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Solution-focused therapy (SFT), developed by Steve De Shazer and Insoo Kim Berg is a social constructivist model of brief therapy emphasizing the role of language in problem resolution (Nichols, 2008). Pichot, having studied and trained with De Shazer and Berg, has thoughtfully applied this approach to treating patients with significant substance abuse problems. Pichot's book, along with other newer approaches to substance abuse treatment such as motivational interviewing (Rollnick et al., 2007) and relapse prevention (Marlatt and Donovan, 2005), reflect a major shift in the field away from the disease model and an often confrontational treatment style, to a more collaborative, client-centered approach which downplays individual pathology.

“Suppose that Tonight, While You're Asleep, a Miracle Happens:” Pragmatic Solution-Focused Therapy for Substance Abuse