Professional Documents
Culture Documents
20180318T211020_cou2102_playful_approaches_to_serious_problems_narrative_therapy_with_children_and_their_families
20180318T211020_cou2102_playful_approaches_to_serious_problems_narrative_therapy_with_children_and_their_families
Warning
This material has been provided to you under section 49 of the Copyright Act 1968 (the Act)
for the purposes of research or study. The contents of the material may be subject to
copyright protection under the Act.
Further dealings by you with this material may be a copyright infringement. To determine
whether such a communication would be an infringement, it is necessary to have regard to the
criteria set out in Division 3 of Part III of the Act.
COU2102 Therapeutic Practice with Children and Adolescents
Reading List
Freeman, J., Epston, D. & Lobovits, D. (1997). Playful approaches to serious problems: Narrative
therapy with children and their families. New York: W.W. Norton. pp.34-46. Chap.2
••••••••••••••••••••••
Take a minute toimagine you are a child and you have come tosee a stranger who your.
parents have told you isgoing to help with "your problem." Afterbrief introductions,
everyone sits down and your parents talkabout how' worried theyare about you. "We
just don't know what's wrong with her," they say, They go on to describe your bad
behavior. The therapist responds by asking, "How long has this been happening?" What
is it like to be inyourshoes asthis child, tobe introduced tosomeone this way?How do
you wish you could be introduced, described, andresponded toin a coversation between
your parents anda stranger?
attempt to get to know the child apart from the problem. Opportunities
arise or can be created from the start to develop a conversation about a
child's interests, abilities, knowledge, and characteristics.
be hard work. Usually we persevere until we get past the cloud of the
problem to see who this young person is when the problem is not over-
taking her. It should be noted here that the family's worries and com-
plaints must not be ignored. These need to be respected so that we do
not appear to be minimizing the seriousness of the situation in a
pollyannish manner. An externalizing conversation is invaluable here,
as the problem can be referred to in a way that separates it from the
young person's identity but does not ignore it.
Permission to proceed in a way that temporarily puts the problem
aside can be requested from the young person and family, with a pro-
logue such as, "I'm hearing that the Temper is very worrisome to you,
and we'll certainly keep addressing it. Would it be all right if I took a
little time here to find out more about who Kate is outside of the prob-
lem ... when she's not under the influence of the Temper?" "Can I take
some time to get to know you all without the problem, so that I can first
acknowledge and respect you as individuals, and within your relation-
ships?" Or to the parents, "Do you think Kate might prefer to have me
first get to know who she is when she's free of the problem or who she is
when she's taken over by iti
If the problem is already being discussed and is starting to dominate
the conversation, these questions can be asked: "Would it be okay with
everyone if I talked about the problem in a way that separates it from
Kate and takes some of the heat or blame off her>' "Would it be okay
with everyone if we all took a holiday from the problem to get some
fresh air into the discussion?" "If we put the problem in a box and ig-
nored it for a while, what would you tell me about her that's important>"
When there is a particularly dark cloud over the young person, ques-
tions such as the following may be helpful: "Has the problem come over
your lives like an eclipse that darkens your daytime? Have you been
concerned for so long now that you find it hard to remember what you
loved or appreciated about her? Have you even forgotten what you once
found wonderful about her? Does it tend to rob you of your own self-
respect as her parent>"
DISCOVERING ABILITIES
Having established agreement about proceeding along these lines, here
are some opening questions: "What would you like me to know about
you first?" "What are some things you enjoy doing most, or that you're
most interested in?" "What have you been thinking about that you
would guess that I, knowing that you are as old as you are, would be
surprised by?"
Getting to Know the Child Apart from the Problem 37
Some questions for family members are: "Can you tell me about some
of the abilities and interests Roxanne has that you appreciate about hen"
JlWhat makes Roxanne unique?" JlWhat are some things you would like
me to know about Roxanne aside from how the problem is affecting
her?" I/What are you each looking forward to returning to with her when
the problem is out of the way?" JlWhat are your hopes and dreams for
hen" I/If I were shipwrecked on a desert island with Roxanne, what would
I come to respect about her? What would I come to depend on her for as
time goes by?"
Some questions specifically for the parents might be: "At your proud-
est moment as her mother/father, what were you proud of?" "If I were a
fly on the wall of your daughter's everyday life, what would I admire
about her that only those who live with her could possibly know?" JlWhat
aspects of your daughter would you like me to know that make you feel
you are a great mother/lather;" JlWhat should I know your daughter has
got going for her to put against the problem, whatever it might be?"
When our focus is family relationships, we might ask, JlWhat can you
tell me about your father-son relationship that stands apart from the
problem?" JlWhat about the nature of your love for one another in this
family is important for me to know from the start?"
Getting to know the young person apart from the problem can give
us coordinates and set us on a playful adventure of change. Specific
knowledge of her interests and abilities tells what a child might bring to
put against the problem. Having this knowledge, the therapist then joins
the child in conversation, providing linguistic bridges that enable her to
tackle the problem in her own imaginative way.
The myriad abilities we locate are often surprising and delightful. An
interest in juggling, drawing cartoons, creating science experiments, or
an ambition to write a book on frogs and toads may be revealed. Find-
ing out that a child is interested in martial arts, sports, or dance may
lead to metaphors for dealing with the problem. Mental karate, for ex-
ample, may be used to "fight" an externalized problem. A child may
bring to light an active visual imagination and rich fantasy life. Some-
times unusual abilities or resources emerge, such as an uncanny percep-
tiveness or a child's relationship with an imaginary friend. (In Chapter
10 we focus on these "special and weird" abilities.)
Leon's Game
During a first meeting with Dean, nine-year-old Leon seemed humiliated
by his family's discussion of his "lack of self-control," "being a major dis-
traction in class," and "getting in trouble all the time," even though these
38 Playful Approaches to Serious Problems
classroom," ten points went to the Squirmies and zero to Leon. If Leon
held off the Squinnies in class (practicing the "calming skills" he had
identified with Dean), he got more and more points, up to a maximum
of ten, for putting the Squirrnies where they belonged-on the play-
ground during recess. His mother chuckled on hearing of Leon's inge-
nuity. She now understood why his teacher had told her, just the day
before, that Leon raced headlong from the classroom, careening past
her into the school yard. "He must have been trying to score a ten!"
Wonder Boy
In the following example, David (the therapist) learned from nine-year-
old Gregory's mother, Maggie, about some of Gregory's special abili-
ties. These abilities did not fit with the account of the school that Gregory
was depressed and needed to be kept back a year. Gregory's ability to
imagine, in particular, had an unexpected effect on his story of himself
as a student and changed his reputation at school.
Maggie had moved to a different city with Gregory and his younger
sister, aged eight, after her divorce. Gregory's new school invited her to
a meeting to express their concern over what they referred to as Gregory's
"depression." It seemed that they had reached this conclusion because
Gregory was disinterested in schoolwork and Gregory's mother had told
them that she was recently divorced.'
On first meeting Gregory, David inquired about Gregory's abilities.
Maggie told him that Gregory was "into wondering, thinking, and work-
ing things out. He has a good mind for certain things, especially dream-
ing." To David, Maggie's description seemed at odds with the perspective
of the school, which was that Gregory needed to be put back a grade.
David asked Gregory if he was "more of a play person than a school
person." He agreed wholeheartedly, III just sit there and think." IIDoes
that mean you have more of a mind for anti-work than work?" David
continued. Gregory grinned his agreement. IIWhat kind of anti -work is
your mind into?" David wanted to know. "Imagining," Gregory shot back.
IIHow do you go about your way of imagining?" David asked. Gregory
responded, III'm looking at other people and looking through their eyes.
When I'm watching TV it's as if I know what they're going to say next."
Gregory's excitement about his imagination was palpable. This made
David curious about how Gregory's imagination worked: IIWhen you
are doing this, do you have to close your eyes, or can you do it with
your eyes open?" Immediately bending his head down and pressing it to
his knees, Gregory began, III can put my eyes into my knees. I can see a
lot of colors and a streamer." IIOh'~ really:" exclaimed David. "Can you
40 Playful Approaches to Serious Problems
show me how you do it and I'll write down what you say?"
Gregory continued confidently, "A big blurry three, a big blurry green
three,"
"Mmhmm," murmured David, writing. "What else?"
"A missile and a truck."
"A missile and a truck. You've got a great knee there!"
Gregory almost interrupted, "Oops, I can see a box."
"A box of what?"
"A lot of boxes."
"Boxes. What's in them, do you think?" asked David.
"Jack in the boxes, two are open. Oh, a motorcycle is coming out of
it, and like a little bridge for the motorcycle."
"What color is the motorcycle? Red or what?"
"Silver."
"Is there anyone riding it?"
"Not really."
"It's a riderless motorcycle?" wondered David.
"Yeah."
"Is it going fast or slow? Has it got its motor going or is it rolling?"
"It's got its motor going."
/lWho started it, do you think?"
"Probably just started up and pushed it up."
"The Jack in the box did it, do you think?" David guessed.
"Mmhmm." Gregory paused. /II can see a car as well, Yellow."
"Car as well?"
"And I can see a plane-jets!" exclaimed Gregory.
"Jets?"
"It just blew up!"
"Oh dear, it just blew up."
"Yep. Someone just blew the jet up. And I can see the blob. It's a little
blob and you can see things in it."
"It is a blob that scares yOU?" David asked.
"No, it's a friendly blob."
"Mmhmm. Can you put yourself in there?"
"Yeah. I'll try," Gregory giggled, /lOOP5" I just squashed something."
/lWas it a worm or a beetle?"
"No, it was something round, probably a piece of fruit."
/lFruit?"
"No, a soccer ball."
David was inspired by Gregory's vivid descriptions to invite him into
collaborative imagining. "Okay, you have just entered a dream," he sug-
gested, "and you have squashed a soccer ball." Gregory nodded.
Getting to Know the Child Apart from the Problem 41
other might listen." He added that "adults don't listen at all, but Mum
probably would listen."
By this time Maggie had caught her breath again and said, "I had no
idea he had such a visual imagination."
Not surprisingly, Gregory responded, "I do it in secret."
"I'd love to be able to take my dreams where I want them to go, like
you canl" Maggie marveled.
David's final question to Gregory was, "Has it been worthwhile for
you to know that your special abilities can be put to many uses?" Gre-
gory let David know that he had gained a new impression of his abilities
and of himself as a student: "I know I can help my problems at school.
Before, I didn't know I could do it or be bothered thinking about it. It
will help]"
Several months later Maggie contacted David to let him know that
the school had gained a new impression of Gregory as well. She told
him that the principal had called to inform her that Gregory's "depres-
sion had lifted" and that he was doing well in his studies. She added that
she thought he was "a very imaginative boy."
himself. Andrew could hardly contain his pride and excitedly chipped
in his own comments. There had been very little pressure around toilet
training, and Andrew decided on his own that it was time. One day he
trailed after Brian into the bathroom and, with a flourish, dropped his
diapers on the floor. He exclaimed that he was sick of them and asked
his father to give him a peeing lesson. As he listened, Andrew giggled
with delight at the denouement of the tale-he never wore diapers again!
Jenny interviewed Andrew and his parents about his general readi-
ness to tackle the Temper, as well as any specific signs that he was ready
to take it on. She asked Andrew whether he thought he was old enough
to become a "Temper Tamer." Jean and Brian thought he was ready, and
Andrew said, III want to be a big boy boss of my life." Andrew's interest
in doing "big boy things" moved him toward feeling that he could stop,
or at least "boss" the Temper when it arose. In the face of such enthusi-
astic determination, the Temper began' to make itself scarce within a
week or twol
work for Ellie. Tanya suggested that they both get down on the carpet
so they would be at Ellie's level. jenny liked this idea and wondered
aloud to Ellie, "Can we join you on the floor and in your game too?"
(Younger children are more likely to be comfortable playing on the floor
than sitting still in a chair, which invites a more adult style of conversa-
tion. However, playful communication is not bound by place. Either
the chair or the floor might work, depending on the child and the cul-
ture of the family and child.)
liDo you like to play pretend games with Ellie?" jenny asked Tanya,
who nodded in response. "Would you like to try one now?" "Okay," said
Tanya. jenny invited herself and Tanya into Ellie's game: "Can we join
you? What are you being right now? Are you a fish, a cat, a car?" she
wondered. Ellie made a fish mouth by pursing her lips and made silly
gurgling sounds. jenny gurgled back a little. Tanya laughed and joined
in. "Is the rug a pond, a river, or the ocean?" she asked. "An ocean," Ellie
replied. "It looks pretty wild and stormy in this ocean," jenny noted.
"How does a fish swim in a storm?" she asked. Ellie showed how a fish
would thrash around. jenny and Tanya joined her to make waves and
wind with their arms and sounds. After watching Ellie have a good thrash,
jenny noticed some calm developing in Ellie's swimming motions. "Is
this how a fish would swim out of a wild storm?" she wondered. Ellie
smiled as her body relaxed further. "It looks like the storm is passing.
How does a fish have a quiet swim?" Ellie made slow, steady, sweeping
movements with her joined palms. "When a fish is swimming calmly,
does she find other fish to swim with?" jenny wondered.
Tanya and jenny talked about how relaxation and calm had come
into the ocean to replace stormy wildness and tension. jenny wondered
if it was more fun for Ellie to use play-acting and movement to calm the
wildness, instead of letting it take her over and wreck their talking. She
asked Ellie if "Wildness" sometimes made her feel bad, like she was out
of control. Did this make her feel alone and tense? Ellie nodded with a
sober face and slightly down-turned mouth. "I see you know how to
find your way out to calmness," jenny observed. She continued to inter-
view Ellie about her "self-calming skills." Tanya helped Ellie make a list
of these on a chart in different colors, for Ellie to take home as a re-
minder and as the beginning of a longer list of skills they might remem-
ber or discover later on.
jenny sought to work collaboratively with Tanya and Ellie, to restore
and confirm their knowledge of how they got along together in a re-
laxed way. Tanya reviewed other times when the family had found their
way out of Wildness and Tension without a struggle. Noticing that Wild-
46 Playful Approaches to Serious Problems
ness seemed to take over when Ellie was anxious, Jenny asked whether
they might like to "spy" on the Wildness some more, to see what condi-
tions could cause a storm to brew up.
Tanya reported during the next session that she noticed Wildness
often grew out of anxiety or disappointed expectations. This lead to
brainstorming about ways of helping Ellie to express her expectations
about upcoming events and encouraging her to relax into novel situa-
tions.
"Wild behavior" had presented itself right away at the first meeting,
challenging the adults to deal with it. The shift in communication from
an adult-centered model to a playful one eased the tension for every-
one. Ellie's exuberant energy was included instead of becoming an awk-
ward barrier to the conversation. She became more willing to talk about
the things her mother wanted to address and to explore her own good
ideas and knowledge. The metaphoric play gave Tanya a fresh way of
seeing how Wildness and Tension brewed up and how they could be
transformed. Tanya later commented, lilt wasuseful tosee how the ten-
sion and anxiety worked against us and remember that we could relax
and get our way out of it faster by playing than we could by fighting."