Michael White's Narrative Therapy

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Some of the key takeaways are that narrative therapy views problems as being maintained by oppressive stories rather than intrinsic attributes, and aims to develop alternative stories through opening space for marginalized possibilities. It draws influence from thinkers like Foucault and views problems through a social constructionist lens.

Narrative therapy views problems as arising from dominant oppressive stories that people's lives are defined by rather than intrinsic attributes. It aims to develop alternative stories by opening space for marginalized possibilities. This differs from approaches that view problems as intrinsic or focus only on symptom reduction.

Michael White was a key pioneer in developing narrative therapy along with David Epston. White drew influence from thinkers like Foucault and the social constructionist perspective in conceptualizing problems through dominant narratives rather than intrinsic attributes.

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Title Michael White's narrative therapy

Author(s) Carr, Alan

Publication 2001
date

Publication Carr, A. (eds.). Clinical Psychology in Ireland, Volume 4:


information Family Therapy Theory, Practice and Research

Publisher Edwin Mellen Press

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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.

Previously published as:


Carr, A. (1998). Michael White's narrative therapy. Contemporary
Family
Therapy, 20 (4), 485-503.

Carr, A. (1999). Narrative Therapy: One Perspective on the Work of


Michael White. Feedback, 9
16 Clinical Psychology in Ireland

CHAPTER 2

MICHAEL WHITE'S NARRATIVE THERAPY

Alan Carr

INTRODUCTION

Narrative approaches to therapy have come to occupy a central position within


the field of family therapy in recent years and this is due in large part to the
influence of Michael White. Alone and in collaboration with David Eptson,
Michael has pioneered the development of this approach to practice. (Epston &
White, 1989; White & Epston, 1992; White, 1989, 1995; Epson, 1989). Inspired
by this seminal work, other practitioners have begun to write about narrative
therapy in clinical practice (e.g., Freedman & Combs,1996; Parry &
Doane's,1994; Zimmerman & Dickerson, 1996; McLeod's, 1997; Jenkins, 1990)
to debate its place within the wider field of family therapy (Gilligan & Price,
1993) and to incorporate ideas from narrative therapy into mainstream mental
health practices (March & Mulle, 1994; 1996). Narrative therapists works with a
wide range of client groups with difficulties which are recognized within
mainstream mental-health circles as being among the most difficult to treat
including childhood conduct problems; delinquency; bullying; anorexia nervosa;
child abuse; marital conflict; grief reactions; adjustment to AIDS; and
schizophrenia.
Within narrative therapy, however, none of these difficulties are viewed
as intrinsic or essential attributes of people or relationships. Rather, these labels
are seen as being part of a wider mental health pathologizing discourse or
narrative which maintain rather than resolve problems of living. The power
Michael White 17

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

• Help clients view themselves as separate from their problems by externalizing


the problem
• Help clients pinpoint times in their lives when they were not oppressed by
their problems by finding unique outcomes
• Thicken clients descriptions of these unique outcomes by using landscape of
action and landscape of consciousness questions
• Link unique outcomes to other events in the past and extend the story into the
future to form an alternative and preferred self-narrative in which the self is
viewed as more powerful than the problem
• Invite significant members of the persons social network to witness this new
self-narrative
• Document new knowledges and practices which support the new self-
narrative using literary means
• Let others who are trapped by similar oppressive narratives benefit from their
new knowledge through bringing-it-back practices.
A summary of these key features and other practices central to narrative therapy
are presented in Figure 2.1.
Michael White 19

Figure 2.1. Practices in narrative therapy.

Practice 1. Position collaboratively • Adopt a collaborative co-authoring consultative position.


• Be open about therapeutic context, intentions and
values
• Privilege clients' language
• Question about multiple viewpoints, rather than the
objective facts
• Privilege listening over questioning
• Be vigilant for opportunities to open up space for new
liberating stories

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 7. Use re-membering • Re-connect clients with internal representations of


practices and supportive and significant members of their families and
incorporation networks
20 Clinical Psychology in Ireland

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

Practice 9. Facilitate bringing-it-back • Invite clients to make a written account of new


practices knowledges and practices for future clients with similar
problems
• Arrange for new clients to meet with clients who have
solved similar problems in therapy
Michael White 21

THE POSITION OF THE THERAPIST

Within White's narrative therapy, the therapist adopts a position of consultant to


those experiencing oppression at a personal level from their problems and at a
political level from a mental-health discourse and set of practices which
permeates western culture. Thus, people with problems of living are viewed as
requiring help in fighting back against these problems and practices which have
invaded their lives. This positioning is described by White, drawing on ideas
from the French philosopher Derrida (1981), as both deconstructionist and
constitutionalist. A deconstructionist position entails empowering clients to
subvert taken-for-granted mental-health definitions and practices. A
constitutionalist position entails working from the premise that lives and
identities are constituted and shaped by three sets of factors:
• The meaning people give to their experiences or the stories they tell
themselves about themselves
• The language practices that people are recruited into along with the type of
words these use to story their lives and
• The situation people occupy in social structures in which they participate and
the power relations entailed by these.
The positioning of the clinician within narrative therapy involves
addressing these three sets of factors by deconstructing the sense people make of
their lives; the language practices they use; and the power relationships in which
they find themselves. In deconstructing practices of power, White draws on the
work of the French Philosopher Foucault (1965; 1975; 1979; 1980; 1984). People
are unconsciously recruited into the subjugation of their own lives by power
practices that involve continual isolation, evaluation and comparison. Eventually
our clients internalize ludicrous societal standards, yet believe that in doing so
they are justifiably aspiring to valued ideals of fulfillment and excellence. This
leads for example to self-starvation and anorexia; extreme self-criticism in
depression; or a sense of powerlessness in the face of threat and anxiety. In turn,
22 Clinical Psychology in Ireland

mental health professions have compounded this problem by developing global


unitary accounts of these states that purport to be objective truths, such as the
diagnostic categories contained in DSM IV (APA, 1980) and ICD 10 (WHO,
1992). Furthermore, these professions support practices that prevent clients from
questioning the socio-political contexts within which these so-called objective
diagnostic truths emerged.
The collaborative co-authoring position central to narrative practice is
neither a one-up expert position nor a one-down strategic position. At a recent
workshop White (1997) showed a clip of videotape in which he used turntaking
at questioning to help a young girl with a diagnosis of Attention Deficit
Hyperactivity Disorder to participate in an interview. Other professionals
involved in the case had been unable to help the girl to do this and had labelled
her as unco-operative. Michael, made an agreement with her early in the meeting
that for every question she answered, she could ask him a question. The girl stuck
to this bargain because she was very curious about Michael's perception of the
world, since he told her at the outset of the meeting that he was colour blind. This
collaborative approach was highly effective in helping the girl tell her story about
her difficulties in managing friendships and school work.
Within White's narrative therapy there is an openness about the
therapist's working context, intentions, values and biases. There is a privileging
of the client's language rather than the therapist's language. There is a respect for
working at the clients pace that finds expression in regularly summarizing and
checking that the client is comfortable with the pace. The therapist assumes that
since social realities are constituted through language and organised through
narratives, all therapeutic conversations aim to explore multiple constructions of
reality rather than tracking down the facts which constitute a single truth. There is
no room for questions like
• From an objective viewpoint, what happened?
All inquires are about individual viewpoints.
• How did you see the situation?
Michael White 23

• How did your view differ from that of your mother/father/brother/sister/etc?


There is a constant vigilance for marginalized stories that might offer an opening
for the person to engage in, what White (1989,1995) refers to as an "insurrection
of subjugated knowledges". That is, an opening that will allow the person to
select to construct the story of their lives in terms other than those dictated by the
dominant narrative which feeds their problem. This requires the therapist to
privilege listening over questioning, and to question in a way that helps clients to
see that the stories of their lives are actively constructed, rather than passively
recounted and given.

EXTERNALIZING THE PROBLEM

Externalizing the problem is the central therapeutic technique used by Michael


White to help clients begin to define their problems as separate from their
identities. A particular style of questioning is used to help clients begin to view
their problems as separate from themselves. Central to this style of questioning is
inquiring about how the problem has been affecting the person's life and
relationships. Of a young boy with persistent soiling problems Michael White
asked the boy and his parents a series of questions about Mr Mischief, an
externalized personification of the soiling problem:
• Are you happy what Mr Mischief is doing to your relationship?
• How is Mr Mischief interfering with your friendships?
Of a girl with a diagnosis of anorexia nervosa he asked:
• How far has anorexia nervosa enroached on your life?
• How did anorexia nervosa come to oppress you in this way?
With people diagnosed as psychotic and experiencing auditory hallucinations he
asked
• What are the voices trying to talk you into?
• How will their wishes effect your life?
24 Clinical Psychology in Ireland

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

• What starves the problem


• Who is for the problem
• Who is against the problem

EXCAVATING UNIQUE OUTCOMES

To help clients internalize personal agency and develop a self-narrative in which


they view themselves as powerful, White has developed an interviewing
technique which involves inquiring about unique outcomes. Unique outcomes, a
term coined by Goffman (1961; 1986), are experiences or events that would not
be predicted by the problem-saturated plot or narrative that has governed the
client's life and identity. Unique outcomes include exceptions to the routine
pattern within which some aspect of the problem normally occurs. The therapist
asks clients about particular instances in which the client avoided being
oppressed by the problem or prevented the problem from having a major negative
influence on their lives.
• Can you tell me about a time when you prevented this problem from
oppressing you?
Clients are then invited to account for these unique outcomes and to redescribe
themselves and their relationships with others in light of these exceptional events.
• How did you manage to resist the influence of the problem on that occasion?
• What does this success in resisting the influence of the problem tell us about
you as a person?
• What effect does this success in resisting the influence of the problem have on
your relationship with your mother/father/brother/sister?

THICKENING NEW PLOTS


26 Clinical Psychology in Ireland

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?

LINKING THE NEW STORY TO THE PAST


AND EXTENDING IT INTO THE FUTURE
28 Clinical Psychology in Ireland

In linking new stories to the past experience of experience questions may be


used. These are questions that invite clients to excavate forgotten or marginalized
aspects of their experience or to imagine alternative ways of being that are
consistent with their preferred self-story.
• If I were watching you earlier in your life, what do you think I would have
seen that would have helped me to understand how you were able recently to
achieve X?
• What does this tell you and I about what you have wanted for your life?
• If you were to keep these ideas in mind over the next while, how might they
have an effect on your life?
• Of all those people who know you, who might be best placed to throw light on
how you developed these ideas and practices?
• If you found yourself taking new steps towards your preferred view of
yourself as a person, what would we see
• How would these actions confirm your preferred view of yourself
• What difference would this confirmation make to how you lived your life.
In the co-authoring position, clients are the senior partners. All explorations of
the future are tentative rather than prescriptive. In practice, this positioning
require the therapist to explore new possibilities tentatively using what Jerome
Bruner (1986) calls subjunctivizing language:
• What if....
• Could if be......
• Suppose you were to....
• What would you.....
This is a language of possibilities rather than predefined certainties.

OUTSIDER WITNESS GROUPS


Michael White 29

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

• Predicting the consequences of consulting the documents


• Reviewing with clients the effects of preparing and consulting these
documents
• Reflecting on the accuracy of predications contained in such documents
• Reflecting on pieces of information that might be missing from such
documents when their predictions are inaccurate.

RE-MEMBERING PRACTICES AND INCORPORATION

Many schools of individually oriented psychotherapy have the goal of promoting


individuation of an essentialist self from attachment to significant others.
Typically, within such psychotherapeutic traditions the negative influence of the
family of origin is privileged over the positive and supportive features. In
contrast, within the narrative approach, the family and social network are
construed as a resource rather than a liability. One aim of therapy is to help
clients find network members who have parallel experiences to theirs and draw
on relationships with these members of the family and social network as a
problem-solving resource or a source of social support. For example, with girls
suffering from anorexia White aims to find parallels between the lives of the
anorexic girls and those of their mothers. He encourages discussion of these
parallels and invites mothers to support their daughters' fight against starvation.
In traditional grief work, the goal of counselling is often seen as helping
the client work through a set of stages such as shock, denial, anger and sadness
until a stage of acceptance is reached in which the client separates from the
deceased and says goodbye to them in a metaphorical or ritualistic way. In
contrast to this approach, with bereaved people, White views the goal of grief-
work as re-membering the deceased and keeping their voice alive rather than
helping clients to work though stages to forget them. He also argues that often
Michael White 31

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

In taking-it-back practices clients are invited to share the positive benefits of


therapy with others. They may be invited to allow the therapist to share their new
personal narratives, knowledges, skills or literary records of these with other
clients facing similar difficulties. Alternatively they may agree to meet with other
clients and let other clients know directly about their experiences. One aim of
taking-it-back practices is to give clients a forum within which to share with
other clients the positive impact that their new personal narratives, knowledges,
skills have for them in their lives so that other clients may benefit from their
positive therapeutic outcomes. For therapists the aim of taking-it-back practices
is to give clients a forum within which to hear the positive impact that their
participation in therapeutic conversations and their new personal narratives,
knowledges, skills have had on therapists. Therapy changes both clients and
therapists. The dominant discourse frames therapist-to-client influence as positive
and client-to-therapist influence as negative. For example, within the
psychoanalytic tradition this type of influence is termed countertransference and
within the systemic tradition it is referred to as being sucked into the system.
Taking-it-back practices privilege the positive impact of clients on therapists and
future clients. Taking-it-back practices let clients know that the benefits of
therapeutic conversations are a two way street.
32 Clinical Psychology in Ireland

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.

• From an ethical perspective, in what instances is a narrative approach


appropriate and in what instances is it inappropriate to engage in narrative
therapy?
For example, in crises involving immediate threats to clients' safety or the safety
of family members, may narrative practices be used or are they inappropriate? If
they are inappropriate, at what point do they become appropriate and what
precisely are these practices?

• From an empirical perspective, in what instances is narrative therapy


effective; in what instances is it ineffective or dangerous; and what are the
active ingredients of this approach to treatment?
These questions may best be answered through rigorous quantitative and
qualitative, treatment outcome and process studies.

• Is narrative therapy inevitably an approach to helping that requires


therapists and clients to engage in the social construction of the idea of
oppression within multi-professional networks?
The idea that clients may be oppressed by practices within multi-professional or
multi-agency networks may compromise the degree to which therapists who
adopt a narrative approach can work co-operatively with other professionals and
agencies. This approach contrasts starkly with the trend within other family
therapy traditions to use systemic ideas and practices to facilitate co-operation
within interagency and interprofessional networks (Imber-Black, 1991).
Michael White 33

• 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

exceptional circumstances or stimulus conditions within which problems do not


occur and the use of such information as a basis for therapeutic progress are
important features of solution oriented (Miller, Hubble & Duncan, 1996) and
behavioural approaches (Falloon, 1988) to family therapy. Facilitating
therapeutic change through focusing primarily on clients core beliefs about their
problems, identities and lives is central to constructivist (Dallos, 1991), social-
constructionist (McNamee & Gergen, 1992) and cognitive (Epstein, Schlesinger
& Dryden, 1988) traditions within the field of family therapy. An exploration of
these and other parallels between narrative therapy and other approaches may
helpful to therapists wishing to understand the place of narrative therapy within
the broader field of family therapy.

• How do we conceptualize the relative influence of clients and therapists as


co-authors within the therapeutic relationship?
Narrative therapy is essentially a collaborative approach to facilitating
therapeutic change. However, skilful expert therapists like Michael White, in
certain instances seem to be quite directive in the leading questions that they ask
and appear to contribute more than 50% to the re-authoring of clients lives and
their scripts about how to manage problems. This discrepancy between the
avowed collaborative non-directive therapeutic positioning of the therapists on
the one hand and the skilful leading approach to therapeutic questioning on the
other deserves some clarification.

• How do we avoid allowing narrative therapy to achieve the prominence of a


global knowledge within our therapeutic practice?
One of the refreshing features of narrative therapy is the suspicion with which it
treats global knowledges or grand narratives that make claims to being in some
way more valuable than local knowledges. As narrative therapy becomes more
prominent, there is a danger that communities of therapists will come to privilege
the insights and practices offered by this approach in an unquestioning way. In
Michael White 35

short, an approach that privileges local knowledge will come, paradoxically, to


be treated as a grand narrative.
No doubt these questions and others will occupy many of us within the
field of family therapy who are impressed by the pioneering work of Michael
White.

SUMMARY

In this chapter a systematized description of a number of practices central to


Michael Whites narrative approach to therapy is given. These include
collaborative positioning of the therapist; externalizing the problem; excavating
unique outcomes; thickening the new plot; and linking the new plot to the past
and the future. The practices of re-membering and incorporation; using literary
means to achieve therapeutic ends; and facilitating taking-it-back practices are
also described. The paper closes with a number of questions which it may be
useful for those concerned with narrative therapy to address.

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