Cognitive-Behavioral Treatment to Prevent Offending and to Rehabilitate Offenders

Author(s):  
Georgia Zara

This chapter discusses evidence-based treatments that include cognitive-behavioral interventions to target offending. It briefly describes the theoretical principles of cognitive-behavioral treatment (CBT) and then presents an overview of some of the most effective programs in criminological settings. Next, the chapter considers how the recognition of criminal behavior as multidetermined by a multiplicity of factors and criminogenic needs requires multi-modal types of treatment to respond to the complexity of aspects involved in its onset and its persistence. A critical analysis of research findings is presented by looking first at some of the variations in CBT interventions and then by exploring the X factor of their effectiveness. Finally, this chapter refers to the risk-need-responsivity (RNR) model, which integrates scientific accuracy with integrity.

2006 ◽  
Vol 20 (1) ◽  
pp. 97-103 ◽  
Author(s):  
Roseanne DeFronzo Dobkin ◽  
Lesley A. Allen ◽  
Catherine Panzarella

It has been clearly documented that social support exerts a salubrious impact on depression. Yet, standardized social support interventions, with the primary intent of alleviating a patient’s depression, have not been incorporated into evidence-based treatments for mood disorders. Not all types of support are necessarily beneficial. Inferential feedback is a subtype of social support that addresses an individual’s perception of the cause, meaning, and consequences of negative life events and may be either adaptive or maladaptive. A short-term adaptive inferential feedback (AIF) training manual was developed for the partners (e.g., friends, family members) of depressed patients. The present case examines the effectiveness of a standard 14-session cognitive-behavioral treatment augmented with 4 AIF partner-training sessions. Results suggest that this newly developed social support intervention may be feasible, well liked, and possibly beneficial to depressed patients. Further research is needed to investigate any incremental value of this intervention beyond standard cognitive-behavioral treatment.


2010 ◽  
Vol 24 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Stacey L. Hart ◽  
Trevor A. Hart

There is a growing body of evidence supporting the use of cognitive behavioral treatment within behavioral medicine. There are several limitations to the current body of literature, including external validity of findings from randomized controlled trials, dissemination of findings, and the use of CBT when patients are unmotivated to make behavior change. The current paper proposes several future directions to address these limitations. Solutions to be explored in future research include practical behavioral trials, stepped care approaches, remote technology approaches such as telephone and Internet-based treatments, and the integration of motivational interviewing into cognitive behavioral treatment.


2005 ◽  
Vol 32 (2) ◽  
pp. 172-204 ◽  
Author(s):  
David B. Wilson ◽  
Leana Allen Bouffard ◽  
Doris L. Mackenzie

Prior reviews and meta-analyses have supported the hypothesis that offender rehabilitation programs based on cognitive-behavioral principles reduce recidivism. This article quantitatively synthesizes the extant empirical evidence on the effectiveness of structured cognitive-behavioral programs delivered to groups of offenders. The evidence summarized supports the claim that these treatments are effective at reducing criminal behavior among convicted offenders. All higher quality studies reported positive effects favoring the cognitive-behavioral treatment program. Specifically, positive reductions in recidivism were observed for moral reconation therapy, reasoning and rehabilitation, and various cognitive-restructuring programs. The evidence suggests the effectiveness of cognitive skills and cognitive restructuring approaches as well as programs that emphasize moral teachings and reasoning.


1998 ◽  
Vol 12 (1) ◽  
pp. 13-25 ◽  
Author(s):  
William Bradshaw

Cognitive-behavioral treatment (CBT) has rarely been applied as the primary treatment for the multiple, severe and persistent problems that characterize schizophrenia. This case study describes the process of CBT in the long-term outpatient care of a young woman with schizophrenia. The study highlights the adaptation of cognitive-behavioral strategies to the unique needs of schizophrenia and presents data regarding clinical outcomes in this case. Measures of psychosocial functioning, severity of symptoms, attainment of treatment goals and hospitalization data were used to assess change over the 3- year treatment period and at 1-year follow-up. Results indicate considerable improvement in all outcome variables and maintenance of treatment gains. These findings suggest the potential usefulness of cognitive-behavioral interventions in the treatment of schizophrenia.


Author(s):  
Mitra Zolfaghari ◽  
Fatemeh Sookhak ◽  
Seyyed Hannan Kashfi ◽  
Eghbalx Sekavati ◽  
Reza Tabrizi

ABSTRACTObjective: Treatment adherence in chronic patients results in favorable treatment outcomes. Today, one of the main causes of mortality in hemodialysispatients is that of lack of treatment adherence. Identifying barriers to adherence to treatment is the first step to help these patients. The purpose ofthis study is to determine the effects of cognitive behavioral interventions on removing barriers to treatment adherence in hemodialysis patients.Methods: This clinical study was carried out in the hemodialysis wards of Imam Reza Hospital of Larand Vali-e-Asr Hospital of Lamerd. The sampleincluded 70 patients who were randomly assigned into two groups of intervention (n=35 for even days)and control (n=35 for odd days). Theintervention group received a six-step cognitive behavioral treatment. The level of barriers to treatment adherence was assessed using a self-reportquestionnaire in two stages (pre-intervention and post-intervention). Data were analyzed using SPSS via independent t-test.Results: Before the intervention, the two groups were not significantly different in terms of barriers to treatment adherence (p=0.68). However, afterthe treatment regimen, the barriers significantly decreased for the intervention group. There was a significant difference between the two groups interms of barriers to treatment adherence (p<0.001).Conclusion: Given the efficacy of cognitive behavioral intervention, it can be used to identify barriers to adherence and design individualizededucation programs based on barriers to adherence in hemodialysis patients to increase their treatment adherence.Keywords: Cognitive behavioral, Barriers to treatment adherence, Hemodialysis patients.


2002 ◽  
Vol 48 (3) ◽  
pp. 476-496 ◽  
Author(s):  
Frank S. Pearson ◽  
Douglas S. Lipton ◽  
Charles M. Cleland ◽  
Dorline S. Yee

The CDATE project coded studies of treatment/intervention programs in prison, jail, probation, or parole settings reported from 1968 through 1996. Meta-analyses were conducted on the 69 primary research studies on the effectiveness of behavioral and cognitive-behavioral treatment in reducing recidivism for offenders. Results on this heterogeneous collection of studies show that this treatment is associated with reduced recidivism rates. However, this effect is mainly due to cognitive-behavioral interventions rather than to standard behavior modification approaches. The specific types of programs shown to be effective include cognitive-behavioral social skills development programs and cognitive skills (Reasoning and Rehabilitation) programs.


1994 ◽  
Vol 8 (3) ◽  
pp. 243-253 ◽  
Author(s):  
David W. Coon

Studies of the outcome of cognitive-behavioral treatment of clients diagnosed with personality disorders are few and need further replication. This case study examines how Beck’s (Beck, Freeman, & Associates, 1990) and Young’s (Young, 1990; Young & Lindemann, 1992) schema-focused approach offers a helpful framework to use with an Avoidant Personality Disorder (APD) client. The findings point to the value of cognitive/behavioral strategies in restructuring Early Maladaptive Schema (Young, 1990) historically associated with APD, and in modifying many of the behavior patterns characteristic of APD.


CNS Spectrums ◽  
1998 ◽  
Vol 3 (S1) ◽  
pp. 21-23 ◽  
Author(s):  
Mark A. Riddle

Research in children and adolescents with obsessive-compulsive disorder (OCD) is increasing in both quantity and quality. This session will focus on new and exciting research findings regarding family genetic studies, infectious and immune etiologies, pediatric psychopharmacology, and cognitive behavioral treatment.


2000 ◽  
Vol 3 ◽  
pp. np
Author(s):  
Keith S. Dobson ◽  
Paula A. Truax ◽  
Michael E. Addis ◽  
Kelly Koerner ◽  
Jackie K. Gollan ◽  
...  

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