Friday, February 22, 2013

Strength-Based Approaches


Narrative Therapy
Founders
Narrative Therapy was first developed by Michael White and David Epston (Van Wormer & Davis, 2008). White and Epston were inspired by Gregory Bateson, an anthropologist and psychologist (Van Wormer & Davis, 2008).

Photo Source: www.mysticbourgeoisie.blogspot.com

Overview
Narrative therapy attempts to separate the individual from their problem (Goodtherapy.org, 2012). This process can be referred to as “externalization (Van Wormer & Davis, 2008).” Externalization involves verbally separating the issue from the client, and ensuring that the issue is separated from the client’s personal identity (Van Wormer & Davis, 2008). This process allows the client to address the problem on its own. Externalization serves as a very productive form of therapy (Goodtherapy.org, 2012).

Narrative therapy mainly focuses on attempting to separate the individual from their problem (Goodtherapy.org, 2012). Throughout these therapy sessions, therapists attempt to transform how the problem effects the client’s life (Goodtherapy.org, 2012). By doing this, the individual is liberated from stigmatizing labels, and learns how to deal with this problem in a healthy and productive way (Van Wormer & Davis, 2008).

This approach requires intense listening on the part of the therapist (Van Wormer & Davis, 2008). A large focus of this therapy is the client’s life stories and history (Van Wormer & Davis, 2008). Therefore, the therapist seeks to find evidence of past competence within the individual, through their life history (Van Wormer & Davis, 2008). This therefore gives the clients hope that change is possible, and that they are capable of being competent (Van Wormer & Davis, 2008).

Addiction Cycle
Drugs of Abuse
Photo Source: www.recoveryconnection.org
The cycle of addiction involves use, misuse, abuse, and dependence. In addition, this cycle comes along with frustration about the symptoms, fantasizing about using the drug, obsessing about the drug, actually doing the activity, and then feeling guilt and shame surrounding the drug/activity (Recoveryconnection.org, 2013).

The Narrative Therapy approach may work well to alleviate the cycle of addiction. The effectiveness of this therapy would ultimately stem from the fact that the client could become separated from the activity/substance that they are addicted to. By doing this, the client could see that the addiction is not who they are, or a steadfast part of them. In separating the client from the addiction, the client is able to think clearly about ways to overcome it.


My Thoughts
The Narrative Therapy approach would be extremely helpful to me during the course of my career. I hope to one day become a clinical psychologist, and therefore provide therapy to individuals in need. The Narrative approach seems to be a very effective method of therapy. It gives clients confidence in themselves, and provides them with skills to help themselves in the future, even when they are done therapy.

In addition, this approach seems to be very effective for people struggling with addiction. By separating themselves from their addiction, they are able to see themselves without it, and how well they are able to function. It allows them to see a future without their addiction, and that will help them to overcome it.




References
Goodtherapy.org. (2012, January 03). Narrative therapy. Retrieved from http://www.goodtherapy.org/Narrative_Therapy.html

Recoverconnection.org. (2013). Cycle of addiction. Retrieved from http://www.recoveryconnection.org/cycle-of-addiction/

Van Wormer, K. & Davis, D. R. (2008). Addiction treatment: A strengths perspective. California: Brooks/Cole


1 comment:

  1. Sarah, thanks for the post. I enjoyed learning about another strengths-based approach. I found that narrative therapy is quite different from the strengths-based approach I had researched, motivational therapy. For example, motivational interviewing seems as though it is more collaborative in that it is more conversation like; whereas, narrative therapy involves more of the therapist listening to the client. In addition, narrative therapy involves separating the client from the problem; whereas, motivational interviewing involves more reflection on the problem to increase intrinsic motivation. However, one similarity would be that both approaches are client-centered. In addition, I enjoyed how you tied in the addiction cycle to narrative therapy. It is very important for one with an addiction to realize that the addiction is not who they are and I agree that narrative therapy could help one to realize that.

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