Exam 13: Narrative Therapy

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The following are guidelines for narrative reflecting teams EXCEPT:

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A common goal of narrative therapy is to increase a client's sense of _________, the sense that they influence the direction of their lives.

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How might a narrative therapist separate the person from the problem?

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A narrative therapist might separate the person from the problem by employing a technique known as "externalization." This approach is a cornerstone of narrative therapy, which was developed by Michael White and David Epston. The process involves helping the client to see the problem as something that is not inherent to their identity but rather as an external entity that influences their life and relationships.

Here's how a narrative therapist might facilitate this separation:

1. **Naming the Problem**: The therapist encourages the client to give the problem a name. This could be anything from "the Depression" to "the Anxiety" or "the Conflict." By naming the problem, it becomes a distinct entity, separate from the person.

2. **Mapping the Problem's Effects**: The therapist and client explore how the problem has been affecting the client's life. They discuss the problem's influence on the client's thoughts, behaviors, relationships, and self-image. This helps to further distinguish the person from the problem.

3. **Exploring the Problem's Origins**: The therapist helps the client to investigate where the problem came from and how it gained influence in their life. This exploration can reduce the sense of personal failure or self-blame that the client might feel.

4. **Identifying Unique Outcomes**: The therapist works with the client to identify times when the client was able to resist the influence of the problem or times when the problem was less dominant in their life. These "unique outcomes" help to demonstrate that the client is not completely controlled by the problem.

5. **Developing an Alternative Narrative**: The therapist assists the client in constructing a new narrative about their life, one that emphasizes their abilities, hopes, values, commitments, and competencies. This narrative is separate from the problem-saturated story that the problem has been telling about their life.

6. **Strengthening the Preferred Narrative**: The client is encouraged to take actions that support the new narrative and to recognize and celebrate these actions as evidence of their agency and identity separate from the problem.

7. **Recruiting a Supportive Audience**: The therapist may involve significant others in the therapy process to help reinforce the new, preferred narrative. This could be through letters, ceremonies, or direct participation in therapy sessions.

By externalizing the problem, narrative therapists help clients to see that they are not the problem; the problem is the problem. This shift in perspective can be incredibly empowering, as it allows individuals to engage with their issues in a more objective and manageable way, and it opens up space for change and growth that is consistent with the client's preferred way of being.

"What effects does the anxiety have on your life and relationship?" is an example of a/an _________________________.

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___________ help clients to further "unpack" their stories to see how they have been constructed, identifying the influence of dominant and local discourses. These typically target problematic beliefs, practices, feelings, and attitudes.

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If a narrative therapist said to a client, "Would it be okay if I ask you some questions about your sex life?", the therapist is using what technique?

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____________ moves clients from that which is familiar to that which is novel.

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As clients are talking, narrative therapists listen for ________________________.

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A narrative therapist is working with a 17-year-old client, Amy, and her mother regarding Amy's struggles with an eating disorder. As therapy has progressed and the therapist has worked with Amy to separate the problem from herself, the therapist might phrase a middle phase goal in therapy in which of the following ways?

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Name and describe two interventions utilized in narrative therapy.

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Narrative therapy is often the therapy of choice for working with gay, lesbian, bisexual, transgendered, and questioning clients because it helps to deconstruct the _______________ discourses that are often the greatest suffering in GLBTQ clients.

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From a narrative perspective, _______________ are not the problem; problems are the problem.

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How might a narrative therapist utilize a unique outcome in therapy?

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If a group of teenagers creates a subculture with different beauty standards, sexual norms, vocabulary and friendship rules that are found in the adult culture, this is an example of a __________________________.

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In what ways is narrative therapy an ideal modality in working with diverse populations?

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Clara, a 13-year-old girl who typically cuts herself when she feels anxious, decides one night to call a friend instead of cut. When she tells this to her therapist, her therapist labels this as an example of _________________.

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In narrative therapy, letters are used for each of the following purposes EXCEPT:

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Narrative therapists privilege ____________ questions over __________ questions (such as "What were you feeling?") in order to promote a sense of personal agency.

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All of the following are phases of narrative therapy EXCEPT:

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In narrative therapy, the process or intervention of separating the person from the problem is known as _______________________.

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