Michael White's Narrative Therapy
Michael White's Narrative Therapy
Michael White's Narrative Therapy
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Carr, A. (2000). Chapter 2. Michael White's narrative therapy. In A.
Carr (Ed.), Clinical Psychology in Ireland, Volume 4. Family Therapy
Theory, Practice and Research (pp. 15-38). Wales: Edwin Mellen
Press.
CHAPTER 2
Alan Carr
INTRODUCTION
practices entailed by these labels, add to rather than lighten the burden on people
dealing with such difficulties. Drawing on the work of Foucault (1965; 1975;
1979; 1980;1984), White refers to the process of applying psychiatric diagnoses
to clients and construing people exclusively in terms of these diagnostic labels as
totalizing techniques. Within a narrative frame, human problems are viewed as
arising from and being maintained by oppressive stories which dominate the
person's life. Human problems occur when the way in which peoples lives are
storied by themselves and others does not significantly fit with their lived
experience. Indeed, significant aspects of their lived experience may contradict
the dominant narrative in their lives. Developing therapeutic solutions to
problems, within the narrative frame, involves opening space for the authoring of
alternative stories, the possibility of which have previously been marginalized by
the dominant oppressive narrative which maintains the problem. These
alternative stories typically are preferred by clients, fit with, and do not contradict
significant aspects of lived experience and open up more possibilities for clients
controlling their own lives. The narrative approach rests on the assumption that
narratives are not representations of reflections of identities, lives and problems.
Rather narratives constitute identities, lives and problems (Bruner, 1986;
1987;1991). According to this position, the process of therapeutic re-authoring
personal narratives changes lives, problems and identities because personal
narratives are constitutive of identity.
RE-AUTHORING LIVES
The process of re-authoring, a term drawn from the work of the anthropologist
Myerhoff (1982;1986), is essentially collaborative and requires therapists to
engage in particular practices. For White (1995), the following are among the
more important practices central to narrative therapy:
• Adopt a collaborative co-authoring consultative position
18 Clinical Psychology in Ireland
Practice 2. Externalize the problem • Help clients see themselves as separate from their
problems through externalizing the problem
• Join with clients in fighting the externalized problem
Practice 3. Excavate unique outcomes • Help clients pinpoint times in their lives when they were
not oppressed by their problems by finding unique
outcomes.
• Help clients describe these preferred valued
experiences.
Practice 4. Thicken the new plot Ask landscape of action and identity questions to thicken the
description of the unique outcome.
Landscape of action questions focus on
• Events
• Sequences
• Time
• Plot
Landscape of consciousness focus on
• Meaning
• Effects
• Evaluation
• Justification
Practice 5. Link to the past and • Link the unique outcome to other past events
extend to the future • Extend the story into the future
• Form an alternative and preferred self-narrative in which
the self is viewed as more powerful than the problem.
Practice 6. Invite outsider witness • Invite significant members of the persons social network
groups to witness this new self-narrative. This is the outsider
witness group
Practice 8. Use literary means Use literary means to document and celebrate new
knowledges and practices.
• Certificates and awards
• News releases
• Personal declarations and letters of reference
In a health education project which aimed to prevent the spread of aids, AIDS
was personified and participants in the project were asked
• Where will AIDS be found?
• How will AIDS be recognized ?
This procedure of asking questions in a way that assumes the problem and the
person are quite separate helps clients to begin to externalize the problem and to
internalize personal agency (Carr, 1997). It may also interrupt the habitual
enactment of the dominant problem-saturated story of the persons identity.
In relative influence questioning the client is invited to first map out the
influence of the problem on their lives and relationships, and second to map out
the influence that they exert on the problem. Relative influence questioning
allows clients to think of themselves not as problem-people but as individuals
who have a relationship with a problem. Here are some examples of relative
influence questions:
• In that situation were you stronger than the problem or was the problem
stronger than you?
• Who was in charge of your relationships then. Were you in charge or was the
problem in charge?
• To what extent were you controlling your life at that point and to what extent
was the problem controlling your life?
This type of questioning also opens up the possibility that clients may report that
on some occasions the problem influences them to the point of oppression,
whereas on others, they can resist the problem. Thus relative influence questions
allow clients to construct unique outcomes which are the seeds from which lives
may be re-authored.
When it is clear that in some situations, problems have a greater influence
than people, whereas in other instances people win out, questions may be asked
about clients' views of contextual influences on this. Here are some examples of
such questions
• What feeds the problem
Michael White 25
Once unique outcomes have been identified, these events may be incorporated
into a story and the plot thickened by mapping them with landscape of action and
landscape of consciousness questions. The distinction between these two
domains was originally drawn by Jerome Bruner (1986). Landscape of action
questions aim to plot the sequence of events as they were seen by the client and
others. Landscape of consciousness questions aim to develop the meaning of the
story described in the landscape of action. They tell us about motives, purposes,
intentions, hopes, beliefs and values.
One micromap that may be useful in thickening descriptions in the
landscape of action contains the following four elements
• Events
• Sequences
• Time
• Plot
Within this micro-map, events are significant things that clients remember
happening in their lives.
• Can you tell me your memory of that?
Sequences are elaborated by asking clients about the antecedents and
consequences of the significant events.
• What was happening before this event and what happened afterwards?
• Was there a turning point where you knew things were turning out for the
best?
Time refers the stage of their lifecycle in which these sequences of events
occurred.
• At what point in your life did this occur?
Finally the plot refers to the meaning the person gives to the sequence of events
which occurred at a particular time. In defining the plot Michael White proposed
the question:
• If your problem was a project what would you call it?
Michael White 27
A second micro-map used to help clients story their experience in the landscape
of consciousness contains the following four elements:
• Meaning
• Effects
• Evaluation
• Justification
For both situations in which the main problem occurred or exceptional
circumstances in which it was expected to occur and did not, the therapist may
first inquire about the meaning of the event for the client.
• What sense did you make of that?
• What does this story say about you as a person?
• What does this story say about your relationship with your
mother/father/brother/ sister etc?
This may be followed by inquiries about the effects of the event of the clients
life.
• How did that effect you?
• How did that effect your relationships with your mother/father/brother/ sister
etc?
To help clients evaluate the event they may asked
• Was that a good thing for you, or a bad thing?
• Was that a good thing for your relationship or a bad thing?
Finally they may be invited to justify this evaluation by exploring their reasons
for viewing the event as having positive or negative implications for their lives.
• Why was that a good (or bad) thing for you?
• Why was that a good (or bad) thing for your relationship?
When clients discover that there are alternatives to their problem saturated
identities and when they have excavated a number of unique outcomes and
begun to link these together into a new self-narrative, the probability that such a
new plot can be thickened and take root in the client's life is enhanced if there are
witnesses to this process. White, drawing on the work of Myerhoff (1986), refers
to these people as the client's outsider witness group. This group may contain
members of the client's social network who understand their problem and who
may be able to advise or coach the client with relevant knowledge or skills in
how to manage the problem.
Outsider witnesses let clients know what they are up against and what to expect
in overcoming problems and taking charge of their lives.
THERAPEUTIC DOCUMENTS
White and Epston (1990) have shown how letters of invitation, redundancy
letters, letters of prediction, counter-referral letters, letters of reference, letters of
special occasions, self-stories, certificates, declarations and self-declarations may
be used in the practice of narrative therapy. The practice of introducing
therapeutic documents is clearly a complex process. Guidelines for introducing
such documents into the consultation process include the following;
• Discussing the usefulness of the documents to other people
• Discussing the issues that such documents might address
• Discussing the form that such documents might take
• Deciding with clients how best to collaboratively prepare such documents
• Deciding in collaboration with clients how to circulate therapeutic documents
within the client's network
• Deciding with clients to whom the documents should be sent
• Deciding collaboratively with clients the circumstances under which the
documents should be consulted
30 Clinical Psychology in Ireland
negative reactions to traditional grief work may reflect clients need to re-member
the dead and incorporate them into their lives.
TAKING-IT-BACK PRACTICES
DISCUSSION
Like the work of all pioneers, Michael White's narrative approach to therapy
raises as many questions as it answers. Some of the more important questions
will now be set out.
• How do we re-member and incorporate those insights that are valuable from
the mainstream mental-health movement into the practice narrative therapy?
A community of scientists who have studied mood disorders and schizophrenia
have concluded that the risk of relapse is reduced for clients from particular types
of social networks if psychosocial interventions are coupled with the used of
medication (Roth & Fonagy, 1996). From a narrative therapy frame, does the
practitioner accord this view the same weight as that of an anti-medication TV
documentary. Are both views to be accorded the same status as local knowledges,
or are the results of rigorous inquiry to be accorded greater weight?
• How do we re-member and incorporate ideas from the wider family therapy
tradition into narrative therapy?
A number of key insights are central to many forms of family therapy (Carr,
1995). First, is the observation that patterns of interaction within the family and
the wider social network may predispose family members to have problems or
maintain these problems once they occur. Second, is the observations that family
life cycle transitions and crises may precipitate the onset of problems for
individual family members. Third, is the observation that therapy which involves
both the individual with the problem and significant members of the family and
social network is an effective approach to ameliorating many difficulties. Fourth,
is the notion that such therapy is not haphazard but is guided by certain
hypotheses about the must useful way to proceed. A challenge for narrative
therapy is to incorporate these insights into its practice.
• What are the parallels between knowledges and practices central to narrative
therapy and those of other family therapy and psychotherapeutic
approaches?
The idea of a collaborative therapeutic alliance is central to a number of
approaches to family therapy, particularly those that fall within the constructivist,
social-constructionist and behavioural traditions. The use of identification of
34 Clinical Psychology in Ireland
SUMMARY
REFERENCES
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Approach to Family Therapy. In A. Gurman, and D. Kniskern (eds.)
Handbook of Family Therapy . Volume 2. New York: Brunner/Mazel.
Carr, A. (1995). Positive Practice: A Step-by-Step Approach to Family Therapy.
Reading, UK: Harwood.
Carr, A. (1996). Social constructionist psychology and family therapy.
Reflections on Professor Ken Gergen's paper to the Psychology
Department University College Dublin, 20th June 1996. Feedback, 6
(3), 27-31.
Carr, A. (1997). One Perspective on Karl Tomm’s Current Approach to
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Michael White 37
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