Solution‐Focused versus Problem‐Focused Questions: Differential Effects of Miracles, Exceptions and Scales

The differential impact of solution‐focused brief therapy questions was tested. A total of 246 subjects described a personal problem they wanted to solve and were randomly assigned to one of four interventions that involved answering problem‐focused versus solution‐focused questions: a problem‐focused condition, a miracle condition, a scaling condition or an exception condition. Before and after answering the questions, participants completed measures of positive and negative affect, self‐efficacy, goal attainment, action steps and solution‐focused thinking. The miracle and exception conditions were more effective than the problem‐focused condition in reducing negative affect. The scaling condition generated more action steps than the miracle question or the exception question. These findings support solution‐focused ideas on the different effects of solution‐focused questions, but also suggest that solution‐focused and problem‐focused questions might be more similar than different in their immediate impact on clients. Practitioner points Solution‐focused and problem‐focused questions are more similar than different in their immediate impact on clients. Among solution‐focused questions, the miracle question and the exception question are more effective in reducing negative affect, and scaling questions in generating specific action steps. Integrative therapists could use solution‐focused questions not only with clients who seem more optimistic but also with less solution‐minded ones. ​