BUILDING ON PRETREATMENT CHANGE TO CONSTRUCT THE THERAPEUTIC SOLUTION: AN EXPLORATORY STUDY

Authors

  • Michele Weiner-Davis,

    1. McHenry County Youth Service Bureau, Woodstock, IL
    Search for more papers by this author
    • a

      Michele Weiner-Davis, MSW, is Coordinator of Training and Research, McHenry County Youth Service Bureau, 14124 South Street, Woodstock, IL 60098.

  • Steve de Shazer,

    1. Brief Family Therapy Center, Milwaukee, WI
    Search for more papers by this author
    • b

      Steve de Shazer is Director, Brief Family Therapy Center, 6815 West Capitol Drive, Milwaukee, WI 53216.

  • Wallace J. Gingerich

    1. University of Wisconsin-Milwaukee
    Search for more papers by this author
    • c

      Wallace J. Gingerich, PhD, is Associate Professor, School of Social Welfare, University of Wisconsin-Milwaukee, Box 786, Milwaukee, WI 53201.


  • The authors wish to acknowledge the contributions of other members of the Brief Family Therapy Center team: Insoo Kim Berg, Eve Lipchik, Alex Molnar, and Elam Nunnally. Contributions of Arnold Woodruff and staff at the McHenry County Youth Service Bureau are also appreciated.

Abstract

This paper reports the authors' “accidental” discovery that change in the problem situation frequently occurs prior to the first session, and that clients can often recall and describe such changes, if prompted. The authors describe one technique for eliciting reports of pretreatment change from clients, and discuss the results of an informal survey of 30 families who responded to this intervention. Rather than discounting pretreatment change as a “flight into health,” it can be framed in Batesonian terms as a “difference that makes a difference.”

Ancillary