chapter  2
The Hidden Beginning of Treatment
WithButch Losey
Pages 11

M. Weiner-Davis, S. de Shazer, and W. Gingerich conducted an informal survey of thirty families and showed that 67% or approximately two-thirds of the families reported having observed pretreatment changes. Pretreatment change questioning is rooted in solution-focused therapy. The factors that contribute to positive outcomes in therapy have long been studied, including in-session factors such as the clinician's characteristics, the therapeutic relationship, therapeutic conditions, and specific therapeutic techniques. Presuppositional questions are a good way to amplify pretreatment changes and also the exceptions to the problem. Solution-focused clinicians are aware that asking about pretreatment change by the clinician is applying a solution-focused process of shifting clients' focus on the problem to the solutions. This chapter suggests that the clinician refrain from giving advice or making recommendations. These indicate the beginning of the counseling relationship and may add liability for the clinician.