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A SOLUTION-FOCUSED APPROACH
TO WEIGHT LOSS
Yvonne Dolan
One out of every three Americans is overweight. Obesity is currently the most common nutritional disorder in the western world
and is occurring with increasing frequency in developing countries as
well (Simopulous, Victor, & Jacobson, 1993). Diets usually fail. According to recent statistics, 95 percent of people who diet regain the
weight they have lost (Gullo, 1995). Many then gain additional weight.
The remaining five percent of dieters who succeed made me curious
about how Solution-focused concepts (Berg 1990, 1994; de Shazer,
1982, 1985, 1991; de Shazer, Berg, Lipchik, Nunally, Molnar, Gingerich, & Weiner-Davis, 1986, Lipchik, 1988; Lipchik & de Shazer,
1986; O'Hanlon & Weiner-Davis, 1989) might be applied to weight
loss and maintenance. After all, no one overeats all the time.
This article will illustrate (through a personal case example) how
Solution-focused concepts such as imagining a miracle (Berg, 1990; de
Shazer 1988), identifying exceptions (de Shazer et al., 1986), scaling
(Berg, 1990) can be utilized to help people succeed at losing weight
and then keeping it off. Included is a Solution-focused Weight MainteYvonne Dolan, MA, The Solution Group, 27866 Meadowlark Drive, Golden, CO
80401.
Contemporary Family Therapy, 19(1), March 1997
1997 Human Sciences Press, Inc.
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CONTEMPORARY FAMILY THERAPY
nance Success Scale designed to prevent regaining after the loss has
been achieved.
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YVONNE DOLAN
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ISFT: Let's get back to the exception here, what did you eat instead
of carbohydrates?
ME: Anything healthy: fruit, vegetables, protein, you know. People
don't get fat because they don't know what is fattening. I know
what I should be eating.
SCALING
ISFT: So how confident are you that if you set your mind to it, you could
eat the kind of lunch you just described? On a scale of 1-10, just
how much faith do you have that you could do it tomorrow?
ME: Not much. I mean look at my track record.
ISFT: Okay, I know, but pick a number. Just pick one. Be honest.
ME: I'm somewhere between a 1 and a 2. I mean, what comes to
mind, is why bother, it won't make a difference anyway?
ISFT: So what would have to happen in order to raise it to a 3?
ME: Well, if I told someone I was trying to do this, my self respect
would be involved, my credibility as a person.
ISFT: Who might you tell?
ME: My husband.
ISFT: Would that make it a 3?
ME: Yeah.
ISFT: What would raise it more?
ME: If I told some other people as well, a couple of good friends, and
maybe my sister.
ISFT: If you told each of those people, how much would that raise the
number?
ME: It would be a 5.
ISFT: Is that high enough that you would succeed in getting through
lunch?
ME: No, probably not. This is getting hard.
ISFT: Hey, I'm just asking you the same kinds of questions you ask
your clients and you expect them to answer. What would raise
the number a little more?
ME: If I threw out all the foods that I tend to overeat. Not everything in the house, but the stuff that triggers me to overindulge. It's stuff that isn't healthy for the rest of my household,
anyway.
ISFT: How much would that raise it?
ME: It would be up to an 8.
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YVONNE DOLAN
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CONTEMPORARY FAMILY THERAPY
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YVONNE DOLAN
day and at the end of each week I used scaling to assess my motivation and confidence that I could succeed in the goal of becoming thin.
If I had a slip-up in terms of sensible eating, immediately afterwards,
I used scaling to rate both my motivation and confidence that I could
succeed, identifying the specific behaviors needed to raise both my
motivation and confidence to a 10.
To address the statistical likelihood of regaining the lost weight, I
have invented daily and weekly versions of a Solution-focused Weight
Maintenance Success Scale based on the behaviors I identified as exceptions to overeating. This scale could be altered as needed for different people to include individual behaviors associated with successful
weight control.
DAILY SOLUTION-FOCUSED WEIGHT
So far (five months later), the weight has stayed off. While research is needed to further substantiate this, my experience suggests
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REFERENCES
Berg, I. K. (1990). A solution-focused approach to family based services. Milwaukee, WI:
Brief Family Therapy Center.
de Shazer, S. (1982). Patterns of brief family therapy. New York: Guilford.
de Shazer, S. (1985). Keys to solutions in brief family therapy. New York: Norton.
de Shazer, S., Berg, I. K., Lipchik, E., Nunnally, E., Molnar, A. Gingerich, W., &
Wiener-Davis, M. (1986). Brief therapy: Solution-focused development. Family Process, 25, 207-222 .
de Shazer, S. (1988). Clues: Investigating solutions in brief therapy. New York: Norton.
de Shazer, S. (1991). Putting differences to work. New York: Norton.
Gullo, S. B., (1995). Thin tastes better. New York: Dell.
Lipchik, E., & de Shazer, S. (1986). The purposeful interview. Journal of Strategic and
Systemic Therapies, 5 (1-2), 88-89.
Lipchik, E. (1988). Purposeful sequences for beginning the solution-focused interview.
In E. Lipchik (Ed.), Interviewing (pp. 105-117). Rockville, MD: Aspen.
OTJanlon, W., & Weiner-Davis, M. (1989). In search of solutions. New York: Norton.
Simopoulos, A. P., Victor, H., & Jacobson, B. (1993). Genetic nutrition: Designing a diet
based on your family medical history. New York: Macmillan.