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The case for rational emotive behavior therapy (REBT) and cognitive behavior therapy (CBT) with offenders is reviewed. Philosophical and practical problems in conducting REBT assessment and treatment with this population are identified. Suggestions regarding offender treatment address goals and content of therapy, the therapeutic relationship, overcoming client resistance, and self-care for the practitioner. Therapists of offenders are encouraged to apply REBT to themselves to increase effectiveness and reduce risk. In this regard, clinicians are offered suggestions regarding accepting the offender, maintaining a goal-oriented focus, and taking responsibility for the quality but not the outcome of their work.  相似文献   

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Conclusion Although RSDT is a relatively new form of therapy, we believe there is reason for great optimism regarding the efficacy of the RSDT model. Communications from our colleagues using the model in a variety of settings have been very favorable. We believe the experimental studies that have been conducted on the RSDT model demonstrate that it has generated significantly better outcomes when compared with other therapeutic models and those results obtained from no therapy controls. We think the effectiveness of RSDT has been admirably demonstrated through comprehensive research designs In comparison with outcome studies conducted on other forms of therapy. We look toward the future with optimism as more practitioners begin to use the RSDT model and additional evaluation studies are conducted.  相似文献   

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Juvenile sexual offenses appear to be on the rise. This contributes to harm and trauma to the victims and the community at large. For many years the major interest in sex offender treatment has been directed toward assessment and treatment of the adult offender in spite of the reported large proportion of all sex crimes committed by juveniles (Uniform Crime Reports, FBI, 1985). Our article addresses three uses of Rational-Emotive Behavior Therapy (REBT): 1) in group and individual therapy, 2) in work with the offender's family, and 3) in staff training. The issues of the client's faulty learning and cognitive distortions is critical in the habilitation and rehabilitation process and may include such messages as: 1) I am powerless to control my sexual arousal, 2) I won't get caught if I am careful, 3) Masturbating about little kids is OK, 4) I need to feel better and when I am sexual with someone I feel better. This article will describe how the theory and practice of REBT (Ellis' 1984) is applied with juvenile sex offenders. A key feature is its use with the offending juvenile in the teaching of a rational belief system as well as ways to reduce emotional disturbances.  相似文献   

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Abstract

An intervention strategy is presented which can be used with families of adolescents who continue breaking the law despite improvement of family functioning during therapy. The strategy emphasizes collaboration between the therapist and juvenile justice system in stopping the child's law-breaking behavior in the shortest amount of time. The treatment strategy is suggested as a specific intervention to be used only when conventional family therapy strategies have failed to promote the cessation of the adolescent's law-breaking behavior. As such, it is suggested as a strategy to be used in conjunction with family therapy rather than as a comprehensive treatment approach in itself.  相似文献   

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High violent inmates (N = 126) were administered the Psychopathy Checklist-Revised (PCL-R; Hare, Clark, Grann, & Thornton, 2000; Hare et al., 1990) and neuropsychological measures. No significant correlations were present between the overall PCL-R score and 14 cognitive measures. A violence score, computed as the total number of violent acts across all situations and types, was significantly correlated with the PCL-R total score and Facet 2 but not with the other three facets. Our data suggest that Facet 2 elevations may prove relevant to violence risk assessment; this link, however, needs further exploration with larger samples.  相似文献   

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Theorists have speculated that intelligence is positively associated with the capacity to benefit from cognitive-behavioral therapies. We evaluated this notion by relating pre-treatment measures of fluid and crystallized intelligence to self-reported symptom reduction in a naturalistic study (n = 106) of cognitive therapy for outpatients with principal diagnoses of major depression, dysthymia, or generalized anxiety disorder. Intelligence measures did not significantly predict outcome, and nonsignificant relationships were in the opposite direction from the theoretical prediction. Discussion centered on possible limitations to the generalizability of these results and on the logical interpretation of prediction studies in psychotherapy research.  相似文献   

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The aim of the present study was to assess the effectiveness of a brief group‐based anger management intervention with young male offenders. Eighty‐seven prisoners were assessed as suitable for the intervention. Fifty of these made up the experimental group and 37 the control. Prior to intervention prisoners completed a self‐report anger questionnaire (Anger Management Assessment questionnaire: AMA). Prisoners were also assessed by officers on a checklist addressing angry behaviour (Wing Behaviour Checklist: WBC). Both measures were completed approximately two weeks before the date of the intervention and eight weeks after the intervention (and while the control group remained on the waiting list). It was predicted that the experimental group would show significant improvements in both measures following intervention and that no such change would be observed in the control group. This hypothesis was supported, with significant improvements observed in the experimental group and no change observed in the control. Aggr. Behav. 30:174–185, 2004. © 2004 Wiley‐Liss, Inc.  相似文献   

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Based on earlier experiences of various groups of authors, we developed and modified a programme of cognitive therapy for schizophrenic patients. The aim of the application of the therapeutic programme to subacute patients was to decrease subjectively perceptible basic disorders and to improve the functions of performance. The present results and experiences with 4 groups consisting of a total of 31 patients encourage us to continue applying cognitive procedures of therapy. Problems of the ascertainment of measuring values and fundamental questions of therapeutic efficacy are discussed.  相似文献   

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Violence is a social problem that carries enormous costs; however, our understanding of its etiology is quite limited. A large body of research exists, which suggests a relationship between abnormalities of the frontal lobe and aggression; as a result, many researchers have implicated deficits in so-called "executive function" as an antecedent to aggressive behaviour. Another possibility is that violence may be related to problems interpreting facial expressions of emotion, a deficit associated with many forms of psychopathology, and an ability linked to the prefrontal cortex. The current study investigated performance on measures of executive function and on a facial-affect recognition task in 20 violent offenders, 20 non-violent offenders, and 20 controls. In support of our hypotheses, both offender groups performed significantly more poorly on measures of executive function relative to controls. In addition, violent offenders were significantly poorer on the facial-affect recognition task than either of the other two groups. Interestingly, scores on these measures were significantly correlated, with executive deficits associated with difficulties accurately interpreting facial affect. The implications of these results are discussed in terms of a broader understanding of violent behaviour.  相似文献   

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Prediction of outcome with group cognitive therapy for depression   总被引:1,自引:0,他引:1  
This paper tested a social-cognitive model of depressive episodes and their treatment within a predictive study of treatment response. Clinically depressed volunteers were given self-efficacy questionnaires and other measures before and after they were treated with cognitive therapy, and their progress was monitored over the succeeding 12 months. Improvements in depression during treatment were closely associated with self-efficacy regarding control of mood and with self-monitored levels of negative cognition. Remission over the following 12 months was predicted by the initial response to treatment, by a shorter duration of the episode prior to treatment, and by a post-treatment assessment of self-efficacy regarding control of negative cognition. Self-efficacy remained a significant predictor after post-treatment depression scores and episode duration were entered in a prediction equation. However, a programme of additional treatment based on the depression model did not result in improved depression status. Apart from the failure of the additional treatment, the results are consistent with a social-cognitive model of depressive episodes that emphasises the role of self-efficacy and skills regarding control of negative moods.  相似文献   

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This manual for Prosocial Family Therapy (PFT) describes a practical method of multisystemic care for juvenile offenders based on our theories about risk and protection factors and therapy process. The PFT team integrates specific parent training techniques and nonspecific family therapy strategies in meetings scheduled with decreasing frequency over a 3-month intervention and 2-year follow-up period. The PFT manual blends scientific and clinical concerns via checks on manual adherence, treatment integrity, and internal validity. PFT can be used by MA-level therapists in community or residential settings run by courts, schools, or mental-health agencies. Our short-term intervention goal is rapid, lasting reduction of youths' community, home, and coping problems (e.g., police arrest, curfew violation, substance abuse, and suicide attempts). Our long-term prevention goal includes fewer crimes and bad life outcomes (e.g., school dropout, teen parenthood, welfare dependence) and more family-wide prosocial coping—helping self without harming others. We discuss why family preservation is not our ultimate goal and why acceptance of reality is a prerequisite for behavior change.  相似文献   

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Factors, such as intimacy deficits, problems empathizing with victims, and cognitive distortions, have all been associated with the genesis of sexual abuse. Importantly, they all point to a lack of awareness of other peoples' beliefs, desires, perspectives, and needs. We argue that sexual offenders' problems in these domains can be viewed as partially arising from deficits in one central mechanism: the ability to infer mental states. Following a review of the above three areas, we discuss the developmental literature on children's theory of mind and develop a model informed by this work. We apply this model to sexual offenders and discuss its research and clinical implications.  相似文献   

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