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Solution-focused psychiatry

  • Jan Martijn Bakker (a1), Fredrike P. Bannink (a2) and Alasdair Macdonald (a3)
Summary

Solution-focused brief therapy (SFBT) can be widely implemented in psychiatric practice as a short form of psychotherapy that reinforces the client's autonomy and focuses on what the client wants instead of on the problem. It was developed by an iterative process of removal from existing therapy of any features not found to promote good outcomes for the attenders. Research indicates that SFBT is effective and cost-efficient, and when used in practice makes the psychiatrist's work more satisfying. It can be used as a primary intervention, for example during crisis intervention, as a formal psychotherapy and as an addition to pharmacotherapy.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Alasdair Macdonald (macdonald@solutionsdoc.co.uk)
Footnotes
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Declaration of interest

F.P.B. and A.M. both offer training and consultancy in solution-focused methods.

Footnotes
References
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1 Bakker, JM, Bannink, FP. Oplossingsgerichte therapie in de psychiatrische praktijk. [Solution focused therapy in psychiatric practice.] Tijdschr Psychiatr 2008; 50: 55–9.
2 Watzlawick, P, Weakland, JH, Fisch, R. Change. Principles of Problem Formation and Problem Resolution. WW Norton, 1974.
3 de Shazer, S. Keys to Solution in Brief Therapy. WW Norton, 1985.
4 Stams, GJJ, Dekovic, M, Buist, K, de Vries, L. Effectiviteit van oplossingsgerichte korte therapie. Een meta-analyse. [Efficacy of solution-focused brief therapy. A meta-analysis.] Gedragstherapie (Dutch Journal of Behavior Therapy) 2006; 39: 8194.
5 Kim, JS. Examining the effectiveness of solution-focused brief therapy: a meta-analysis. Res Social Work Pract 2008; 18: 107–16.
6 Macdonald, AJ. Solution-Focused Therapy: Theory, Research and Practice. Sage, 2007.
7 O'Hanlon, B, Rowan, T. Solution-Oriented Therapy for Chronic and Severe Mental Illness. WW Norton, 2003.
8 Berg, IK, Miller, SD. Working with the Problem Drinker. A Solution-Focused Approach. WW Norton, 2007.
9 Bannink, FP. Oplossingsgerichte vragen. Handboek oplossingsgerichte gespreksvoering. [Solution Focused Questions. Handbook Solution Focused Interviewing.] Pearson, 2006.
10 Bannink, FP. Posttraumatic success. Solution focused brief therapy. Brief Treat Crisis Interv 2008; 7: 111.
11 Bannink, FP. Gelukkig zijn en geluk hebben. Zelf oplossingsgericht werken. [Being Happy and Being Lucky. Solution Focused Self-Help.] Pearson, 2007.
12 Bannink, FP. Solution-focused brief therapy. J Contemp Psychother 2007; 37: 8794.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Solution-focused psychiatry

  • Jan Martijn Bakker (a1), Fredrike P. Bannink (a2) and Alasdair Macdonald (a3)
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