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, only to FAP to my suprise (and a
pleasant one at that) the intervention described covers FAP as well. What a
city its not in the title.
Anyway, has some nice ideas and descriptions of applying FAP in the building of
a relationship and shaping generalisable behaviours while using acceptance to
deal with the clients urge to expose.
I wont go into too much detail as I dont want to spoil the end (i hate it when
people do that)but its worth a read
the difficulty I find with FAP in this area (and others I suppose) is actually
spotting the CRBs as and when then are happening. I can look back in
supervision or just after the client has left and think Doh! that was a CRB2
that i missed or Doh, I think i reinforced a CRB1 there. I suppose this is just
down to inexperience and maybe things will get better or I will get better at
it with time, but any tips on shapping my own behaviour in this respect will be
greatfully appreciated. On the plus side, my next training supervisor from
march-sept uses FAP either directly or indirectly thtough treatment or case
conceptualisation, maybe the more I talk about it the better i will become at
seeing it
Aidan
>
> 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 only now completed my course of post-defense EMDR and can
> now
> focus my attention to the more interesting issues on the list serve.
>
> I've many thoughts on having a FAP stance when providing psychotherapy
> services
> to the sexually violent and youthful sexual offender, as well as the
> blending
> of ACT and DBT with FAP for these populations. I don't have a handy
> reference,
> other than the "great talks" that Jonathan has mentioned. I pledge to write
> a
> lengthier reply this weekend. My foundational disposition has always been
> that
> without a meaningful relationship, it is difficult to provide effective
> feedback. So as with any client, establish trust and rapport. In wide and
> global generalities, that can often be enhanced by making and keeping
> agreements, with follow-through that demonstates that the client is
> important
> and relevant to you (that background music you hear is the song of
> boundaries
> and ethics). From there, a strong case conceptualization of how their
> sexual
> offending "worked" for them, and in-sessions exemplars of the functional
> class
> will assist in the delineation and prioritization of treatment targets.
>
> More to follow, I am now off to walk through a field of poppies whilst I
> think
> on things.
>
> /Kirk
>
>
>
> Quoting Jonathan Kanter <jkanter@...>:
>
> > 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 (formerly Kirk Brunswig?) He works
> > with sex offenders and sort of combines FAP, ACT, and DBT, having been
> > trained in all of them at Reno. I think he has written about sex
> > offender treatment but I don't know how much he has written exactly
> > about FAP. However, he has given some great talks on this topic, one of
> > which is available on the FAP website (however, it is not exactly
> > relevant to the discussion; still interesting). I guess Kirk isn't on
> > this list or he would have responded - someone should get him to join.
> >
> > I think the idea of discussing how the client is reacting to a forced
> > relationship is nice.
> >
> > Regarding being a "non punishing audience," I think an article by
> > Follette, Naugle and Callaghan from 1996 (also can download from the FAP
> > website - I love that website Sara!) does really the best job of
> > explaining how a FAP therapist should start a relationship. The issue
> > is that eventually, esp. with a sex offender, you may want to be
> > punishing strategically, but you may not want to at the beginning, esp.
> > if the person is coerced into the relationship. Follette, Naugle and
> > Callaghan talk about the importance of generalized reinforcement of the
> > CRB2 of simple showing up and talking early in therapy, to establish a
> > relationship. That makes sense to me.
> >
> > However, sometimes I have my doubts about being super sweet at the
> > beginning of a relationship. For example, I recently almost started
> > therapy with a client who during the assessment was very difficult and
> > demanding. He then canceled to reschedule our initial appointment
> > several times, and was very difficult and demanding on the phone. Each
> > time I was very understanding, patient, compassionate, and
> > "non-punitive." Now I think I've lost him completely. In retrospect, I
> > think I reinforced his avoidance, and that's why he has stopped calling
> > to reschedule. Next time in a similar situation, if I read it
> > correctly, I might try something different, and immediately go after the
> > CRB1s. Perhaps the error I made was doing the generalized reinforcement
> > before he even showed up!
> >
> > I don't know, just thinking out loud here.
> >
> > Jonathan
> >
> >
> > jcautill@... wrote:
> >
> > > 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 punished or
> > > similar event was punished and the punishment does not occur.
> > >
> > > Joe
> > >
> > > Date: Mon, 28 Nov 2005 08:33:19 +0000
> > > From: A J P Hart <pcp03ajh@...> Add To Address
> > > Book | This is Spam
> > > Subject: Re: [functionalanalyticpsychotherapy] Introduction
> > > To: functionalanalyticpsychotherapy@yahoogroups.com,
> > > jcautill@...
> > > Cc: functionalanalyticpsychotherapy@yahoogroups.com
> > >
> > >
> > >
> > > 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 start
> > > exploring if things are not naturally heading that way.
> > >
> > > maybe repsonding in an empathic and caring manner manner
> > > despite what they are
> > > bringing could be good as well. or at very least responding
> > > in a non punative
> > > manner. i think SKinners idea of the psychotherapist as
> > > a 'non punishing
> > > audiance' is important here. if i am punative the client may
> > > chose not to come.
> > > or they many be physically present buy psychoglically absent
> > > and their risk
> > > will be maintained or increase.
> > >
> > > Aidan
> > >
> > >
> > >
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> >
> > --
> > Jonathan W. Kanter, Ph.D.
> > Assistant Professor and Clinic Coordinator
> > Department of Psychology
> > University of Wisconsin-Milwaukee
> > P.O. Box 413
> > Milwaukee, WI 53201
> > Office: Garland Hall 238C
> > (414) 229-3834
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