MOL doesn’t provide solutions but helps people generate their own solutions to problems

Rob Griffiths, Psychological Therapist

Learning about MoL and PCT has had a significant impact on the way that I work with clients. I primarily work with young people experiencing a first episode of psychosis and have begun to incorporate a lot of ideas from MoL into my practice. Firstly, I think I am able to respond more flexibly to clients by maintaining a greater emphasis on their experience within sessions. For example, if a client begins to describe a past experience, I am interested to know how it feels for them to talk about this right now. Is it helpful for them to talk about this topic? How does it help? Secondly, I am less prescriptive in my approach to delivering therapy, focusing more on what clients say they need in sessions than my preconceived ideas about what will help the person. Examples of how this works in practice would be giving the client as much control as possible over the frequency, duration and content of sessions. Often, the clients I work with feel like they have very little control over any area of their life. In my experience, emphasising client control over sessions has several advantages, including developing a sense of collaborative working and maintaining engagement with therapy. Thirdly, I am keen to work with client-generated metaphors and imagery as a means of exploring difficulties, rather than use a metaphor of my own to explain the person’s difficulties. Finally, I am much more tuned in to signs that the client is having some background thoughts about the topic of our conversation, and frequently enquire about this in an effort to help the person become aware of information that was not readily available to them before. This often enables clients to take a step back from unusual and distressing experiences to look at them from another perspective.

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  • Marken, R. S., & Carey, T. A.
    Controlling People: The paradoxical nature of being human.

    Brisbane: Australian Academic Press.