Core idea
Narrative therapy is a post-structural approach: identities are constructed in language and relationships, and dominant problem-saturated stories crowd out alternative experiences. The therapist helps clients separate from the problem (externalization), notice unique outcomes that contradict the dominant story, and re-author a richer identity narrative — often with witnesses (outsider witness practices).
Key concepts
- Externalization
- The problem is the problem, the person is the person. Anorexia is talked to, not equated with the client.
- Dominant vs. alternative stories
- Problem-saturated narratives hide exceptions; therapy thickens the alternative.
- Unique outcomes
- Moments when the person resisted, outwitted, or escaped the problem.
- Re-authoring
- Build a coherent alternative story with landscape of action + landscape of identity.
- Definitional ceremony
- Outsider witnesses respond to the client's story — thickens the new identity.
What a session looks like
- 1Externalizing conversationName the problem; ask about its tactics, intentions, history.
- 2Relative influenceMap the problem's influence on the client; map the client's influence on the problem.
- 3Unique outcomesIdentify exceptions and ask what they say about the client's values.
- 4Re-authoringLink unique outcomes into a coherent counter-story.
- 5WitnessingInvite outsider witnesses (real or imagined) to respond.
Signature techniques
Evidence base
Smaller quantitative base than CBT-family therapies; growing RCT support for depression and eating disorders. Strong qualitative literature and influence across family therapy, community work, and post-colonial contexts.
Common pitfalls
- ▸Externalization as a gimmick — without the post-structural stance it falls flat.
- ▸Becoming celebratory about unique outcomes too quickly — let the client define their meaning.
- ▸Ignoring power and culture — narrative work is inherently political and contextual.
- ▸Treating the dominant story as wrong rather than as one story among possible others.
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