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Describe a therapeutic approach of your choice in terms of key concepts and therapeutic process.

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Introduction

The use of Narrative Therapy Describe a therapeutic approach of your choice in terms of key concepts and therapeutic process. Also explain how this approach contributes to your self understanding. Describe the ethical and multicultural relevant issues. TABLE OF CONTENTS TABLE OF CONTENTS 2 1 INTRODUCTION 4 2 THE CONTEXT OF NARRATIVE THERAPY 4 3 KEY CONCEPTS OF NARRATIVE THERAPY 5 3.1 The narrative metaphor 5 3.2 Social constructionism 5 3.3 Post-modernism 6 3.4 Post-structuralism 7 4 THE THERAPEUTIC PROCESS 7 4.1 A re-authoring therapy 7 4.2 Telling the problem-saturated story 7 4.3 Naming the problem 7 4.4 Externalising discourses 8 4.5 Deconstructing dominant discourses 8 4.6 Constructing Positive Alternatives - Unique Outcomes 8 4.7 Taking a position on the problem 9 4.8 Re-telling the new story 9 4.9 Audiences 9 4.10 Therapeutic documents 10 4.11 Ending therapy 10 5 THERAPEUTIC GOALS 10 5.1.1 Re-authoring of a problem-saturated life story 10 5.1.2 Privileging family members 10 5.1.3 Creating a safe space 10 6 THERAPIST'S FUNCTION AND ROLE 11 7 CLIENT'S EXPERIENCE IN THERAPY 11 8 RELATIONSHIP BETWEEN THERAPIST AND CLIENT 11 9 A CONTRIBUTION TO MY SELF UNDERSTANDING 12 9.1 My thin and problem-saturated story 12 9.2 Externalising the problem 12 9.3 Unique Outcomes 13 9.4 An audience 13 9.5 Retelling my new story 13 10 MULTICULTURAL ISSUES 14 11 ETHICAL ISSUES 15 12 CONCLUSION 15 13 REFERENCE LIST: 16 1 INTRODUCTION The therapeutic modality I have chosen is Narrative therapy because I find it to be a useful approach that is not directive and instrumental, but is rather an attitudinal collaborative approach that influences a therapist's way of being. This approach does not lend itself to any specific techniques in the counseling process but makes use of a wide variety of methods of intervention to assist the individual in need. According the narrative metaphor we all make sense of our lives through stories or self-narratives. ...read more.

Middle

4.11 Ending therapy The therapeutic process ends when the person decides that their self-story is rich enough to sustain their future. Epston and White (1995) consider this to be a rite of passage and not a loss as the dominant psychotherapy model does, but is rather the final session is a happy occasion which may include a ceremony or the presentation of a therapeutic document. It will include the final re-telling of the new viable self-story. 5 THERAPEUTIC GOALS Narrative therapy is not directive in its attempts to achieve resolve and it is not instrumental in that there is a unique outcome for each individual and each person achieves their own unique life story. 5.1.1 Re-authoring of a problem-saturated life story The therapeutic goal is to re-author the life story within the narrative metaphor. "There is concerted effort on the part of the therapist to privilege family members as the primary authors of these alternative stories" (White, 1995, p.66). The goal of narrative therapy is to re-author the whole story. The result is a richer story with a past, a present and a future - it is a complete narrative that emerges (Vorster, 2003). 5.1.2 Privileging family members The narrative metaphor maintains "an awareness of choosing one's ways of knowing" (Griffith& Griffith, 1992, p. 11). "There is concerted effort on the part of the therapist to privilege family members as the primary authors of these alternative stories" (White, 1995, p. 66). 5.1.3 Creating a safe space Here the focus is not on specific techniques, but rather the goal is to create "a context for change" rather than the first-order approach of "specifying the change" (Hoffman, 1985, p. 393). 6 THERAPIST'S FUNCTION AND ROLE The therapist's function is to create a collaborative space where the therapeutic conversation can take place. Here the focus is not on specific techniques, but rather the goal is to create "a context for change" rather than the first-order approach of "specifying the change" (Hoffman, 1985, p. ...read more.

Conclusion

A. (2001) What comes after second order cybernetics? Retrieved 2 August 2005 from the www: http://www.gwu.edu/~umpleby/recent_papers/2001_what_comes_after_second_order_cybernetics.htm Vassallo, T. Narrative Group Therapy with the Seriously Mentally Ill: A Case Study. Retrieved 2 August 2005 from the www: http://www.narrativeapproaches.com/narrative%20papers%20folder/mentalill.htm Vorster, C. (2003) General Systems Theory and Psychotherapy: Beyond Post-modernism. Pretoria: Satori Publishers Watzlawick, P., Bavelas Beavin, J.H., & Jackson D.D. (1967). Pragmatics of Human Communication : A study of Interactional Patterns, Pathologies and Paradoxes. London: Faber & Faber Walzlawick, P., Weakland, J.H. & Fisch, R. (1974). Change: Principals of Problem Formation and Problem Resolution. New York: Norton White, C. & Denborough, D. (1998). Introducing Narrative Therapy. A Collection of Practice-based Writings. Dulwich Centre Publications: South Australia White, M., & Epston, D. (1990). Narrative Means to Therapeutic Ends. USA: Norton White, M. (1993). Deconstruction and Therapy. In Gilligan, S. & Price, S. (Eds). Therapeutic Conversations. pp 22-61. New York: WW Norton White, M. (1995). Re-Authoring Lives: Interviews & Essays. Dulwich Centre Publications: South Australia White, M. (1997). Narratives of Therapist's Lives. Dulwich Centre Publications: South Australia White, M. (2004). Folk Psychology and Narrative Practices. In Angus, L. E. & McLeod, J. (Eds.) The Handbook of Narrative and Psychotherapy. Practice, Theory and Research. p. 15-51. Sage: Thousand Oaks 1 Payne (2000) and Freedman and Combs (1993, 1996) claim that White has borrowed these terms from Geertz (1973), however, an examination of the original text shows that Geertz in turn admits to borrowing it from Gilbert Ryle 2 This term is borrowed from Erving Goffman (1961, cited in Payne ,2000) and seems to be the term of choice for aspects of the thinned description that are rebuffed by new remembrances. White is, however, not particularly attached to this term. 3 The writer is unsure whether internet newsgroups (for eg sci.psychology.psychotherapy.moderated) would be a valid source of research. However, she encountered a noteworthy amount of discussion around Narrative Therapy, some of what she considered to be misunderstandings, and the concept of externalisation did receive a considerable amount of bad press. The author did her best to add her voice to this story. ?? ?? ?? ?? Page 1 ...read more.

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