3RT INTERVENTION ON COGNITIVE DISTORSIONS REGARDING THE JUSTIFICATION OF SEXUAL OFFENDERS

Author(s):  
Mădălina Liliana Pop

Mean-making is a very complex process, involving social, moral and psychological aspects. When it comes to trauma or crimes, the ability to “make sense” of the events and to find meaning in the midst of chaos is associated with greater psychological resilience (Chan et al., 2006). However, when it comes to sexual offenders, the existence of a usual stuck-point in mean-making. Specifically, given the many levels of the crime the offender is usually not able to access all these levels, as some are deeper than their awareness. At that moment, the talk therapy and cognitive behavioral therapy for developing adaptive skills are crucial, as they have to create a safe context, in which the person can think freely and explore their inner world.

Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

The primary purpose of this chapter is to help the client understand his or her diagnosis in the context of normal and excessive social anxiety. The therapist helps the client gain an appreciation that cognitive–behavioral therapy (CBT) is effective and also provides a basic understanding of the nature of CBT, including the investment of effort and energy required. An important aspect is socialization to help the client to understand the need for his or her active participation, including making an emotional investment in change and participating in the many activities of therapy. The therapist works to enhance motivation for change and builds the therapeutic alliance.


2020 ◽  
Vol 24 (4) ◽  
pp. 881-892
Author(s):  
Michal Tannenbaum ◽  
Eden Har

Immigration is a crisis-prone, complex process, often involving the need to acquire a new language, frequently at the expense of the mother tongue. Thus, the phenomenon of immigrants requiring various forms of mental health assistance while having limited fluency in the therapist’s language is widespread. Cognitive behavioral therapy (CBT) has become a widely prevalent therapeutic approach in many countries, including countries absorbing immigrants. This article reviews case studies that relate to the use of CBT with immigrants, both in individual and group sessions, focusing on the position of the patient’s mother tongue in the process. Research has persistently shown that the mother tongue is emotionally significant—using it, being exposed to it, expressing emotions and understanding emotions expressed in it, having access to it and to memories encoded in it, and the like. Given these dimensions, it plays a potentially important role in the therapeutic process. The pivotal question, then, is whether a therapeutic process that is essentially emotional can be effective if the mother tongue is not an inherent part of it. This article addresses this issue while examining the mother tongue’s position in CBT, the therapists’ awareness of these issues, the accommodations, if any, made in this regard, the therapists’ point of view, and suggestions for improving the use of CBT with immigrants. It is written to be of relevance to a diverse audience including researchers from varied disciplinary backgrounds, therapists who work with multilingual patients (especially immigrants or members of other minority groups) or are multilingual themselves. Our aims, therefore, are to contribute to the theoretical understanding of the mother tongue’s centrality in emotional processes and to offer some practical recommendations for therapists and training institutions.


Author(s):  
Elias Mpofu ◽  
James A. Athanasou ◽  
Christine Rafe ◽  
Scott H. Belshaw

This literature scoping review compared recidivism rates of moderate- and high-risk sexual offenders who received cognitive-behavioral therapy (CBT) oriented treatments. Ten empirical studies from 2001 to 2014 were selected for review that met the following criteria: (a) Treatment program included a CBT-based intervention with a comparative intervention; (b) participants included adult, male, moderate- and high-risk sexual offenders only; and (c) follow-up data for up to 12 months. Data were analyzed using a summative metric for recidivism rate comparisons ( N = 3,073 for CBT and N = 3,588, for comparison approaches). Sexual offense recidivism rates varied from 0.6% to 21.8% (with CBT) and from 4.5% to 32.3% (with comparison intervention). The within-sample median rate of violent recidivism with a history of sexual offense was 21.1% (with CBT) versus 32.6% (comparison). Sexual offenders had a general felonies (within-sample) median recidivism rate of 27.05% (with CBT) versus 51.05% (comparison). The evidence supports the conclusion that CBT in its various forms is an efficacious treatment modality to prevent offense recidivism by sexual offenders. Suggestions for future research are considered.


Author(s):  
Brian A. Sharpless

A number of patients seen in contemporary clinical practice are not appropriate for traditional insight-oriented therapy (i.e., expressive approaches). These may include sicker patients or those who are not interested in exploratory work. Supportive therapy refers to a flexible treatment approach that is intended to be responsive to the particular needs of these patients. Supportive therapy also benefits from the integration of techniques from other orientations (e.g., cognitive-behavioral therapy). After discussing supportive therapy more generally and differentiating it from the expressive approaches, this chapter focuses on two sets of supportive techniques. The first focuses on ways to support and enhance realistic patient self-esteem. The second set consists of techniques used to increase patient knowledge and build adaptive skills (e.g., psychoeducation, reality testing).


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