Robin Windsperger, BS, LADC Carl McKinley, MA, LADC Minnesota Correctional Facility-Lino Lakes

Transcription

1 Robin Windsperger, BS, LADC Carl McKinley, MA, LADC Minnesota Correctional Facility-Lino Lakes

2 Participants will Learn basic CBT concepts/language Discuss challenges of using CBT Explore techniques to assist clients in identifying and challenging their thinking Have the ability to complete a thinking report

3 1. Collaborative 2. Educative 3. Individualized 4. Self- efficacy; skill building 5. Focused: here and now

4 Generally not need to understand past to change current behavior. Start at here and now and work backwards Some clients may be stuck on past; look when: Client unable to progress, focused on understanding the past Client says things like I ve always been that way, others report As long as I ve known him, he has been like that

5 Look at behavior/skill building: behavior change can lead to changes in thinking (ex. self-efficacy). Self-esteem: global assessment of our selfworth, How we feel about ourselves Self-efficacy determines: 1. If we will try new behavior 2. Effort we will put into the new behavior 3. If will persist at new behavior when confronted by obstacles and problems 4. How we feel about 1-3.

6 Teaching definitions/language Foster therapeutic community Inability to recognize thoughts/feelings Recognizing feelings first Impulsivity/automatic thinking

7 How you think rather than what you think Extreme thinking (all-or-nothing thinking) Overgeneralization Personalization Magnification and minimization Jumping to conclusions Selective focus Concrete thinking Actor vs. observer bias Closed thinking Emotional reasoning

8 Thinking patterns are habits of thought types of thoughts a person uses so often that they just seem to come naturally. You will notice that some criminal and addictive thinking patterns are very similar or even the same. That s because criminality and addiction are both, to a large degree, thinking problems before they become behavior problems.

9 Victim stance/self-pity stance Good person stance Unique person stance Fear of exposure Lack of trust Lack of time perspective Selective effort Use of power and control Use of deceit to control Seeks excitement/pleasure first Ownership stance.

10 How you act based on what you think Often refer to habits of behavior Broken into 3 categories Avoidance strategies Diversion strategies Aggression strategies

11 Used to avoid responsibility, put in minimal effort, avoid exposure, and manipulate others to get what you want Includes: Lying by omission or commission (passive and active lying) Being deliberately vague Staying silent to avoid notice (flying under the radar) False compliance (compliance w/o commitment) Playing dumb Selective memory and attention Minimizing (trivializing)

12 Used to confuse others, direct attention away from you and/or important issues, and avoid exposure by keeping people distracted and focused on other things Includes: Pointing Out the Faults of Others Magnifying (exaggerating significance) Deliberately Trying to Confuse Quibbling Over Words Introducing Irrelevant Issues Discussing Smokescreen Issues Using Self-Shaming to Avoid Responsibility

13 Used to attack, intimidate, and undermine others Includes: Arguing Using Threatening Words or Behaviors (veiled or overt) Raging Sarcasm and Teasing Splitting Staff Creating Chaos Attention Seeking

14 Practice thinking about thinking Goals are to: Identify distorted thinking in everyday life Recognize feelings associated with thinking Recognize core beliefs that trigger thoughts Find alternatives ways of thinking

15 Event Thoughts Feelings Behavior Can you identify a core belief? Alternative thoughts Alternative behavior Thinking Distortions Thinking Patterns Tactics

16 Event: Just the Facts Who, what, when, and where of the situation The event should be something the client experienced The event should be current. Having occurred after the last thinking report the client completed Thoughts: Must be distorted and maladaptive Should be the first initial unfiltered thoughts the client thinks during the event Feelings Should be the feelings the client experiences during the event, not after the event Behavior A. Should be the behavior that occurs after the thoughts

17 Core Belief Matches the first initial, unfiltered thoughts Core beliefs about myself, others, and the world Alternative Thoughts Should challenge distorted thoughts Shouldn t just be the opposite of the distorted thoughts Alternative Behaviors Should challenge behavior Shouldn t just be the opposite of the original behavior The logical response to the alternative thoughts

18 Thinking distortions How you think Relates to distorted thoughts on thinking report Thinking patterns Habits of thought Relates to core beliefs on thinking report Tactics Actions based on thoughts Relates to behaviors on thinking report

19 Event Thoughts Feelings Behavior Can you identify a core belief? Alternative thoughts Alternative behavior Thinking Distortions Thinking Patterns Tactics