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12 Appendix A – Hypothesis Generating Questions From Major Theories of Psychotherapy

Jim Schirmer

Hypothesis Generating Questions From Major Theories of Psychotherapy
Theory Hypothesis generating questions
Psychoanalysis
  • What unconscious drives might be influencing the client’s behaviour?
  • How might the client’s childhood experiences be influencing them now?
  • Does the client feel discomfort from tension between various parts of the self?
  • Are there learned defence mechanisms that are now causing pain for the client?
Gestalt
  • Does the client have unfinished business and/or a desire to maintain certainty which is leaving them out of contact with themselves, their environment or their relationships?
  • Has the client lost contact with the here-and-now experience?
  • Has this loss of contact created an inauthentic and unsatisfying way of living?
Cognative-behavioural
  • What are the client’s learned scripts of behaviour and how are they serving them right now?
  • What are the client’s automatic cognitions in response to their situation?
  • What patterns of beliefs and schemas does the client hold regarding their experience?
  • Is the client’s learned pattern of behaviour ineffective for the current problems being faced?
  • Are there patterns of beliefs and cognitions that are leading to undesired emotions or behaviours?
  • Does the client have sufficient skills for managing their current challenges?
Solution-focused
  • What is the client’s goal?
  • What strategy is the client using to try to reach this goal?
  • How well is that strategy serving them?
  • Has the client’s talk become saturated with the problem?
  • Has the problem-saturation led the client to feel stuck or hopeless about change?
Person-centred
  • What is the client’s view of their true or ideal self?
  • What feedback are they receiving about themselves from the key relationships in their life?
  • Does the client feel their worth is conditional on doing things or being a certain way?
  • Is the client feeling an incongruence between their ideal self and the self they have to be for others?
Feminist
  • What social messages has the client received and internalised relating to roles and identities?
  • Is the client feeling constrained by unhelpful discourses about self and role?
  • Has the client internalised these discourses into their identity?
Narrative
  • What values does the client want to build their life story around?
  • What social discourses might have been internalised by the client?
  • Has the problem become the main character in the client’s life story?
  • Has the problem obscured or constrained the client’s intentions and preferred narrative for their life?
Existential
  • How does the way the way they tell their story influence their experience of it?
  • What inescapable parts of living is the client confronting? What frameworks of meaning does the client use to make sense of and give significance to their life?
  • Is the client feeling angst in the face of the realities of existence?
  • Has the client lost a sense of meaning and authenticity in living in the face of these challenges?

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