and CORRECT Answers
key questions in solution-focused therapy pre-session change questions
'what's better' question
miracle question
exception question
scaling question
pre-session change questions look for incremental change
ex. what changes have you noticed since you decided to book this appointment?
'what's better' question focus on positive change
asked after question 1
helpful to note positive change
- describe them and their causes
ex. what small improvements/changes have you noticed since last session?
miracle question creates alternate reality to be implemented in daily life
best-case scenario
"Suppose while you're sleeping a miracle happens. The miracle is that the problem
which brought you here is solved. When you wake up tomorrow, what will be
different to tell you the miracle is solved?"
exception question find the exception to the problem
ex. can you think of a time when the problem had a lesser impact? what's different
when the problem is not there?
, scaling question aim at unpacking current positivity and looking at possible solutions
ex. on a scale of 1-10, where are you today?
also comes w/ follow-up questions
ex. what makes it a 3 instead of a 1? what could bring it from a 3 to a 5?
what are microskills? communication skills helping the counsellor to interact more effectively w/ a client
'micro' refers to breaking down complex, larger components into more precise,
smaller, manageable ones
how do microskills develop? extensive practice and feedback!!
go through skills in a 'level' system (pyramid chart)
counsellor and client work closely together
what does research say about microskills? tested in multiple clinical settings worldwide (found to be effective)
evidence supported relationships (ESRs): elements of therapeutic relationship
provided by a counsellor aimed at adapting to a particular client's characteristics
where are microskills used? mainly counselling and psychotherapy
also found along the entire range of helping professions
mirror neurons and empathy (neuro of attending mirror neurons: basis of empathetic understanding, located in parietal and motor
behaviour) cortex
allow us to understand others' actions and learn
contribute to positive/negative thought and action patterns
counsellor's mirror neurons fire in line w/ client as relationship is built
neural network formation (neuro of attending behaviour) created when we attend to clients w/ active listening
impact LTM
lead to restorying --> more executive functioning --> more effective action
lifestyle changes that impact dopamine and grey matter meaningful exercise!!!
- also enhances sleep, reduces depression and anxiety, and increases life span
relaxation --> dopamine increase
meditation --> grey matter increase
therapeutic lifestyle changes (TLCs): facilitate development of new mental
connections and brain health