Jack Apsche and Jerry Jennings have developed this unique workbook specifically for adolescent treatment based on research and clinical trials. Using principles of Evidenced-Based Treatments and intended for use in both out-patient and in-patient practices, the book addresses multiple issues, including aggression, anger, defiance, and sexually inappropriate behaviors. Responsibility & Self-Management looks at how the client’s life brought him to a therapist and provides a functional analytic blueprint to treatment. Editorial Reviews
“Adolescence is one of the most difficult periods for children. They often struggle with a host of personal and environmental changes, which results from the culmination of trajectories for language, socialization, and academics. In addition, hormonal changes lead to emerging sexuality, which establishes new networks of reinforcers. In short it is a difficult time for many leading to depression, anxiety, and aggression. CBT has been shown to be helpful and this book offers a strong curriculum to teach these self analysis skills. This exciting book is written by a true master of CBT with adolescents. Poingent, clear, and comprehensive this workbook would be a real aide to any therapist working with this population.”
--Joseph Cautilli, Ph.D; Publisher and editor of six ABA affiliated journals including, The Behavior Analyst Today and the International Journal of Behavior Consultation and Therapy. “This workbook offers some new materials to address old problems within a tried and tested cognitive behavioural framework. It takes us through the engagement and treatment process and examines all the key areas required to address the sexual behaviour of concern as well as examining the origins of it as a prerequisite for change. There is some useful material in relation to addressing the victim and the abuser dichotomy and also the co-existence of substance misuse issues. This workbook is accessible and packed with useful exemplars for work with the young person and will be plundered by workers both in individual and groupwork contexts.”
--Martin Calder; Practitioner, researcher, and internationally recognized author of several publications including: Young People Who Sexually Abuse: Building the Evidence Base for Your Practice “There is no doubt that Cognitive-Behavioral Therapy is of tremendous value to working with youth. Apsche’s combined set of clinician’s manual and student workbook takes the clinician and student through detailed education and step-by-step treatment in reconstructing unhealthy thoughts, feelings, and subsequent problem behaviors, into healthy and pro-social ones. In addition this set provides a specialized section on empathy and empathy development. I strongly recommend this set to any professional who wishes to place an emphasis in treatment on cognitive restructuring.”
--Robert E. Longo, Director of Clinical Services, Old Vineyard Youth Services as well as a consultant, trainer, and author/editor of several well known books including: Current Perspectives: Working with Sexually Aggressive Youth & Youth with Sexual Behavior Problems “I work in a residential program for adolescent males and many of my clients are sex offenders. This workbook is by far one of my most useful resources. I bought it only recently but find the activities are easily adaptable for all ages and learning styles and the entire book serves as an excellent addition to the other workbooks I use. It helps my clients learn offense cycles, victim impact, thinking errors, etc. from another angle and enhances learning. I had one client recently struggle with putting his offense cycle all together and understanding how it "links" and the book he was using just was not helping and was making it more challenging. I found an activity in this workbook on this same topic and within a week he was able to explain his cycle in such amazing detail and understandable naturalness! I have not purchased the facilitator's guide but will do so as I am finding many activities in the client workbook need further explanation found in the facilitator's guide. All in all this is a great resource for someone new to the field or someone even with years of experience. There are a few minor editing issues but I can see past that with no concern and it has in no way impacted my opinion on the quality of this book.”
-- Clinician working in a residential program for boys Contents
Introduction to Client’s Workbook
Level I – Gaining Knowledge
I. Negative Thinking and Learning to Watch Yourself
What is Negative Thinking?
Negative Thinking and Negative Talk
How Thoughts, Feelings and Behavior Go Together
Instruction and Practice for Using TFB Self-Report Worksheet
Thought, Feeling, and Behavior Self-Report Worksheet
II. Cognitive Distortion
Cognitive Distortions Defined
Types of Cognitive Distortions
Changing Cognitive Distortions With New Ways of Thinking
III. Changing Negative Thinking
The Role of Cognitive Distortions in Abusing
Using the Daily Record of Negative Thoughts
Daily Record of Negative Thoughts Worksheet
Cognitive Distortions Exercise
Controlling Anger by Changing Cognitive Distortions
The Broken iPod™ – Exercise
Level II – Application Responsibility and Self Management Skills
IV. Abuse System
Abuse System Questions
Recognizing Cognitive Distortions Used During Your Abuse
Rational Response Exercise
How to Change Negative Thoughts and Feelings Into
Positive Ones
Changing Negative Thoughts and Feelings Into Positive Ones Worksheet
What to Do If You Still Believe Your Negative Thoughts
How to Use the Abuse System Diagrams
Abuse System Diagram – Sample
Abuse System Diagram (Blank)
V. Aggression System
Beliefs About Aggression Questions
Aggression and Violence Starts With Thinking
Studying Your Anger
System of Aggression Questions
How to Use the Aggression System Diagrams
Aggression System Diagram – Sample
Aggression System Diagram (Blank)
VI. Beliefs – How It All Works Together
Negative Beliefs Are Connected to Abuse
Some Negative Beliefs of Abusers
Beliefs About Myself
Beliefs About Control
Beliefs About Closeness
Types of Beliefs Used by Abusers
Belief Pattern Worksheet
How to Change Negative Beliefs
Reducing the Strength of Negative Core Beliefs
Feeling, Belief, Thought Worksheet
Changing Negative Beliefs Worksheet
From Seeing to Believing Worksheet
Beliefs About “Needs”
Beliefs About Needs Worksheet
Detailed Analysis of My Abuse Pattern
Before the Abuse
During the Abuse
After the Abuse
Today – When I See My Abuses
Looking to the Future
Abuse Beliefs Summary Sheet
Using Self Talk to Change Negative Beliefs
Positive Self Talk Worksheet
Practice Changing “Needs” Into “Wants”
Negative Beliefs Come From Your Experiences
How to Change Negative Thinking When It Happens
Changing Cognitive Distortions of Abuse and Violence
VII. Responsibility
From Denial to Responsibility
Types of Denial
Denial Worksheet
Taking Responsibility Exercise
How Abusers Avoid Responsibility
Level III – Incorporation
Introduction to Incorporation Phase
VIII. Healthy Behavior
Worksheet: How Do I Experience and Express Anger?
Worksheet: How Do I Experience and Express Hurt Feelings?
How to Stop Unwanted Thoughts and Urges
Healthy Thinking Leads to Healthy Living
Using Positive Thinking to Get Rid of a Bad Mood
Using Positive Thinking to Get Rid of a Bad Mood Worksheets
Have Your Beliefs Put You in a Box?
Getting Out of the Negative Belief Box
IX. Substance Abuse and Abusing
Beliefs About Substance Abuse Questionnaire
Craving Beliefs Questionnaire
Relapse Prediction Scale
The Role of Drugs and Alcohol in Abusing
Negative Beliefs in Substance Abuse and Abusing
Questions About Using Substances and Acting Out
Advantages and Disadvantages Box
Do You Have A Low Frustration Tolerance?
Cognitive Distortions Cause Low Frustration Tolerance
X. Victim Empathy
Post Traumatic Stress Disorder
Important Facts to Know About Victims of Sexual and
Other Abuse
My Commitment to Learning Empathy
Factors That Increase Damage to Molested Children
Empathy Exercises
Waves from a Pebble
Showing Empathy With a Letter of Responsibility
Interview with Jason Victim of Sexual Abuse #1
Interview with Chris Victim of Sexual Abuse #2
Interview with Nick Victim of Emotional Abuse #3
Interview with Roger Victim of Physical Abuse #4
Interview with Mike Victim of Bullying Abuse #5
Interview with Dominic Victim of Bullying Abuse #6
XI. Victim To Victimizer To Survivor
Introduction
Belief Analysis of My Victimization
Common Thoughts and Feelings of Sexually Abused Children
Questions to Help Yourself With Understanding Your Own Victimization
Victim Recovery Exercises
XII. Mental Health and Medications
Beliefs About Mental Illness
Beliefs About Psychiatric Medication
Understanding My Medication
Negative Thoughts About Taking Medication
Medication: Thoughts, Feelings, Behaviors and Beliefs
Changing Fears of Medication
Summary
References
Appendix – Assessments and Case Conceptualization Forms
Typology Survey
Fear Assessment – Revised
Core Beliefs Questionnaire (and scoring key)
Core Beliefs Questionnaire – Short (and scoring key)
Conglomerate of Beliefs and Behaviors Form
Fears/Avoids/Core Beliefs Form
Treatment Plan Development Form
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