<< back
FROM THINKTANK TO NEW THERAPY:
THE PROCESS OF SOLUTION-FOCUSED THEORY AND PRACTICE DEVELOPMENT
Tapio Malinen, M.Sc.
You never can predict the future by the past, because
the past is changing all the time.
- Michael Bahktin
Inside myself I know, that the need to comprehend leads to blindness
and in the wish to understand
there´s brutality built-in, that expels what understanding
is seeking.
- Peter Hoeg
This is my account of the development of the solution-focused
work method. It is based on both literature concerning the issue
and an interview with Professor Elam Nunnally, who worked fourteen
years in the Brief Family Therapy Center (BFTC) in Milwaukee from
the beginning of the center and took part in the confusingly creative
process that gave birth to solution-focused therapy (SFT). I have
also used interviews conducted with the founders of SFT and family
therapists collaborating with them by David Kiser for his dissertation.
I am grateful to Linda Christie of the University of Purdue and
Elam Nunnally of the University of Wisconsin for their help in
giving birth to the following piece. Additional thanks go to Michael
Hoyt for his thoughtful comments.
WARM UP
This article is intended to be, in every way, as subjective
as possible, in order to be as objective as possible. It started
from the very selfish desire of the writer to understand the historical
and theoretical starting points of his own work as one phase of
his professional development. It wasn’t important to search
the foundations of the knowledge, i.e. what really happened; but
the openness, wondering and asking – the Nietzschean desire
as a philosophical and methodological starting point.
My purpose is not to describe a universal historical truth but
a practical, need-orientated search. As an experience, the navigation
of the professional ego is remarkable and cathartic for the writer,
in the same way as reminiscence conversations in a reunion.They
link one to the wholeness and blood of ones family.
Ken Wilber, an American philosopher, has brought out the two
meanings of religions. On one hand, a religion can give a home
to a lonely ego. On the other hand, it can be a mind-exploding
experience of transformation, the death of all external beliefs.
In this case, it moves one’s consciousness towards a greater
authenticity. (Wilber, 1999, p. 27)
I want to apply Wilber’s thoughts to writing history. History
as interpretation or translation gives an experience of meaning
to a separate ego. A person can partly fasten onto and identify
with a greater
entity to give meaning to their life. One can justify ones beliefs
and conception of the world, as well as finding protection and
safety. On the other hand, studying history can start a process
of change.
It can break, destroy, push to emptiness. In this case, it transforms
one’s world of meaning in a thorough way.
Unawareness enslaves us, and the objects of our identification
control us. As we become aware of our psychological and social
position in our relations, in our family, in our work through
the enlightenment of historical knowledge, we can be released
from our identifications. It is the death of the Believer and
the birth of the Seer. We can transcend what is given. At the
same time, we can include it in ourselves. We can rejoice at our
roots without clinging to them, and thus tolerantly see their
relative truth among other truths. I invite the reader to add
and amend from his or her own experience and perspective.
What else can a practitioner learn from studying the process
of developing the therapeutic ideas he is using? Along with this
also follows more flexibility: being more conscious you can better
make appropriate decisions. And all this adds more ethics to your
work. Wendel Ray, a present director of the Mental Research Institute
(MRI) has also stated that while studying the history you realize
that everything is connected and once you really take it seriously
that realization can change the world! (Malinen, 2002)
SCENERY
According to Steve de Shazer (Miller & de Shazer, 1998, p.
364) solution-focused therapy is a “rumour” or series
of stories that circulate in therapy communities. In his opinion,
these stories do not form a “model“ and the solution-focused
work method has no “theory“, in the common sense of
the word, as a scientific explanation. In other writings (http://maelstrom.stjohns.edu/archives/sft-
1.html., 27.1.2001) concerning the differences between explaining
and describing, he states that if SFT had a clear theory, it would
be as complex as any other Theory (1). This is how it could easily
and completely cloud people’s minds. From this I understand
that the aim of the SFT method is not to explain reality but rather
to organise the human brain towards fruitful action.
The development of SFT – like any other creative project
– was affected by several different social, cultural, political
and economic factors. It is not the interest of this article to
analyse the social situation that prevailed in the American society
in the 1970’s and 1980’s. My purpose is rather to
describe the creative process that created the theory of SFT and
the group dynamics it includes. In addition, I shall survey the
theoretical and philosophical world of thinking that surrounded
the pioneers of BFTC as they developed their own method of work.
However, it is worth mentioning something of the social situation
in those days. The Vietnam War ended in 1975 and Carter was elected
President of the USA the following year. In 1980, he was followed
by Ronald Reagan. At that time, brief therapy was still an exception
among other psychotherapies. Public resources were used for the
foundation of private family therapy institutes on only a small
scale. Universities and the National Institute of Mental Health
only supported so-called medical models of treatment. When BFTC
opened its doors in 1978, the health care system did not sponsor
SFT at all. In those days, it was possible for therapists –
supported by insurance companies - to meet their clients twice
or three times a week for up to three years. The nature of the
therapy was usually analytical.
As the Health Maintenance Organisation (HMO) started its work
in the middle of the 1980’s, the client visits reduced in
the BFTC. This was due to the lack of co-operative contacts with
those communities (Blue Cross / Blue Shield) that used to send
their clients to the center with the HMO. Nowadays, insurance
companies and HMO seldom recompense long therapies and they have
shown interest in brief therapies and especially towards SFT.
(see Hoyt, M.F.,1995)
________
(1) SdS is probably using a big T in the word ”Theory”
in order to refer to the big stories that claim to represent objective
”Truth”.
THINKBATHING
Curiosity as Resource
A great man/woman is he/she who sees further than others because
he/ she stands on the shoulders of others.
Several ways of thinking that have come into existence in family
therapy communities and outside them have affected the development
of the theory and method of SFT. In the early years, the founders
of BFTC surveyed several different theories in order to explain
their own clinical perceptions. de Shazer especially studied and
showed interest in all kinds of approaches. Sometimes the team
did conscious experiments with intervention with clients and tried
to explain the results afterwards, with the help of different
theories. Sometimes theories and ideas preceded clinical interventions.
According to Molnar (Kiser, 1995, p.82) …“sometimes
the concepts emerged first, sometimes afterwards, and sometimes
quite at random.“
I am going to introduce those theories and philosophies that
had a constant effect in the development of the SFT-method. Before
doing that, I’d like to describe the history of an interesting
article.
The Family has the Solution
In the same year that BFTC was founded (1978), Don Norum wrote
an article “Brief Therapy: The Family Has the Solution“.
This paper can, with good reason, be considered as one of the
forerunners of SFT, because it introduces some of the principles
of the new therapy. Norum wrote his text while working at Family
Service in Milwaukee. de Shazer and other founders of the BFTC
were also on the payroll of the center at the time. Family Process
rejected the article, estimating it to be “shaky, highly
dubious and unsupported“.
The staff of Family Service – including Steve de Shazer
– considered Norum’s thoughts “impossible“
and had a very sceptical attitude towards them. LaCourt remembers
(Kieser, 1995 p. 84) that Norum used to joke that “he had
talked with clients on the phone, in his initial telephone conversation,
and said something that somehow made them feel that they didn’t
really need to come for therapy”. The main thesis of the
article - that even at the end of the 1970’s provoked very
strong reactions, even among the future developers of the SFT
– was simple. According to Norum, the family has an inner
ability to resolve their problems themselves. This argument did
not match with the prevailing theoretical hegemony of strategic
therapy which underlined the power of the therapist. In addition,
Norum focused on the pre-treatment changes that usually occur
between the reservation and the first session.
Nine years later, Michele Weirner-Davis et al. wrote an article
(1987) describing how the team of the BFTC discovered the change
preceding the session “by chance“ after interviewing
one client. In 1989, Norum participated in a seminar arranged
by Steve de Shazer and later wrote him an enthusiastic letter
saying that SFT ideas were the same as his own thoughts and that
he was happy to see them adopted by the team of the BFTC. (Kiser,
1995, p.84). In 2000, the Journal of Systemic Therapies honoured
Norum by publishing his original article in the theme issue concerning
SFT.
Heider’s Theory of Balance
Long before BFTC started its work, de Shazer became interested
in Heider’s theory of balance. Like the ideas of triangulation
used in family therapy, it surveyed the relations of three people
in order to define them as being balanced or unbalanced. The pioneers
of SFT used Heider’s theory for several months in planning
interventions. At some stage however, they lost interest and the
team started trying something else. The following comment, given
by Nunnally, helps to explain why Heider’s theory was used
and finally rejected. “We’d talk about which relationships
are plus and which are minus and added them up to see whether
we had a stable or unstable pattern. We had different levels,
too, and this served as a guide. If you’ve got a certain
kind of pattern then you use a certain kind of intervention. I
think there were three things that led us away from balance theory.
One, it´s just too cumbersome. Two, it was ambiguous. And
three, we found that we were coming up with intewrventions that
we could agree on before we even checked out the balance theory.
That meant there were some underlying principles that were guiding
us in designing interventions that were aside balance theory and
so we needed to discover what those were.” (Kiser, 1995,
p. 85)
Bateson, Erickson and MRI
Milton Erickson, an American psychiatrist, has had a great influence
in the development of SFT. He has affected the method mainly through
the interpretations of de Shazer and through the visits of the
BFTC team to Palo Alto, the Mental Research Institute in California
and especially to its Brief Therapy Center. Erickson’s thoughts
had reached it in the 1950’s as Jay Haley and John Weakland
visited him a couple of times a year over five years, as members
of the research project of Gregory Bateson. Bateson, an English-born
anthropologist, had a crucial role in the early development of
family therapy in the 1950’s and 1960’s. In the thinking
of BFTC, his influence is mainly implicit. It manifests itself
in, for example, the strict effort to examine people’s problems
from the systemic point of view, in focusing one’s attention
to the relations and interdependency between persons. In a similar
way, the influence of Bateson passes by the whole system-theoretically
orientated field of family therapy (Aarnisalo & Mattila, 1988,
p.8)
When BFTC started in 1978, its founders were very symptom- and
problem-focused, like Erickson. Its clinical work mainly followed
the strategic model of the MRI. According to the model, therapy
mainly meant solving the client’s problem. It was tried
to reach this aim through the active guidance of the therapist
– central techniques were to give homework in order to change
problematic patterns of behaviour, and to reframe or give new
viewpoints to the client’s situation. In MRI, people believed
– as did Erickson – that in most cases a small change
in the client’s situation was enough. If that change occurred
in the right place, it tended to grow like a snowball rolling
down the hill. (Aarnisalo & Mattila, 1988, p.8)
de Shazer thought, like Erickson, that clients can change rapidly
if only the process of change got started. Erickson always tried
to make the therapy as short as possible. It is interesting to
notice that in opposition to this line of thought, several developers
of the SFT have not underlined the shortness of therapy. (Lipchik,
2002, p.176) de Shazer is, however, an exception in this respect.
According to Nunnally,
“We never set out to do brief therapy even when we
were working with the MRI approach. We were concerned about getting
results quickly, interrupting the system, and with the actual
systemic processes - not whether it took five, ten or fifteen
sessions.“ (Kiser, 1995, p.88)
SFT inherited from Erickson the future-oriented method of work,
goal-directedness, the idea of the interactional nature of the
resistance, faith in the client’s own resources and in one’s
ability to know what he/she needs in all situations. In SFT, one
can also find many small suggestive details that are well-known
from the methods of indirect hypnosis developed by Erickson. On
the other hand, SFT significantly deviated from the approach of
Erickson and MRI from the beginning.
“We expanded the MRI concept“, says Nunnally.
“We were convinced that…as long as you can describe
the problem in a systematic way, then you’ve got multi-opportunities,
multi-options (i.e. doors) in term of where you can intervene
and whom you’re going to intervene with.“ (Kiser,
1995, p.88)
Cronen´s Strange Loops and Catastrophe Theory
In 1982, family therapist Karl Tomm visited BFTC and introduced
them to his article on Peter Cronen’s “strange loops.”
In this model, human behaviour and interaction are hierarchically
formed. So-called strange loops are built from problematic patterns
of behaviour that cannot be given a solution through using the
prevailing logic of the client. In order to organize their clinical
perceptions and to plan the therapeutic interventions, Steve de
Shazer and other members of BFTC studied Cronen’s ideas
for some time. (Kiser, 1995, p. 90)
When problematic interactions were formed from apparently contradictory
assumptions, therapists tried to get their clients to act by reflecting
their confusion. Or, when the clients spoke unclearly, the therapists
acted in the same way. After this, the clients often described
their problems in more concrete detail.
Similarly, Thomas Kuhn (1962) understood the development of scientific
thinking as a series of sudden paradigm changes, just as catastrophe
theory believed in sudden and inconstant change. According to
this approach, the sciences do not proceed smoothly but by revolutionary
shifts from old theories to new ones. de Shazer and Jim Derks
were especially interested in these thoughts in the beginning.
They also believed that a change in family systems can occur in
a revolutionary rather than progressive manner.
Milan Family Therapy
In Kiser’s interviews, only de Shazer thought that Milan
family therapy did not have had an influence on the development
of SFT. According to all the other pioneers, the work of Palazzoli,
Boscolo, Cecchin and Prata was intensively surveyed and eagerly
discussed. Nunnally tells that
“The Milan group’s interest in hypothesizing
played a part in our early work. If you look at a paper Insoo
Berg and I did” We Tried to Push the River” (Nunnally
& Berg, 1983), you’ll find the Milan type of work involved…The
use of the team to hypothesize about what’s going on and,
“What would be a useful intervention given what’s
going on in the system, the system meaning them and us?“
(Kiser, 1995, p. 92)
According to LaCourt, too, (Kiser, 1995, p.93) the Milan theorists
had an obvious influence on the SFT approach. The members of BFTC
diligently studied their texts and made experiments with their
long, complex messages in sessions. These were usually isomorphic,
similar in construction to the therapy system and sounded very
psychodynamic. The team changed from being a passive perceiver
to being a more active actor in the therapy process. In the spirit
of Milan family therapy, the pauses between sessions were subject
to experimentation, too. Many SFT-pioneers think that giving a
compliment, positive feedback, derives from the ‘positive
connotation’ used by the Milan group as well. However, it
is difficult to precisely say who affected whom in those days
of creative work, or where exactly a new method was born.
Ludwig Wittgenstein
The philosopher, who had the greatest influence – and still
does – on the thinking of Steve de Shazer, the central theoretician
of SFT, is the Austrian-born Ludwig Wittgenstein. According to
him, social reality and human relations are constructed by actions
that he “ language games.” They are formed from different
ways of using language, which we exploit in order to create meanings
and to construct our relationships. According to this point of
view, therapy is a system formulated by various language games
in interaction. (Malinen, 2000, p.16) SFT stands for a different
language game than problem- focused therapy. The mission of SFT-
oriented therapist is to focus on exceptions, goals and solutions.
Over the last few years, de Shazer has adopted many of Wittgenstein’s
ideas in his writings and speeches about SFT (e.g. Miller &
de Shazer, 1998). According to de Shazer, the SFT-approach is
developing towards an “interactive constructionism.”
In this way of thinking, meanings are born through the prevailing
practices of speech, in dialogical interaction between people
using them. That indicates that the meaning of each word is the
same as its way of use in the current situation. When the therapist
participates in the conversation with a client, he/she is immediately
a part of the therapeutic system in which interaction and meanings
are collaboratively constructed. In addition, de Shazer has also
always been interested in the Wittgensteinian idea of a “drive
for simplicity and an indirectness he shared with Milton Erickson“.
(Kiser, 1995, p. 93)
THE UNITY OF RESEARCH AND THEORY
From the very beginning, the functional principles of the BFTC
included the living interaction of therapy, research, and theory.
For many members of the team these three things were conceptually
equal things that manifested themselves in different times and
places. Perceiving the interactions between therapist and client
was considered as making research and constructing theory as much
as constructing hypotheses was. Even though ideas and theories
of others were used, many of the main ideas of the team were based
on examining their own clinical work. Certain kinds of questions
were surveyed and clients’ reactions to them were noted.
What worked was done more. The development of the theory manifested
itself as a living flood of client work, reflection, re-work and
theory discussions. According to Molnar, there was a certain rhythm
between these factors that could not be foreseen. (Kiser, 1995,
p.98) Sometimes the team might totally interrupt doing therapy
in order to think over what was going on in it.
A good example of how the process of development went on in practice
was the attitude towards the “resistance of the client.”
The understanding of its nature clearly meant a shift towards
a new method of work. In BFTC, “resistance” was seen
as a product of interaction between the therapist and the client,
not as an inner quality of the latter. Berg considers the issue:
“I still remember our very first research project
when we used graduate students, who didn’t know anything
about the clients, to score client responses to the delivery of
messages after the break. We taped client’s reactions and
turned the sound off, and just watched non-verbal cues and tried
to predict whether clients would perform the tasks or not. Tried
to predict the client’s compliance if you will. And the
staff also made a prediction just watching the tape. And that
was the beginning of our thinking about the death of resistance
idea, that maybe the therapist has some input on clients compliance.
Prior to that, we never thought of looking at what we were doing,
(instead) we would study the clients a lot. We thought…all
this had to do with joining, the whole concept of joining, so
we thought we were studying joining and client responses to our
joining. That was the beginning of our thinking that it is not
the client´s resistance, but maybe it was something like
whether the client nodded their head more, during the intervention
message, that predicted whether they were more likely to perform
the task. So we asked, How can we get them to nod their head more?
And I think that´s where the whole idea of complimenting
them..so that was the death of resistance.“ (Kiser,
1995, p. 127)
The concept of resistance belongs to consistency. Collaboration,
in its turn, is a concept associated with the theory of change.
They are like two sides of the same coin. We get what we focus
on. In 1977 and 1978, there was a lively discussion going on about
the differences between pathology- focused, problem-describing
questions and questions that express interest towards the changes
in the therapy system and towards the theory of change.
Even if research, theory and the practice of therapy were seen
as inseparable entities, several separate research projects were
also started in BTFC. However, the studies were not of a high
methodological level and they often lacked control groups. Steve
de Shazer, Wallace Gingerich and Michele Weiner-Davis used to
get together once a week over three years – three hours
per meeting – to discuss actual issues. This socalled research
team was of crucial importance to the development of SFT, and
it produced many of the most central ideas of the work method.
Disseminating information and knowledge to others, however, did
not happen in real time. Lipchik and Walter remember (Kiser, 1995,
p.101) that de Shazer sometimes used to interrupt the clinical
conversations and say: “I wouldn’t do that…
this is what we are presently thinking…this is the question
I would ask…”
Farther on those research projects that in practice developed
the theory of SFT in different ways are described in more detail.
THE ELEMENTS OF THE CREATIVE PROCESS IN THE DEVELOPMENT
OF THE SFT
The Art of Joy
A creative happening at its best, can be a cheerful art - a kind
of high degree of play. Pekka Himanen has described in his book
The Hacker Ethic - and the Spirit of the Information Age (2000,
p.21), how the creative work of hackers embodies a cheerful, passionate
devotion to an issue that in itself is interesting and inspiring.
There is constant discussion about critical and developing problems,
and the reward of participation is not counted in money but in
the respect of equals. The work is not is done as a duty but because
it is something interesting and challenging.
My impression is that the Protestant work ethic did not much control
the early spirit of BFTC, either. The atmosphere of Milwaukee
in those days can be characterized by the words “passionate,”
“creation,” “concentrated play“ –
the same words used to describe the hacker world of today.
Is it possible to analyze some factors of the creative process
connected to the development of a new theory, that would explain
why it happened as it happened? What forces or phenomena promoted
the creativity? What is the role of the environment in the creative
process? What kind of individual or group psychological phenomena
act as catalysts in forming something new? The following passages
describe how isolation, feedback and independence affected the
development of SFT.
Isolation
Isolation has both advantages and disadvantages. In the case
of the BFTC, the geographical and theoretical isolation in a group
level as well as on the individual level clearly added to the
creative energy of its members, as well as the experience of inner
meaning and motivation. From the very beginning, the unity and
creativeness of the team were increased by the “us versus
them“ effect.
For example, LaCourt talked of holding a seminar at the end of
the 1970’s in which she introduced the use of brief therapy
with incest families.
“I thought I was going to get tarred and feathered…there
was so much opposition to working this way. That was very energizing
though. There we were, bonded together by being a common kind
of me against the world. We were fighting to get a foot in the
door, of being accepted as a legitimate model of therapy.”
(Kiser, 1995, p.107).
The geographical position of Milwaukee between the eastern and
western coasts also emphasized the isolation of the founders in
the officially accepted therapeutic community of those days. However,
this intellectual and theoretical distance only hastened the creative
process in which the theory of the SFT-method was developed. It
increased the interaction between the founders, creating a collegial
atmosphere and bound the members more tighter together.
de Shazer considered the basic assumptions of the prevailing
marital- and family therapy “wrongheaded “ and that
isolation was needed in order to stay away from the “evil
influences.” (Kiser, 1995, p. 109). In his opinion, the
BFTC team was continually challenging the prevailing method of
therapy and was like a thorn in the foot of the official therapy.
The pioneers felt they were “black sheep“, that got
energy from each other in their isolation. Before the publication
of de Shazer’s book “Keys to Solution in Brief Therapy“
in 1985, only few therapists were aware of the nature of the work
made in the BFTC. Lipchik says:
“I remember going to AFTA (American Family Therapy
Association) in 1985 or so. A meeting of the elite in the field,
let's say 250, 300 of them, and thinking, '‘Oh my god, there’s
nobody here except Steve, Insoo, John (Weakland) and I from MRI
who talk the same language. Everybody else is talking a different
language. However, the experience didn´t change our theoretical
direction. We felt we were special in our own way and didn´t
need anyone. The purpose and goals of our agency weren´t
business and to make money. We prided ourselves for having loftier
goals: the development of theory and training.“ (Kiser,
1995, p.110)
The consistenzy of the new team, working in isolation, was increased
by its members’ habit of socialising with each other in
their spare time. They used to go out together and had common
interests, e.g. music. Little by little, they found a small selected
group of family therapists (Lyman Wynne, Scott Frazier, Karl Tomm
and Michael White) with whom they could share ideas. These therapists
understood the significance of the work of BFTC and the pioneers
could share with them and feel reciprocal respect and admiration.
The team also could get vital feedback from them.
Many creative people (e.g. Descartes, Newton, Kant, Nietzche,
Wittgenstein) have established only few significant relationships
during their lives. Similarly for de Shazer, recurrent isolation
and loneliness was a part of his work. The interaction of isolation
and feedback functioned as a dynamic and assisted his individual,
creative work.“He would go disappear and come out and
we´d sit down and talk about this concept or that, or he
would give us a portion of the book or an article, a recent article
that he´d just finished and we´d all kind of our over
it…and so we would spend a lot of time reading what he had
been writing.” (Kiser, 1995, p.114) In addition, de
Shazer’s repeated, long walks helped him to organize
his thoughts and let him “write in his head“. “I
don’t know what I’m thinking before I write it down,”
he says. Deviating from the other members of the team, he did
not have to talk about his ideas in order to be able to arrange
them in his mind or to write them down as articles or books. As
Lipchik puts it:
“Yeah, because that’s Steve. He can go for a
walk and he can do everything internally…that’s his
personality. He does it all inside of himself, he organizes it
in his head and then sits down and he writes it out, as opposed
to someone like me who needs to hear it spoken.“ (Kiser,
1995, p.114)
Feedback
Both the feedback from outside and inside the team a) increased
the awareness of the changes that were going on all the time in
the development of the theory b) modified the existing theory
and c) prevented the team from going too far in their experiments.
The central group of the early years was the main source of feedback
for de Shazer. Berg especially worked as a critic and editor for
her husband. Later. Alex Molnar and Michele Weiner-Davis among
others, formed a group in which constant feedback about the developing
process was given. As the work model became more popular, trainees,
visitors and attendees of conferences had their own role in the
process of developing theory. Without external feedback, it would
have been difficult for the team to notice changes that were made
all the time.
The feedback functioned as a mirror, reflecting the prevailing
situation.The living reflection in its turn changed the existing
theory and the interaction between therapist and client. Sometimes
the team gave up analyzing the work that had been done for a long
time and only worked as therapists. Then, in some session something
surprising happened again, something that forced the team to write
and discuss their perceptions. de Shazer told Kiser how he once
got back an article of his with the comment, “incoherent
nonsense.” However, the journal published the article after
a year without changing a word in it.
“Sometimes we took some feedback and used it in a way
that would say, “We need to leave that stuff alone. Let´s
just slow down and wait.” (Kiser, 1995, p.116)
Independence
From the very beginning, the BFTC was totally independent of
external sponsors. This had two sides: on the one hand it let
the team decide about the use of time, guaranteeing freedom from
external expectations and estimates. But, on the other hand, the
founders had to make remarkable individual and economic sacrifices.
For example, de Shazer and Jim Derk did not get any compensation
for their work. This economic austerity continued for the first
eight years and there was a constant lack of money. On the other
hand
“We did what we wanted to do. Nobody told us what to
do. We lived on our income and …all we had to do was present
ourselves to the people who were going to send us cases, present
(ourselves) attractive enough so that they would send us cases.”
(Kiser, 1995, p.117)
Using the concepts of hackers (Himanen, 2000, p.69), it can be
said that the BFTC worked according to the ‘basar model’.
The variety of approaches was important: when the ideas were set
out in an early phase, they benefited from each other’s
feedback. In a basar, people try different approaches and when
someone gets a brilliant idea, the others make use of and develop
it. This kind of open, non-hierarchical work usually is free and
therefore very creative and efficient.
FROM PROBLEM-FOCUSED TO SOLUTION-FOCUSED APPROACH
Energy tensions
Steve de Shazer graduated from the University of Wisconsin-Milwaukee
in 1970 as a candidate of social work (MSSW). Berg had followed
the same program and graduated the year before. However, they
had never met each other. After his graduation, de Shazer did
clinical work in the Family Service Center of Palo Alto, California,
and Berg was made head of the Department of Family Therapy in
a similar center in Milwaukee. They first met in 1977. Nunnally
tells how it went:
“I had then my private practice, but I wanted to co-work
with somebody and I don´t exactly remember, how I first
met Insoo Kim Berg…perhaps I had phoned to Family Services
and told about my interest. During our first year together (1976),
while I worked part-time in the center, Paul Watzlawick and John
Weakland came from California to Chicago to do a two-day seminar,
where we all went. Insoo, Eve Lipschik, Marilyn LaCourt and the
young man, whose name I don´t remember (Don Norum) and Jim
Derks. When we came back from Chicago, we were quite excited and
immediately started to apply what we have learned…our group
travelled - if I remember right – in 1977 to California
for several days to listen to Watzlawick and Weakland. I wasn´t
among them. It was here John Weakland presented Insoo Kim Berg
to Steve de Shazer. Steve followed Insoo to Milwaukee and after
a couple of months they got married. (Malinen, 2001, p.20)
Berg herself connects this meeting and the influence of the couple’s
relationship, to the development of SFT as follows:
“I was very interested in brief therapy before I met
Steve, that´s how we met actually, because of our common
interest in brief therapy. We met in Palo Alto (i.e., at MRI).
So we both had the MRI model as “the” model for doing
therapy and I think how we got together it was more than just
a marriage, a personal marriage…it was a professional relationship…and
that had a lot to do with this model being pushed forward.”
(Kiser, 1995, p.121)
After his return to Milwaukee, de Shazer became head of research
at Family Service. In addition to Jim Derks, Marilyn LaCourt,
Eve Lipchick, Don Norum and Elam Nunnally, he and Berg were the
“system thinkers” of the center. They regularly followed
each other’s sessions and discussed them afterwards and
met each other in order to get more training. There was an obvious
tension between them and the “psychodynamicers” of
the institution. The enthusiasm and creative energy of the group
was only increased by this juxtaposition.
“At Family Service there was a core group of 20 psychodynamic
therapisst and those of us that started doing family therapy…so
we were pushed together…and we bonded together a Family
Service just out of self-protection. So a lot of creativity and
the tightness was a result of trying to protect ourselves from
rest of the clan.” (Kiser, 1995, p.122)
The clear conflict between family therapists and the other staff
prevailing in the centre led to de Shazer and Jim Derks leaving
the centre. In 1978, they founded a new center on their own.
Brief Family Therapy Center
In the beginning, the founders met their clients at de Shazer’s
and Berg’s home. The interviews were held in the living
room, with the team sitting on the stairs. Later the sessions
were watched on video from upstairs. After a year or so, they
got their own office on Capitol Drive, in the north of Milwaukee.
Elam Nunnally also moved his practice to this new location. Each
of them lent $600 to the center without knowing whether they would
see their money again. According to Elam Nunnally,
“Insoo stayed at Family Service…although she
also worked part-time at BFTC. Her salary was the only source
of income, because BFTC didn´t yield much profit. After
a couple of months Eve Lipschik and Marilyn La Court finished
their studies in the Family Center. 1979 they moved full-time
to BFTC and so did Insoo in 1981. Now the center had five workers.
I and familydoctor called Marvin Wiener stayed there as part-time
practitioners. The young man (Don Norum) I told you, was with
us in Chicago and he never moved to BFTC. He kept contact with
us for awhile, but then he moved away from the Family Service
to become a manager of the Mental Health Department of Family
Health Plan and sort of vanished from the picture.”
(Malinen, 2001, p. 21)
In the beginning of the 1980’s, de Shazer became more and
more the leader in the group. At the same time, several well-known
therapists (e.g. Alex Molnar, John Walter and Michele Weiner-Davis)
began to spend their time in the center and get clinical training.
One of the trainees during that time remembered observing “Steve
sitting in his chair while all of them sat on the floor…pontificating
over the whole thing.” (Kiser, 1995, 123) When Derks
and LaCourt left the group in 1984, de Shazer, Berg and Lipchick
kept working together for a couple of years. According to Lipchik,
that period was especially fruitful. de Shazer wrote Keys
to Solution in Brief Therapy (1985). Berg actively took part
in politics and Lipchick started to publish articles concerning
systemic issues. Although the founders are not quite unanimous
whether they meant to create a new model of therapy or not, they
all agree that they meant to develop a creative “think tank.”
What worked in therapy was consciously sought and written about.
This was considered to be more important than making money. The
unifying goal of the pioneers was to help clients change their
lives and then to examine this process.
As BFTC started its work in 1978, its therapeutic approach still
followed the strategic model of the Mental Research Institute
(MRI), by focusing on the detailed description of problems, changing
problematic patterns of interaction. It was thought that the problematic
behaviour always has a balancing role in the family system.
Node Points
The founders also disagree on when the change from problem-focused
to solution-focused therapy took place. The basic principles existed
years before BFCT opened its doors, but at the beginning the work
was not yet solution-focused. According to Nunnally, the model
developed towards a solution-focused approach during 1983 and
1984, (Malinen, 2001, p. 21) The book Keys to Solution in
Brief Therapy, published by Steve de Shazer in -85, and the
”Brief Therapy: Focused Solution Development,”published
by the team in 1988, could be considered as introductions to the
therapy model of BFTC.
In the transitional process one can see certain developmental
node points that show the way towards a clear solution-focused
approach. Of course, it is difficult to say whether they showed
up only linearly and what the possible non-linear changes include.
In any case, it seems that the developers were not entirely conscious
of them, because they recall that they used to have brainstorms
asking questions such as “What are we really doing?”
and “Are we doing something different?” and
“What is this?” (Kiser, 1995, p.124)
To provide some clarity and organization, I’ve classified
the first three developmental items that were linked together
in terms of their contents under the heading “Therapist
and Systems”. These are: a) using positive feedback b) future-oriented
change and c) examining solution-focused speech. The previously
mentioned ‘death of resistance’ (see Section 4) also
belongs to these entities. Other significant nod points are: a)
the first session formula task b) the change preceding the session
c) the miracle question and d) stressing the intervention nature
of the interview.
THERAPIST AND SYSTEM
Positive Feedback
de Shazer believes that therapists create a social construction
called “therapy” with their clients. (de Shazer, 1991,
p.28) According to this conception, the therapist in the therapy
room and the one behind the mirror are both a part of the therapy
system. If they were outsiders, they would act as expert authorities
and the therapy would come as a surgery led by them. In the opinion
of de Shazer, therapists like Jay Haley, Cloe Madanes and Selvini
Palazzolli gave too much power to the therapist in their work.
This was due to their interpretation of the work of Milton Erickson;
he was considered to be a “wizard” whose stressed
the “magic of the therapist”. The solution-focused
approach in its turn stresses the “magic of the client.”
The idea of the therapist/team and the client as being part one
system emerged from the clinical work of BFTC and also from the
influence of other family therapists of that time. This point
of view also led to more intensive concentrating on the therapy
session itself instead of the intervention after pause.
According to those interviewed by Kiser, positive feedback forms
a crucial part in the change from problem-focused to more clear
solution-focused approach. de Shazer describes this:
“Clienst started to ask what the team thought. So we
decided that if the team was going to think anything, they ought
to think nice things. So we told them nice things…in order
to encourage them to continue therapy. So the team was nice, the
therapist was nice, and things moved along nicely.”
(Kiser, 1995, p.126)
In positive feedback, one can perceive the influences of the
“positive connotation” used in Milan family therapy
(see Section 3.6). When the positive feedback was routinely used,
the step to asking questions such as “What works in your
life?” or “What makes you content?” was not
a long one.
Future-Oriented Change
The concept of “future-oriented therapy” had already
arisen in Family Service. According to Derks, “we talked
about future oriented therapy as (if to say), wouldn´t it
be fairly obvious that if you have past and present oriented therapies
you could have future oriented, and I think we even joked about
it.”
“Another key time was Eve (Lipchik) when she asked
the question, “How will you know when you don´t need
to come here anymore?” And I think that was the big deal,
because that was very definitely future oriented. Not just present
oriented because we´d gotten to the orientation of the present
and the future orientation came tagging along a little by little.
Well, it was long before 1984. I know that because I left in ´84.
(Kiser, 1995, p.129)
The “scale question” similarly arose by
chance. de Shazer tells of a client who had come to his second
session. The therapist asked how he was doing or what was better
now. The client had spontaneously replied: “I’ve almost
reached 10 already!” The therapist began to play with the
idea of using numbers to describe one’s situation. This
started the development of the scale question used in solution-focused
therapy. During the work process, something happened that was
perceived to be useful and it was done again. (de Shazer, 1999)
Exploring the solution-speech
The people of BFTC also saw that the solution speech of the clients
increased when the therapists paid more attention to their questions.
According to Weiner-Davis, the team used to brainstorm on that
issue from time to time. They would compete as to who could invent
the most questions which would increase clients’ solution
speech and how they could be used earlier in the session. The
research of Gingerich on solution speech (Gingerich et al. 1988)
got the team to use different interview techniques, during which
there was no need to talk about problems at all.
The First Session Formula Task
In 1982, the ‘First Session Formula Task’ was developed:
“We would like you to observe before our next meeting
what such things happen in your family/marriage/relationship that
you wish to continue.” (de Shazer, 1985)
It was first believed in BFTC that feedback given to the clients
should be isomorphic, that is, structurally harmonious with the
problems described by people. In using the first session formula
task, it had to be explained why interventions that had no explicit
contact to the problem and could be given in many different situations,
worked. According to de Shazer, the conclusion that arose from
this was very shocking and radical - that problems and solutions
have no close connection with each other.
“We tried the first session formula task in every
case and it proved to be a real shock to all of us. We had thought
all the way, that every case is different and here we had the
model that worked in many situations…we didn´t know
what to do with it. We had to figure out why this happened?
(Kiser, 1995, p.133)
As a result of the first session formula task, clients described
changes, after which there was no need to come to therapy anymore.
This led de Shazer to think that the reason why people managed
to find their solutions had to be explained in a different manner
to the reason that brought them to therapy. The separation of
the problem and the solution led the team to further consider
the clinical criteria of their work. Lipchik in her turn paid
more attention to the process of interview itself.
At this stage a series of question was developed that concentrated
on those moments when the problem didn’t appear. From this,
it was a short step to the question: “Did these changes
also appear before coming to therapy?” These kind of questions,
that focused on problem-free situations, were called “questions
surveying exceptions”.
Although the first session formula task developed their work
method towards a solution-focused approach, the founders did not
yet call the model solution-focused. However, they knew that they
were concentrating on the future and on what already worked in
the client’s life. As the solutions were separated from
the problems, the group were no longer interested in researching
the area of problems so closely. From this it followed that they
increasingly branched away from the model of the Mental Reseach
Institute.
In de Shazer’s opinion, the first session formula task
formed the most crucial nod point towards the development of solution-focused
therapy, because a sudden change in the work took place along
with it. Before 1982, the most common message had been “Observe
the things you don’t want to change.” According to
Nunnally, the predecessor to this first session formula task had
been developed under the influence of paradoxical therapies. In
them, the client was often asked to refrain from changing in order
to make the change happen.The question preceding the intervention
made the clients conscious of what they, or someone else, did
that they liked.
“I remember very clearly the day – tells
Nunnally – Steve (de Shazer) and I and Marilyn LaCourt were
sitting around talking about this and we kind of jelled on a better
way of doing that, which was to ask clients, “Notice what´s
happening that you want to keep have happening.” And we
were already using that “You don´t want to change”
message and getting good results from it and then we shifted to
this, “Notice what you´re doing that you want to keep
doing” or “Notice what´s happening that you
want to keep have happening”…and the clients were
coming back with either things that they had already been doing,
which were not new, and very often with one or more things they
thought were new and we subsequently decided often weren´t.
But these were often very congruent with their goal direction…I
remember the precise moment when one day I said to Steve,”What
we´re really focusing on here is the solution. You may already
thought of that. And he responded: “This is solution therapy.”
That was the first time I´d heard it, but he may have thought
of the same thing earlier.” (Kiser, 1995, p.132)
The Change Preceding the Session
Among the founders of the BFTC, there are also different opinions
of the meaning of the change preceding the session in the development
of the solution-focused therapy. Some of the pioneers think that
it wasn’t particularly important when others – like
Steve de Shazer -consider it crucial to the final conceptual breakthrough.
Some members of the group received this new invention as a “real
mind-blower,” whereas others thought that the issue had
already been dealt with ten years ago, during the times of the
Family Service and before the article written by Weiner-Davis
et al. in 1987. As one can see from Don Norum’s article
( 2000), mention of the change preceding the session already existed
long before the findings of Weiner-Davis et al. in the middle
80’s. Due to this, the origins of the idea are difficult
to track down.
Derks, one of the pioneers, deals with the issue as follows:
“We were doing a lot of that thing at Family Services and…I´m
trying to remember where we got some of this stuff, it certainly
wasn´t ours of origin. Oh, God, there was a guy at Family
Services who wrote couple of chapters in books…and essentially
they would say, “You´ve had the problem for a quite
some time and I´m wondering did something happen that got
you to pick up the phone…to call here. Was there some straw
that broke the camel´s back?” And really focus on
that frame and the next step in the process was, “What (else)
did you do?” “What changes did you make besides calling
here? and “How have things been between you and your husband?”
(Kiser, 1995, p.135)
Miracle Question
“Suppose that one night, while you were asleep, there was
a miracle and this problem was solved. How would you know? What
would be different?” (de Shazer, 188, p.5)
The miracle question was developed in the middle ´ 80’s
as an effort to describe concretely the behaviour after solving
the problems. Wilks tells about the development of this question
of SFT which is probably their best-known; and also talks about
his co-operation with de Shazer:
“Let me give you an example of how I was an irritant
factor in the same way that an oyster develops a pearl to cope
with an irritating grain of sand, and also an example what I mean
when I say that he (de Shazer) took the ideas they were discussing
a lot further. There was a session back in 1984 or early ´85.
I was behind the mirror with a couple of advanced traineers. Steve
was conducting the case as the front-line therapist. And one of
the questions that Steve asked the client was , “If a miracle
happened in the middle of the night when you were all asleep and
you woke up and the problem had been solved, how would you know
that?” Well, that was the first time I had heard it. So
I thought to myself, “That´s interesting.” But
two days later I was supervising a case from behind the mirror.
It was a marital case and she (the therapist) was trying very
hard to get a definition of the complait and had tried for several
sessions and was getting nowhere. Finally, I phoned in this question
(miracle question) and said, “Can you ask them that?”
She asked this question of this couple, “How would you know
that”? and suddenly their eyes lit up and the wife said:”Well,
for one thing, when we woke up in the morning instead of just
turning to me…instead just turning to the clock and saying,
“Oh shit,” which is what my husband always does, he
would say, “Good morning darling, did you sleep well?”…And
she gave a whole bunch of these (examples) and he did the same
and the case really took off. Well, having been impressed with
how powerfully this question worked, I started playing around
with the theory behind it and experimenting with it, and variations
of it, in other sessions of mine and thought, “This is quite
a question.” So I decided to discuss it with Steve in some
depth and find out what his views were on it and did he realize
how powerful this was. So I took him aside and told him what I
just tols you and said, “Have you used this question before?”
And he said, “Sure, I´ve used it every now and again.
I´ve used it a couple of of times before and it can be quite
useful.”…this was late ´84, I would say. Possible
early ´85. He was interested that I was taking such an interest
in it and I said to him, “I believe that this question is
of a fundamentally different nature to any of your skeleton key
questions and that it´s, in fact, a different level altogether…if
we could work out how this question works and the underlying logic
of it, it could open up a whole new field of intervention.”
He was very appreciative, and intrigued, and added, “By
the way, if you notice any other things like that, do keep pointing
them out…I do all sorts of things without knowing why I
do them or they may be valuable and I rely on you and others to
draw my attention to them.” (Kiser, 1995, p.136)
As the miracle question became one of the therapy interview routines
in BFTC, it could also be used to find exceptions. The therapist
could ask, e.g.: “”Is something of this miracle happening
already?” According to Weiner-Davis, Eve Lipchik was the
first in the work team who used this question.
Another version of the birth of “the favourite child”
of BFTC can be found in the book The Miracle Method written by
Scott Miller and Insoo Berg (Miller & Berg, 1995, p.36)
“Back in 1984 a woman called us for appointment, demanding
that she be seen that day because it was an emergency. She began
sobbing as she told the receptionist how her husband´s drinking
was out of control and that he had even been violent toward her.
She was still tearful when she arrived for her scheduled appointment
later that day. As she entered the therapist´s office and
began to sit down, she said, “My problem is so serious that
it will take a miracle to solve it!” Following her lead,
the therapist simply said, “Well, suppose one happened…?”
After a few moments of silent thought she began to describe what
she wanted to be different about the situation that was troubling
her. As she described what she wanted in more detail, a smile
began to creep into her face and the tone of her voice became
more hopeful. As she stood to leave the office, she told the therapist
that she was feeling much better. The following week she returned
and reported that she had turned that feeling into some small
but significant changes in her life and her marriage.”
Among the founders there were also – and still are –
some critical attitudes towards the miracle question. Elam Nunnally
said in August 1999 (Malinen, 2001, p.22) that “Eve
and I disagreed on the miracle question, which was made kind of
shrine. In my opinion the miracle question is not so much about
the miracle question, but everything that makes the client think
about the futrte without the problem. The miracle question is
just one way to do it. Insoo and Steve don´t think this
way. For them the miracle question is like a shrine with candles.
We quite much disagreed about this. The miracle question is a
great invention, but sometimes to concentrate just on it covers
the prcsess itself and there are also other ways to get the client
to think about the futute without the problem… I´m
a little bit disturbed that one – although effective –
question has been so much canonized.”
Interventive Interaction
Before 1985, de Shazer considered that the intervention after
the break to be the primary effector of the session. The final
purpose of the interview was to choose the right intervention
for the client. Gingerich’s research of solution talk and
Lipchik’s interest in interview questions shifted the emphasis
more and more from the message after the break to the session
itself and to the interventive nature of the questions.
This gradual change made de Shazer write his book Clues: Investigating
Solutions in Brief Therapy (1988). He says that he did it
reluctantly. In the beginning, he was worried that this interest
in language and constructionism could make the model more complex.
He thought that this new turn could move it in a less pragmatic
and more esoteric direction. However, this new focus of interest
combined Shazer’s long-standing interest in philosophy –
especially Wittgenstein – with solution development work.
Berg thought that the influence of Selvini Palazzoli and other
Milan family therapists could be seen in this change. “And
I think everything sort of came at the same time. And then that´s
that time that the Palazzoli article on interviewing came out…the
circularity paper…and then that was followed with Peggy
Penn´s articles on circular questions. These articles stimulated
us to look at this as an interactional process….I think
that Eve (Lipchik) picked up on that and started looking at the
interview process more…I think before that (before the first
session formula task) we put a lot of emphasis on the intervention
task.” (Kiser, 1995, p.138)
Of course, the interest towards the intervention after the break
derived from strategic therapies that usually stressed the functional
actions and interventions in solving the problem. However, the
members of the BTFC started to concentrate more and more on interaction
in the session rather thanon intervention and giving homework.
Personalities
“Is it me who set the bow, or is it the bow that pulls
me to the full tension?” (Herrigel, 1978)
Each new approach or therapeutic method has always reflected
the experiences or personalities of its founders to some extent.
On the other hand, it is good to remember that the diffusion from
the private to the public is not a mechanical process but, as
Heidegger puts it“the human being is a openness through
which beingness manifests, but only to the exted that we are open
to the beingness.” (Heidegger, 2001, 102) There is no ego
as such, which is separate from beingness and society. In fact,
the “ego” forms itself each moment in interaction
with other people, according to a narrative that we create together.
(Lax, 1996, 71) My thoughts would not exist without being in contact
with culture, language and existing meanings. According to Wilber
(1996, p.81), individual thoughts could and should always be examined
with reference to intentionality, behaviour, culture and social
life. These four levels define each other in a reciprocal manner;
they are, at the same time, both the reasons for and consequences
of each other.
It is interesting to see that the ethnic, cultural and educational
backgrounds of the pioneers of the solution-focused work method
are so colourful. There is French blood running in de Shazer’s
veins,
Insoo Berg is Korean, Eve Lipchik a Jewish refugee immigrant and
Elam Nunnally has close contacts with Finnish culture because
of his Finnish wife. In addition, de Shazer has worked as a musician
and artist. Berg has studied pharmacology, and in the team there
also was a linguist, sociologist and educational scientist (Berg,
2000) Kiser considers this variety a catalyst for the development
of a new theory, rather than an obstruction. (Kiser, 1995, p.77)
The founders also – except de Shazer – agree that
their personalities significantly affected the development of
SFT.
Insoo Kim Berg says she has always gone against the flow both
in her private and professional life.
“I sort of rebelled against my family. My marrying an American
(her first husband) was a horrendous thing that happened to the
family and I just said “To hell with you” and just
left Korea.” (Kiser, 1995, p.143) According to her, the
separation from her family forced her to succeed in a foreign
country. Her work filled her life completely: she and Steve often
worked seven days and 70-80 hours a week.
Marilyn LaCourt nowadays wonders whether it’s possible
for a therapist to act in an ethical way in a system that is often
lacking in solidarity, pathologizing and damaging one’s
privacy. (La Court, 2001) As someone who stresses social equality
and justice, she has enjoyed doing important work such as replacing
the concept of resistance in therapy with the concept of co-operation
and living practice.
Jim Derks tells of how he used to work as a crisis therapist
and superviser in a psychiatric clinic.(Derks, 2001) In addition,
he has worked as a co-ordinator in large research projects that
have dealt with alcohol and depression. These have included significant
interventions in the area of public health.
Eve Lipchik think that solution-focused work method suits her,
because it give her a good feeling and because therapists don’t
have to slave away in long, intimate therapy relations. Lipchik
has always stressed the intervention nature of interaction and
the significance of emotions in solution-focused brief therapy.
She told Kiser that she has always felt herself to be an outsider
because of her origins. Being an equal part of a small group,
in which there was another immigrant (Berg), was an extremely
important experience to her. (Kiser, 1995, p.143)
It is easy to imagine how deeply the pioneer era of SFT fascinated
Elam Nunnally who has worked as a volunteer in Finland. At the
time, there was obviously a lot of good will and feeling that
they were embarked on a Great Adventure. When I asked him in August
1999 about the resources he has had that helped him in his profession,
he answered: “Oh, there are many!…but perhaps
the thought that making money and power are meaningless in life,
if you don´t somehow promote the life of the other human
being, too…I believe that there´s value in every human
being, even thought they have committed horrible things and crimes.
Their value as a human being is immeasurable and therefore everyone
is undefined valuable as they are. (Malinen, 2001, p.24)
In the personality of Steve de Shazer many aspects that are typical
to extremely creative people are joined together: deep commitment
to work – even at the cost of personal relationships –
the tendency to fall back on his own thoughts, frictions in social
life and a strong faith in the significance of his own work. de
Shazer describes himself “as a lonely wolf, “ an aspect
of his personality that derives from a family where “radical
independence” was appreciated. According to Insoo Kim Berg,
his wife, he has an amazing talent to concentrate on the thing
he is doing. “When he is writing he becomes extremely
preoccupied and it is like living with a pregnant woman.”
(Kiser, 1995, p.146)
IN THE THINKTANK
The writers of the book Explorative learning – the
limits of intelligent action and how to break them (Hakkarainen
& Lonka & Lipponen, 1999, 144) state that scientific research
is not simply based on an intelligent individual’s single
insights. The adoption of a research tradition and interactions
with the scientific community plays a crucial part in the birth
of scientific inventions,. Research into the inventive process
has shown that creative insight is often preceded by a long-term
working to solve the problem and a process of social interaction.
They significantly effect both the birth of a new invention and
its content. The development of new ideas is a socially decentralised
process that demands open space where outer and inner dialogues
can form freely and where unpredictability is respected and cherished.
The team of BFTC formed, at its best, a think tank that contained
a wide variety of intellectual stimulus and energy. This kind
of learning environment could be called a “second level
environment” with regard to its expertise, knowledge management
and creative development: This is as opposed to the “first
level environment” (e.g. everyday life or school) where
people only adapt to relatively unchanging conditions. (Hakkarainen,
et al. 1999, p.151) Typically in second level environments the
action of the community and its individuals constantly changes
the conditions of change. This leads to a gradual growth towards
the demanding level. In the early years, the developers of SFT
were involved in long discussions every day on issues arisen from
client sessions. In the beginning, these discussions were case-by-case
but from the beginning of the 80’s, more theoretical issues
started to be considered as well.
Over several years, only two or three clients were met per day.
With this arrangement, time was consciously left open for theoretical
discussion. The basic assumptions of therapeutic work were constantly
opened to question. The main questions were: “What exactly
are we doing?” and “Why do we do things this way?”
Different opinions were allowed in the team. There was no doubt
that this had a significant effect on the development of the method.
In de Shazer’s opinion, it was only thanks to these different
points of view that the depth in perception was reached. “And
when the team started talking about something in the same way…it
was a signal that they could start writing about it.”
(Kiser, 1995, p.155)
The marriage of de Shazer and Berg formed a great dynamo in the
development of SFT. The couple complemented each other in many
respects. According to Berg “Steve´s role was
clearly to be very creative, innovative kind of role, that´s
his job, and I think my role was to somehow make that fit…to
make i at little easier to digest for the rest of the world. He
tends to be very extreme…well, he has to be…innovative
means you have to be different.” (Kiser, 1995, p.161)
de Shazer in his turn considered – and obviously still does
- his wife to be the main developer of the clinical method. Of
course, this is not to say that other pioneers did not have a
role in the issue and that de Shazer did not learn a lot from
their work. On the contrary: the therapists constantly surveyed
each others work and discussed their own ideas and what they have
heard from others all the time. However, the interaction between
the couple was the most dynamic and complementary element. LaCourt
tells how “Steve watched Insoo work a lot and he paid
very close attention to what was pragmatically working within
what she was doing…and Insoo´s work was really effective.
So I think Steve had a lot of stuff to sort out by observing her
and then he would deduce underlying assumptions of her work and
how things worked as they worked.” (Kiser, 1995, p.163)
This had a good fit with Insoo´s intuitive way to work.
She states herself that “Sometimes I do things without
raelizing what I do. I think that I just go into the session and
I just do it. And because it just seemed…it seems to make
sense to do it that way and then somebody (usually deShazer) says,
“You did something different”, and I´d say,
“What?” and they would say, “Well, you did this
and this different.” And then we talk about it quite a bit
until it makes sense and we end up kind of an explanation.”
(Kiser, 1995, p.163)
Although the development of SFT was a group process, de Shazer
was generally considered to be its main creator and proponent,
amongst team members. This was partly due to his theoretical tendencies
and his passion to write. As de Shazer started to get a reputation
from his books, the interaction between him and other members
of the team decreased and therapists from outside the team came
into the picture. Their involvement was also a conscious way to
avoid orthodoxy and to produce constant change in the development
of the theory. For example, the discussions with Wally Gingerich,
Alex Molnar and Michele Weiner-Davis often generated research
projects, articles or changes in the existing theory. (Kiser,
1995, p.152) When other members of the team had a regular client
practice, de Shazer could concentrate on the written aspect. On
the other hand, this created disagreement among the team. When
SFT started to be acknowledged, more conflicts appeared. Derks
and LaCourt left the team in 1984, Lipchik in 1986 and Nunnally
in 1990. (Malinen, 2001, p. 21) After the separation, they all
have worked actively on behalf of SFT in their fields.
CONCLUSION
There are dead words and living words. Dead words are used in
everyday discourses in explaining and analytical speech and in
control. They can seldom exceed the ordinary and cary away the
individual. Living words in their turn have a fascinating ability
to push a human mind towards the unknown and open it to the unspoken
and unwritten. (Olson, 2000, p.28) In addition, all words get
their power from the situations they are spoken or written in.
They don’t have any power on their own; they are “wide”
and lack meanings which are contextual.
My story of the development of solution-focused therapy method
ends at the point where the writer is right now. Because this
situation has no end, the meaning and power of these words is
in their incompleteness. They can become alive in the dialogues
and interpretations that, in their own different ways, bring the
narrative further into the future.
REFERENCES
Aarninsalo, P. & Mattila A. (1988) “Frustra fit per
plura, quod potest fieri per pauciora.” Family Therapy,
(Perheterapia) 1a, 3.4.
Berg, I.K. (2000) Looking towards solutions. In Family Therapy:
The Field´s Past, Present and Possible Futures. Vol 1, No.
1, Dulwich Centre Publications.
Derks, J. (2001) Personal communication, 32.4.
de Shazer, S. (1985) Keys to Solution in Brief Therapy. Norton.
de Shazer, S. (1988) Clues. Investigating Solutions in Brief Therapy.
Norton.
de Shazer, S. (1991) Putting difference to work. Norton.
de Shazer, S. (1999) Personal communication, Milwaukee, 28.7.
de Shazer, S. & Berg, I.K. & Lipchik, E. & Nunnally,
E. & Molnar, A. & Gingerich, W. & Weiner- Davis, M.
(1986) Brief Therapy: Focused Solution Development. Family Process,
25(2), 207-222.
Family Therapy Time Line. http:/www.abacon.com/famtherapy/time.html,
14.10.2000.
Gingerich, W.I.. et al. (1988) Constructing Change: A Research
View of Interviewing. In Lipchik (Ed.) Interviewing. The Family
Therapy Collections, Aspen.
Hakkarainen, K. & Lonka, K. & Lipponen, L. (1999) Explorative
learning – the limits of intelligent action and how to break
them (Tutkiva oppiminen – älykkään toiminnan
rajat ja niiden ylittäminen) WSOY.
Heidegger, M. (2001) Being and Time. (Oleminen ja aika) Vastapaino.
Herrigel, E. (1978) Zen and the Art of Archery. (Zen ja jousella-ampumisen
taito) Otava.
Himanen, P. (2000) The Hacker Ethic - and the Spirit of the Information
Age. Random House, 2000.
Hoyt, M.F. (1995) Brief Therapy and Managed Care. San Francisco:
Jossey-Bass.
Höeg, P. (1993) Smilla´s Sense of Snow. New York:Delta.
Kiser, D. (1995) Process and Politics of Solution Focused Therapy
Theory Development: A qualitative analysis. Purdue University,
CDES.
Kuhn, T.S. (1962) The Structure of Scientific Revolutions. Chicago:
University of Chicago Press.
LaCourt, M. (2001) Our integrity and that of our clients: Together
we can change things. In Duncan, B & Sparks, J. (Eds.) Heroic
Clients, Heroic Agencies: Partnership of Change. Nova Southeastern
University.
Lax, W. D. (1996) Postmodern Thinking in the Clinical Practice.
In McNamee, S. & Gergen, K. (Eds.) Therapy as Social Construction.
Sage.
Lipchik, E. (2002) Beyond Technique in Solution-Focused Therapy.
Guilford.
Malinen, T. (2000) Language Game in Milwaukee (Kielipeliä
Milwaukeessa), Ratkes, 1, 14-17.
Malinen, T. (2001) In the Whirl of the Flowing River – Discussion
with Elam Nunnally. (Virtaavan joen pyörteissä –
keskustelu Elam Nunnallyn kanssa) Ratkes, 1, 20-24.
Malinen, T. (2002) Practice is theory lived through: A Conversation
with Wendel Ray at the Brief Therapy Network Conference 2002.
Unpublished manuscript.
Miller, G. & de Shazer, S. (1998) Have You Heard the Latest
Rumors About…? Solution-Focused Therapy as a Rumour. Family
Process, Vol. 37, No. 3, 363-377.
Miller, G. & de Shazer, S. (1998) Wittgenstein for the Therapist.
A BFTC Audio Tape.
Miller, S. & Berg, I. K. (1994) Miracle Method. Norton.
Nunnally, E. & Berg, I.K. (1983) We Tried to Push the River.
The Journal of Strategic and Systemic Therapies. 2 (11): 63-68.
Olson, C. (2000) Zen and the Art of Postmodern Philosophy. Two
Paths of Liberating from the Representional Mode of Thinking.
Sate University of New York Press.
Weiner-Davis, M. & de Shazer, S. & Gingerich, W. (1987)
Building on Pretreatment Change to Construct the Therapeutic Solution:
An Exploratory Study. Journal of Marital and Family Therapy, 13(4),
359-363.
Wilber, K. (1996) A Brief History on Everything. Shambhala.
Wilber, K. (1999) One Taste. Journals of Ken Wilber. Shambhala.
<< back
|