Narrative Therapy as an Integration within the ShiftGrit Core Method™

Overview

Narrative therapy is a collaborative, non-pathologizing approach to psychotherapy that treats the stories people construct about their lives as the central material of change, working from the premise that identity is shaped through narrative and that a person is distinct from their problems. It positions the client as the expert on their own life and the therapist as a co-investigator who helps re-author dominant, problem-saturated accounts into preferred ones.

How it works

The therapist and client examine the stories through which the client interprets their experience, identifying the dominant narratives that sustain distress and the social and cultural assumptions that reinforce them. A defining technique is externalization, in which the problem is spoken about as separate from the person ("the problem is the problem, not the person"), alongside mapping the problem's influence, searching for "unique outcomes" or exceptions that contradict the problem story, and re-authoring those exceptions into a more agentic, preferred narrative. Practices such as documenting letters, deconstructing questions, and recruiting an "outsider witness" group are used to thicken and stabilize the alternative account.

What it is used for

Narrative therapy is applied across individual, couples, family, and group work and with children, and has been used for presentations including depression, anxiety, trauma, grief and loss, eating disorders, relationship and family conflict, and behavioural difficulties. It is also used in community work and with populations affected by marginalization or oppression, where its attention to cultural and social context is considered well suited.

Origins and evidence base

It was developed through the 1970s and 1980s by Australian social worker Michael White and New Zealand therapist David Epston, drawing on social constructionism and the ideas of Michel Foucault, Jerome Bruner, and Lev Vygotsky, and was set out in their 1990 book Narrative Means to Therapeutic Ends. Much of its support comes from a substantial practice-based and qualitative literature with detailed case material; the body of controlled outcome research is comparatively smaller and still developing, with a growing number of trials reporting positive results for conditions such as depression.

Within the ShiftGrit Core Method™

Every client we see is moving through the ShiftGrit Core Method™, and that work stays the same from one session to the next: Pattern Theory™, the way it is delivered, and the reconditioning of the limiting belief all advance together as the steady through-line of treatment. Narrative Therapy is not part of that constant. It is one optional aid our clinicians reach for only when the shape of a person's situation calls for it. When a belief like "I am flawed" has been carried for so long that it starts to feel like the whole story of who someone is, our clinicians draw on narrative tools to gently set the person apart from that story, so it can be examined as something they have been living inside of rather than a fact about themselves. That bit of distance makes room for the Method™ to keep doing what it always does, getting to the belief underneath the pattern and reconditioning it. Later on, we may help a client notice and gather the moments their old story used to overlook, so the new outlook has lived experiences to stand on. Brought in this way, Narrative Therapy supports the Core Method™ where it helps and steps back where it does not. It is an enhancement we add selectively, never a replacement for the work the Method™ carries from start to finish.

Illustrative example

A client carries the belief "I am flawed", and over the years it has grown into a story where every setback feels like more proof. Our clinicians first help set that story apart from the person, then recondition the belief underneath so it no longer carries the same weight. With the belief loosened, we help the client collect moments of steadiness and connection their old story had screened out, building a fuller picture the new outlook can rest on.

Based on: White, M., & Epston, D. (1990). Narrative Means to Therapeutic Ends. New York: W. W. Norton & Company. ISBN 978-0393700985.

Clinicians who integrate Narrative Therapy