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Reply | Forward Message #101 of 490 |
Re: [functionalanalyticpsychotherapy] Introduction

Hi Joe,

in the past in my pre training days I didnt use FAP. Ive only come across FAP
while Ive been training, though not through my course teaching unfortunately.
With this group Ive only begum to really think about FAP in the last couple of
months since I started this training placement.

I do try to keep a keen eye on the CRBs when doing work with sex offenders.
I suppose CRB1s could be client assertions that they couldnt control their
behaviour, that children iniate sex, women 'ask for it' etc.

CRb2s being small changes in these verbal behaviours or increases in their
talking about their sexual offending (this type of client can be very
avoidant)

CRB3s could be client explainations of their own sexual behaviour in terms of
making links between antecededents, their behaviours and the consequences -
helping clients understand their offence cycle is an important aspect of this
work and i think that doing so parallels CRB3 in alot of ways

from the 5 rules point of view, maybe the following would apply.
1: watch for the client avoiding or changing the subject off their offending or
for instances of the client giving alternative explanations.

2: use direct or socratic questionning or reflections to get the client to talk
about their offending, its effects on self and others. dont be shy to reflect
your own feelings about the client and what they have done when this could be
benefical.

3: when clients do begin to avoid less or change their 'cogbnitive distortions'
sieze the day so to speak and follow it up. even if it was not what was being
discussed. this is an occasion when what appears to be a CRB1 (avoidance of the
current topic ) is actually a CRB2 (increased in offence focused behaviour)

4: notice how your behaviour and feedback/reflections effects the clients
behaviour in terms of decreasing CRB1s and incrreasing CRB2s and 3s. Try to
keep this as natural as possible. try not to react with revulsion- im sure the
client has an army of people who can do this for him with comming to me for it.
but as well dont patronise him either. just notice what seems to effect the
CRBs and try to adjust therapeutic behaviour accordingly.

5: reflect and feedback the contingencies to the client regarding the offence
cycle as you see it, and also with regards to any behaviours which feeds into
it. for example drinking or 'feeling bad'. helping the client see the many
'seemingly irrevelant decisions' they have made in the led up to their offence
and the factors that influenced these decisions may help the cleint engage in
CRB3

these are just some ideas i would have about how to keep FAP in mind in this
sort of work. I thinks its probably more similar to Functionally Inhanced CBT
rather than 'pure-FAP'. I think there is probably some room for ACT/FACT
technology in here as well, especially in dealing with unwanted (or potentially
wanted) or intrusive thoughts about sex with children or rape fantasies.

essentially I think that while EST with sex offender treatment are still
primarily CBT in nature, there always have been and always will be a place for
functional anaylisis in understanding and changing sexual offending behaviour.


within the treatment itself, I beleive that FAP offers a coherent and
empirically valid framework to understand the client and to use the therapeutic
context as a means of helping the client to move forward. While my ideas above,
do not differ a great deal from traditional CBT approaches I think a FAP frame
works helps me maximise the approach and helps me respond to clients in a more
effective way especially whenever the clients agenda steps outside the
treatment manual (and lets face it, when does therapy ever match 100% onto the
manual!)

hope that was somewhat informitve. Its just some of my thoughts on how ive been
trying to assimilate FAP ideas into my work in this area. IF anyone else has
been doing FAP in this area Id love to hear from them as well


best wishes
Aidan

> Hello Aidan,
>
> Do you get to use FAP in your work with sex offenders. If so
> I would love to hear about it. Many of my students are
> interested working with Criminal Justice populations. The
> behavior analysis program at St. Joe's is a subtrack of 10
> courses in the criminal justice program.
>
> Joe
>





Sun Nov 27, 2005 5:53 pm

euchrid1975
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Message #101 of 490 |
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Hello all, A post on the 25th asked for the new comers to the list to post their names and background, so I thought that I would respond. I forgot who wrote...
jcautill@...
jcautilli2003
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Nov 27, 2005
5:28 am

Hello, I am also a new comer to the list. My name is Aidan HArt and Im in my final year of my DClinPsych training in Clinical PSychology at the University of...
A J P Hart
euchrid1975
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Nov 27, 2005
1:02 pm

Hello Aidan, Do you get to use FAP in your work with sex offenders. If so I would love to hear about it. Many of my students are interested working with...
jcautill@...
jcautilli2003
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Nov 27, 2005
3:47 pm

Hi Joe, in the past in my pre training days I didnt use FAP. Ive only come across FAP while Ive been training, though not through my course teaching...
A J P Hart
euchrid1975
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Nov 27, 2005
5:57 pm

Hi Aidan, An older study done with reinforcment therapies showed that you could conditioning in the therapeutic relationship great use of "I" statements in...
jcautill@...
jcautilli2003
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Nov 27, 2005
10:14 pm

Hi Joe, I'll have to have a look at that study. I know FAP talk about something similar for those with a borderline diagnosis. regarding how open they are to...
A J P Hart
euchrid1975
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Nov 27, 2005
11:42 pm

Sorry, the referenc eon the use of "I" statements is cited in the article that I did in the 6.1 issue of BAT on the role of reinfrocement in third generation...
jcautill@...
jcautilli2003
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Nov 27, 2005
10:16 pm

Good point- see your therapist or go to jail is not a good motivator for intimacy. Joe Date: Sun, 27 Nov 2005 23:42:20 +0000 From: A J P Hart...
jcautill@...
jcautilli2003
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Nov 28, 2005
4:18 am

When I use to do couples therapy, some of the best sessions that I had with couples started with one person saying that the relationship really sucked but it...
jcautill@...
jcautilli2003
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Nov 28, 2005
4:19 am

hi joe, thats a good point. I suppose opening up a discussion about their feelings arround being compelled coulld be a good place to get things moving or to...
A J P Hart
euchrid1975
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Nov 28, 2005
8:33 am

I think we are on the same page...Yes, in verbal behavior Skinner spoke about the "catharitic effect" being that a client emits a response that in the past was...
jcautill@...
jcautilli2003
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Nov 28, 2005
5:10 pm

Sorry I'm getting in late on this interesting discussion - just getting back from being out of town for the holiday. Aidan do you know about Kirk Newring...
Jonathan Kanter
jonathankanter
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Nov 29, 2005
5:03 pm

Indeed I am on the list. However, I've been spending the last fortnight attempting to make that bold leap from Mr. Newring to Dr. Newring. Furthermore, I've...
brunswig@...
kirk_newring
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Nov 30, 2005
12:39 am

thought I'd change the subject title. i just found a paper from behaviour therapy relevant to this. I chased it down after seeing it listed on the ACT website,...
A J P Hart
euchrid1975
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Dec 1, 2005
11:40 pm

of course actually including the reference for the paper would probably help! Paul, R. H., Marx, B. P. & Orsillo, S. M. (1999). Acceptance-based psychotherapy ...
A J P Hart
euchrid1975
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Dec 2, 2005
12:19 am

I have heard some really good things about Brain Marx's work. He has done asome stuff with adolescent sex offenders. I saw him present some consulting data on...
jcautill@...
jcautilli2003
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Dec 2, 2005
12:51 am

I agree that clients develop a sense of what is normal. Individual histories are important. Some clinet grow up in homes hwere the only time others are sweet...
jcautill@...
jcautilli2003
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Nov 29, 2005
5:20 pm

Welcome to the world of Ph.D. Get those laast minute changes to teh dissertation done... On another note, Jack Apsche often uses a blend of FAP within a mode...
jcautill@...
jcautilli2003
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Nov 30, 2005
1:02 am
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