Modalities / Postmodern

SFBT

de Shazer / Insoo Kim Berg · 1985
Key text: Keys to Solution in Brief Therapy (1985)
Postmodern Focus: Strengths-based Very short (1-8) Indiv + Family + Group

Core Mechanism

Identifying exceptions, preferred futures, and existing strengths amplifies what already works; solution-building vs. problem-solving

Ontology

Problems are not continuous; exceptions exist. Focusing on problems maintains problems; focusing on solutions builds solutions

Therapeutic Voice

"Tell me about a recent time when the problem wasn't happening. What was different?"

View of the Person

A resourceful being already performing exceptions to the problem — solutions exist before they are noticed


Evidence

SAMHSA: listed

15+ RCTs

Gingerich & Peterson (2013)

Moderate evidence. Small to moderate positive effects. Useful in brief settings.


Conditions

Epistemology

ConstructivistPragmatist

Blind Spots

May minimize genuine suffering by focusing prematurely on solutions; limited depth for complex trauma or personality work

Contraindications

Active psychosis, acute suicidality requiring risk assessment beyond solution-focused frame, situations where the problem itself requires understanding (e.g., undiagnosed medical condition), clients who experience future-focus as invalidating of present suffering


Training

Graduate training often covers SFBT. Workshop training deepens skills

SFBTA offers training; no formal certification

Graduate coursework; optional workshops 8-24 hrs

Minimal

Equity & Cultural Adaptations

Cross-cultural adaptationsBIPOC-adapted researchYouth-adapted

Philosophical Roots

Wittgenstein (language games — meaning is use); de Shazer (solution-focused); social constructionism (Gergen); pragmatism (what works matters more than why)

Related Modalities

Test Yourself

What is the miracle question?

Show answer

'If a miracle solved your problem tonight, what would you notice tomorrow?'


Sources

Gingerich, W.J. & Peterson, L.T. (2013). Effectiveness of SFBT: A systematic review. RSWP, 23(3), 266-283.