🧠💬 Quick Overview
This chapter covers CBT (Cognitive Behavioral Therapy) - the most widely used and evidence-based approach in forensic settings, Behavioral approaches, and DBT (Dialectical Behavior Therapy).
🧠 Cognitive Behavioral Therapy (CBT)
Focuses on the connection between thoughts → feelings → behaviors. Here-and-now focus, structured, goal-oriented, skills-based.
8 Cognitive Distortions in Offenders:
- All-or-nothing thinking (black & white)
- Minimization - "It wasn't that bad"
- Blaming - "It's their fault"
- Entitlement - "I deserve this"
- Catastrophizing - expecting worst
- Mind reading - assuming others' thoughts
- Emotional reasoning - "I feel it, so it's true"
- Should statements - rigid rules
🎭 Behavioral Approaches
- Reinforcement: Increasing behavior through rewards
- Punishment: Decreasing behavior through consequences
- Token economy: Points for good behavior
- Shaping: Gradually building complex behaviors
💬 DBT (Dialectical Behavior Therapy)
Developed by Marsha Linehan for BPD. Balances acceptance and change.
4 DBT Skills Modules:
- Mindfulness - Present-moment awareness
- Distress Tolerance - Surviving crises
- Emotion Regulation - Managing emotions
- Interpersonal Effectiveness - Communication skills