Professional Documents
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MAIL Clarke2014 - ClientsMetaphors in SFBT
MAIL Clarke2014 - ClientsMetaphors in SFBT
DOI 10.1007/s10591-013-9286-y
ORIGINAL PAPER
Jacqueline K. Clarke
J. K. Clarke (&)
Nova Southeastern University, Fort Lauderdale, FL, USA
e-mail: jacqclar@nova.edu
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Definitions
Metaphors are often present in clients’ conversations. According to Barker (1996), ‘‘The
essence of metaphor is the use of one thing to represent another’’ (p. 11); thus a metaphor
creates an equation between two things (Roffman 2008). For example, a wife referring to
her husband stated, ‘‘He was the apple of my eye.’’ The metaphor, ‘‘the apple of my eye,’’
describes her love, as well as her value and connectedness. However, for a metaphor to be
meaningful it needs to be connected to a specific context. As Bateson (1979) stated,
‘‘Without context, words and actions have no meaning at all’’ (p. 15). In SFBT, the context
for metaphors is derived from the conversation between the client and therapist. The
precise meaning that a client attaches to a metaphor is a derivative of the ‘‘client’s own
inner resources: memories, dreams, goals, fears, hopes, and unconscious learning’’ (Dolan
1986, p. 1). Thus SFBT interventions punctuated with clients’ metaphors offer suggestions
for achieving solutions in systemic family therapy. Punctuating interventions refers to
inserting clients’ metaphors in SFBT’s questions to draw distinctions in a sequence of
events or thought processes (Keeney 1983). The drawing of distinctions is circular within
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an interactional flow and consists of the therapist learning from the client what is useful
during therapy. Through this process clients’ creativity emerges. Clients’ creativity is seen
to produce optimism, playful behavior, and the use of metaphors that can potentially lead
to favorable outcomes in therapy (Morgan and Wampler 2003).
Berg and Dolan (2001) illustrated that ‘‘those who use SFBT are known to use whatever
works, a very pragmatic and realistic approach’’ (p. 17). As a result, SFBT therapists can
use clients’ metaphors, if these metaphors are useful in generating solutions for the clients.
Solutions for the clients are negotiated, consensual, and cooperative endeavors in which
the therapist and clients jointly produce various language games (de Shazer 1991). Within
these language games are clients’ metaphors. These metaphors seep into conversation
during the therapy process and, when recognized by therapists, can lead to clients’ solu-
tions. Thus, SFBT therapists are able to work with clients on how to navigate toward their
solutions and projected goals by incorporating the clients’ metaphors. These goals are
concretized in the clients’ words so they become pragmatic within the clients’ reality.
Pragmatic skills in therapy are contingent on collective use of resources and understanding
between the therapist and client, which promote connections in therapy (Wulff and St.
George 2007). Such connections may include the application of clients’ metaphors.
Patterns of resources and understanding that connect the entire therapeutic system can
be illustrated through metaphors (Bateson 1979). Metaphors depend on context, words, and
actions through which meanings are derived (Bateson). Meanings are extrapolated from
clients’ words, anecdotes, and other resources that are brought to therapy. Therefore, the
SFBT therapist can use clients’ metaphors to join with them in meaningful ways, yet also
be alert when metaphors of power emerge.
Metaphors of power are language games, having the tendency to create or maintain
self defense and/or self-fulfilling prophecies in relation to diagnostic labeling within
therapist-to-client, family member-to-client, and/or treatment community-to-client rela-
tionships (Simon and Nelson 2007). For instance, when a child or client is seen as
potentially resistant to a parent’s or therapist’s uses of ‘power,’ a resistance develops
where the parent or therapist suggestions run counter to the child’s or client’s desires (de
Shazer 1988a). For example, a mother in therapy with an adolescent son describes his
‘‘two-faced’’ behavior. Her son explains that his ‘‘two-faced’’ behavior serves as his way
of coping with challenges and meeting his goals in school and at home. The metaphor
‘‘two-faced’’ could be understood in the context of diagnostic labels of behavior disorders
such as ‘‘borderline’’ disorder. This could have the potential of generating self-defensive
responses from the son, in explaining his behavior as useful to his life situation. On the
other hand, a diagnostic label may become a self-fulfilling prophecy to his mother as she
could become inclined to focus on the symptoms rather than processing the usefulness of
her son’s responses about his behavior. This metaphor ‘‘two-faced’’ or ‘‘borderline’’
behavior could therefore be seen as a metaphor of power, because of its potential in
creating limitations to experience clients holistically, thus may promote barriers to lis-
tening to clients’ views of how behaviors may/may not be useful to them. Although
diagnostic labels are helpful in determining scientific objectivity, therapists should
incorporate a holistic view of clients’ behavior in order to better ‘‘learn how to co-
construct useful conversations, about clients’ goals, resources, strengths, and possibilities’’
(Simon and Nelson 2007, p. 2).
A solution-focused therapist focusing on pragmatism, realism, flexibility, and a non-
expert stance can provide impetus in shifting therapy forward and away from metaphors of
power by exploring the son’s competencies, as well as times when the mother found her
son’s behavior satisfactory, which is a key SFBT technique of applying exceptions.
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clients’ metaphors in therapy through observing how clients language such metaphors. The
uses of metaphors therefore create possibilities that expand communication in the thera-
peutic process (Thomas 2010).
The theory of SFBT begins with the end in mind (Berg and Dolan 2001), directing clients
towards solution-focused building from the first session. The therapist and client join
together to form a therapeutic unit based on mutual trust and cooperation because the
outcome of therapy is dependent on both the client and the therapist (Berg and Miller
1992). Such practice involved what Bateson (1979) referred to as double description.
Double description was described as ‘‘when two people interact, each member punctuates
the flow of interaction’’ (Keeney 1983, p. 37). This interaction occurs in context as
meanings are extrapolated by using the clients’ language, which may include incorporating
clients’ metaphors. Connecting clients’ metaphors to the therapeutic joining process pro-
motes therapists’ curiosity and flexibility in doing therapy. This leads to a SFBT therapist
taking the stance of respecting clients as experts on their experiences and the therapist as
expert on the process of therapy. This view fosters an egalitarian attitude as joining evolves
throughout therapy. As therapeutic joining persists, bridges of solutions are made through
therapeutic interventions. These bridges are often constructed of metaphors (Roffman
2008) through joining with clients’ resources or competence and asking questions about
clients’ interests, careers, or hobbies (de Shazer et al. 2007).
In SFBT, therapists engage clients in talking about the problem, but focus on leading
clients outside the realm of the problem. Thus clients are invited to talk about the problem,
but to realize that, ‘‘solutions always come before problems’’ (de Shazer 1988b, p. 6).
Additionally, talking about the problem is done in a non-judgmental, non-intrusive, and
gentle manner (de Shazer et al. 2007). This systemic nature of SFBT promotes distinctions
in the therapy process: interventions for SFBT therapists do not prescribe solutions, but
gently nudge clients by being attentive to the questions asked and allowing clients to find
their own solutions. Thus SFBT therapists hold to the principle of Wittgenstein that ‘‘you
cannot lead people to what is good, you can only lead them to some place or other: The
good is outside the space of facts’’ (Wright 1977/1980, p. 3e).
In addition, the principle of solution-focused therapy evolved from the influence of
Milton Erickson’s indirect forms of suggestions (de Shazer et al. 2007; Erickson and Rossi
1980b). Erickson believed that indirect suggestions gave clients access to their own options
(Erickson and Rossi 1980a). The principle of indirect suggestions is evident in SFBT’s
questions, for example, when an SFBT therapist typically asks in the first session, ‘‘What
changes have you noticed since you called to make the appointment?’’ By asking this
question, the therapist indirectly suggests that clients already have the strengths and
resiliencies from the beginning of the session to find solutions to their problems (de Shazer
& Dolan). Thus SFBT questions are phrased and languaged to assist clients in focusing on
solutions and are the ‘‘difference which makes a difference’’ (Bateson 1972, p. 315), with
the interventions. This solution-focused building is achieved through using SFBT inter-
ventions, such as the miracle, scaling, exception, present-and-future focused, and ‘‘what is
better since the last session’’ questions (de Shazer et al. 2007). These questions are
intended to assess progress clients make inside and outside the therapy room; as well as
encourage clients to appropriate their resources in finding solutions for what brought them
to therapy.
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For SFBT, the miracle questions can be used to assist clients to specify or concretize
their goals toward solution building. In other words, ‘‘the miracle question is one of the
best questions in our repertoire for helping clients describe how they will know therapy is
over and one that consistently provides useful descriptions’’ (de Shazer et al. 2007, p. 40).
When therapists hold miracle questions in the frame of the conversation, such questions are
able to assist the clients to visualize future solutions, which the clients may emotionally
experience. Furthermore, clients may at times behave as if they are experiencing what they
perceived or described as their miracle. Thus clients’ responses to the miracle questions
channel them to conceptualize their desires and project into the future perceived
achievements of their solutions. Such solutions may be a visualization of metaphors used in
their conversations, which therapist can use to frame the miracle question.
SFBT uses scaling questions to qualify clients’ confidence that change is possible. Berg
and Dolan (2001) stated that scaling questions help clients ‘‘visualize the next level in their
progress and identify what additional efforts they may have to put out’’ (p. 9). In other
words, scaling questions invite clients to rate themselves on a given scaling range, the
therapist then asks clients what it would take to get to a higher or lower level, depending on
the desired solution. Thus scaling questions serve as patterns of connections for clients to
measure, assess, and evaluate their own situations, impressions, observations, and pre-
dictions (Berg and Dolan 2001; Shilt 2010).
SFBT uses the exception questions to assess the pattern for when the problem did not
exist, thereby increasing the chance of the client recognizing self-generated problem
solving (de Shazer 1985). Exception questions are usually punctuated with therapist
enthusiasm and support, and so accentuate solution talk (de Shazer et al. 2007). This begins
to build on clients’ resources in generating change: change, according to Eve Lipchik,
‘‘occurs through language when recognition of exceptions and existing and potential
strengths creates actions’’ (Young 2005, p. 71). Exception questions allow therapists to
shift processes in therapeutic intervention, requiring ‘‘a way of knowing and a way of
knowing about his knowing’’ (Keeney 1983, p. 29). This may lead to the ability to draw
distinctions from clients’ metaphors in connecting patterns of solution, which is crucial to
the therapy process (Keeney).
The drawings of distinctions provide therapists with the opportunity to project from the
present to the future, through asking questions that foster future solutions. Present-and-
future-focused questions therefore, reflect the belief that problems are best solved by
focusing on what is already working and how a client would like his or her life to be (de
Shazer et al. 2007). Such questions allow therapists and clients to move the conversation
from the present to the future, which provides situations leading to clients’ solutions.
Solution-focused building hinges on the way questions are asked and which parts of the
clients’ utterances therapists choose to highlight (de Shazer et al. 2007; McKergow and
Lorman 2009). Since life is dynamic, SFBT therapists believe that clients’ experiences
change even when they are out of the therapy room. Thus, the ‘‘what is better since the last
session’’ question punctuates solutions because it is intended to assess progress clients
make outside the therapy room (de Shazer et al. 2007). Hence, the goal of therapy is
ongoing and directed at what clients wish to achieve (Thomas and Nelson 2007).
In asking questions to determine clients’ goals, therapists are attuned to clients’
behaviors, attitudes, desires, and language, and these direct therapists to decide when to
connect clients’ metaphors during the therapy process. Also in SFBT, therapists respect
what clients desire to work on, fulfilling the central tenet, ‘‘if it ain’t broke don’t fix it’’ (de
Shazer 1990, p. 93). Additionally, among SFBT tenets is the view that ‘‘once a small
change has been made, it will lead to a series of further changes, which in turn lead to
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others, gradually resulting in a much larger systemic change without major disruption’’ (de
Shazer et al. 2007, p. 2).
The questions and clients’ goals are interwoven with compliments. Compliments are an
integral part of SFBT because they acknowledge appreciation for the clients’ lives, suc-
cesses, and positive intentions (Berg and Dolan 2001). Through respecting, co-learning,
and incorporating clients’ competence, the use of clients’ metaphors in therapy can be
facilitated, and thus aid in complimenting the clients. Thus compliments in therapy assist in
embracing clients’ metaphors as well as expanding the therapeutic conversation.
Within the therapeutic conversation therapists can determine clients’ relationship stance
for therapy. For SFBT, there are three therapist-client relationship stances: customer,
visitor, and complainant. A customer type stance indicates that either during or at the end
of a treatment session, a complaint or goal for treatment has been identified jointly by the
client and therapist (Berg and Miller 1992). In addition, a customer stance provides a cue to
the therapist that the client is open to new ideas, suggestions, and encouragement (Thomas
and Nelson 2007). Visitor type clients are often spectators in therapy, usually such clients
are mandated or felt under duress in attending therapy. As a result, solution focused goals
are best framed within clients’ desires to be freed from such duress. The visitor stance is
similar to the complainant, but different: Berg and Miller (1992) define a complainant as a
client who has not been able to identify the concrete steps needed to bring about a solution.
Referring to the complainant de Shazer et al. (2007) pointed out that ‘‘some clients have
difficulties articulating any goal at all, much less a solution focused goal’’ (p. 6). In general,
a therapist can assess the therapist-client relationship stance and focus on therapeutic
joining with clients through compliments, the questions asked in therapy, and the solutions
leading to the clients’ goals. SFBT interventions provide flexibility which allow for a
therapist to use metaphors that socially construct solutions in joining with clients, thereby
appropriating power in therapy, and connecting patterns of solutions to clients’ metaphors.
The case illustration below will highlight these SFBT theoretical interventions while uti-
lizing clients’ metaphors in the therapy process.
Case Illustration
This case illustration discusses a daughter and mother in therapy. At the time the clients
attended sessions at a therapy center, Monique and Annique were 24 and 51 years old
respectively.1 Monique, the first of three children born to Annique, was a musician who
was outspoken, cordial, and affectionate. Annique was a divorced mother who shared
musical interests and the music business with Monique. She was articulate, sociable,
caring, and nurturing. She also embraced being involved with a positive social network that
she termed ‘‘the village’’ who helped her raise her children. Both Annique and Monique
relished being from a musical, jovial, and closely-knit family.
Monique initiated therapy, made the appointment, and attended the first session alone.
In the first session, she expressed that her mother would be attending subsequent sessions.
Over the course of 4 months, they came for seven sessions. Five sessions were conjoint,
and two were individual sessions, one each for Monique and Annique alone. This author
was the therapist who facilitated the case, while a team of doctoral students and a clinical
supervisor watched from behind a one-way mirror. As recommended by de Shazer et al.
(2007), during each session, mid-session breaks were taken to consult with the team.
1
All names relating to this case have been changed to preserve confidentiality.
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At the first session, Monique shared that she decided to attend therapy because she was
frustrated with her family, especially her mother who ‘‘rallied the troops and staged a sort
of intervention-type situation.’’ The intervention came on the premise of her receiving a
‘‘driving under the influence’’ (DUI) charge over a year before the ‘‘intervention.’’ Mo-
nique shared being befuddled about the ‘‘intervention.’’ Further, she successfully com-
pleted her probation counseling and was satisfied with her progress. As a result, her goal
was not to focus on the DUI charge, because she was satisfied with the progress gained
from her participation in the DUI counseling. In SFBT, therapists respect what clients
desire to work on, so Monique had the opportunity to process the goals she wanted to
achieve in therapy. Treatment goals may therefore be viewed as remaining the same from
the initial goals of the first session or goals may vary from session to session.
In the subsequent sessions attended by Monique and Annique, they verbalized an
incident involving Annique confronting Monique’s boyfriend, Josh. This confrontation
resulted in conflict between Monique and Annique and adversely affected their relation-
ship. As a result, both were willing to attend therapy to explore solutions to overcome the
conflict in their relationship. During the session, Annique’s and Monique’s metaphors were
used in addressing the therapeutic process leading to solution-focused building through to
future desires for their relationship.
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know the miracle had taken place… and this veil was not a kind of block any
more and you were getting the delighted greetings, what would you see?
Annique She would return my phone calls… we would be spending some time per week…
even 2 hours having lunch or something… we have not done that for some time now
Annique used three metaphors: (a) ‘‘take the gloves off,’’ (b) ‘‘this veil,’’ and (c) ‘‘this
kind of block.’’ In therapy, giving privilege to a client’s metaphor may prove challenging,
but the cues rest in the contexts and the meanings clients assigned to the metaphors. In
determining the use of clients’ metaphors as solutions, the therapist and client carried out
the therapeutic conversation, aimed at establishing goals that informed them on what to
observe when the goals were achieved. When clients use more than one metaphor in
response to a solution-focused question, SFBT therapists can privilege the clients’ response
by asking follow-up questions. In this case, the therapist chose to punctuate with ‘‘veil
block’’ because of the gestures and Annique’s emphasis connected to ‘‘this veil’’ and ‘‘this
kind of block.’’ Also, the therapist felt that the punctuation of ‘‘veil block’’ would indicate
what de Shazer and Berg (1992) illustrated as a changing shift where a metaphor can lead
to a solution. The miracle question was also framed using Annique’s metaphor of ‘‘this veil
block’’ which allowed her to conceptualize her future desired solution.
In the process of clients establishing goals for treatment varying therapist-client rela-
tionship stances may be portrayed. Annique’s response in determining her solution
building goal portrayed a customer type therapist-client relationship stance. In this session,
Annique shared her goals for therapy. Her solution was to remove ‘‘this veil,’’ which built
on her goals to be greeted with delight, to have her telephone calls returned, and to spend at
least two hours per week with Monique. Annique was able to specify and concretize her
goals towards solution building, as she exhibited a customer stance during this session.
In asking Monique about a solution for therapy, it was apparent that her solution was not
forthcoming. Instead, two client-therapist relationship stances became evident in the
therapy process—complainant and customer:
Therapist So Monique, if at the end of the session you were to say that you accomplished
something in being here what would be useful for you?
Monique Well… my reason for being here is two-fold I guess. Initially my mother and
those other people… and I highly disagree with the whole idea
Monique’s response indicated her client-therapist stance as a complainant. Monique’s
response as a complainant did not signify she was resistant to therapy; SFBT therapists do
not use the term ‘‘client’s resistance’’ (de Shazer 1984). When a client exhibits a com-
plainant-type stance, such a person needs to be heard by the therapist as much as anyone
else (Thomas and Nelson 2007). Therefore, initially in therapy the focus with the com-
plainant-type would not be one of solution-focused building, but for the therapist to ‘listen’
and ‘sympathize’ (Thomas and Nelson 2007, p. 16) with the client. Monique’s response to
the solution question informed the therapist to shift the focus to therapeutic joining, which
served progressively in arriving at solution-focused building and customer-type stance
during and throughout the therapeutic process.
Joining is a double description where both therapist and clients punctuate the flow of the
conversation by building on mutual trust and may include using clients’ metaphors as
bridges in moving towards solutions. Such bridges of solutions may emerge from client’s
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language, interest, and/or experiences. These may be in the form of using a client’s
everyday experiences to punctuate therapeutic interventions. Since Monique had an
interest in music, in the session she was asked to suggest the line of a song or chorus that
would capture what she desired from therapy:
Therapist Monique, you described how you are working on your music career, I’m
curious and wondering if you were to imagine a line of a song or chorus that
would capture your success or maybe what you want to achieve at the end of
therapy, what might that be?
Monique Umm ah… from the Indigo Girls, ‘‘The less I seek my source from some definitive,
the closer I am to fine’’ (repeated line and began singing as mother joined in)
Therapist Wow… that’s a great line!
In joining with Monique around her competence, the therapist learned some aspects of
her philosophy on life. This approach echoed Wittgenstein’s view that metaphors were
cues to philosophical disposition. Monique’s philosophical disposition emerged in the
therapeutic process through incorporating her resources; thereby leading to her solution
evolving. This was achieved by the therapist showing Monique respect while adopting a
not-knowing stance and remaining curious in the process. Also, in complimenting Mo-
nique, the therapist continued with facilitating therapeutic joining. Therapeutic joining
further connected to the therapist listening for metaphorical cues to use in the process of
therapy. Such cues can be in the form of metaphors of power, to aid therapists to decipher
when best to use or not to use them in the therapeutic interventions.
Clients can use metaphor of power to maintain problem talk or as ways in finding solutions.
The therapist may use exception questions to move the conversation from problem talk to
solution focus. In the following transcript, Annique and Monique talked about the problem,
which resulted in the use of an exception question to shift the interactional flow:
Annique The boyfriend that Monique had previous to this was a pretty raging alcoholic
and a negative relationship, and she and I went to the mat on that one. Right or
wrong for my children and my friends, if I see a Mack truck in their way, I’m
going to do whatever I can to push them out of the road. Now watching her
with this boyfriend, he is a Mack truck…. Marlon was a Mack truck fellow…
Now what I understand is; Mommy and Aunt Clare have poked their heads in
relationship number 3, another alcoholic
Therapist Okay
Monique She used the analogy of the Mack truck, but the thing about that if there is a
Mack truck or not a Mack truck. If you know where you are on the road or you
are on the highway and you know what’s around you… she is there and she
smacked me down in the middle of the road, breaks my arms in the process.
When the Mack truck was 7 miles down the road
Therapist When has there been a time, you disagreed but it did not affect your
relationship in this way?
Annique She and I have been in adversarial situations and even when we were over
Marlon, the previous boyfriend, we were working together to understand each
other’s perspective at that point, as opposed to what it feels like to me now,
which is distrustful and adversarial
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In talking about the problem, Annique and Monique had different perspectives
regarding how they were affected. Their ‘‘Mack truck’’ illustration was a metaphor of
power. In their talk about the problem, the clients got into what Bateson (1972) depicted as
‘‘muddles.’’ Muddles are ways clients or therapists become stuck in problem talk due to
perpetual problem focus, conflict, or competition, thereby generating rivalries or imbal-
ances within the relationship. For example, Annique viewed her use of the ‘‘Mack truck’’
metaphor as a way of protecting those she loved from harm. But her expression of the
‘‘Mack truck’’ in relation to Monique’s two boyfriends was that they were alcoholics.
Monique viewed the ‘‘Mack truck’’ metaphor as destructive and not respecting her ability
to take care of herself. This demonstrated Wittgenstein’s point about language games in
that ‘‘the meaning of words is determined by how they are used by the various participants
within a specific context’’ (as cited in de Shazer 1991, p. 71).
Metaphors that promote muddles tend to become metaphors of power if they perpetuate
conflict and are detrimental to the success of developing solutions in therapy (de Shazer
1988a). In using clients’ metaphors to punctuate SFBT’s interventions, therapists use their
judgment to decide whether using a metaphor of power is beneficial to the therapeutic
context. Thus, metaphors of power must be assessed in context to determine their useful-
ness. This may mean that punctuating a question with the metaphor is beneficial in the
present, or it may be better to hold the metaphor for future use, or to give up using the
metaphor to punctuate questions. There is no rule in determining whether to use metaphors
of power in any given context (Bateson 1972). This leaves therapists to ask themselves
whether the construct or metaphor of power is necessary for an effective therapeutic
framework, and/or whether the construct or metaphor of power is pragmatically useful’’ (de
Shazer 1988a). For SFBT therapists, a solution is not necessarily related to the problem;
therefore, shifting from the problem is beneficial to the clients (de Shazer et al. 2007).
It was not beneficial to punctuate the exception question with the clients’ use of ‘‘Mack
truck.’’ Steering the conversation through using the ‘‘Mack truck’’ metaphor, would keep
the clients stuck in problem talk because the metaphor held contradictions for both clients.
When a metaphor represents a contradiction to the therapy context, a therapist can decide
to refrain from using it as punctuation in such context (de Shazer 1988a). Instead, the
therapist can shift the focus of the conversation in therapy to allow the clients to reflect on
other times when the clients have successfully managed problems in their relationships.
This intervention aids the therapeutic process in shifting towards solutions. Therapeutic
shifts to solutions require moving away from muddles. When language games or meta-
phors get ‘‘muddled,’’ it is best to break up the game. As Bateson (1972) stated, ‘‘In order
to think new thoughts or to say new things, we have to break up all our ready-made ideas
and shuffle the pieces’’ (p. 16). Therefore, exception questions allow for shuffling, by
shifting clients to talk about times when the problem did not occur. This requires a
therapist to determine metaphors of power, and the timing of shifting the therapy process in
‘‘doing therapy’’ (de Shazer 1988a).
Clients’ metaphors used in SFBT interventions form connecting patterns of solutions due
to the double description element in SFBT. The double descriptions punctuate the flow of
interaction and generate varying levels of communication (Keeney 1983). Such flow of
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In one conjoint session with Annique and Monique, a scaling question was asked to assist
them in reflecting on their inner processes:
Annique And part of the thing in coming here was to get it closer, somewhere to the
middle
Therapist So as you mentioned, getting it closer to the middle. How would you scale
your desire to be closer to the middle, if you were looking at 0–10? Where 0 is,
you are not at the middle you want, and 10 being you are at the middle you
want?
Annique I would say we have not yet passed a 3
Monique Yeah, I would have put it higher, somewhat (pause), I would have given it a 7
Therapist So there is a 7 and a 3
Annique It is not surprising, she came here with a specific issue and that discussion has
been raised
Therapist Annique, you said you are at a 3: What will it take for you to be at a 3.5?
Annique I pride myself on my parenting abilities
Therapist I was wondering, Monique, you said you were at a 7, what are some of the
reasons for it to be at a 7 and not 6?
Monique Because I have realized that there are places that my mother and I are going to
be super close, and there are going to be ways that she and I will disagree, and
there are going to be ways that I prefer to do things on my own
The scaling question allowed Annique to express her pride in her parenting ability,
while Monique verbalized her mental processes of patterns by moving to new perceptions
about her present and future relationship with her mother. This change depicted her
philosophical disposition, which she related in the line of the song cited earlier. Erickson
and Rossi (1980a) stated that, ‘‘when questioned, the human brain continues an exhaustive
search throughout its entire memory system on an unconscious level, even after the person
has found the answer that is apparently satisfactory on a conscious level’’ (p. 457). With
SFBT questions, clients are allowed to search for solutions and act on them. Monique’s and
Annique’s responses about achieving the middle each desired made each reflect on their
inner processes. Monique’s therapist-client relationship stance also shifted to being a
customer, in that she was able to verbalize her solutions.
The ‘‘What is Better Since the Last Session’’ Question and Clients’ Metaphors
The ‘‘what is better since the last session’’ question was used in the fourth conjoint session
with Annique and Monique, to assess their progress and for them to examine changes they
have made:
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Therapist Since our last meeting and today, what have you noticed different with your
relationship?
Monique We have been hanging out more
Therapist Yeah, and one of your goals was to again talk more with each other and now
you are hanging out more. How has that been working for you?
Monique We are working through a lot of complex things as far as the changing nature
of our relationship and things that I might have issues about and vice versa. I
still, of course, like hanging out with her, she is still my mom yeah, and I try to
make time lately to hang out
Annique It’s really good, we have some hang-out times together… we’ve had about 2
or 3 now
Therapist When you hang out, what have you noticed that is different?
Monique I think (turning to mother), like that conversation we had last Tuesday, we
talked about what we want from each other; what we don’t want, so that’s step
number one… the issue we have of the Mack truck thing, you have to find
where that line between pushing me out of the way and breaking my shoulders
in the process of trying to help me avoid the Mack truck, versus you are
helping me and directing me and supporting me with what, I am doing.
Additionally, I think it is easier now because her whole bottom line is that she
wants me to be in the right path and things are going well
Therapist So there is an understanding of the Mack truck thing
Monique Yeah, the first was drinking, which I feel very comfortable saying has not been
an issue now, the other one was the relationship, which you know, it was very
fair what she has been saying, and I have been saying to her for a very long
time this is not something, in my mind, is going to last forever
The reintroduction of the ‘‘Mack truck’’ metaphor by Monique suggested that the
meaning and context of this initial metaphor of power changed. The usefulness of a
metaphor of power re-emerging and becoming appropriate in the therapy process suggests
that meanings and contexts of power attached to such metaphors also changed. Bateson
(1972) captured this idea: ‘‘It looks as though a conversation is a game if a person takes
part in it with one set of emotions or ideas—but not a ‘game’ if his ideas or emotions are
different’’ (p. 17). A metaphor of power re-emerging to become beneficial to the therapy
process occurs through construction of bridges, which create patterns of connections to
solutions. Such patterns of connections may become evident through the use of scaling
questions.
From the illustration above, patterns of changing behaviors between Annique and
Monique were drawn, connecting Annique’s metaphor of solution to therapeutic outcome.
Annique was engaging in more conversation with Monique. This indicated degrees of
movement towards Annique’s solution metaphor, which included the removal of ‘‘this
veil.’’ A solution was now linked to her goal in that they were ‘‘hanging out.’’ This
depicted small changes in their interactional pattern. When clients are able to identify
small changes in their therapeutic process, it can be the ‘‘difference which makes a
difference’’ (Bateson 1972, p. 315). The changes in Monique and Annique’s ‘‘hanging
out’’ more and shifting in the meanings and context attributed to the metaphor ‘‘Mack
truck’’ led to other changes, which allowed for present-and-future-focused intervention in
the therapy process.
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Discussion
The case illustrations presented in this paper show how clients’ metaphors, punctuated in
SFBT can be beneficial to therapy within a systemic family therapy context. The awareness
of these suggestions of how clients’ metaphors aid SFBT in working with the uniqueness of
clients serves to enhance therapy. With therapists and clients co-learning and co-evolving,
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440 Contemp Fam Ther (2014) 36:426–441
incorporating clients’ metaphors into the interventions of SFBT assist in enhancing the
therapist’s flexible and curious stance when working with clients in solution-focused
building. Clients’ metaphors are small branches of the clients’ language system, but SFBT
therapists know that small applications or changes can result in other far-reaching appli-
cations and/or changes. This therapist/author found that maintaining a curious therapeutic
stance in using clients’ metaphors opened new possibilities for solution-focused building.
Additionally, the use of clients’ metaphors in SFBT interventions can provide the
therapist with the opportunity of maintaining a non-expert, not-knowing, and flexible
stance in family therapy. Clients’ metaphors also have the possibility of impacting dif-
ferent levels of the therapy process such as building on solutions, joining, and detecting
‘‘muddles’’ that require shifts from elements of power. Metaphors also serve to connect
patterns of solutions which encourage clients’ in projecting desire towards their future
goals. In general, therapists using clients’ metaphors to punctuate SFBT’s interventions can
have far-reaching effects in the therapy process and within the field of family therapy.
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