Your SlideShare is downloading. ×
0
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
TX Forensic Mental Health Conf. #5 Cognitive Self Change
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

TX Forensic Mental Health Conf. #5 Cognitive Self Change

406

Published on

Texas Forensic Mental Health Conference …

Texas Forensic Mental Health Conference
Presenter: Dr. Salter
Presentation: Cognitive Self Change
#5

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
406
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
8
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Violent CognitionsViolent Cognitions
  • 2. Interpretive TheoryInterpretive Theory N = 55 incarcerated offendersN = 55 incarcerated offenders 5 institutions in 2 states5 institutions in 2 states (Athens, 1997)(Athens, 1997)
  • 3. Pathways to Violence:Pathways to Violence: Interpretive TheoryInterpretive Theory  Physical DefensePhysical Defense  FrustrativeFrustrative  MaleficMalefic  Frustrative/MaleficFrustrative/Malefic (Athens, 1997)(Athens, 1997)
  • 4. DefenseDefense  Victim is going to attack himVictim is going to attack him  Victim is attacking himVictim is attacking him
  • 5. ““He just kept looking. Then I startedHe just kept looking. Then I started thinking he was out to do somethingthinking he was out to do something to me. He pulled out a knife andto me. He pulled out a knife and made for me, and I shot him once inmade for me, and I shot him once in the arm. He kept on coming, so Ithe arm. He kept on coming, so I had to finish him off.”had to finish him off.” (Athens, 1997, p. 34)(Athens, 1997, p. 34)
  • 6. FrustrativeFrustrative  Victim is or will resist his intentionsVictim is or will resist his intentions E.g., rape, robbery car theftE.g., rape, robbery car theft  Victim has some intention he wantsVictim has some intention he wants to resistto resist E.g., calling policeE.g., calling police
  • 7. ““My friend and I were punching theMy friend and I were punching the safe when a real young cop came insafe when a real young cop came in with his gun drawn and said, ‘You’rewith his gun drawn and said, ‘You’re under arrest. Put your hands up.’under arrest. Put your hands up.’ The first thing I thought was, ‘Here isThe first thing I thought was, ‘Here is ten years and I don’t want to do anyten years and I don’t want to do any more fucking time.’”more fucking time.’” (Athens, 1997, p. 38)(Athens, 1997, p. 38)
  • 8. ““I plain and simple needed to getI plain and simple needed to get some good, hot, kinky sex butsome good, hot, kinky sex but resented having to rely on theresented having to rely on the generosity of women to hit on theirgenerosity of women to hit on their pussies. . . My days of begging . . .pussies. . . My days of begging . . . Were over.”Were over.” (Athens, 1997, p. 10)(Athens, 1997, p. 10)
  • 9. FrustrativeFrustrative ““The way she moved made my rocksThe way she moved made my rocks shake. I had to have her. So Ishake. I had to have her. So I pretended to look for my dog. . . Shepretended to look for my dog. . . She was polite but bitchy, you know. . .was polite but bitchy, you know. . . She goes, yea like get lost. Now IShe goes, yea like get lost. Now I don’t give a fuck, you know. I reachdon’t give a fuck, you know. I reach for her neck. Fuck you, I goes andfor her neck. Fuck you, I goes and drag her inside the fuck’en shed.”drag her inside the fuck’en shed.” (Stevens, 2001, p. 40)(Stevens, 2001, p. 40)
  • 10. ““A young woman came in with a bad cut onA young woman came in with a bad cut on her arm. . . From the way she talked andher arm. . . From the way she talked and acted, I got the impression she madeacted, I got the impression she made men come after her. She was conceitedmen come after her. She was conceited and all wrapped up in herself. . . I triedand all wrapped up in herself. . . I tried to get something going but her nose wasto get something going but her nose was too far up in the air.”too far up in the air.” (Athens, 1997, p. 8)(Athens, 1997, p. 8)
  • 11. MaleficMalefic  Victim belittling himVictim belittling him  Victim evil or maliciousVictim evil or malicious
  • 12. MaleficMalefic ““We came to an intersection andWe came to an intersection and slowed down when this big blackslowed down when this big black dude in a Thunderbird coming thedude in a Thunderbird coming the other way cut us off in theother way cut us off in the intersection while he made a turn.intersection while he made a turn. Then he drove by us with a big grinThen he drove by us with a big grin on his face throwing the bone.”on his face throwing the bone.” (Athens, 1997, p. 39)(Athens, 1997, p. 39)
  • 13. MaleficMalefic ““That dirty jive n___ flipping me offThat dirty jive n___ flipping me off and grinning – now he thinks he’sand grinning – now he thinks he’s one bad n____.”one bad n____.” (Athens, 1997, p. 39)(Athens, 1997, p. 39)
  • 14. Dynamics of CrimeDynamics of Crime  Fixed Line of IntentionFixed Line of Intention  Restraining JudgmentRestraining Judgment Can’t winCan’t win Victim acquiescesVictim acquiesces Deference to 3Deference to 3rdrd partyparty Fears relationship lossFears relationship loss Fear getting caughtFear getting caught  Overriding JudgmentOverriding Judgment
  • 15. “’“’You, no-good tramp, dirty whore, youYou, no-good tramp, dirty whore, you better tell me where in the hell you havebetter tell me where in the hell you have been.’ She said, “You are acting likebeen.’ She said, “You are acting like nothing but a bum. I’m not going to tellnothing but a bum. I’m not going to tell you anything. I thought to myself, ‘I’myou anything. I thought to myself, ‘I’m going to beat the damn truth out of thatgoing to beat the damn truth out of that no-good, rotten bitch.’ . . But then Ino-good, rotten bitch.’ . . But then I thought that if I went that far, she mightthought that if I went that far, she might leave me, so I dropped it.”leave me, so I dropped it.” (Athens, 1997, p. 48(Athens, 1997, p. 48
  • 16. Creation of ViolenceCreation of Violence  Violent SubjugationViolent Subjugation  Personal HorrificationPersonal Horrification  Violent CoachingViolent Coaching
  • 17. Criminogenic NeedsCriminogenic Needs CriminogenicCriminogenic NonNon CriminogenicCriminogenic Antisocial AttitudesAntisocial Attitudes Self-EsteemSelf-Esteem Antisocial FriendsAntisocial Friends AnxietyAnxiety Substance AbuseSubstance Abuse DepressionDepression ImpulsivityImpulsivity
  • 18. Targeting Criminogenic NeedsTargeting Criminogenic Needs -0.05 0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 Targets 1 - 3 Noncriminogen ic Needs Targets 4 - 6 Criminogenic Needs Gendreau, French & Taylor, 2002
  • 19. Self Esteem Vs. CriminogenicSelf Esteem Vs. Criminogenic NeedsNeeds -0.1 -0.05 0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 Self Esteem Criminogenic Needs
  • 20. Cognitive SkillsCognitive Skills vsvs Criminal ThinkingCriminal Thinking
  • 21. Cognitive SkillsCognitive Skills  Problem DefinitionProblem Definition  Problem SolvingProblem Solving  Perspective TakingPerspective Taking  Stop and ThinkStop and Think  Generating AlternativesGenerating Alternatives  Testing SolutionsTesting Solutions
  • 22. Cognitive Self-ChangeCognitive Self-Change Jack BushJack Bush
  • 23. Cognitive Self-ChangeCognitive Self-Change  Thinking Controls BehaviorThinking Controls Behavior  When Thinking Changes, BehaviorWhen Thinking Changes, Behavior ChangesChanges
  • 24. ““We don’t demand that offendersWe don’t demand that offenders change. We do require that theychange. We do require that they learn how to change.”learn how to change.”
  • 25. Each GroupEach Group  Cognitive Check-InsCognitive Check-Ins  Thinking ReportsThinking Reports
  • 26. TimingTiming  Check-InsCheck-Ins 3 to 5 minutes3 to 5 minutes  Thinking ReportsThinking Reports 1 hour1 hour
  • 27. 4 Steps in Cognitive Self4 Steps in Cognitive Self ChangeChange 1.1. Report thoughts, feelings, attitudesReport thoughts, feelings, attitudes and beliefs.and beliefs. 2.2. Recognize how they lead to hurtfulRecognize how they lead to hurtful actions.actions. 3.3. Use new thoughts, attitudes andUse new thoughts, attitudes and beliefs that lead away from trouble.beliefs that lead away from trouble. 4.4. PracticePractice
  • 28. Cognitive Check InsCognitive Check Ins 1.1. Situation of inappropriate behaviorSituation of inappropriate behavior or temptation of inappropriateor temptation of inappropriate behaviorbehavior 2.2. Report thoughts, feelings, attitudesReport thoughts, feelings, attitudes & beliefs& beliefs 3.3. How they put them at riskHow they put them at risk 4.4. Describe alternative thinking orDescribe alternative thinking or could have usedcould have used
  • 29. Cognitive Check InsCognitive Check Ins  Offenders only do Steps 1 & 2 untilOffenders only do Steps 1 & 2 until proficientproficient  Only then add Step 3Only then add Step 3  Offenders only do Steps 1, 2 and 3Offenders only do Steps 1, 2 and 3 until proficientuntil proficient  Then add Step 4Then add Step 4
  • 30. Thinking ReportThinking Report Situation/Thoughts/Feelings/AttitudesSituation/Thoughts/Feelings/Attitudes Offender presents draftOffender presents draft
  • 31. Thinking ReportThinking Report SituationSituation ““An officer told me to pick up a pieceAn officer told me to pick up a piece of paper on the floor at chow. I gotof paper on the floor at chow. I got angry and cursed at him. I got a DRangry and cursed at him. I got a DR for disrespect and disobeying a directfor disrespect and disobeying a direct order.”order.”
  • 32. Thinking ReportThinking Report ThinkingThinking  ““Fuck you, you fucking want-to-beFuck you, you fucking want-to-be cop.cop.  If you want it picked up badIf you want it picked up bad enough, pick it up yourself.enough, pick it up yourself.  I have a good mind to drive youI have a good mind to drive you right where you stand.right where you stand.  If you ask me instead of telling meIf you ask me instead of telling me then maybe I’d pick it up, asshole.”then maybe I’d pick it up, asshole.”
  • 33. Thinking ReportThinking Report  FeelingsFeelings Anger, victimized, singled outAnger, victimized, singled out  Attitudes/BeliefsAttitudes/Beliefs Cops are assholes. I have a rightCops are assholes. I have a right to be respected.to be respected.
  • 34. Additional ThoughtsAdditional Thoughts 1.1. ““You get off on telling people whatYou get off on telling people what to do.to do. 2.2. I’m sick of being insulted aroundI’m sick of being insulted around here.here. 3.3. All these cops are alike.All these cops are alike. 4.4. I can’t take any more of this shit.”I can’t take any more of this shit.”
  • 35. Additional FeelingsAdditional Feelings BelittledBelittled DisrespectedDisrespected
  • 36. Additional Attitudes & BeliefsAdditional Attitudes & Beliefs ““The only way to get respect is to letThe only way to get respect is to let people know you’ll hurt them if theypeople know you’ll hurt them if they don’t. Without the ability to bedon’t. Without the ability to be violent, no one will respect you.violent, no one will respect you. When someone orders e to doWhen someone orders e to do something, they are disrespectingsomething, they are disrespecting me.”me.”
  • 37. How Thoughts Led to BehaviorHow Thoughts Led to Behavior Clear TransitionClear Transition ““We have a pretty good picture of howWe have a pretty good picture of how Marcus was thinking and feeling.Marcus was thinking and feeling. Now let’s do Step 2. Let’s look atNow let’s do Step 2. Let’s look at how these thoughts and feelings ledhow these thoughts and feelings led to the behavior.”to the behavior.”
  • 38. Key Pieces Leading to RiskKey Pieces Leading to Risk  Which thoughts led to behavior?Which thoughts led to behavior?  Ask group.Ask group.  Ask offender if he agrees.Ask offender if he agrees.
  • 39. Key PiecesKey Pieces ThoughtsThoughts 1. “Fuck you, you fucking want-to-be1. “Fuck you, you fucking want-to-be cop.cop. 2. You get off on telling people what to2. You get off on telling people what to do.do. 3. I’m sick of being insulted around3. I’m sick of being insulted around here.here. 4. I can’t take any more of this shit.”4. I can’t take any more of this shit.”
  • 40. Key PiecesKey Pieces FeelingsFeelings Anger, belittled, disrespectedAnger, belittled, disrespected
  • 41. Key PiecesKey Pieces Attitudes & BeliefsAttitudes & Beliefs ““The only way to get respect is to letThe only way to get respect is to let people know you’ll hurt them if theypeople know you’ll hurt them if they don’t. Without the ability to bedon’t. Without the ability to be violent, no one will respect you.violent, no one will respect you. When someone orders me to doWhen someone orders me to do something, they are disrespectingsomething, they are disrespecting me.”me.”
  • 42. Key PiecesKey Pieces Trigger 1st Key Thought Next Key Thought Next Key Thought Criminal Act
  • 43. “Fuck you, you want-to-be cop.” “You get off . . .” Feeling disrespected “I’m sick of being insulted . . .” Feeling disrespected & angry “I can’t take . . .” “I cursed him.”
  • 44. Steps of Thinking ReportSteps of Thinking Report 1 Identifies additional thoughts/feelings1 Identifies additional thoughts/feelings 2 How They led to troublesome behavior2 How They led to troublesome behavior a) Identification of key “riska) Identification of key “risk pieces”pieces” b) Connection between riskb) Connection between risk piecespieces 3) Replace old thinking with new thinking3) Replace old thinking with new thinking
  • 45. What the process isWhat the process is ReportingReporting thoughts, feelings & attitudesthoughts, feelings & attitudes
  • 46. What the Process Isn’tWhat the Process Isn’t ExplainingExplaining DescribingDescribing JustifyingJustifying Thoughts, feelings and attitudesThoughts, feelings and attitudes
  • 47. Language:Language: What Not to SayWhat Not to Say  Don’t give them examplesDon’t give them examples  Don’t interpretDon’t interpret  Don’t tell then what you would haveDon’t tell then what you would have been thinking/feelingbeen thinking/feeling  Don’t use your words instead ofDon’t use your words instead of theirstheirs
  • 48. What to Ask Other GroupWhat to Ask Other Group MembersMembers  Does this look like it was all theDoes this look like it was all the thoughts and feelings?thoughts and feelings?  What could you ask to help himWhat could you ask to help him remember more?remember more?
  • 49. Language:Language: How You Say It MattersHow You Say It Matters  Can you remember any moreCan you remember any more thoughts . .thoughts . .  I’m not sure what you mean by . . .I’m not sure what you mean by . . . Can you explain it to me?Can you explain it to me?  What was the very first thoughtWhat was the very first thought (feeling) you had . . .(feeling) you had . . .  Did these thoughts go with particularDid these thoughts go with particular feelings? How do they fit together?feelings? How do they fit together?
  • 50. Language:Language: How You Say It MattersHow You Say It Matters  Was there a feeling that went withWas there a feeling that went with this thought? (a thought with thethis thought? (a thought with the feeling?)feeling?)  Was there a thought/feeling that fitWas there a thought/feeling that fit between the ones you’ve listedbetween the ones you’ve listed  Was there a kind of attitude behindWas there a kind of attitude behind these thoughts (feelings)?these thoughts (feelings)?  Do you have a general belief aboutDo you have a general belief about this kind of situation? What does itthis kind of situation? What does it sound like?sound like?
  • 51. Completion CriteriaCompletion Criteria  A completion of a set of specifiedA completion of a set of specified taskstasks  Achievement of “competency” inAchievement of “competency” in each stepeach step  Completion of a minimum time inCompletion of a minimum time in treatmenttreatment
  • 52. Personal Risk ManagementPersonal Risk Management PlanPlan  Past acts of violence and crime,Past acts of violence and crime, circumstances, thoughts, feelings,circumstances, thoughts, feelings, attitudes, beliefsattitudes, beliefs  Past relapse behaviorsPast relapse behaviors  Description and examples of current,Description and examples of current, everyday situations that trigger riskeveryday situations that trigger risk thinkingthinking  Goals and plans for minimizing futureGoals and plans for minimizing future risk of violence and crimerisk of violence and crime
  • 53. Goals and PlansGoals and Plans  Specific plans for avoiding risk situationsSpecific plans for avoiding risk situations  Coping strategies when in risk situationsCoping strategies when in risk situations  Description and examples of new thinkingDescription and examples of new thinking  How new thinking will be used in riskHow new thinking will be used in risk situations and every day situationssituations and every day situations
  • 54. Elements of ProgramElements of Program  Check-InsCheck-Ins  Thinking ReportsThinking Reports  Individual Journal AssignmentsIndividual Journal Assignments  Fearless Criminal InventoryFearless Criminal Inventory  Personal Risk Management PlanPersonal Risk Management Plan
  • 55. Staff TasksStaff Tasks  Prepare for each groupPrepare for each group  Review each groupReview each group  Document each groupDocument each group  Conduct regular progress reviewsConduct regular progress reviews  Focus intently on processFocus intently on process
  • 56. Progress ReportsProgress Reports  2 to 3 months2 to 3 months  Formal meetingFormal meeting  Prepare Summary FormPrepare Summary Form  Go over progress and deficitsGo over progress and deficits  ½ hour +½ hour +
  • 57. Treatment CompletionTreatment Completion  Complete tasksComplete tasks Thinking reportsThinking reports Cognitive check-insCognitive check-ins Group presentationsGroup presentations Journal assignmentsJournal assignments Special tasksSpecial tasks
  • 58. Length of ProgramLength of Program 6 to 22 months6 to 22 months
  • 59.  Stage IStage I 6 months credit6 months credit 4 subskills4 subskills Risk Management PlanRisk Management Plan  State IIState II 12 months credit12 months credit Apply skillsApply skills Work RiskWork Risk ManagementManagement
  • 60. Impact of Cognitive Self-ChangeImpact of Cognitive Self-Change ProgramProgram  LengthLength New Accusations After YearsNew Accusations After Years Of TimeOf Time 11 22 33 (Months)(Months) 7 +7 + 25%25% 42%42% 46%46% 1 – 61 – 6 49%49% 67%67% 80%80% 00 49%49% 71%71% 77%77% (Bush, 1995)(Bush, 1995)

×