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Narrative and Solution-Focused Approaches: Convergences, Divergences, and a Tribute Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada
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Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Dec 14, 2015

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Page 1: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Narrative and Solution-Focused Approaches:Convergences, Divergences, and a Tribute

Jeff Chang, Ph.D., R.Psych.Associate ProfessorGraduate Centre for Applied PsychologyAthabasca UniversityCalgary, Alberta, Canada

Page 2: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Acknowledgements

• Research and Study Leave• Research and Study Leave Relocation Grant

Permission• Feel free to use my work as long as you cite it.• Click here for publications and presentations.

Page 3: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Calgary, Alberta, Canada

At the borderlands of the Stoney Lakota people and the Blackfoot people

Page 4: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Calgary, Alberta, Canada

Page 5: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Calgary, Alberta, Canada

Page 6: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Calgary, Alberta, Canada

Page 7: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Calgary, Alberta, Canada

Page 8: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Calgary, Alberta, Canada

Page 9: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Therapist for over 30 years, and a Registered Psychologist in Alberta for 27 years, working in:• children’s mental health as a: •Front-line counsellor•Clinical supervisor•Program developer and director (two school-based programs)

• Employee assistance programs• Private practice

Professional History

Page 10: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

• Clinical Supervisor at Calgary Family Therapy Centre since 2011

Karl Tomm

Professional History

Page 11: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Professional History

Page 12: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Rewind – 1985

• Working at a day treatment program for children with behavioral problems, my supervisor introduced me to the work of Steve de Shazer

Page 13: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Rewind… 1985

• “Keys” was an attempt to systematize brief strategic therapy• Characteristic of problems

linked to types of interventions – a practical approach to Ericksonian utilization• “Skeleton keys” – usually

something to do with asking about what was different when the problem was not occurring

Page 14: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1986

• Moved to Calgary and saw Michael White for the first time, as Karl Tomm had brought him to Calgary. •Calgary, along with Tulsa, OK, were among the first places in North America Michael taught

Page 15: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1987

• Michael came again to Calgary and spent a day at our agency, Wood’s Homes, an adolescent residential treatment centre• I was thrilled to bring a family for

Michael to interview. Kori, an unruly 15 year old girl, had the agency chasing our tails.• Michael’s relentless curiosity, refusal

to pathologize Kori and her family, and his invitation to reflect on a preferred future, were compelling.

Page 16: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1988-1990

• My colleagues and I began to notice, and then present locally, on the similarities and differences between Michael’s work (at that time we were only vaguely aware of his partnership with David Epston) and Steve’s work (along with Insoo Kim Berg, Eve Lipchik, and others).• I learned of an upcoming conference

“Generating Possibilities Through Therapeutic Conversations” (TC I) to be held in Tulsa, OK, in June 1991.• I managed to talk my way into doing a

presentation…

Page 17: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1991

“TC I”, Tulsa, Oklahoma, June 1991

TC I was an inflection point!

Page 18: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1993

Resulting in….Chang, J., & Phillips, M. (1993). Michael White and Steve de Shazer: New directions in family therapy. In S. Gilligan & R. Price (Eds.), Therapeutic conversations. New York: Norton.

Page 19: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1993

• Michele Phillips and I noticed primarily the emphasis on asking about what clients were doing when clients are experiencing a preferred outcome

• We attempted to find some common conceptual roots (Bateson, sociology, deconstructionist philosophers [Derrida, Heidigger], Milton Erickson!?)

• We suggested that what Michael and Steve were doing was “theoretically very compatible…” but “stylistically and operationally very different.”

Page 20: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1993• In Steve’s commentary on our

chapter, he disagreed with pretty much everything we said.

• He noted a “radical distinction” between “unique outcomes” and “exceptions,” and between “anti-problem” and “solution.”

• He suggested that Michael’s 1986 description of “a new code book” constituted an “objective reality” and the therapist imposing “a better way”

Page 21: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1993

• Michael commented that Steve’s description of his work “rendered it mostly unrecognizable to me….”• Michael identified Steve’s

intellectual rigour and the non-pathologizing nature of SFT, continuing:

Page 22: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1993• “… If [my] reflections on the… of

Steve's work are reasonably well founded, then I do believe that my work can, to an extent, be aligned with his. This reflection enables me to entertain the idea that we might share some common purposes, and it might further explain why others have, on occasion, made the assumption that we are kindred spirits….”

• They agreed that their approaches had a certain “family resemblance” – like apples and pineapples

Page 23: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

The Years Surrounding TC 1Movement from charismatic (usually male) therapists being very directive, and pronouncements from behind the one-way mirror (it really was “one way”), to:• Reflecting teams (Andersen, 1989)• “Glasnost”(Furman, 1992)• Problem determined systems – Collaborative

Languages Systems (Anderson & Goolishian, 1989, 1992)

• The Milan team – circular questioning (Cechin, 1992; Fleuridas, Nelson, & Rosenthal, 1986)

Page 24: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

The Years Surrounding TC 1

• Solution-focused therapists:•Recognized the centrality of the interview, as opposed to the “intervention” (pronouncement from behind the mirror) (Lipchik & de Shazer, 1986)•Going even further, de Shazer cited Wittgenstein: “The limits of my language means the limits of my world.

• Future questioning (Penn, 1982, 1985)• Interventive interviewing (Tomm, 1987a,

1987b, 1988)

Page 25: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

The Years Surrounding TC 1

“It was a very exciting and generative time. Structural and strategic approaches were dominant then. The field was shifting from a first order perspective, in which therapists were operating upon clients, to a second order perspective in which the therapeutic system included the therapist. The field was undergoing a shift in how it viewed epistemology and the nature of truth, and [TC I] accelerated that shift. The conference made it possible to transcend schools of therapy and look at collaborative practices that had much more in common than people acknowledge.”

Karl Tomm, April 22, 2011

Page 26: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

1994-1996

• Steve and Michael presented together in 1994 at TC II

• The hoped-for (at least on my part) cross-germination seemed to stop after 1996

What stuck?A postmodern view of language:• Language constitutes or constructs reality,

as opposed to representing reality• Michael referred to this as

“constitutionalism”• “There is no reality apart from language”

(de Shazer, 1994)

Page 27: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

A Postmodern View of Language

As Shotter (1993, p. 20) observes, in a constitutive view of language:• “We unknowingly ‘shape’ or ‘construct’

between ourselves . . . not only a sense of our identities, but also a sense of our ‘social worlds.’”

• Narrative and solution-focused therapists knowingly shape identities and social worlds through the interview process, but differ “about the most helpful way to steer . . . the conversation . . .” (Mills & Sprenkle, 1995, p. 369).

Page 28: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Micro vs. Macro

• In keeping with the macro/micro distinction solution-focused therapists steer the conversation toward hypothetical solutions, exceptions to the problem, and solution descriptions.• From the inside out

• Narrative therapists elicit descriptions of a client’s agency in relation to the problem, and deconstruct the discourses that support the problem.• From the outside in

Page 29: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Social JusticeNarrative therapists deconstruct discourses that support problems, such as:• Gender stereotypes• Traditional conceptions of sexual

expression• Ideas of ability and disability• Conceptions of physical beauty• Colonialism• Medicalizing discourses…

Page 30: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Social Justice

… which leads us to question the premises of these discourses… which leads us to reflect on how life is lived…… which leads us live consciously position ourselves in relation to these discourses…… which (may) lead us externalize the problem…… which leads us to resist in in solidarity with one another…… which leads us to document our resistance and solidarity…… which results in more socially just practice

Page 31: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Social Justice

Yvonne Dolan on Steve’s approach to social justice:• “What I heard him say is that he thought

they were apples and oranges. And the funny thing is, you know, as a person, he was a complete lefty. I’ve watched him take out every dime and dollar in his pocket and give it to a street person. He was absolutely prejudiced [in favor of] minorities of any kind. . . . However, he felt that to try to look at that in terms of therapeutic approach, for him, interfered with him being able to figure out what he called external signifiers—the way that the client [and therapist] would recognize . . . that things were better or worse. . . .”

Page 32: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Social Justice

• “… But, he . . . could not entertain both at the same time. He felt very strongly, as a person, that [he should be acting to correct] injustices. However, he did not find it meaningful, or he did not find a way, or both, to put that in his therapeutic approach. But I think that he would have been very disappointed in someone as a person if they saw an injustice going on [and did not try to correct it].”

Page 33: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

What’s Happening Now?

• These approaches are embedded in curriculum and textbooks in counselling, psychology, clinical social work, etc.• We’ve left the therapy room•Narrative community work•Solution-focused coaching•Solution-focused community development

Page 34: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

What’s Happening Now?

• We are part of a big family of post-modern or social constructionist practice• Jakko Seikkula, Finland, Open Dialogue Method• Ben Furman, Finland, KidSkills and Reteaming• Imelda McCarthy, Ireland, The Fifth Province•Olga Runciman, Denmark, Hearing Voices Network• Karl Tomm, Canada, Calgary Family Therapy Centre• Andrew Turnell, Perth, WA, Signs of Safety•David Cooperrider, Appreciative inquiry

• We still don’t talk with each other much•More differentiation and not much cross-pollination

Page 35: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

What’s Happening Now?

• For better or for worse, we are lumped in with:• The “Resiliency” approach• “Strengths-Focused” work• Positive Psychology• The Recovery Model

• Focusing on what is going well is good, right?

• On the other hand, both Michael and Steve disavowed the idea that they are looking for “strengths” that reside within individuals, for this would logically require us to locate deficits within individuals

Page 36: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

The Big Question

SO WHAT?• For some, mixing and matching

approaches is fine• Practitioners gravitate to ways of

working that “fit”• For others, it’s more important to reflect

closely on our work• Engaging in self-clarification, part of

which is differentiation

Page 37: Jeff Chang, Ph.D., R.Psych. Associate Professor Graduate Centre for Applied Psychology Athabasca University Calgary, Alberta, Canada.

Finally, a Tribute