Tools for Transforming Trauma - The Eleventh International Erickson ...

No
Yes
No
Yes
Figure 8.2 A solution-oriented decision tree model
for correcting problems in treatment.
Can you identify when things have gone well (a solution pattern)?
(Spend some time on this. You should be able to come up with
something. If not you have waited far too long to use this approach.)
Can you identify the problem pattern?
Can you imagine the relationship from patient’s point of view?
(Do aligning perceptual positions yourself. (See chapter 7. The other
is the patient.)
Does this point of view give you new information about the patient and
how your actions are problematic to the patient?
Have you consulted with the patient about either when things have
gone well/ better or about the problem and asked for his/her input or
advice?
Yes
No
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Do more of that. Go to last
step
Consultation with patient or
others
Yes Go to
No Do it. Then go down 1 step
Yes Have you followed the patient’s input or advice No Try their advice
Yes Go to
END
Was it helpful? No Go to next step
Yes Has the patient’s advice given you new information? No Consultation
Yes
Yes
With this Information, can you imagine what a solution would look
and sound like and feel like?
What steps can you take to make that happen?
What would support you taking those steps?
No
Yes Put steps into action. Do they make a difference? No
END
Do more of those things. Reflect with self and/or patient about the
impact and meaning of those changes. What needs to happen to
make you more consistent or more flexible?
Consultation
New skill development
None Consultation
Do something different, go
back to previous steps or
get consultation