19 Narrative Therapy Techniques, Interventions + Worksheets [PDF]

19 Narrative Therapy Techniques, Exercises, & Interventions (+ PDF Worksheets)

Imagine a narrative of your “life story” in which you are the hero of your own life, rather than the victim? It is likely that the life story you tell yourself and others changes depending on who is asking, your mood, and whether you feel like you are still at the beginning, in the middle, or at the end of your most salient story. But when was the last time you paused to consider the stories you tell?

“What is your story?”

Narrative therapy capitalizes on this question and our storytelling tendencies. The goal is to uncover opportunities for growth and development, find meaning, and understand ourselves better.

We use stories to inform others, connect over shared experiences, say when we feel wronged, and even to sort out our thoughts and feelings. Stories organize our thoughts, help us find meaning and purpose, and establish our identity in a confusing and sometimes lonely world. Thus, it is important to realize what stories we are telling ourselves, and others, when we talk about our lives.

If you’ve never heard of narrative therapy before, you’re not alone!

This therapy is a specific and less common method of guiding clients towards healing and personal development. It’s revolves around the stories we tell ourselves and others.

 

What is Narrative Therapy? A Definition

Narrative therapy is a form of therapy that aims to separate the individual from the problem, allowing the individual to externalize their issues rather than internalize them. It relies on the individual’s own skills and sense of purpose to guide them through difficult times (“Narrative Therapy,” 2017).

Identity and Narrative Therapy. Photo, courtesy of Pixabay.

This form of therapy was developed in the 1980s by Michael White and David Epston, two therapists from New Zealand (“About Narrative Therapy”). They believed that separating a person from their problematic or destructive behavior was a vital part of treatment (“Michael White,” 2015). For example, when treating someone who had run afoul of the law, they would encourage the individual to see themselves as a person who made mistakes, rather than as an inherently “bad” felon. White and Epston grounded this new therapeutic model in three main ideas.

1. Narrative therapy is respectful.

This therapy respects the agency and dignity of every client. It requires each client to be treated as an individual who is not deficient, not defective, or not “enough” in any way.

Individuals who engage in narrative therapy are brave people who recognize issues they would like to address in their lives.

2. Narrative therapy is non-blaming.

In this form of therapy, clients are never blamed for their problems, and they are encouraged not to blame others as well. Problems emerge in everyone’s lives due to a variety of factors; in narrative therapy, there is no point in assigning fault to anyone or anything.

Narrative therapy separates people from their problems, viewing them as whole and functional individuals who engage in thought patterns or behavior that they would like to change.

3. Narrative therapy views the client as the expert.

In narrative therapy, the therapist does not occupy a higher social or academic space than the client. It is understood that the client is the expert in their own life, and both parties are expected to go forth with this understanding.

Only the client knows their own life intimately and has the skills and knowledge to change their behavior and address their issues (Morgan, 2000).

These three ideas lay the foundation for the therapeutic relationship and the function of narrative therapy. The foundation of this therapeutic process has this understanding and asks clients to take a perspective that may feel foreign. It can be difficult to place a firm separation between people and the problems they are having.

Key Concepts and Approach

Making the distinction between “an individual with problems” and a “problematic individual” is vital in narrative therapy. White and Epston theorized that subscribing to a harmful or adverse self-identity could have profound negative impacts on a person’s functionality and quality of life.

“The problem is the problem, the person is not the problem.” – Michael White and David Epston

To this end, there are a few main themes or principles of narrative therapy:

  1. Reality is socially constructed, which means that our interactions and dialogue with others impacts the way we experience reality.
  2. Reality is influenced by and communicated through language, which suggests that people who speak different languages may have radically different interpretations of the same experiences.
  3. Having a narrative that can be understood helps us organize and maintain our reality. In other words, stories and narratives help us to make sense of our experiences.
  4. There is no “objective reality” or absolute truth; what is true for us may not be the same for another person, or even for ourselves at another point in time (Standish, 2013).

 

These principles tie into the postmodernist school of thought, which views reality as a shifting, changing, and deeply personal concept. In postmodernism, there is no objective truth—the truth is what each one of us makes it, influenced by social norms and ideas.

Unlike modern thought that held the following tenets as sacred, postmodern thought holds skepticism over grand narratives, the individual, the idea of neutral language, and universal truth. 

Thus, the main premise behind narrative therapy is understanding individuals within this postmodern context. If there is no universal truth, then people need to create truths that help them construct a reality that serves themselves and others. Narrative therapy offers those story-shaping skills.

It’s amazing how much easier solving or negating a problem can be, when you stop seeing the problem as an integral part of who you are, and instead, as simply a problem.


 

5 Commonly Used Narrative Therapy Techniques

Some of the skills applicable to solving problems through narrative therapy are skills that we may already possess; others take effort to learn and apply. The five techniques here are the most common tools used in narrative therapy.

1. Telling One’s Story (Putting Together a Narrative)

As a therapist or other mental health professional, your job in narrative therapy is to help your client find their voice and tell their story in their own words. According to the philosophy behind narrative therapy, storytelling is how we make meaning and find purpose in our own experience (Standish, 2013).

Helping your client develop their story gives them an opportunity to discover meaning, find healing, and establish or re-establish an identity, all integral factors for success in therapy.

This technique is also known as “re-authoring” or “re-storying,” as clients explore their experiences to find alterations to their story or make a whole new one. The same events can tell a hundred different stories since we all interpret experiences differently and find different senses of meaning (Dulwich Centre).

2. Externalization Technique

The externalization technique leads your client toward viewing their problems or behaviors as external, instead of an unchangeable part of themselves. This is a technique that is easier to describe than to embrace, but it can have huge positive impacts on self-identity and confidence.

The general idea of this technique is that it is easier to change a behavior you do, than to change a core personality characteristic. For example, if you are quick to anger or you consider yourself an angry person, then you must fundamentally change something about yourself to address the problem; however, if you are a person who acts aggressively and angers easily, then you need to alter the situations and behaviors surrounding the problem.

It might seem like an insignificant distinction, but there is a profound difference between the mindset of someone who labels themselves as a “problem” person and someone who engages in problematic behavior.

It may be challenging for the client to absorb this strange idea at first. One first step is to encourage your client not to place too much importance on their diagnosis or self-assigned labels. Let them know how empowering it can be to separate themselves from their problems, and allowing themselves a greater degree of control in their identity (Bishop, 2011).

3. Deconstruction Technique

This “deconstruction” refers to reducing the problems a client is experiencing, thus making it easier to understand the “whole picture.” Our problems can feel overwhelming, confusing, or unsolvable, but they are never truly unsolvable (Bishop, 2011).

Deconstructing makes the issue more specific and reduces overgeneralizing; it also clarifies what the core issue or issues actually are.

As an example of the deconstruction technique, imagine two people in a long-term relationship who are having trouble. One partner is feeling frustrated with a partner who never shares her feelings, thoughcouple holding hands narrative therapyts, or ideas with him. Based on this short description, there is no clear idea of what the problem is, let alone what the solution might be. A therapist might deconstruct the problem with this client by asking them to be more specific about what is bothering them, rather than accepting a statement such as, “my spouse doesn’t get me anymore.”

This might lead to a better idea of what is troubling the client, such as general themes of feeling lonely or missing romantic intimacy. Maybe the client has construed a narrative where they are the victim of this helpless relationship, rather than someone with a problem coping with loneliness and communicating this vulnerability with their partner.

Deconstructing the problem helps people understand what the root of problems (in this case, someone is feeling lonely and vulnerable) and what this means to them (in this case, like their partner doesn’t want them anymore or is not willing to commit to the relationship like they are).

This technique is an excellent way to help the client dig into the problem and understand the foundation of the stressful event or pattern in their life.

4. Unique Outcomes Technique

This technique is complex but vital for the storytelling aspect of narrative therapy.

The unique outcomes technique involves changing one’s own storyline. In narrative therapy, the client aims to construct a storyline to their experiences that offers meaning, or gives them a positive and functional identity. This is not as misguided as “thinking positive,” but rather, a specific technique for clients to develop life-affirming stories.

We are not limited to just one storyline, though. There are many potential storylines we can subscribe to, some more helpful than others.

Like a book that switches viewpoints from one character to another, our life has multiple threads of narrative with different perspectives, areas of focus, and points of interest. The unique outcomes technique focuses on a different storyline or storylines than the one holding the source of your problems.

Using this technique might sound like avoiding the problem, but it’s actually just reimagining the problem. What seems like a problem or issue from one perspective can be nothing but an unassuming or insignificant detail in another (Bishop, 2011).

As a therapist, you can introduce this technique by encouraging client(s) to pursue new storylines.

5. Existentialism

You might have a particular association with the term “existentialism” that makes its presence here seem odd, but there is likely more to existentialism than you think.

Existentialism is not a bleak and hopeless view on a world without meaning.

In general, existentialists believe in a world with no inherent meaning; if there is no given meaning, then people can create their own meaning. In this way, existentialism and narrative therapy go hand in hand. Narrative therapy encourages individuals to find their meaning and purpose rather than search for an absolute truth that does not necessarily resonate for themselves.

If your client is an avid reader, you might consider suggesting some existentialist works as well, such as those by Jean-Paul Sartre, Albert Camus, or Martin Heidegger.

The visual below helps summarize what narrative therapy is, and how it can be used.

narrative therapy What's your story? infographic

You can download the printable version of the infographic here.


 

3 More Narrative Therapy Exercises and Interventions

While narrative therapy is more of a dialogue between the therapist and client, there are some exercises and activities to supplement the regular therapy sessions. A few of these are described below.

1. Statement of Position Map

This simple handout consists of four areas for the client to write about:

  1. Characteristics and naming or labeling of the problem
  2. Mapping the effects of the problem throughout each domain of life it touches (home, work, school, relationships, etc.)
  3. Evaluation of the effects of the problem in these domains
  4. Values that come up when thinking about why these effects are undesirableStatement of Position Map narrative therapy exercises

This map is intended to be filled out in concert with a therapist, but it can be explored if it is difficult to find a narrative therapist.

Generally, the dialogue between a therapist and client will delve into these four areas. The therapist can ask questions and probe for deeper inquiry, while the client discusses the problem they are having and seeks insight in any of the four main areas listed above. There is power in the act of naming the problem and slowly shifting the idea that we are a passive viewer of our lives.

Finally, it is vital for the client to understand why this problem bothers them on a deeper level. What values are being infringed upon or obstructed by this problem? Why does the client feel negative about the problem? For example, what does the “stressful dinner party” bring up for them? Perhaps feelings of social anxiety and “otherness” that feel isolating? These are questions that this exercise can help to answer.

For a much more comprehensive look at this exercise, you can read these workshop notes from Michael White on using the statement position maps.

You can also access a PowerPoint in which a similar exercise is covered here.

2. My Life Story

One of the most basic therapeutic principles in narrative therapy is that we find meaning and healing through telling stories. This exercise is all about your story, and all you need is the printout and a pen or pencil.

The intention of the My Life Story exercise is to separate yourself from your past and gain a broader perspective on your life. It aims to create an outline of your life that does not revolve too intensly around memories as much as moments of intensity or growth.

First, you write the title of the book that is your life. Maybe it is simply “Monica’s Life Story,” or something more reflective of the themes you see in your life, like “Monica: A Story of Perseverance.”

In the next section, come up with at least seven chapter titles, each one representing a significant stage or event in your life. Once you have the chapter title, come up with one sentence that sums up the chapter. For example, your chapter title could be “Awkward and Uncertain” and the description may read “My teenage years were dominated by a sense of uncertainty and confusion in a family of seven.”

Next, you will consider your final chapter and add a description of your life in the future. What will you do in the future? Where will you go, and who will you be? This is where you get to flex your predictive muscles.

Finally, the last step is to add to your chapters as necessary to put together a comprehensive story of your life.

person writing a book - narrative therapy exerciseThis exercise will help you to organize your thoughts and beliefs about your life and weave together a story that makes sense to you. The idea is not to get too deep into any specific memories, but instead to recognize that what is in your past is truly the past. It shaped you, but it does not have to define you. Your past made you the reflective and wiser person of today.

You can download this worksheet here.

3. Expressive Arts

This intervention can be especially useful for children, but adults may find relief and meaning in it as well.

We all have different methods of telling our stories, and using the arts to do so has been a staple of humanity for countless generations. To take advantage of this expressive and creative way to tell your stories, explore the different methods at your disposal.

You can:

  • Meditate. Guided relaxation or individual meditation can be an effective way to explore a problem.
  • Journal. Journaling has many potential benefits. Consider a specific set of question s (e.g., How does the problem affect you? How did the problem take hold in your life?) or simply write a description of yourself or your story from the point of view of the problem. This can be difficult but can lead to a greater understanding of the problem and how it influences the domains of your life.
  • Draw. If you’re more interested in depictions of the problem’s impact on your experience, you can use your skills to draw or paint the effects of the problem. You can create a symbolic drawing, map the effects of the problem, or create a cartoon that represents the problem in your life. If drawing sounds intimidating, you can even doodle abstract shapes with the colors of the emotions you feel, and keywords that express your reflection in that moment.
  • Movement. You can use the simple medium of movement and mindfulness to create and express your story. Begin by moving in your usual way, then allow the problem to influence your movement. Practice mindful observation to see what changes when you let the problem take hold. Next, develop a transitional movement that begins to shake the problem’s hold on you. Finally, transition into a “liberation movement” to metaphorically and physically explore how to escape the problem.
  • Visualization. Use visualization techniques to consider how your life might be in a week, a month, a year, or a few years, both with this problem continuing and in a timeline where you embrace a new direction. Share your experience with a partner or therapist, or reflect in your journal to explore the ways in which this exercise helped you find meaning or new possibilities for your life (Freeman, 2013).

 

If you’re interested in learning more about how to put your creativity to work on developing a more positive story, follow this link or click here to dive a little deeper into expressive arts therapy.


 

Examples of Questions to Ask Your Clients

Narrative therapy is a dialogue in which both you and your client converse to learn about your story. As you may imagine, it requires many questions on the part of the therapist.

“Every time we ask a question, we’re generating a possible version of a life.” David Epston

The list of questions below is intended to go with the statement of position maps, but these questions can be useful outside of this exercise too:

  1. It sounds as though [problem] is part of your life now.
  2. How long have you been noticing this [problem]?
  3. What effect does the [problem] have on your life?
  4. How does the [problem] impact on your energy for daily tasks?
  5. Does [problem] have an impact on your relationship with other family members?
  6. What effects does [problem] have on your child’s life?
  7. What do you think about the effects [problem] is having on your life?
  8. Are you accepting what [problem] is doing?
  9. Are these effects acceptable to you or not?
  10. Why is this? Why are you taking this position on what [problem] is doing?
  11. How would you prefer things to be?
  12. If you were to stay connected to what you have just said about what you prefer, what next steps could you take? (Muller)

 

The website www.integratedfamilytherapy.com also provides excellent examples of questions to ask your client as you move through their story:

  1. Enabling Openings
    Can you describe the last time you managed to get free of the problem for a couple of minutes? What was the first thing you noticed in those few minutes? What was the next thing?
  2. Linking Openings with Preferred Experience Would you like more minutes like these in your life?
  3. Moving from Openings to Alternative Story Development. What was each of you thinking/feeling/doing/wishing/imagining during those few minutes?
  4. Broadening the Viewpoint. What might your friend have noticed about you if she had met up with you in those few minutes?
  5. Exploring Landscapes of Action. How did you achieve that? How did Tim help you with that?
  6. Exploring Landscapes of Consciousness. What have you learned about what you can manage from those few minutes?
  7. Linking with the Exceptions in the Past. Tell me about times when you have managed to achieve a similar few minutes in the past?
  8. Linking Exceptions from the Past with the Present. When you think about those times in the past when you have achieved this, how might this alter your view of the problem now?
  9. Linking Exceptions from the Past with the Future. Thinking about this now, what do you expect to do next?

 

More questions and information for therapists interested in applying narrative therapy can be found here.

narrative therapy questions infographic

You can download the printable version of the infographic here.


 

Narrative Therapy Treatment Plan

Developing a treatment plan for narrative therapy is a personal and intensive activity in any therapeutic relationship, and there are guidelines for how to incorporate an effective plan.

This PDF provides a profile of a treatment plan, including goals and guidelines for each stage and theories that can apply to the client’s treatment.

The co-founder of narrative therapy, Michael White, offers an additional resource for therapists using narrative therapy.

According to White, there are three main processes in treatment:

1) Externalization of the problem, which mirrors the steps of the position mapping exercise:

  • Developing a particular, experience-near definition of the problem;
  • Mapping the effects of the problem;
  • Evaluating the effects of the problem;
  • and justifying the evaluation.

2) Re-authoring conversations by:

  • Helping the client include neglected aspects of themselves;
  • and shifting the problem-centered narrative.

3) Remembering conversations that actively engage the client in the process of:

  • Renewing their relationships;
  • Removing the relationships that no longer serve them;
  • and finding meaning in their story that is no longer problem-saturated as much as resilient-rich.

To see these processes in more detail, click here.

books narrative therapy

 

Best Books on Narrative Therapy

If you’re as much of a bookworm as I am, you’ll want a list of suggested reading to complement this piece. You’re in luck!

These three books are some of the highest rated books on narrative therapy and offer a solid foundation in the practice of narrative techniques.

Maps of Narrative Practice by Michael White

This book from one of the developers of narrative therapy takes the reader through the five main areas of narrative therapy, according to White: re-authoring conversations, remembering conversations, scaffolding conversations, definitional ceremony, and externalizing conversations.

In addition, the book maps out the therapeutic process, complete with implications for treatment and skills training exercises for the reader.

What is Narrative Therapy? An Easy-To-Read Introduction by Alice Morgan 

This best-seller provides a simple and easy to understand introduction to the main tenets of narrative therapy. In this book, you will find information on externalization, remembering, therapeutic letter writing, journaling, and reflection in the context of narrative therapy.

Morgan’s book is especially useful for therapists and other mental health professionals who wish to add narrative techniques and exercises to their practice.

Narrative Therapy: The Social Construction of Preferred Realities by Jill Freedman and Gene Combs

This book is best saved for those who want to dive headfirst into the philosophical underpinnings of narrative therapy. Casual readers interested in learning more about narrative therapy may want to try one of the first two books; students, teachers, and practitioners will find this book challenging, informative, and invaluable to their studies.

Included in this book are example transcripts and descriptions of therapy sessions in which the principles and interventions of narrative therapy are applied.


 

YouTube Videos for Further Exploration

1. To watch some of the exercises and techniques used in narrative therapy, check out this information-packed video. At eight minutes into the video, the therapist offers an exercise for the client, and also helps label a painful time in her life in a way that gives her strength and a narrative where she is the hero of her own life.

After watching that, you may also be interested in seeing an actual therapy session (recorded with the full knowledge and permission of the participants). There is a video of a narrative therapy session with a 10-year-old boy and his father, conducted by renowned narrative therapist Stephen Madigan. It is worth a look.

2. This quick, 5-minute video can give you an idea of how some of the techniques of narrative therapy can be applied in real counseling sessions, specifically with children and families. As Dr. Madigan quotes in this video, “we speak ourselves into meaning.”

We need to speak in ways that serve us.

3. Finally, for a fun and engaging exploration of narrative therapy for in couples counseling, click the link below. It leads to a video involving puppets and outlining some of the main techniques and principles involved in narrative couples therapy.

Around four minutes in, a breakthrough moment occurs when the therapist puppet says, “so you’re feeling anxious because you don’t know what direction this is going to take you.” This is an example of deconstructive questioning, and how it helps uncover the deeper vulnerability of any “problem.”


 

A Handy PowerPoint to Use

If you’re more a reader or if you like to go at your own pace, check out this slideshow on narrative therapy.

It’s intended for students learning about narrative therapy in an academic setting. Some of the languages may seem specific and jargon abounds, but there is some great information in here for any readers curious about the philosophy, principles, and theories behind narrative therapy.

Follow this link to view the slideshow.


 

A Take-Home Message

How do you tell your story? What are the chapters of your life? Do you like the story you tell, or would you prefer to change your story? These and many other questions can be answered in narrative therapy.

“There is no greater agony than bearing an untold story inside you.” – Maya Angelou

If you’re an individual curious about narrative therapy, I hope your curiosity is piqued and that you have a foundation now for further learning.

If you’re a therapist or other mental health professional interested in applying narrative therapy in your work, I hope this piece can give you a starting point for you.

The books and videos above can provide you with a solid understanding of the basics, but for further information on using narrative therapy, explore some of the resources listed below:

  • The Approach of the Therapist in Narrative Therapy – click here.
  • Training in Narrative Therapy – click here.
  • Brief and Narrative Therapy Certificate Program – click here.
  • Foundations Level Training: 5-Day Certificate Narrative Therapy Intensive – click here.
  • Narrative Therapy Chicago’s Workshops and Training in Narrative Therapy – click here.

 

As always, please leave us your thoughts in the comment section. Have you tried narrative therapy? If so, what did you think? Did you find it useful? What techniques in particular capture your interest?

Thanks for reading and happy storytelling!

  • About Narrative Therapy. Narrative Therapy Centre of Toronto. Retrieved from http://www.narrativetherapycentre.com/narrative.html
  • Bishop, W. H. (2011, May 16). Narrative therapy summy. Thoughts From a Therapist. Retrieved from http://www.thoughtsfromatherapist.com/2011/05/16/narrative-therapy-summary/
  • Dulwich Centre. What is narrative therapy? Dulwich Centre. Retrieved from http://dulwichcentre.com.au/what-is-narrative-therapy/
  • Freeman, J. (2013, June 5). Expressive arts workshop materials. Narrative Approaches. Retrieved from http://www.narrativeapproaches.com/expressive-arts-workshop-materials/
  • www.integratedfamilytherapy.com
  • Michael White. (2015, July 24). Good Therapy. Retrieved from http://www.goodtherapy.org/famous-psychologists/michael-white.html
  • Morgan, A. (2000). What is narrative therapy? An easy-to-read introduction. Adelaide, South Australia, AU: Dulwich Centre Publications.
  • Muller, K. Externalizing Conversations Handout. Re-Authoring Teaching: Creating a Collaboratory. Retrieved from https://reauthoringteaching.com/pages-not-in-use/externalising-conversations-handout/
  • http://www.narrativeapproaches.com/
  • Narrative Therapy. (2017). Good Therapy. Retrieved from http://www.goodtherapy.org/learn-about-therapy/types/narrative-therapy
  • https://reauthoringteaching.com
  • Standish, K. (2013, November 28). Introduction to narrative therapy [Slideshow]. Retrieved from https://www.slideshare.net/kevins299/lecture-8-narrative-therapy

About the Author

Courtney Ackerman is a graduate of the positive organizational psychology and evaluation program at Claremont Graduate University. She is currently working as a researcher for the State of California and her professional interests include survey research, well-being in the workplace, and compassion. When she’s not gleefully crafting survey reminders, she loves spending time with her dogs, visiting wine country, and curling up in front of the fireplace with a good book or video game.

Comments

  1. Wendy Murphy

    Hello Courtney!
    Great article! Wondering if there are resources you can provide for the client/patient? I have a therapist, but I would like to work on it some on my own as well.
    Thanks very much!

    Reply
  2. Fiona Yassin

    Thank you for the excellent overview. The printable workshops are wonderful. I will be using the treatment planning in supervision this week.

    Reply
  3. Oexle

    Thank you – what a great work.
    3) Remembering conversations, which focuses on actively engaging the client in the process of renewing their relationships, removing the relationships they no longer want, and finding meaning in aspects of their story not prevalent in the negative, problem-saturated story.
    To see these processes in more detail, click here. This link seems to be brocken.

    Reply
  4. Mitali Barot

    Great insight. This is a very helpful article. Thanks for compiling this.

    Reply
  5. Bobbie

    This is an AMAZING article. Thank you so much for compiling all of this <3

    Reply
  6. Kye

    Hi, The link is broken for the first poster print out/download.

    Reply
  7. ellen

    good

    Reply
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