families.
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Solution-focused brief therapy (SFBT) is a new and increasingly used therapeutic approach that focuses on helping clients construct solutions rather than solve problems. The approach evolved in a clinical context amid many anecdotal reports of success from both therapists and clients, but it has not been subjected to controlled empirical testing until very recently. In this article we critically review all of the controlled outcome studies of SFBT to date (N = 15) to assess the extent to which SFBT has received empirical support. Five studies were well-controlled and all showed positive outcomes—four found SFBT to be better than no treatment or standard institutional services, and one found SFBT to be comparable to a known intervention: Interpersonal Psychotherapy for Depression (IPT). Findings from the remaining 10 studies, which we consider moderately or poorly controlled, were consistent with a hypothesis of SFBT effectiveness. We conclude that the 15 studies provide preliminary support for the efficacy of SFBT but do not permit a definitive conclusion. Our critique highlights areas where methodology in future studies can be strengthened to provide more conclusive evidence of SFBT efficacy.
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Objective To evaluate the outcome of Solution-Focused Brief Therapy as an individual intervention among foster care adolescents using "traditional" methods of between-group comparison as well as analysis at individual level by assessing reliable and clinically significant change.Material and methods The research was conducted at seven foster care homes in Lithuania. Treatment (age average 14.6) and control groups consisted of 46 adolescents each. Control group was similar to the treatment group considering gender, age and pre-treatment evaluation of behavior and perceived somatic and cognitive difficulties. Participants could attend a maximum of 5 sessions. Post-treatment evaluation was conducted 6Â weeks after the pre-treatment evaluation. Behavior and perceived somatic and cognitive difficulties were assessed using Standardized Interview for the Evaluation of Adolescents' Problems. The outcome of Solution-Focused Brief Therapy was assessed using the following statistical methods: between group comparisons; effect size (Cohen d with Hedges adjustment), reliable and clinically significant change methods proposed by Jacobson and Truax (1991).Results Between-group comparisons revealed that Solution-Focused Brief Therapy is an effective method for reaching positive changes in the area of behavior difficulties among foster care adolescents. 31% of treatment group adolescents reached reliable and clinically significant change in the area of behavior and 29% in the area of perceived somatic and cognitive difficulties. Also, the issue of the necessity of the quantitative criteria allowing decision making about the effectiveness of the treatment at the individual level, when using reliable and clinically significant change method, was raised in the article.
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Children of incarcerated parents are five to six times more likely to go to prison than their peers (Johnston, 1995). Yet, there is a lacuna in the literature that examines the effectiveness of interventions for children with an incarcerated family member. The purpose of the present study is to describe a solution-focused, mutual aid group intervention and to examine the effects of the group on the self-esteem of elementary-age Hispanic children of incarcerated parents when compared to a no-treatment comparison group. Implications for social work practice and research with this vulnerable population are addressed.
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This is a report on a combined therapy and research project conducted with a seriously criminal population in Swedish prisons and using a Solution-Focused Brief Therapy approach with a focus on networks. Recidivism was significantly lower and less serious among experimental group participants. A case study is included.
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Orthopedic rehabilitation programs utilizing a multidisciplinary approach invite a greater appreciation for the factors which influence the recovery process. This study evaluated variables associated with the psychosocial adjustment of work hardening program participants when exposed to Solution-Focused psychotherapy. Orthopedic patients receiving workers’ compensation were engaged in a work hardening program in which they received either Solution-Focused therapy or the standard rehabilitation protocol. Patients and spouses completed questionnaires designed to evaluate psychosocial coping and adjustment to a medical condition. Patients across all investigated orthopedic categories demonstrated enhanced adjustment to their condition when treatment groups were compared with control groups. It is proposed that Solution-Focused therapy, in conjunction with work hardening protocols, is effective for patients when developing effective coping responses to the stressors associated with orthopedic rehabilitation.
Article
Psychotherapy is apparently an insufficient treatment for some patients with mood or anxiety disorder. In this study the effectiveness of short-term and long-term psychotherapies was compared with that of psychoanalysis. A total of 326 psychiatric outpatients with mood or anxiety disorder were randomly assigned to solution-focused therapy, short-term psychodynamic and long-term psychodynamic psychotherapies. Additionally, 41 patients suitable for psychoanalysis were included in the study. The patients were followed from the start of the treatment and assessed 9 times during a 5-year follow-up. The primary outcome measures on symptoms were the Beck Depression Inventory, the Hamilton Depression and Anxiety Rating Scales, and the Symptom Check List, anxiety scale. Primary work ability and functional capacity measures were the Work Ability Index, the Work-subscale of the Social Adjustment Scale, and the Perceived Psychological Functioning Scale. A reduction in psychiatric symptoms and improvement in work ability and functional capacity was noted in all treatment groups during the 5-year follow-up. The short-term therapies were more effective than psychoanalysis during the first year, whereas the long-term therapy was more effective after 3years of follow-up. Psychoanalysis was most effective at the 5-year follow-up, which also marked the end of the psychoanalysis. Psychotherapy gives faster benefits than psychoanalysis, but in the long run psychoanalysis seems to be more effective. Results from trials, among patients suitable for psychoanalysis and with longer follow-up, are needed before firm conclusions about the relative effectiveness of psychoanalysis and psychotherapy in the treatment of mood and anxiety disorders can be drawn.
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Throughout the past 70 years, a great deal of research conducted on defining and testing problem-solving skills has led toward solution-focused practices and philosophies. As a result, some literature exists illustrating the efficacy of solution-focused practices. However, no published research exists on the factors that contribute to solution building. This study tested for components of solution building while creating a solution building inventory. Results from a factor analysis failed to find specific factors within solution building; thus solution building appears to be a unidimensional concept. Implications for using the solution building inventory are discussed.
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The application of solution-focused brief therapy (SFBT) with students and in school settings has grown over the past 10years and has been applied to a number of behavioral and academic problems. This review of the research literature examined the most rigorous outcome studies on SFBT conducted in schools, given its promise within this specific setting and population. In addition, effect size estimates were calculated to further examine the effectiveness, thereby providing more quantitative information for each study. This review found mixed results but SFBT did show promise as a useful approach in working with at-risk students in a school setting, specifically helping students reduce the intensity of their negative feelings, manage their conduct problems, and externalizing behavioral problems.
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Socially withdrawn children can improve their social skills through increased self-efficacy. Previous studies have shown that socially withdrawn children are prone to low self-efficacy and problems at school. Therefore, we investigated the effects of an intervention on the self-efficacy of these school children. A solution-focused approach may be an appropriate tool in such interventions. To explore the effects of a group intervention based on a solution-focused approach on the self-efficacy of a group of socially withdrawn children and to explore possible sex-based differences. This interventional study was a non-randomized controlled trial, with experimental and control groups. The study was performed within the school health services of 14 primary schools in eastern Norway from 2006 to 2008. School children who were aged 12-13 years and identified as socially withdrawn participated: 156 at baseline, but 6 dropped out before the first measurement and an additional 6 did not complete the second measurement. The participants completed questionnaires assessing general self-efficacy, social self-efficacy, and assertive self-efficacy at three different times. The first time was at baseline, the second was immediately after the 6-week intervention period, and the third was 3 months after the intervention. The general self-efficacy scores increased significantly among girls in the experimental group immediately after the intervention compared with those of the control group. The effect size was 0.60. No significant change was observed among the boys at the same time. From baseline to 3 months after the intervention, the general self-efficacy scores increased for both sexes in the experimental group and also in the control group. The assertive self-efficacy of the boys in the experimental group also increased (effect size, 0.29). This study demonstrates that socially withdrawn children can benefit from a solution-focused approach group intervention and reach their goals, probably because they learn from each other and share their feelings, experiences, and support. These results indicate that a solution-focused approach may be suitable for school nurses in their work with children with special needs. Solution-focused groups are also recommended for use in school health services.
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Thesis (Ph. D.)--University of Notre Dame, 2004. Thesis directed by Thomas V. Merluzzi for the Department of Psychology. "July 2004." Includes bibliographical references (leaves 150-157).
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Thesis (Ph. D.)--York University, 1997. Includes bibliographical references.
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This article describes the form of brief therapy developed at the Brief Family Therapy Center. We have chosen a title similar to Weakland, Fisch, Watzlawick, and Bodin's classic paper, "Brief Therapy: Focused Problem Resolution" (20) to emphasize our view that there is a conceptual relationship and a developmental connection between the points of view expressed in the two papers.
Article
Research review has long been one of the most important scholarly activities in all branches of science. While there is sometimes a single study so well-designed, well carried out, and difficult to replicate that its findings are accepted as conclusive, more often there are many studies on a given topic, no one of which clearly supersedes the others. These studies may be done by different investigators using different methods or different populations. They may arrive at different conclusions. When this is the case, there is a need for reviewers to carefully consider the evidence and to put forth conclusions or hypotheses about where the weight of the evidence lies.
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Youth with severe emotional and behavioral disorders (EBD) were randomly assigned for 3 months of intensive treatment to a 5-day residential program (5DR Program) or a community-based alternative, family preservation program (FP Program). Programs differed not only in method of service delivery (residential unit vs. home-based), but also in treatment philosophy (solution focused brief therapy vs. cognitive behavioral). Results confirmed high rates of comorbidity in this population for externalizing and internalizing disorders. A significant Treatment x Program interaction was evident for internalizing disorders. At 1-year follow-up, significantly higher percentages of youth from the FP Program revealed a reduction of clinical symptoms for ADHD, as well as, general anxiety and depression, whereas significant proportion of youth from the 5DR Program demonstrated clinical deterioration and increased symptoms of anxiety and depression. Results have implications for future treatment of youth with EBD and suggest that greater emphasis be placed on research linking treatment to specific symptom clusters, especially highly comorbid clusters in this hard to serve population.
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We piloted a motivational and solution-focused therapy group intervention to improve glycaemic control in young people 11-17 years with poorly controlled Type 1 diabetes (mean annual HbA1c >8.5%). Seventy-seven subjects agreed to be assessed for a pilot non-randomized controlled trial. Subjects completed psychological questionnaires and were given feedback designed to encourage entry into the intervention. Twenty-one young people opted to enter the intervention groups (cases). Two intervention groups consisting of five to six subjects were conducted in each age band 10-13 years and 14-17 years. Twenty of those who did not opt to join the groups were randomly selected to act as controls. Cases and controls were well matched for age, HbA1c, duration of diabetes and socio-economic status. The intervention produced a significant improvement of 1.5% in HbA1c in cases (P<0.05) at 4-6 months post intervention compared with no change in controls. This improvement was partly maintained at 7-12 months post intervention. These pilot data suggest that a motivational/solution-focused group intervention is promising in improving HbA1c in adolescents and should be investigated further in a randomized controlled trial.
Article
This study was conducted to examine the effects of solution-focused group counseling on the general stress, stress response and coping in the delinquent juveniles. The subjects consisted of a convenience samlple of 60 delinquent juveniles who had been placed under probation in Kwang-ju, and recruited from Oct., 2000 to Dec., 2000. Solution-focused group counseling was conducted for the experimental group once a week for 120 to 180 minutes for 6 week. The control group received no group session. For both groups the level of general stress, stress response and coping were measured before and after the experiment. General stress significantly decreased in the experimental group and increased in the control group, but showed no significant difference between the two groups. Stress response decreased significantly in the experimental group and increased in the control group, but showed no significant difference between the two groups. The problem-focused coping significantly increased in the experimental group and decreased in the control group, and showed a significant difference between the two groups. The emotion-focused coping significantly decreased in the experimental group and increased in the control group, and showed no significant difference between the two groups. This study showed that solution-focused group-counselling has a positive effect on variables like the general stress, stress response, emotion-focused coping and problem-focused coping. Further study needs to be conducted to verify results
Article
This study was designed to examine the effects of a solution-focused group counseling program on the family burden, active coping, expressed emotion, and family support in schizophrenic patients and their families. The subjects consisted of 48 schizophrenic patients and 56 families. Twenty-four schizophrenic patients and 28 families were assigned to both the experimental and control groups. The solution-focused group counseling program was conducted for the families of the experimental group, but not for the control group or the patients of the experimental group. There was a significant greater decrease in scores of family burden and expressed emotion in the experimental groups than the control groups. There was a larger increase in active coping scores in the experimental groups than the control groups, but it was not significant. There was no significant difference between the two groups in family support scores. This program may be an effective nursing intervention program for families with schizophrenic members.