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How are formulations compiled?
Published in Sue Parkinson, Rob Brooks, A Guide to the Formulation of Plans and Goals in Occupational Therapy, 2020
Narrative reasoning may even culminate in the creation of a collaborative story (Schell and Schell 2008). In recent years, however, occupational therapists appear to have been more interested in how narrative might be used as an assessment medium or a medium for specific interventions, rather than the stage between assessment and intervention. For instance, occupational therapists have described the importance of narrative interviewing (Mattingly and Lawler 2000) and the value of a history-based interview (Ennals and Fossey 2009). They have also promoted narrative storytelling as intervention for people recovering from trauma (Moore 2017) and digital storytelling as an intervention to enhance the reflection of occupational therapy students (Skarpass and Jamissen 2016). Likewise, psychologists and psychotherapists have also noted the potential of ‘narrative therapy’ (Dallos and Stedman 2014) including the therapeutic merit of summarising new stories learned in therapy sessions in a series of letters (Harper and Spellman 2014).
Introduction
Published in John Launer, Narrative-Based Practice in Health and Social Care, 2018
Systemic ideas have affected social care a great deal. Many social workers are likely to have some understanding of what a “systemic” approach means, and how it differs from other, more individualised approaches, including psychoanalytic or behavioural ones. In their basic training, and subsequently, they may have heard about the way that systemic practitioners go about their work – for example, by interviewing a couple or a family together – and how this might be applied in social work, or when managing interagency work in social care (Fish et al., 2008; Goodman and Trowler, 2011; Munro, 2011). Conferences, courses and other activities related to systemic social work are now commonplace (Milowiz and Judy, 2013). In addition, some social care professionals, particularly in Australia and Canada, may be familiar with the specific practice of narrative therapy as introduced by Michael White, as described above. If the word “narrative” has resonances for them, it is likely to be specifically in connection with White’s work and that of his followers, and its application in their own setting.
Critical pedagogical practices
Published in Lucy Maynard, Kaz Stuart, Promoting Young People’s Wellbeing through Empowerment and Agency, 2017
‘Narrative therapy’ is a widely used therapeutic tool to support development through ‘re-authoring’ or ‘re-storying’ (Morgan, 2000: 12; White, 2007). Like other therapeutic approaches, narrative therapy seeks to be a respectful, non-blaming approach which centres people as the experts in their own lives. It views problems as separate from people and assumes people have many skills, competencies, beliefs, values, commitments and abilities that will assist them to reduce the influence of problems in their lives. As Walther and Carey (2009: 2–3) point out, narrative therapy supports people to develop a ‘concept of their life’ that will build an intentional identity, sense of direction and agency. These, they state, are important to enable ‘becoming’ and interacting with structure rather than just ‘being’ in structures.
Outside-in or Inside-out? A Randomized Controlled Trial of Two Empowerment Approaches for Family Caregivers of People with Schizophrenia
Published in Issues in Mental Health Nursing, 2020
De-Hui Ruth Zhou, Yu-Lung Marcus Chiu, Tak-Lam William Lo, Wai-Fan Alison Lo, Siu-Sing Wong, Kwok-Leung Luk, Chi-Hoi Tom Leung, Chui-Kam Yu, Yuk Sing Geoffrey Chang
Ayres (2000) has revealed that family caregivers of both physical and mental illness have potential and initial motivation to making meaning in caregiving. Viewing people as a personal agent of meaning making is powerful in psychotherapy (Angus & McLeod, 2004). Narrative therapy is a kind of psychotherapy that focuses on the construction of narrative and the process of meaning-making (White, 2007; White & Epston, 1990). Narrative therapy could empower family caregivers by allowing them to narrate their current stories (problem-saturated stories), to accept the caregiving situation by objectifying the problem (mental illness) and externalize it from their beloved family members, and to make meaning in caregiving by reframing their life stories with new meaning. Recently, narrative therapy has been applied to people with PTSD (Erbes, Stillman, Wieling, Bera, & Leskela, 2014) and depression (Lopes, Goncalves, Machado, Sinai, Bento, & Salgado, 2014; Seo, Kang, Lee, & Chae, 2015) and been found to be empirically effective in attenuating the clinical symptoms. Currently, there is a lack of empirical effectiveness studies of applying narrative therapy to family caregivers of schizophrenia.
From disability to human flourishing: how fourth wave psychotherapies can help to reimagine rehabilitation and medicine as a whole
Published in Disability and Rehabilitation, 2020
Omar Sultan Haque, Yusuf Lenfest, John R. Peteet
Biological things get disease, but humans have illnesses, and specifically, illness experiences. Illness is fundamentally about narrative, and healing therefore must also attend to narrative [22]. A narrative approach to therapy and healing builds on philosophical models of the human person as socially and linguistically constructed, and is characterized by a mutually inquiring conversational partnership between therapist and patient [23]. Narrative therapy is a similar form of psychotherapy that seeks to empower the individual to construct or co-author a new story about themselves thereby allowing them to determine what values or identity is important to them [24,25]. The significance of narrative therapies is that the patient amidst rehabilitation is not merely told what they are capable of, nor forced to comply with previous narratives imposed on them, whether by prior trauma or injury or by themselves [26]. Rather, the individual maintains authority in defining the significance of the disability, what it means to them or those around them, how it has changed them, how it might empower them, and so on. The construction and reconstruction of one’s narrative, from one that is tragic and self-defeating to one that is more healthy and hopeful, is a great source of recovery in rehabilitation and the rest of medicine [3,27].
Diverse Approaches to Meaning-Making at the End of Life
Published in The American Journal of Bioethics, 2019
Hollen N. Reischer, John Beverley
Lastly, narrative therapy is a formal psychotherapeutic technique often construed as involving narrative co-construction between the client and therapist. Because personal narratives are informed by dominant cultural narratives which individuals unconsciously and consciously adopt, modify, and resist in constructing their own stories, destructive aspects of these master narratives are sometimes the target for disruption in narrative therapy (White and Epston 1990). Narrative therapy seeks to incorporate previously neglected but significant stories into the life story, and to have these new narratives witnessed by others, with the ultimate goal of living the improved narratives. Initial research about narrative therapy is promising but very limited, with little research on conducting narrative therapy with older adults.