Solution Focused Hypnotherapy

I am often asked the question ‘What is Solution Focused Hypnotherapy?’

Well, Solution Focused Hypnotherapy (SFH) is a model of excellence that uses interventions that are effective. It will use the very best procedures that science and research prescribe. In reality though its core philosophy is very much based on the work of Steve de Shazer and Insoo Kim Berg and the basic tenets of SFBT.

Hypnotherapy, and SFH is no exception, has a history of being associated with many forms of therapeutic practice. Often, but not always, this can be a force for good. What follows could be described as the foundation philosophies on which SFH is built. Dr James Braid (1795-1860), who could be thought of as the inventor of modern hypnotism, successfully created a blueprint that could be described as the original hypnotherapy model.

“He was best known in the medical world from his theory and practice of hypnotism, as distinguished from Mesmerism, a system of treatment he applied in certain diseases with great effect.” (Obituary. The Lancet 1860)

Braid’s influence and success was very much a result of his empirical and scientific approach. In effect he said that the clinical progress should be verified by research and related to the latest understanding of psychology. He attributed the success of trance to ordinary psychological or physiological factors such as focused attention, expectation, motivation and endeavour. SFH is very much based on Braid’s basic premise that mental focus on imagery and language mediates the physical and psychological effects of dominant ideas.

It would have appeared sensible to consolidate the work done by Braid and to capitalise on what worked. This was not to be the case. In late Victorian and post Victorian times ‘wackiness’ once more sabotaged the credible scientific clinical practice. Even worse, in the late 19th and most of the 20th Century the pseudo-scientific ‘hi-jacked’ hypnotherapy and kept it in a state, often a delusional state of stagnation.

Fortunately, as Robertson says in the ‘Complete Writings of James Braid “The Father of Hypnotherapy in the 21st Century”, “Braid’s ‘Common Sense’ and empirical orientation have become fashionable once again”‘.

Hypnotherapy was partially rescued from post-Victorian ‘quackery’ and later from Freudian ‘analytical’ theory by psychiatrist, Milton H Erickson. He practised as a hypnotherapist from the 1940’s until his death in the early 1980’s. Erickson’s ideas reached far beyond hypnotic technique. He posed radical ideas regarding the role of therapist and the competency of clients. Milton Erickson was convinced that everyone has a reservoir of wisdom and competency and emphasised the importance of accessing client’s resources and strengths. Major interest in his work gathered momentum in the 1970’s and early 1980’s. Erickson’s success and creativity spawned a variety of approaches. There was in particular great interest in one of his primary approaches entailing first learning the problem pattern and then prescribing a small change in the pattern.

Steve de Shazer’s first contact with psychotherapy happened when he read ‘Strategies of Psychotherapy’, the ideas and work of Erickson by Jay Haley. It has been said that this book coupled with the work of the Mental Research Institute (MRI) in Paolo Alto, formed the foundations for what would later be called Solution Focused Brief Therapy (SFBT).

The basic tenets of SFBT are well known and are different in many ways from traditional forms of treatment. It is a competency based model and the focus is on the clients’ desired future rather than on past problems or current conflicts. It assumes that no problems happen all the time, there are exceptions and that small changes can lead to large increments of change. The setting of specific, concrete and realistic goals is an important component. In SFBT it is the client that sets the goals. Once formulated the therapist will use a number of specific responding and questioning techniques to assist the client construct the steps that may be required to reach the ‘preferred future’. Solution Focused Hypnotherapists note Steve de Shazer’s often repeated assertion that solution work is “the same whatever problem the client brings”.

In the 1990’s modern technology led to what some have referred to as a sequel of the Copernican revolution. MRI, PET and CAT scans can photograph the brain. Electronic microscopes, the nuclear tagging of living human molecules and other biochemical investigative techniques, enable scientists to have an ever increasing understanding of how the brain works. With at least 500 therapeutic methods, all proffering special theories, techniques and philosophies, psychotherapy could be described as bordering on dysfunctional. The neuroscientific revolution beginning in the 1990’s and progressing with ever increasing vigour into the 21st Century has begun to give the field uncharacteristic coherence. Certainly the days when therapists could make things up have gone.

“For future generations of therapists training will certainly change” says Mary Sykes Wylie and Richard Simon, (Discoveries from Black Box 2002), “Curricula will have to face the accumulation of knowledge coming from neuroscientists… having an understanding of such clinical relevant areas of knowledge as neural networks and brain structures”.

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