THE 9 LOGICS BENEATH BRIEF THERAPY INTERVENTIONS

Transcription

1 THE 9 LOGICS BENEATH BRIEF THERAPY INTERVENTIONS How to reduce complexity of therapy Flavio Cannistrà, PsyD Psychologist, Psychotherapist Short Course Number 4

2 It was a long journey, but...

3 I did not bring pasta. I m sorry :(

4 But I brought original Italian Engrish! I m really sorry :((

5 Who am I? Flavio Cannistrà, PsyD Licensed psychologist and psychotherapist Specialized in Brief Strategic Therapy with Giorgio Nardone Master in Ericksonian Hypnotherapy with Camillo Loriedo SFBT course at BRIEF (London) training in Single Session Therapy with Michael Hoyt (California) and Jeff Young (Australia) Founder of the Italian Center for Brief and Single Session Therapy author

6 What am I going to talk about today?

7 A way to reduce complexity in therapy.

8 Everything started from a personal problem:

9 ...sometimes doing therapy is a mess.

10 300 TECHNIQUES?!

11 First: reviewing the literature

12 Second: analyzing 77 techniques.

13 And I found 9 logics.

14 What do I mean with logic?

15 Logic (broadest meaning): "The reason that underlies a particular behavior and that justifies it."

16 There are so many techniques...

17 ...grouped in specific logics.

18 ...and if you find the right logic...

19 ...then the work is simpler!

20 Third: I used them in therapy.

21 They work! (luckily!)

22 They re How? useful!

23 Techniques in therapy: 3 common problems

24 1. That technique doesn t work

25 Reaction: we try other techniques, but they don t work too.

26 So we try again, again and again but we miss the target.

27 Error: wrong logic.

28 We change techniques, but we re still in the same logic.

29 2. The client dosen t do the tasks (or they resist to it).

30 Reaction: 1. I m sure that s the right thing to do (the right logic), so I insist.

31 Reaction: 2. I try other techniques, but they still doesn t work.

32 Error: right logic, wrong technique.

33 The logic is right, but you need to choose/adapt the right technique for that client.

34 3. I don t know what to do with that client! (or: what is the right intervention to do?)

35 Reaction: I do something. I hope it works.

36 Error: I m not following a logic.

37 How the 9 logics can help us?

38 The 9 logics beneath brief therapy interventions

39 1. Direct block of attempted solution

40 Includes those techniques which call in a more or less direct way for the patient to stop a certain behavior in order to block the attempted solution. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

41 Example: conspiracy of silence (Nardone & Watzlawick, 1990)

42 2. Create aversion

43 Includes those techniques aimed at creating in the client an aversion towards something, such as a behavior, or a form of interaction or relationship, etc. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

44 Example: Fear of help (Nardone & Watzlawick 1990)

45 3. Creating awareness

46 Meant to help the client become aware of something, such as a wrong behavior or misperception of their abilities and resources. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

47 Example: How to get worse (Fisch et al., 1982)

48 4. Create from nothing

49 Includes techniques that are designed to introduce changes (small or large) in clients perceptions and behaviors in order to create or amplify resources, skills and abilities. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

50 Example: As if (Watzlawick, 1990)

51 5. Increase to reduce

52 Ask the client to do the unwanted behaviour (for example a symptom) in order to extinguish it. Within this category are a large number of paradoxical techniques. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

53 Example: If 1 then 5 (Haley, 1985; Nardone, 1993)

54 6. Small changes (or small violations)

55 This logic includes those techniques aimed at solving a problem by implementing small, often incremental, changes. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

56 Example: Erickson would use partitioning to break down problems into smaller parts and progression to build on a series of small gains. (Haley, 1973)

57 7. Strengthen the relationship

58 Essentially designed to strengthen the therapeutic alliance, this is the only one of the nine logics that is not intended to directly produce a therapeutic result. As common factors researchers (e.g., Duncan, et al., 2010) have shown, this accounts for about 30% of the variance in change. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

59 Example: Dear Doc (Nardone, Verbitz & Milanese, 1993)

60 8. Shift the focus

61 Many techniques can be designed to shift the patient's attention, thus distracting them from perceptions and behaviors that would continue a problem. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

62 Example: Erickson asks to send a mail (Haley, 1973)

63 9. Express and process

64 Includes all those techniques that aim to vent and/or further process a particular lived experience and thus may lead to feelings of a different kind. Cannistrà, F. (2019), in M. Hoyt & M. Bobele, Creative Therapy in Challenging Situations (Routledge, in press)

65 Example: Anger s diary

66 How can be useful the 9 Logics?

67 1. If the technique doesn t work, try another logic Shift the focus Create aversion

68 2. If the technique doesn t fit, try another technique (of the same logic)

69 3. Once you know the logic, build your personal technique

70 Let s work together on that!

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