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 the intimacy? well how long is a piece of string?
i think its really difficult to answer that as it will vary from person to
person. you are right in that ability to form and maintain adult relationships
is often a significant risk predictor. So Im afraid I cant feedback on that
just yet but I will. remind me in 6 months time if i havent. the couple i have
at the minute is a slow build. i think it will be slower as people are
compelled to see me by probation order or as part of a treatment to help secure
their freedom.

probably means taking a slightly different approach, thought ive not worked out
100% what that might be as yet


best wishes

Aidan

> Hi Aidan,
>
> An older study done with reinforcment therapies showed that
> you could conditioning in the therapeutic relationship great
> use of "I" statements in antisocials (the idea was that t was
> increasing a sense of personal responsibility).
>
> How open to the intimacy of FAP are the offenders? It seems
> that relational discussion is how many of them fail
> in "normal" relationshis. It is a big predictor for relapse
> for sex offneders wheither or not they are in an adult
> relationship.
>
> Joe
>
> Date: Sun, 27 Nov 2005 17:53:35 +0000
> From: A J P Hart <pcp03ajh@...> Add To Address
> Book | This is Spam
> Subject: Re: [functionalanalyticpsychotherapy] Introduction
> To: jcautill@...
> Cc: functionalanalyticpsychotherapy@yahoogroups.com
>
>
>
> 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
>
>