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Questions as Interventions: Perceptions of Socratic, Solution Focused, and Diagnostic Questioning Styles

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Abstract

A videotaped psychotherapy analogue compared psychology trainees' (n = 67) and undergraduate non-therapists' (n = 115) perceptions of three theoretically derived questioning styles: Socratic disputation in Rational Emotive Behavior Therapy (REBT), solution focused questioning (e.g. the “miracle question”), and diagnostic interviewing. Non-therapists rated REBT and diagnostic styles more highly than psychology trainees. All subjects rated solution focused questioning more highly than both other styles, perceiving it as more collaborative and conducive to the client's independent thinking. The constructs of collaborative empiricism and solution focused “cooperation” are discussed in relation to findings. The study also compared psychology trainees' and non-therapists' Big Five personality profiles, a topic which has not previously been addressed in the literature. Psychology trainees were higher in Big Five Openness and Agreeableness than non-therapists. Openness was negatively associated with ratings for solution focused and diagnostic questioning styles, replicating findings of previous analogue studies, in which undergraduate subjects preferred straightforward approaches to therapy.

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REFERENCES

  • American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders Fourth Edition. Washington, DC: Author.

    Google Scholar 

  • American Psychological Association. (1992). Ethical principles in the conduct of research with human participants. Washington, D.C.: Author.

    Google Scholar 

  • Beck, A.T. & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: BasicBooks (A division of HarperCollins Publishers).

    Google Scholar 

  • Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. NY: Guilford.

    Google Scholar 

  • Beck, A.T., Wright, F., Newman, C., & Liese, B. (1993). Cognitive therapy of substance abuse. New York: Guilford.

    Google Scholar 

  • Benjamin, A. (1981). The helping interview. (Third Edition). Boston, MA: Houghton Mifflin Co.

    Google Scholar 

  • Block, J. (1995). A contrarian view of the five-factor approach to personality description. Psychological Bulletin, 117, 187-215.

    Article  PubMed  Google Scholar 

  • Burns, D.D. & Auerbach, A.H. (1992). Does homework compliance enhance recovery from depression? Psychiatric Annals, 22, 464-469.

    Google Scholar 

  • Cashen, V.M. (1979). Sex of client as a factor in preference for an approach to counseling. Journal of Clinical Psychology, 35, 680-682.

    Article  PubMed  Google Scholar 

  • Chessick, R. (1982). Socrates: First psychotherapist. American Journal of Psychoanalysis, 42, 71-83.

    Article  PubMed  Google Scholar 

  • Cormier, W.H. & Cormier, L.S. (1985). Interviewing strategies for helpers: Fundamental skills and cognitive behavioral interventions (2nd ed.). Pacific Grove, CA: Brooks/Cole Publishing Company.

    Google Scholar 

  • Costa, P.T. & McCrae, R.R. (1992). Revised NEO Personality Inventory (NEO PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa, FL: Psychological Assessment Resources, Inc.

    Google Scholar 

  • Critelli, J.W. & Neumann, K.F. (1984). The placebo: conceptual analysis of a construct in transition. American Psychologist, 39, 32-39.

    Article  PubMed  Google Scholar 

  • de Shazer, S. (1988). Clues: Investigating solutions in brief therapy. New York: W.W. Norton & Co.

    Google Scholar 

  • de Shazer, S. (1991). Putting difference to work. New York: W.W. Norton & Co.

    Google Scholar 

  • de Shazer, S., Berg, I.K., Lipchik, F., Nunnally, E., Molnar, A., Gingerich, W. & Weiner-Davis, M. (1986). Brief therapy: Focused solution development. Family Process, 25, 207-222.

    Article  PubMed  Google Scholar 

  • DiGiuseppe, R. (1991). A rational-emotive model of assessment. In M.E. Bernard (Ed.), Using rational-emotive therapy effectively (pp. 151-172). New York: Plenum Publishing Corporation.

    Google Scholar 

  • Di Nardo, P.A., Barlow, D.H., Cerny, J., Vermilyea, B.B., Vermilyea, J.A., Himadi, W. & Waddell, M. (1985). Anxiety Disorders Interview Schedule—Revised (ADIS-R). Albany, NY: Phobia and Anxiety Disorders Clinic, State University of New York at Albany.

    Google Scholar 

  • Efron, D. & Veenendaal, K. (1993). Suppose a miracle doesn't happen: The non-miracle option. Journal of Systemic Therapies, 12, 11-18.

    Google Scholar 

  • Ellis, A. (1971). Growth through reason. No. Hollywood, CA: Wilshire Books.

    Google Scholar 

  • Fish, J.M. (1995). Does problem behavior just happen? Does it matter? Behavior and Social Issues, 5, 3-12.

    Google Scholar 

  • Fish, J.M. (1996). Prevention, solution-focused therapy, and the illusion of mental disorders. Applied and Preventive Psychology, 5, 37-40.

    Article  Google Scholar 

  • Friedman, S. (1993). Does the ‘miracle question’ always create miracles? Journal of Systemic Therapies, 12, 71-74.

    Google Scholar 

  • Haley, J. (1976). Problem-solving therapy: New strategies for effective family therapy. San Francisco: Jossey-Bass.

    Google Scholar 

  • Hensley, R.A., Cashen, V.M. & Lewis, M. (1985). The effect of previous experience on preference of approach for effective counseling. Journal of Psychology, 119, 293-296.

    PubMed  Google Scholar 

  • Hoffman, L. (1981). Foundations of family therapy: A conceptual framework for systems change. New York: Basic Books.

    Google Scholar 

  • Holen, M. & Kinsey, W. (1975). Preferences for three theoretically derived counseling approaches. Journal of Counseling Psychology, 22, 21-23.

    Article  Google Scholar 

  • Horne, A.M., Chaney, R. & Dougherty, A.M. (1976). Institutional males' perceptions of three counseling techniques. Perceptual and Motor Skills, 43, 383-387.

    Google Scholar 

  • Ivey, A.E. (1983). Intentional interviewing and counseling. Monterey, CA: Brooks/Cole Publishing Company.

    Google Scholar 

  • Jannes, J.E. & Fish, J.M. (1993). Perceptions of the therapist as a function of intervention type and observer personality factors. Journal of Personality and Clinical Studies, 9, 1-14.

    Google Scholar 

  • Keeney, B.P. (1983). Aesthetics of change. New York: Guilford Press.

    Google Scholar 

  • Lipchik, E. & de Shazer, S. (1986). The purposeful interview. Journal of Strategic and Systemic Therapies, 5, 88-99.

    Google Scholar 

  • Miller, A. (1990). The Drama of the Gifted Child. New York, NY: BasicBooks.

    Google Scholar 

  • Morrison, J. (1995). The first interview: Revised for DSM-IV. New York: Guilford.

    Google Scholar 

  • Newfield, N.A., Kuehl, B.P., Joanning, H.P., & Quinn, W.H. (1990). A mini ethnography of the family therapy of adolescent drug abuse: The ambiguous experience. Alcoholism Treatment Quarterly, 7, 57-79.

    Article  Google Scholar 

  • Nylund, D. & Corsiglia, V. (1994). Becoming solution focused in brief therapy: Remembering something important we already knew. Journal of Systemic Therapies, 13, 5-12.

    Google Scholar 

  • Olinick, S.L. (1954). Some considerations of the use of questioning as a psychoanalytic technique. Journal of the American Psychoanalytic Association, 2, 57-66.

    Article  PubMed  Google Scholar 

  • Overholser, J.C. (1993a). Elements of the Socratic method: I. Systematic questioning. Psychotherapy, 30, 67-74.

    Google Scholar 

  • Overholser, J.C. (1993b). Elements of the Socratic method: II. Inductive reasoning. Psychotherapy, 30, 75-85.

    Google Scholar 

  • Overholser, J.C. (1994). Elements of the Socratic method: III. Universal definitions. Psychotherapy, 31, 286-293.

    Google Scholar 

  • Overholser, J.C. (1995). Elements of the Socratic method: IV. Disavowal of knowledge. Psychotherapy, 32, 283-292.

    Google Scholar 

  • Persons, J.B. (1989). Cognitive therapy in practice: A case formulation approach. New York: W.W. Norton.

    Google Scholar 

  • Seeskin, K. (1987). Dialogue and discovery: A study in Socratic method. Albany, New York: SUNY Press.

    Google Scholar 

  • Stuehm, M.H., Cashen, V.M. & Johnson, J.J. (1977). Preference for an approach to counseling. Psychological Reports, 41, 124-126.

    PubMed  Google Scholar 

  • Sue, S. & Zane, N. (1987). The role of culture and cultural techniques in psychotherapy: A critique and reformulation. American Psychologist, 42, 37-45.

    Article  PubMed  Google Scholar 

  • Talmon, M. (1990). Single session therapy. San Francisco: Jossey-Bass.

    Google Scholar 

  • Tannen, D. (1993). The relativity of linguistic strategies: Rethinking power and solidarity in gender and dominance. In D. Tannen (Ed.), Gender and conversational interaction (pp. 165-188). Oxford, England: Oxford University Press.

    Google Scholar 

  • Tinsley, H.E.A. & Harris, J. (1976). Client expectations for counseling. Journal of Counseling Psychology, 3, 173-177.

    Article  Google Scholar 

  • Walen, S., DiGiuseppe, R. & Dryden, R.L. (1992). A practitioner's guide to rational-emotive therapy. New York: Oxford University Press.

    Google Scholar 

  • Walter, J.L. & Peller, J.E. (1992). Becoming solution focused in brief therapy. New York: Brunner/Mazel Inc.

    Google Scholar 

  • Young, J.E., Beck, A.T. & Weinberger, A. (1993). Depression. In D.H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (2nd ed.) (pp. 240-277). New York, NY: Guilford Press.

    Google Scholar 

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Correspondence to Wandajune Bishop.

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Bishop, W., Fish, J.M. Questions as Interventions: Perceptions of Socratic, Solution Focused, and Diagnostic Questioning Styles. Journal of Rational-Emotive & Cognitive-Behavior Therapy 17, 115–140 (1999). https://doi.org/10.1023/A:1023005015329

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