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Intermediate Technical IVT

externalization

A therapeutic technique that separates the person from their problem, viewing the issue as external rather than internal.

Full Definition

Externalization is a narrative therapy technique commonly used in child and adolescent treatment where problems are viewed as separate from the individual's identity. Rather than saying a child 'is depressed,' externalization frames it as 'depression is affecting the child.' This approach reduces shame and blame while empowering youth to take action against the problem. Externalization helps children and families recognize their strengths and abilities to resist or overcome difficulties. It's particularly effective with young people who may have internalized negative labels or feel overwhelmed by their symptoms.

Usage

Usage note: Distinguish from 'externalized behaviors' which refers to acting-out behaviors directed outward.

In Context

  • "Using externalization, the therapist helped Maria view anxiety as something that visits her rather than defines her." — Treatment progress note
  • "Externalization techniques allowed the family to unite against the eating disorder rather than blame their daughter." — Family therapy session note

Also known as

problem externalization

Contrasted with

internalization

Don't confuse with

externalization vs. externalized behaviors

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