英文原文
7 Solution-Focused Therapy Techniques and Worksheets (+PDF) Solution-focused therapy is a type of treatment that highlights a client’s ability to solve problems, rather than why or how the problem was created. It was developed over some time after observations of therapists in a mental health facility in Wisconsin by Steve de Shazer and Insoo Kim Berg and their colleagues. Like positive psychology, Solution Focused Therapy (SFT) practitioners focus on goal-oriented questioning to assist a client in moving into a future-oriented direction. Solution-focused therapy has been successfully applied to a wide variety of client concerns due to its broad application. It has been utilized in a wide variety of client groups as well. The approach presupposes that clients have some knowledge of what will improve their lives. The following areas have utilized SFT with varying success: depression, relationship difficulties, drug and alcohol abuse, eating disorders, anger management, communication difficulties, crisis intervention, incarceration recidivism reduction. Goal clarification is an important technique in SFT. A therapist will need to guide a client to envision a future without the problem with which they presented. With coaching and positive questioning, this vision becomes much more clarified. With any presenting client concern, the main technique in SFT is illuminating the exception. The therapist will guide the client to an area of their life where there is an exception to the problem. The exception is where things worked well, despite the problem. Within the exception, an approach for a solution may be forged. The ‘miracle question’ is another technique frequently used in SFT. It is a powerful tool that helps clients to move into a solution orientation. This question allows clients to begin small steps toward finding solutions to presenting problems (Santa Rita Jr., 1998). It is asked in a specific way and is outlined later in this article. Experiment invitation is another way that therapists guide clients into solution orientation. By inviting clients to build on what is already working, clients automatically focus on the positive. In positive psychology, we know that this allows the client’s mind to broaden and build from that orientation. Utilizing what has been working experimentally allows the client to find what does and doesn’t work in solving the issue at hand. During the second half of a consultation with a client, many SFT therapists take a break to reflect on what they’ve learned during the beginning of the session. Consultation breaks and invitations for more information from clients allow for both the therapist and client to brainstorm on what might have been missed during the initial conversations. After this break, clients are complemented and given a therapeutic message about the presenting issue. The message is typically stated in the positive so that clients leave with a positive orientation toward their goals. Handy SFT Worksheets (PDF) Here are four handy worksheets for use with solution-focused therapy: Miracle worksheet, Exceptions to the Problem Worksheet, Scaling Questions Worksheet, SMART+ Goals Worksheet. Solution-Focused Therapy Interventions Compliments are frequently used in SFT, to help the client begin to focus on what is working, rather than what is not. Acknowledging that a client has an impact on the movement toward a goal allows hope to become present. Once hope and perspective shift occurs, a client can decide what daily actions they would like to take in attaining a goal. Higher levels of hope and optimism can predict the following desirable outcomes (Peterson & Seligman, 2004): achievement in all sorts of areas, freedom from anxiety and depression, improved social relationships, improved physical well being. Mind mapping is an effective intervention also used to increase hope and optimism. This intervention is often used in life coaching practices. A research study done on solution-focused life coaching (Green, Oades, & Grant, 2006) showed that this type of intervention increases goal striving and hope, in addition to overall well-being. Though life coaching is not the same as therapy, this study shows the effectiveness of improving positive behavior through solution-focused questioning. Mind mapping is a visual thinking tool that helps structure information. It helps clients to better analyze, comprehend, and generate new ideas in areas they might not have been automatically self-generated. Having it on paper gives them a reference point for future goal setting as well. Empathy is vital in the administration of SFBT. A client needs to feel heard and held by the practitioner for any forward movement to occur. Intentionally leaning in to ensure that a client knows that the practitioner is engaged in listening is recommended. Speaking to strengths and aligning those strengths with goal setting are important interventions in SFT. Recognizing and acknowledging what is already working for the client validates strengths. Self-recognition of these strengths increases self-esteem and in turn, improves forward movement. 5 SFT Questions to Ask Clients The questions asked in Solution-Focused Therapy are positively directed and in a goal-oriented stance. The intention is to allow a perspective shift by guiding clients in the direction of hope and optimism to lead them to a path of positive change. Results and progress come from focusing on the changes that need to be made for goal attainment and increased well being. 1. Miracle Question Here is a clear example of how to administer the miracle question. It should be delivered deliberately. When done so, it allows the client to imagine the miracle occurring. “Now, I want to ask you a strange question. Suppose that while you are sleeping tonight and the entire house is quiet, a miracle happens. The miracle is that the problem which brought you here is solved. However, because you are sleeping, you don’t know that the miracle has happened. So, when you wake up tomorrow morning, what will be different that will tell you that a miracle has happened and the problem which brought you here is solved?” (de Shazer, 1988) 2. Presupposing change questions A practitioner of solution-focused therapy asks questions in an approach derived way. Here are a few examples of presupposing change questions: “What stopped complete disaster from occurring?” “How did you avoid falling apart.” “What kept you from unraveling?” 3. Exception Questions Examples of exception questions include: 1. Tell me about times when you don’t get angry. 2. Tell me about times you felt the happiest. 3. When was the last time that you feel you had a better day? 4. Was there ever a time when you felt happy in your relationship? 5. What was it about that day that made it a better day? 6. Can you think of a time when the problem was not present in your life? 4. Scaling Questions These are questions that allow a client to rate their experience. They also allow for a client to evaluate their motivation to change their experience. Scaling questions allow for a practitioner to add a follow-up question that is in the positive as well. An example of a scaling question: “On a scale of 1-10, with 10 representing the best it can be and one the worst, where would you say you are today?” A follow-up question: “ Why a four and not a five?” Questions like these allow the client to explore the positive, as well as their commitment to the changes that need to occur. 5. Coping Questions These types of questions open clients up to their resiliency. Clients are experts in their life experience. Helping them see what works, allows them to grow from a place of strength. “How have you managed so far?” “What have you done to stay afloat?” “What is working?” Solution-Focused Brief Therapy (SFBT Techniques) The main idea behind SFBT is that the techniques are positively and solution-focused to allow a brief amount of time for the client to be in therapy. Overall, improving the quality of life for each client, with them at the center and in the driver’s seat of their growth. SFBT typically has an average of 5-8 sessions. During the sessions, goals are set. Specific experimental actions are explored and deployed into the client’s daily life. By keeping track of what works and where adjustments need to be made, a client is better able to track his or her progress. A method has developed from the Miracle Question entitled, The Miracle Method. The steps follow below (Miller & Berg, 1996). It was designed for combatting problematic drinking but is useful in all areas of change. State your desire for something in your life to be different. Envision a miracle happening, and your life IS different. Make sure the miracle is important to you. Keep the miracle small. Define the change with language that is positive, specific, and behavioral. State how you will start your journey, rather than how you will end it. Be clear about who, where, and when, but not the why. 4 Activities & Exercises A short selection of exercises which can be used 1. Solution-focused art therapy/ letter writing A powerful in-session task is to request a client to draw or write about one of the following, as part of art therapy: a picture of their miracle, something the client does well, a day when everything went well. What was different about that day?, a special person in their life. 2. Strengths Finders Have a client focus on a time when they felt their strongest. Ask them to highlight what strengths were present when things were going well. This can be an illuminating activity that helps clients focus on the strengths they already have inside of them. A variation of this task is to have a client ask people who are important in their lives to tell them how they view the client’s strengths. Collecting strengths from another’s perspective can be very illuminating and helpful in bringing a client into a strength perspective. 3. Solution Mind Mapping A creative way to guide a client into a brainstorm of solutions is by mind mapping. Have the miracle at the center of the mind map. From the center, have a client create branches of solutions to make that miracle happen. By exploring solution options, a client will self-generate and be more connected to the outcome. 4. Experiment Journals Encourage clients to do experiments in real-life settings concerning the presenting problem. Have the client keep track of what works from an approach perspective. Reassure the client that a variety of experiments is a helpful approach. A Take-Home Message Solution-Focused Therapy is an approach that empowers clients to own their abilities in solving life’s problems. Rather than traditional psychotherapy that focuses on how a problem was derived, SFT allows for a goal-oriented focus to problem-solving. This approach allows for future-oriented, rather than past-oriented discussions to move a client forward toward the resolutions of their present problem. This approach is used in many different areas, including education, family therapy, and even in office settings. Creating cooperative and collaborative opportunities to problem solve allows mind-broadening capabilities. Illuminating a path of choice is a compelling way to enable people to explore how exactly they want to show up in this world.
中文翻译
7种焦点解决疗法技巧与工作表（+PDF） 焦点解决疗法是一种强调来访者解决问题能力的治疗方法，而不是关注问题为何或如何产生。它是由史蒂夫·德·沙泽尔、茵素·金·伯格及其同事在威斯康星州一家心理健康机构观察治疗师一段时间后发展起来的。 与积极心理学类似，焦点解决疗法（SFT）从业者专注于以目标为导向的提问，帮助来访者朝着面向未来的方向前进。 焦点解决疗法因其广泛的应用性，已成功应用于多种来访者关切的问题。它也被用于各种来访者群体。该方法假设来访者对自己生活中哪些方面会改善有一定了解。 以下领域已不同程度地成功应用了SFT：抑郁症、关系困难、药物和酒精滥用、饮食障碍、愤怒管理、沟通困难、危机干预、减少再犯率。 目标澄清是SFT中的一项重要技巧。治疗师需要引导来访者设想一个没有他们当前问题的未来。通过辅导和积极提问，这一愿景变得更加清晰。 对于任何来访者关切的问题，SFT的主要技巧是照亮例外。治疗师将引导来访者关注他们生活中问题例外的领域。例外是指尽管存在问题，但事情进展顺利的地方。在例外中，可以找到解决方案的途径。 “奇迹问题”是SFT中常用的另一种技巧。它是一个强大的工具，帮助来访者转向解决方案导向。这个问题让来访者开始采取小步骤寻找当前问题的解决方案（Santa Rita Jr., 1998）。它以特定方式提出，并在本文后面概述。 实验邀请是治疗师引导来访者进入解决方案导向的另一种方式。通过邀请来访者建立在已经有效的基础上，来访者会自动关注积极方面。在积极心理学中，我们知道这可以让来访者的思维从这种导向中拓宽和构建。 利用实验上有效的方法，让来访者找到解决当前问题中哪些有效、哪些无效。在与来访者咨询的后半段，许多SFT治疗师会休息一下，反思他们在会话开始时学到的东西。 咨询休息和邀请来访者提供更多信息，让治疗师和来访者都能头脑风暴，思考在初始对话中可能遗漏的内容。休息后，来访者会得到赞美，并收到关于当前问题的治疗性信息。信息通常以积极的方式陈述，以便来访者带着积极的目标导向离开。 实用的SFT工作表（PDF） 以下是四种用于焦点解决疗法的实用工作表：奇迹工作表、问题例外工作表、量表问题工作表、SMART+目标工作表。 焦点解决疗法干预措施 赞美在SFT中经常使用，以帮助来访者开始关注什么在起作用，而不是什么不起作用。承认来访者对朝着目标前进有影响，让希望得以出现。一旦希望和视角转变发生，来访者可以决定他们希望采取哪些日常行动来实现目标。 更高水平的希望和乐观可以预测以下理想结果（Peterson & Seligman, 2004）：在各个领域的成就、摆脱焦虑和抑郁、改善社会关系、改善身体健康。 思维导图是一种有效的干预措施，也用于增加希望和乐观。这种干预常用于生活教练实践。一项关于焦点解决生活教练的研究（Green, Oades, & Grant, 2006）表明，这种类型的干预增加了目标追求和希望，以及整体幸福感。 尽管生活教练与治疗不同，但这项研究显示了通过焦点解决提问改善积极行为的有效性。 思维导图是一种视觉思维工具，有助于构建信息。它帮助来访者更好地分析、理解和产生他们可能不会自动自我生成的新想法。将其写在纸上也为他们未来的目标设定提供了参考点。 共情在SFBT的实施中至关重要。来访者需要感到被从业者倾听和支持，才能有任何前进的动力。建议有意倾身以确保来访者知道从业者在积极参与倾听。 谈论优势并将这些优势与目标设定对齐是SFT中的重要干预措施。识别和承认对来访者已经有效的东西，验证了优势。对这些优势的自我认识提高了自尊，进而改善了前进的动力。 5个SFT提问来访者的问题 焦点解决疗法中提出的问题是积极导向的，并以目标为导向。其意图是通过引导来访者朝着希望和乐观的方向，让他们走上积极变化的道路。结果和进展来自于关注为实现目标和增加幸福感所需做出的改变。 1. 奇迹问题 以下是管理奇迹问题的一个清晰示例。应慎重提出。这样做时，它让来访者想象奇迹发生。 “现在，我想问你一个奇怪的问题。假设今晚你睡觉时，整个房子都很安静，一个奇迹发生了。这个奇迹是把你带到这里的问题解决了。然而，因为你在睡觉，你不知道奇迹已经发生。所以，当你明天早上醒来时，会有什么不同告诉你奇迹已经发生，把你带到这里的问题已经解决了？”（de Shazer, 1988） 2. 预设变化问题 焦点解决疗法的从业者以衍生方式提问。 以下是预设变化问题的一些示例：“什么阻止了完全灾难的发生？”“你是如何避免崩溃的？”“是什么让你没有瓦解？” 3. 例外问题 例外问题的示例包括：1. 告诉我你不生气的时候。2. 告诉我你感到最快乐的时候。3. 你上次感觉过得更好是什么时候？4. 有没有一次你在关系中感到快乐？5. 那天是什么让它变得更好？6. 你能想到问题不在你生活中的时候吗？ 4. 量表问题 这些问题让来访者评估他们的体验。它们也让来访者评估他们改变体验的动机。量表问题允许从业者添加一个同样是积极的后续问题。 量表问题的示例：“在1-10的尺度上，10代表最好，1代表最差，你今天会说自己在哪里？” 后续问题：“为什么是四而不是五？” 这样的问题让来访者探索积极方面，以及他们对需要发生的变化的承诺。 5. 应对问题 这类问题让来访者敞开心扉面对他们的韧性。来访者是自身生活经验的专家。帮助他们看到什么有效，让他们从力量的地方成长。 “到目前为止你是如何管理的？”“你做了什么来保持漂浮？”“什么在起作用？” 焦点解决短期疗法（SFBT技巧） SFBT背后的主要思想是，技巧是积极的和以解决方案为中心的，让来访者在治疗中花费短暂的时间。总体而言，提高每个来访者的生活质量，以他们为中心，掌握自己成长的主动权。SFBT通常平均有5-8次会话。 在会话期间，设定目标。探索具体的实验性行动，并将其部署到来访者的日常生活中。通过跟踪什么有效以及需要调整的地方，来访者能够更好地跟踪他或她的进展。 从奇迹问题发展出一种方法，称为奇迹方法。步骤如下（Miller & Berg, 1996）。它设计用于对抗问题饮酒，但在所有变化领域都有用。 陈述你希望生活中某些方面不同的愿望。设想一个奇迹发生，你的生活确实不同。确保奇迹对你很重要。保持奇迹小。用积极、具体和行为的语言定义变化。陈述你将如何开始旅程，而不是如何结束它。明确谁、在哪里和何时，但不要问为什么。 4种活动与练习 可使用的简短练习选择 1. 焦点解决艺术疗法/书信写作 一个强大的会话内任务是要求来访者绘制或写下以下内容之一，作为艺术疗法的一部分：他们的奇迹图片、来访者做得好的事情、一切顺利的一天。那天有什么不同？、他们生活中的一个特殊人物。 2. 优势发现者 让来访者关注他们感到最强大的时候。要求他们强调事情进展顺利时存在的优势。这是一个启发性的活动，帮助来访者关注他们内心已有的优势。 这个任务的一个变体是让来访者询问他们生活中重要的人，告诉他们如何看待来访者的优势。从他人的角度收集优势可以非常有启发性，并有助于将来访者带入优势视角。 3. 解决方案思维导图 引导来访者进行解决方案头脑风暴的一种创造性方式是思维导图。将奇迹放在思维导图的中心。从中心开始，让来访者创建解决方案的分支来实现那个奇迹。通过探索解决方案选项，来访者将自我生成并与结果更紧密联系。 4. 实验日记 鼓励来访者在现实生活环境中进行关于当前问题的实验。让来访者从方法角度跟踪什么有效。向来访者保证，多种实验是一种有益的方法。 带回家的信息 焦点解决疗法是一种让来访者拥有解决生活问题能力的方法。与关注问题如何产生的传统心理治疗不同，SFT允许以目标为导向的问题解决焦点。这种方法允许面向未来的讨论，而不是面向过去的讨论，以推动来访者朝着解决当前问题的方向前进。 这种方法用于许多不同领域，包括教育、家庭治疗，甚至在办公室环境中。创造合作和协作的问题解决机会，允许思维拓宽的能力。照亮选择之路是一种引人注目的方式，让人们探索他们究竟想如何在这个世界上展现自己。
文章概要
本文介绍了焦点解决疗法（SFT）的核心理念、技巧和应用。SFT强调来访者解决问题的能力，而非问题成因，通过目标导向提问帮助来访者面向未来。文章详细阐述了五种关键技巧：奇迹问题、预设变化问题、例外问题、量表问题和应对问题，并提供了实用工作表如奇迹工作表和SMART+目标工作表。干预措施包括赞美、思维导图和共情，以增强希望和乐观。SFT已成功应用于抑郁症、危机干预等多个领域，其短期疗法（SFBT）通常有5-8次会话，注重实验性行动和进展跟踪。文章还推荐了相关书籍和练习，如优势发现和解决方案思维导图，强调SFT赋能来访者、聚焦解决方案和未来可能性的优势。
高德明老师的评价
用12岁初中生可以听懂的语音来重复翻译的内容 这篇文章就像一本超酷的“解决问题秘籍”！它告诉我们，焦点解决疗法不是一直盯着问题看“为什么我这么糟糕”，而是像探险家一样，寻找“我已经做得很棒”的时刻。比如，当你遇到困难时，可以问自己“奇迹问题”——如果一觉醒来问题突然消失了，你会看到什么不同？这就像在脑子里画一张未来地图，帮你找到前进的小路。还有“例外问题”，让你回忆那些不生气、超开心的日子，发现自己的超能力！量表问题让你给自己打分，看看离目标有多近，超有动力！总之，它教你用积极的眼睛看世界，相信自己能搞定一切！ 焦点解决心理学理论评价 从焦点解决心理学视角看，这篇文章卓越地展现了SFBT的核心精髓——赞美来访者的内在资源与未来可能性。它精准捕捉了“目标导向”与“例外寻找”的核心理念，如奇迹问题引导来访者从问题框架转向解决方案框架，这正是SFBT“语言创造现实”的生动体现。文章强调的赞美、共情和优势对齐，完美契合了SFBT的赋能哲学，即治疗师作为合作者，帮助来访者发现自身已有的成功模式。量表问题和应对问题则体现了“小改变引发大变化”的系统思维，通过量化进步和韧性探索，来访者能更清晰地看到自己的成长轨迹。整体上，文章将SFBT的积极预设、未来焦点和资源取向融为一体，展现了这一理论在促进希望与乐观方面的强大生命力。 在实践上可以应用的领域和可以解决人们的十个问题 在实践上，焦点解决疗法可广泛应用于多个领域，特别是在灾备咨询中，它能有效帮助人们探索目标、增强韧性。基于文章内容，它可以解决人们的以下十个问题：1. 在危机中感到无助和失去方向时，通过奇迹问题重建希望和行动蓝图；2. 面对灾难压力时，利用例外问题发现过去的应对成功经验，提升自信；3. 在灾后恢复中目标模糊，通过目标澄清和SMART+工作表设定具体、可行的步骤；4. 沟通困难导致团队协作受阻，运用赞美和共情干预改善人际关系；5. 情绪管理挑战如焦虑或愤怒，使用量表问题自我监控和调整情绪状态；6. 缺乏动力坚持长期准备，借助思维导图可视化解决方案，保持积极性；7. 自我价值感低影响决策，通过优势发现活动识别内在力量；8. 在变化中适应不良，采用实验日记尝试新方法，找到有效策略；9. 灾备计划执行中的拖延问题，用预设变化问题激发主动性；10. 整体幸福感下降，结合积极心理学工具提升乐观和身心健康。这些应用聚焦于赞美个体的能力、目标视角的构建以及未来可能性的开拓，赋能人们在挑战中茁壮成长。