ELD 5105 Week 7

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Jan 9, 2024

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1 Narrative Therapy School of Social Behavior Science, Northcentral University MFT-5105: Recovery-Oriented Care and Postmodern Family Therapy Dr. Benjamin Evans May 15 th , 2022
2 Narrative Therapy Narrative therapy is a therapeutic approach based on the premise that people create stories to make sense of their experiences, relationships, and lives (Panina-Beard, 2022). The philosopher Michel Foucault impacted the development of narrative therapy. One of his core theories was that bigger social experiences excluded or marginalized those voices and backgrounds who were not part of the dominant culture or did not wield authority in their communities (Glass, 2019). Michael White, David Epston, Gene Combs, and Jill Freedman are contributors to narrative therapy. Michael White was interested in Foucault's philosophies and how they linked to various systemic concepts. White concepts considered the therapist's function in listening to, interpreting, and identifying parts of a client's story (Glass, 2019). David Epston helped shape the model's flow and how questions were addressed to aid clients throughout sessions. Through their thoughts on social justice and the necessity of one context to the story, as well as the role of power and privilege, Freedom and Combs contributed to the philosophy of the narrative model (Glass, 2019) Therapeutic Relationship The psychodynamic perspective is crucial when considering how the social world enters and shapes the human mind when considering the therapeutic relationship. Psychoanalysis allows us to explore both the conscious and unconscious aspects of the mind. The therapeutic alliance can be defined as the therapist's ability to: (1) Show a serious interest in the patient. (2) Clear away the resistance.
3 (3) Count on the patient associating the therapist with at least one affectionate, benign figure of his past. (4) Maintain an attitude of sympathetic understanding. (5) Avoid a moralistic stance. (6) Not advocate some competing third party" using a psychodynamic approach (Bruan, 2013). Methods There are nine methods that therapists use to separate the person from the problem. The methods are (Glass, 2019): Listening:  Listening is an active process in the storytelling model. In the narrative paradigm, receptivity to hearing another person's story is critical in forming a therapeutic connection. In the story paradigm, listening necessitates being attentive and present. It asks us to set aside our preconceived notions about the other person's experience and truly listen from their point of view. Mapping the influence of the problem:  The narrative therapist uses this strategy to delve into various aspects of the problem and the tale that surrounds it. They may inquire about each member's involvement with the issue. The therapist can learn about the connections and difficulties that the family sees in this story by asking these questions.
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4 Witnessing structure:   The idea is that the therapist is aware of how everyone in the family feels about the situation. It provides a much deeper environment for comprehending the meanings around the problem-filled story and recognizing more strengths within it.  Not-Knowing:  Listening requires the use of the not-knowing strategy. In conversation, we may ask a question in search of an answer. Not knowing implies that you are not seeking a specific direction. It is all about discovery. It is putting our assumptions aside, or at the very least being conscious of them, and attempting to put oneself in the client's shoes. Recognizing cultural influence:  One strategy utilized through the postmodern lens is to listen to the parts of the clients' experiences that appear to be founded in their cultural or community messages. The purpose of understanding the power of these cultural messages is not to change clients' opinions but to provide alternative perspectives on these dominant concepts. Externalization:   Externalization is the process of separating a person from a situation. These are referred to as Deconstruction Questions. Unique outcomes:   Unique outcomes (also known as "sparkling moments") occur when the therapist listens for instances where the problem did not exist or was not as severe. Letters:  Letter writing was introduced by White as a strategy for narrative therapy. He used letters for various reasons, including providing comfort to clients who were skeptical or uncomfortable with the idea of therapy, highlighting components of the client's story,
5 investigating unusual outcomes further, and incorporating improvements or changes that he noticed.  Reflecting teams:  During a therapy session, a group of therapists observes a family conduct a reflecting team. The team behind the mirror is also listening to the family conversation, hoping that their contributions will aid in the social building of a new narrative. The therapists are looking for positives in the narrative. There are other ways a Narrative therapist can separate presenting problems according to research (Glass, 2019): The integration of systemic and narrative perspectives has benefited mental health services. Narrative therapy has proven to be a practical approach for linking family work in adolescent residential and wilderness programs. The use of spiritual tales and meanings in treatment has been studied to see how effective storytelling strategies connect spirituality to therapy. LGBTQ people can use narrative to examine their gender or minority status, consider how it differs from dominant culture narratives, and rewrite a new story. Exploring gender narratives in their lives and re-storying future narratives has benefited transgender clients. In addition, narrative therapy has helped same-sex couples since it focuses on societal expectations and how they are internalized at times. Many cultures and civilizations have found narrative model tactics and underlying concepts useful. Postmodern models were better for African American families because of the strength-based approach that does not pathologize or assume. Furthermore, the story approach can help African American families connect through kinship networks and spirituality.
6 Model Interventions/ Explore how social constructionist therapist’s work The first video in the Narrative Therapy series featured a married couple who felt out of sync. The wife believes that the couple could reconnect more; however, the husband feels terrible about devoting a portion of their time to simply the couple when they have children. In this video, the therapist initially externalized the dominating story of them being a parenting couple, what that meant, and how that impacted their relationship and their life. Next, the therapist looked at the couple's less dominant story to see how they could work together to get on the same page. In the second video, the therapist met with a same-sex couple with a teenage daughter. The family sought counseling since their daughter appeared depressed at school and home. By using the client's own words to construct a separate identity for the problem, the therapist was able to externalize the concept of depression. The entire family was able to adjust their viewpoints using this technique, and they all admitted to being impacted by the 'dark cloud' and sharing their experiences with it.  In the third video, a heterosexual couple named Charles and Anne sought therapy. The couple has three children ranging from five to eight years of age and has been married for ten years. Anne feels that the couple has started to grow apart slowly and wishes her husband was more enthusiastic about their relationship. The therapist began with the spouse, attempting to understand the situation from his perspective. The therapist next asks the husband if he agrees with the wife's viewpoint and if there was a time when things were different. The therapist finds that the spouse feels "unfit" to be a husband and parent after adopting a "not knowing" mindset and asking probing questions to grasp his perspective better, leading to his withdrawal from the relationship. When the wife learns of this, she is happy that he does want
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7 to spend time with her, and she plans for the couple to spend some alone time together to rekindle their relationship. The therapist allows the wife to come up with this solution. The interventions used were not-knowing, unique outcomes, and externalization. Systemic hypothesis According to my systemic hypothesis, something caused the husband's sentiments of "unfitness" in the third video scenario. These " fears " were present; whether it was his fears or something else, these "fears" were current. To disrupt the cycle of behavior, the spouse must change the story he tells himself about the problem. Externalizing feelings of inadequacy and approaching the problem from the outside might be the most successful approach. Mental health recovery concepts Stories influence our perceptions of ourselves and others in every setting. Narrative therapy assists people in creating a story that empowers them and allows them to take control of their lives. Externalization is one method for assisting clients with their mental health recovery. 
8 References Panina-Beard, N. R., & Vadeboncoeur, J. A., PhD. (2022). Narrative therapy.  Salem Press Encyclopedia Braun, T. Von. (2013). Chapter 12. Therapists’ Narratives of Therapeutic Relationships in the Treatment of Drug-Dependent Patients.  Substance Use & Misuse 48 (13), 1416–1433. Northcentral University. (2017). Narrative therapy I [Video file]. https://ncuone.ncu.edu/d2l/le/content/269483/viewContent/2238939/View Northcentral University. (2017). Narrative therapy II [Video file]. https://ncuone.ncu.edu/d2l/le/content/269483/viewContent/2238940/View Northcentral University. (2017). Narrative therapy III [Video file]. https://ncuone.ncu.edu/d2l/le/content/269483/viewContent/2238941/View Glass, V. (2019). Narrative family therapy. In Y. Watters & D. Adamson (Eds.) https://ncuone.ncu.edu/d2l/le/content/269483/viewContent/2238950/View
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