Criminal History and Psychological Diagnosis Quiz
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Questions and Answers

What is one situation where individual ACT-based interventions can be successfully administered to forensic clients?

  • When clients prefer individual therapy
  • When group therapy is not available
  • When clients are not willing to engage in group therapy
  • When mixing male and female sex offenders in a single group is contra-indicated (correct)

Which aspect of forensic clients' experiences is highlighted as a common ground for effective group-delivered ACT?

  • Shared commonalities of educational backgrounds
  • Shared commonalities of social status
  • Shared commonalities of incarceration, mental health symptoms, and detachment from valued living (correct)
  • Shared commonalities of family backgrounds

What is a key focus of Acceptance and Commitment Therapy (ACT) when addressing experiential avoidance strategies in forensic clients?

  • Encouraging avoidance of all internal experiences
  • Teaching clients to mindfully accept painful thoughts and emotions (correct)
  • Promoting suppression of thoughts and emotions
  • Fostering escape from aversive experiences

What does ACT teach group participants to do with painful thoughts and emotions?

<p>Mindfully accept them for what they are (B)</p> Signup and view all the answers

What is emphasized as defining who humans are in the context of Acceptance and Commitment Therapy (ACT)?

<p>Actions based on thoughts and feelings (D)</p> Signup and view all the answers

What therapeutic approach is mentioned to reduce avoidance in forensic clients?

<p>Exposure therapy (A)</p> Signup and view all the answers

What character did Jim choose for the defusion exercise?

<p>Thor (A)</p> Signup and view all the answers

How did Jim feel initially about reading his top three identified judgments in Thor's voice?

<p>Reluctant (B)</p> Signup and view all the answers

What was the impact of getting into the character of 'Thor' during the defusion exercise?

<p>It reduced the influence of his judgmental thoughts (B)</p> Signup and view all the answers

How did the Hands of Control exercise help Jim in his life?

<p>It differentiated controllable versus uncontrollable factors in his life (B)</p> Signup and view all the answers

What did Jim realize about people's thoughts of him after learning the Hands of Control exercise?

<p>He could change how people saw him by changing himself (C)</p> Signup and view all the answers

What is a key aspect of ACT therapy in addressing the needs of forensic clients?

<p>Helping clients reduce the intensity and frequency of their uncomfortable thoughts and feelings (D)</p> Signup and view all the answers

What differentiates the treatment of forensic clients from non-forensic clients when applying ACT?

<p>The application of ACT in forensic settings is somewhat altered due to the four basic personality types in corrections (A)</p> Signup and view all the answers

Why is values clarification particularly important for forensic clients in an ACT setting?

<p>It serves as a guiding force for prosocial living in a restrictive environment (A)</p> Signup and view all the answers

Which personality type in corrections believes that society owes them something regardless of circumstances?

<p>The Entitled (A)</p> Signup and view all the answers

How does ACT therapy help forensic clients who have never identified their values?

<p>By helping them clarify their values and guide them towards valued living (D)</p> Signup and view all the answers

What is a common challenge faced when dealing with highly antisocial forensic clients' values?

<p>'The Self-righteous' personality type (D)</p> Signup and view all the answers

How can the skilled ACT clinician address antisocial values in highly antisocial forensic clients?

<p>By acknowledging and distilling the true meaning behind the expressed values (B)</p> Signup and view all the answers

'The Bully' personality type in corrections believes they can get what they want out of life through:

<p>Physical or verbal abuse (A)</p> Signup and view all the answers

'The Sheep' personality type in corrections is described as individuals who are:

<p>Desirous of group inclusion (D)</p> Signup and view all the answers

'The Self-righteous' personality type in corrections typically associate only with others who:

<p>'The Self-righteous' individuals like themselves (D)</p> Signup and view all the answers

What is the primary focus for clients in forensic settings from an ACT view?

<p>Demonstrating psychological flexibility (C)</p> Signup and view all the answers

According to Clarke et al. (2014), which group showed weaker maintenance of gains on primary outcome measures at follow-up?

<p>Group receiving CBT (C)</p> Signup and view all the answers

What are the five overarching goals in forensic groupwork identified by Morgan, Kroner, & Mills (2006)?

<p>Self-exploration and coping skills, Group relationship building, Substance abuse, Prosocial behavior, Institutional adjustment (A)</p> Signup and view all the answers

What is crucial to Group relationship building and cooperation in ACT group sessions?

<p>Psychological flexibility modeling by the facilitator (B)</p> Signup and view all the answers

According to Luoma, Hayes & Walser (2007), what is a useful therapeutic stance for a clinician working with forensic clients?

<p>Psychologically flexible and values-based (B)</p> Signup and view all the answers

What is noted as a delicate balance for the ACT clinician in forensic settings?

<p>Balancing the therapeutic alliance and criminogenic thinking/behavior (B)</p> Signup and view all the answers

According to Peters & Wexler (2005), what should be viewed as an outcome of maladaptive coping strategies rather than a permanent fixture of an offender's personality?

<p>'Thinking errors' (A)</p> Signup and view all the answers

What is crucial for any therapy according to the context provided?

<p>'Strong therapeutic relationship' (D)</p> Signup and view all the answers

'Knowledge is power' is highlighted in the text in relation to what aspect of forensic settings?

<p>'Judicious self-disclosure' (C)</p> Signup and view all the answers

'Creating a strong therapeutic relationship' in forensic settings is particularly important due to what reason?

<p>'Heightened levels of distrust' (B)</p> Signup and view all the answers

What is the main challenge that ACT clinicians face when working with forensic clients?

<p>Balancing psychological flexibility with confronting criminogenic behavior (B)</p> Signup and view all the answers

According to Peters and Wexler (2005), what approach is recommended when working with forensic clients in therapy?

<p>Approaching with sensitivity, understanding, and honesty (D)</p> Signup and view all the answers

In ACT therapy, what is the goal of Defusion when working with forensic clients?

<p>To help clients separate thoughts from personal identity (C)</p> Signup and view all the answers

What is the primary consideration for determining if ACT therapy is contra-indicated for an individual in forensic settings?

<p>Impaired cognitive functioning (B)</p> Signup and view all the answers

What did SAMHSA formally recognize ACT as in 2010 based on their research review?

<p>An evidenced-based practice for a variety of disorders (D)</p> Signup and view all the answers

According to Division 12 of the APA, what level of research support does ACT have for chronic pain?

<p>Strong research support (A)</p> Signup and view all the answers

What type of clients is ACT therapy not suitable for in forensic settings?

<p>Individuals with organic brain injury (B)</p> Signup and view all the answers

When processing criminogenic behavior, what should therapists avoid doing, according to Peters & Wexler (2005)?

<p>Personalizing the client's behavior (C)</p> Signup and view all the answers

What should therapists focus on when addressing criminogenic thinking in forensic clients?

<p>The function of the behavior contextually (C)</p> Signup and view all the answers

How can therapists help forensic clients with high psychopathic traits identify prosocial behaviors, according to the text?

<p>Ask 'what's in it for me' when seeking behavioral change (C)</p> Signup and view all the answers

What is a powerful motivator for male incarcerates in ACT treatment?

<p>Public declaration of Committed Action (C)</p> Signup and view all the answers

What is the purpose of the Hands of Control exercise in forensic settings?

<p>To help clients identify what actions are in their control despite external factors (D)</p> Signup and view all the answers

Why are publicly stated commitments considered likely to be completed in ACT treatment?

<p>Due to male incarcerates considering themselves 'a man of my word' (D)</p> Signup and view all the answers

What is the process involved in the Hands of Control exercise for forensic clients?

<p>Identifying controllable actions with right palm and uncontrollable factors with left palm (C)</p> Signup and view all the answers

What is the focus of ACT treatment in forensic settings once mental health needs have been assessed?

<p>Incorporating specific interventions like the Hands of Control into the treatment plan (A)</p> Signup and view all the answers

Why is professional training recommended for mental health professionals using ACT?

<p>To deepen understanding and application of the theory behind mindfulness-based psychotherapy (D)</p> Signup and view all the answers

What is required for Masters-level graduate students' internships in ACT?

<p>Part-time internships lasting one year or less (D)</p> Signup and view all the answers

'Hands of Control' is primarily used as a(n) ________ tool for forensic clients.

<p>'ACT-consistent mindfulness' (B)</p> Signup and view all the answers

'ACT-consistent mindfulness' tools aim to bring awareness to forensic clients about ________.

<p>'What they can control despite external factors' (B)</p> Signup and view all the answers

'Public declaration of Committed Action' serves as a powerful motivator for male incarcerates due to their belief in being ________.

<p>'A man of my word' (B)</p> Signup and view all the answers

What does the text suggest about the use of Acceptance and Commitment Therapy (ACT) in forensic populations?

<p>It is an emerging area of research with limited studies conducted so far. (A)</p> Signup and view all the answers

What was a notable finding from Lanza & González-Menéndez's study on ACT in incarcerated women for drug abuse?

<p>Abstinence rates increased from 27.8% to 43.8% after the 16-week intervention. (C)</p> Signup and view all the answers

In the comparison study by Lanza, García, Lamelas, & González-Menéndez, what did the findings suggest about ACT and CBT for substance abuse in incarcerated women?

<p>ACT was more effective in reducing drug use at the post-treatment assessment, with overall mental health improvement. (B)</p> Signup and view all the answers

How did González-Menéndez, Fernández, Rodríguez, & Villagrá compare ACT and CBT for substance abuse in incarcerated females?

<p>ACT was superior to CBT in maintaining abstinence, while CBT participants showed a reduction in mental disorders. (A)</p> Signup and view all the answers

In the author's pilot study using ACT with civilly committed Sexually Violent Persons (SVP), what was one notable change observed?

<p>An increase in awareness of inward or outward expressions of anger was noted. (A)</p> Signup and view all the answers

From the case study provided, what crime was Jim adjudicated for?

<p>Sexual Assault (D)</p> Signup and view all the answers

What were the findings of González-Menéndez, Fernández, Rodríguez, & Villagrá's study on ACT and CBT for substance abuse in incarcerated females at the end of the 18-month assessment?

<p>ACT was superior to CBT in maintaining abstinence and reducing mental disorders. (D)</p> Signup and view all the answers

'Long-term pain' is mentioned as an area where ACT has been studied in forensic populations. What type of psychological distress does this refer to?

<p><strong>Chronic</strong> pain (B)</p> Signup and view all the answers

'Adjustment difficulties in neurological conditions' are highlighted as another area studied with ACT. What does this refer to?

<p><strong>Physical</strong> difficulties (C)</p> Signup and view all the answers

In Acceptance and Commitment Therapy (ACT), what is the recommended approach for clinicians to address a client's antisocial behavior?

<p>Confront the behavior respectfully, identify the reasons behind it, and explore prosocial alternatives. (B)</p> Signup and view all the answers

What is a common tactic used by street-savvy forensic clients to manipulate staff in forensic settings?

<p>Engaging in grooming tactics to extract information and break facility rules. (A)</p> Signup and view all the answers

How is Experiential Avoidance typically addressed in Acceptance and Commitment Therapy (ACT) in forensic settings?

<p>Through mindfulness exercises, contact with the present moment, and defusion techniques. (D)</p> Signup and view all the answers

What is the purpose of Values Clarification exercises for forensic clients in therapy?

<p>To help clients identify their core values and what truly matters to them. (D)</p> Signup and view all the answers

Why is it important for ACT clinicians to be mindful of self-disclosure in therapy sessions with forensic clients?

<p>To prevent sharing too much information at the expense of therapist safety. (A)</p> Signup and view all the answers

What role does Values Masterpiece play in helping forensic clients identify their core values?

<p>It involves a physical art project using magazines, which helps in identifying core values. (A)</p> Signup and view all the answers

How can novice clinicians misinterpret the values of forensic clients?

<p>By assuming that forensic clients value an antisocial lifestyle when in fact they do not. (C)</p> Signup and view all the answers

How should ACT clinicians address a scenario where a client values 'hurting others'?

<p>Listen contextually to understand the meaning behind the belief and identify core values. (A)</p> Signup and view all the answers

'Values Clarification Certificate' in ACT serves as a reminder for forensic clients regarding what aspect of their therapy?

<p>'Values Clarification Certificate' highlights identified core values for behavioral guidance. (D)</p> Signup and view all the answers

'Defusion techniques' used in ACT aim to achieve what outcome with regard to judgmental thoughts and feelings?

<p>'Defusion techniques' aim to loosen the grip of judgmental thoughts and feelings. (A)</p> Signup and view all the answers

What was Jim diagnosed with upon intake in the ACT-based Sex Offender treatment program?

<p>Paraphilia Not Otherwise Specified (NOS) and Polysubstance Dependence (B)</p> Signup and view all the answers

Which of the following was NOT a diagnosis Jim received upon intake?

<p>Dependent Personality Disorder (C)</p> Signup and view all the answers

What is a hallmark characteristic of Jim according to the text?

<p>'Happy Mask' he wears to avoid reactions to uncomfortable situations (D)</p> Signup and view all the answers

What intervention was used to help Jim reduce the impact of his judgmental thinking?

<p>Defusion (D)</p> Signup and view all the answers

What was Jim’s core value identified during the Values Masterpiece exercise?

<p>Integrity (B)</p> Signup and view all the answers

What did Jim struggle with early in treatment according to the text?

<p>Building prosocial relationships (A)</p> Signup and view all the answers

Which diagnosis did NOT contribute to Jim being classified as a high-risk sex offender?

<p>Borderline Intellectual Functioning (A)</p> Signup and view all the answers

'Happy Mask' worn by Jim interfered with his ability to:

<p>Build prosocial relationships (B)</p> Signup and view all the answers

'When I open up my mind and don’t act the way as others do, it gives me freedom.' This statement by Jim demonstrates:

<p>'Psychological flexibility' (A)</p> Signup and view all the answers

'I’m no good … I’m stupid … I won’t amount to anything…' These thoughts experienced by Jim are examples of:

<p>'Defusion' (A)</p> Signup and view all the answers

In forensic settings, group-delivered ACT is contra-indicated due to mixing male and female sex offenders in the same group.

<p>False (B)</p> Signup and view all the answers

ACT teaches forensic clients to avoid, suppress, or control internal experiences to prevent behavioral harm to themselves.

<p>False (B)</p> Signup and view all the answers

Exposure therapy is not a well-known therapeutic benefit of ACT in reducing avoidance.

<p>False (B)</p> Signup and view all the answers

The mindful stance of acceptance practiced in ACT encourages clients to avoid repeat prosocial behaviors.

<p>False (B)</p> Signup and view all the answers

Values clarification exercises are not important for forensic clients in ACT therapy.

<p>False (B)</p> Signup and view all the answers

In forensic settings, ACT therapy primarily focuses on reinforcing experiential avoidance strategies.

<p>False (B)</p> Signup and view all the answers

Forensic clients in ACT therapy are encouraged to engage in substance abuse as a way to cope with uncomfortable thoughts and feelings.

<p>False (B)</p> Signup and view all the answers

Values clarification is not considered essential for forensic clients living a healthy lifestyle in ACT therapy.

<p>False (B)</p> Signup and view all the answers

Forensic clients are known to easily identify their core values without any difficulty in ACT therapy.

<p>False (B)</p> Signup and view all the answers

In ACT therapy, if a forensic client values hurting others, the clinician should not listen contextually to understand the meaning behind this belief.

<p>False (B)</p> Signup and view all the answers

Values Masterpiece in ACT therapy involves using digital images instead of cutting out pictures from magazines.

<p>False (B)</p> Signup and view all the answers

Forensic settings in ACT therapy have low security risks and do not require careful monitoring of art supplies.

<p>False (B)</p> Signup and view all the answers

Values Clarification Certificate is an optional tool used in ACT therapy for forensic clients.

<p>False (B)</p> Signup and view all the answers

ACT clinicians should avoid addressing antisocial behavior in forensic clients as it may lead to further negative outcomes.

<p>False (B)</p> Signup and view all the answers

Engaging in grooming tactics is seen as beneficial behavior in forensic settings according to ACT principles.

<p>False (B)</p> Signup and view all the answers

Experiential Avoidance is not routinely addressed in ACT therapy for forensic clients.

<p>False (B)</p> Signup and view all the answers

In forensic settings, ACT therapists are required to have a minimum of a Master's degree in psychology to practice.

<p>False (B)</p> Signup and view all the answers

ACT treatment in forensic settings can only be conducted on an individual basis, group therapy is not effective.

<p>False (B)</p> Signup and view all the answers

Professional training is mandatory for non-mental health professionals who want to learn and apply ACT in forensic settings.

<p>False (B)</p> Signup and view all the answers

The Association for Contextual Behavioural Science (ACBS) website provides outdated information on ACT trainings worldwide.

<p>False (B)</p> Signup and view all the answers

Forensic clients often display flexible thinking and actions, making it easy to implement Hands of Control as a mindfulness tool.

<p>False (B)</p> Signup and view all the answers

ACT training through graduate-level coursework is not popular and rarely available.

<p>False (B)</p> Signup and view all the answers

ACT clinicians must avoid any form of self-disclosure during therapy sessions with forensic clients.

<p>False (B)</p> Signup and view all the answers

'Hands of Control' primarily focuses on helping forensic clients identify what is within their power to change.

<p>True (A)</p> Signup and view all the answers

Forensic clients with an external locus of control tend to take full responsibility for their inability to meet their goals.

<p>False (B)</p> Signup and view all the answers

ACT therapy cannot be incorporated into the treatment plan of forensic clients until their mental health needs have been fully resolved.

<p>False (B)</p> Signup and view all the answers

Jim found that the impact of judgmental thoughts decreased when he adopted the character 'Thor' during the defusion exercise.

<p>True (A)</p> Signup and view all the answers

The Hands of Control exercise in ACT helped Jim differentiate between controllable and uncontrollable factors in his life.

<p>True (A)</p> Signup and view all the answers

Jim was observed repeating the voice of 'Iron Man' during the defusion exercise at the facility.

<p>False (B)</p> Signup and view all the answers

Acceptance and Commitment Therapy mainly focuses on changing clients' past experiences to improve their current behavior.

<p>False (B)</p> Signup and view all the answers

The defusion exercise with 'Thor' was not impactful for Jim and did not help him reduce judgmental thoughts.

<p>False (B)</p> Signup and view all the answers

In forensic settings, the lack of control experienced by clients can lead to masking anxiety and depression.

<p>True (A)</p> Signup and view all the answers

Forensic clients may experience a range of psychological issues such as anxiety, depression, substance abuse, and psychotic symptoms.

<p>True (A)</p> Signup and view all the answers

ACT therapy emphasizes helping forensic clients reduce the intensity and frequency of uncomfortable thoughts, feelings, and physical sensations.

<p>False (B)</p> Signup and view all the answers

Values clarification is not particularly important for forensic clients in restrictive environments.

<p>False (B)</p> Signup and view all the answers

Forensic clients are not encouraged to pursue valued living based on their identified values in ACT therapy.

<p>False (B)</p> Signup and view all the answers

The application of ACT in forensic settings remains consistent with both forensic and non-forensic clients.

<p>False (B)</p> Signup and view all the answers

Forensic clients may struggle to identify or pursue valued living based on their antisocial values.

<p>True (A)</p> Signup and view all the answers

The skilled ACT clinician should not listen for the context of expressed values to distill the true meaning for forensic clients.

<p>False (B)</p> Signup and view all the answers

Values Clarification Certificate serves as an immediate guide for forensic clients in goal setting during therapy.

<p>False (B)</p> Signup and view all the answers

ACT in forensic settings does not consider the different basic personality types found in corrections.

<p>False (B)</p> Signup and view all the answers

Jim was charged with Felony Rape I for his sexual assault against a 29-year-old female.

<p>True (A)</p> Signup and view all the answers

The National Library of Medicine recognizes 31 closed clinical studies of ACT addressing a myriad of psychologically distressing events.

<p>False (B)</p> Signup and view all the answers

Research in forensic populations using ACT has been extensive and covers a wide range of areas.

<p>False (B)</p> Signup and view all the answers

Lanza & González-Menéndez's study found that ACT was less effective than CBT for substance abuse in incarcerated women.

<p>False (B)</p> Signup and view all the answers

ACT participants in the study by González-Menéndez, Fernández, Rodríguez, & Villagrá experienced an increase in mental disorders compared to CBT participants.

<p>False (B)</p> Signup and view all the answers

ACT was found to be superior to CBT in maintaining abstinence in the study by González-Menéndez, Fernández, Rodríguez, & Villagrá.

<p>True (A)</p> Signup and view all the answers

ACT is commonly used as a CBT treatment alternative for Anger Management with civilly committed Sexually Violent Persons.

<p>True (A)</p> Signup and view all the answers

The results of the 20-month pilot study involving ACT with civilly committed Sexually Violent Persons have been replicated and compared to CBT-specific Anger Management groups.

<p>False (B)</p> Signup and view all the answers

Forensic settings are extensively researched in terms of ACT interventions compared to non-forensic settings.

<p>False (B)</p> Signup and view all the answers

ACT teaches group participants to suppress painful thoughts and emotions to achieve therapeutic goals.

<p>False (B)</p> Signup and view all the answers

The ACT group facilitator's role in modelling psychological flexibility is deemed insignificant in building group relationships and cooperation.

<p>False (B)</p> Signup and view all the answers

Forensic clients who received Treatment as Usual-Cognitive Behavioural Therapy (TAUCBT) showed stronger maintenance of gains on primary outcome measures compared to those who received ACT.

<p>False (B)</p> Signup and view all the answers

Self-exploration and coping skills in forensic settings are addressed with values clarification exercises.

<p>False (B)</p> Signup and view all the answers

Maintaining psychologically flexible responding in forensic settings is particularly easy due to clients' openness and receptiveness.

<p>False (B)</p> Signup and view all the answers

In forensic settings, creating a strong therapeutic relationship is not considered essential for any therapy approach.

<p>False (B)</p> Signup and view all the answers

ACT clinicians do not need to be mindful of self-disclosure when working with forensic clients.

<p>False (B)</p> Signup and view all the answers

Addressing a client's manipulation and criminogenic thinking should not be a focus for ACT clinicians in forensic settings.

<p>False (B)</p> Signup and view all the answers

Judicious self-disclosure is not considered a helpful technique for ACT clinicians working with forensic clients.

<p>False (B)</p> Signup and view all the answers

'Knowledge is power' is highlighted in the text as a concept unrelated to forensic settings.

<p>False (B)</p> Signup and view all the answers

Values clarification is not particularly important for forensic clients in an ACT setting.

<p>False (B)</p> Signup and view all the answers

Jim was diagnosed with Bipolar Disorder upon intake in the ACT-based Sex Offender treatment program.

<p>False (B)</p> Signup and view all the answers

Jim struggled to identify his core values early in treatment.

<p>True (A)</p> Signup and view all the answers

Jim's 'Happy Mask' interfered with his ability to build prosocial relationships.

<p>True (A)</p> Signup and view all the answers

Jim's immediate family history of alcoholism did not impact his behavior or treatment.

<p>False (B)</p> Signup and view all the answers

Values Masterpiece was used to help Jim identify his core value as honesty.

<p>False (B)</p> Signup and view all the answers

Jim's 'Happy Mask' was described as a maladaptive trait learned in childhood.

<p>False (B)</p> Signup and view all the answers

ACT therapy helps forensic clients by focusing on controlling their toxic thinking patterns.

<p>False (B)</p> Signup and view all the answers

Jim struggled to change his judgmental thoughts in therapy.

<p>True (A)</p> Signup and view all the answers

Jim found it easy to let go of controlling his traumatic past events.

<p>False (B)</p> Signup and view all the answers

'The Hands of Control' exercise required Jim to imitate a famous singer to reduce stress.

<p>False (B)</p> Signup and view all the answers

Addressing the behavior contextually by bringing awareness to the function of the forensic client’s behavior versus the behavior itself is a key aspect of Acceptance and Commitment Therapy (ACT) in forensic settings.

<p>True (A)</p> Signup and view all the answers

Peters and Wexler recommend that therapists should avoid personalizing the behavior of forensic clients when processing criminogenic behavior.

<p>True (A)</p> Signup and view all the answers

Forensic clients with higher psychopathic traits should not have their values addressed during therapy sessions according to Peters and Wexler's recommendations.

<p>False (B)</p> Signup and view all the answers

ACT is always suitable for individuals with impaired cognitive functioning who struggle with routine assessment questions in forensic settings.

<p>False (B)</p> Signup and view all the answers

The American Psychological Association (APA) recognizes ACT as an evidenced-based practice with strong research support for depression and anxiety disorders in forensic settings.

<p>False (B)</p> Signup and view all the answers

Acceptance and Commitment Therapy (ACT) is contra-indicated for individuals who are floridly psychotic or require emergency medical treatment in forensic settings.

<p>True (A)</p> Signup and view all the answers

In ACT therapy, it is crucial to personalize the behavior of forensic clients to establish a stronger therapeutic relationship.

<p>False (B)</p> Signup and view all the answers

'Defusion' in ACT aims to help clients see their thoughts as part of who they are as people, reflecting a core principle of acceptance in therapy.

<p>False (B)</p> Signup and view all the answers

Values Clarification exercises in ACT for forensic clients primarily focus on promoting criminogenic thinking patterns to enhance self-awareness.

<p>False (B)</p> Signup and view all the answers

The primary therapeutic goal of Defusion in ACT is to help forensic clients gain control over factors that trigger their judgmental thoughts and feelings.

<p>False (B)</p> Signup and view all the answers

How does Acceptance and Commitment Therapy (ACT) address experiential avoidance in forensic clients?

<p>By teaching clients to mindfully accept painful thoughts and emotions</p> Signup and view all the answers

What is the primary goal of ACT therapy for forensic clients in terms of behavior change?

<p>To foster repeat prosocial behaviors</p> Signup and view all the answers

How does ACT therapy view thoughts and feelings in relation to a person's identity?

<p>Thoughts and feelings do not define who we are as humans</p> Signup and view all the answers

In what way can ACT therapists assist forensic clients with high psychopathic traits in identifying prosocial behaviors?

<p>By fostering repeat prosocial behaviors through mindful acceptance</p> Signup and view all the answers

How does ACT therapy suggest addressing the behavior contextually in forensic settings?

<p>By bringing awareness to the function of the behavior versus the behavior itself</p> Signup and view all the answers

What is the recommended approach for ACT clinicians to address a scenario where a forensic client values 'hurting others'?

<p>By helping the client identify prosocial behaviors through mindful acceptance</p> Signup and view all the answers

How can ACT clinicians assist their clients in promoting prosocial behavioral choices in forensic settings?

<p>Implementing S.M.A.R.T. goals</p> Signup and view all the answers

What is the significance of public declaration of Committed Action in ACT treatment for male incarcerates?

<p>It serves as a powerful motivator.</p> Signup and view all the answers

How can the 'Hands of Control' exercise help forensic clients in ACT therapy?

<p>By delineating controllable factors from uncontrollable ones.</p> Signup and view all the answers

What level of education is recommended for mental health professionals who desire to use ACT in forensic settings?

<p>Bachelor's degree-level training in psychology.</p> Signup and view all the answers

What is the primary focus of Acceptance and Commitment Therapy (ACT) for clients in forensic settings?

<p>Valued living</p> Signup and view all the answers

What does the Association for Contextual Behavioural Science (ACBS) website provide for individuals interested in learning about ACT?

<p>Access to demonstration videos, research articles, and contact information for ACT practitioners worldwide.</p> Signup and view all the answers

How do the findings of Clarke et al. (2014) support the effectiveness of ACT in forensic settings?

<p>Treatment-resistant clients showed substantial improvement with group-based ACT.</p> Signup and view all the answers

Why is therapist training recommended for mental health professionals who want to use ACT in forensic settings?

<p>To ensure effective application of ACT principles.</p> Signup and view all the answers

What is the key function of the ACT therapeutic relationship in forensic settings?

<p>Increasing a client's psychological flexibility</p> Signup and view all the answers

What role does public declaration of Committed Action play in motivating male incarcerates in ACT treatment?

<p>It aligns with their belief of being 'a man of my word.'</p> Signup and view all the answers

How does ACT clinicians address criminogenic behavior in forensic clients?

<p>By focusing on the meaning of the behavior contextually</p> Signup and view all the answers

What is the focus of ACT treatment in forensic settings once mental health needs have been assessed?

<p>Reinforcing valued living through specific interventions.</p> Signup and view all the answers

How can ACT clinicians address manipulative coping strategies in forensic clients?

<p>By providing regular feedback from peers in a treatment group</p> Signup and view all the answers

What is the importance of Values in ACT therapy for forensic clients?

<p>Values help guide the identification of workable Committed Actions.</p> Signup and view all the answers

How can the 'Hands of Control' exercise help forensic clients in ACT therapy?

<p>By bringing in-the-moment awareness to what they can control.</p> Signup and view all the answers

What is a daily challenge for ACT clinicians working with forensic clients?

<p>Balancing the therapeutic alliance with a client's criminogenic thinking/behavior</p> Signup and view all the answers

Why is it recommended to address antisocial behavior in forensic clients according to Peters & Wexler?

<p>To understand the impact on their values and guide towards prosocial behavioral changes.</p> Signup and view all the answers

How can ACT therapists foster psychologically flexible responding in forensic settings?

<p>By being attentively engaged, aware, accepting, values-based, and non-judgmental</p> Signup and view all the answers

What is the primary recommendation for individuals who have completed their educational training and want to learn ACT?

<p>Visit the Association for Contextual Behavioural Science (ACBS) website.</p> Signup and view all the answers

What is the goal of Defusion techniques in ACT therapy for forensic clients?

<p>To help clients separate their thoughts from their identity.</p> Signup and view all the answers

What is a common challenge faced by ACT clinicians when dealing with highly antisocial forensic clients' values?

<p>Heightened levels of distrust</p> Signup and view all the answers

How should ACT clinicians approach forensic clients with higher psychopathic traits regarding Values?

<p>By asking them to identify the 'what's in it for me' response for prosocial behavioral change.</p> Signup and view all the answers

How do ACT therapists balance the therapeutic alliance with a client’s criminogenic thinking/behavior?

<p>By setting healthy boundaries and confronting manipulation</p> Signup and view all the answers

Why is professional training recommended for mental health professionals using ACT in forensic settings?

<p>To instigate and reinforce psychologically flexible responding in clients</p> Signup and view all the answers

What is the risk of using ACT therapy with individuals who have impaired cognitive functioning?

<p>They may struggle with comprehension and memory, hindering therapy effectiveness.</p> Signup and view all the answers

What is noted as a delicate balance for ACT clinicians in forensic settings?

<p>Balancing the therapeutic alliance with a client’s criminogenic thinking/behavior</p> Signup and view all the answers

How does ACT therapy address criminogenic thinking in forensic clients?

<p>By focusing on the impact of thoughts on behavior responses.</p> Signup and view all the answers

What should therapists avoid when processing criminogenic behavior in forensic clients?

<p>Personalizing the behavior.</p> Signup and view all the answers

What is the primary therapeutic goal of Defusion in ACT therapy for forensic clients?

<p>To help clients see their thoughts as distinct from themselves.</p> Signup and view all the answers

Why is it important to avoid addressing antisocial behavior in forensic clients according to the text?

<p>To prevent negative outcomes and focus on guiding prosocial changes.</p> Signup and view all the answers

What impact did embodying the character of 'Thor' have on Jim during the defusion exercise?

<p>Reduced the influence of judgmental thoughts</p> Signup and view all the answers

How did the Hands of Control exercise benefit Jim in differentiating controllable and uncontrollable factors in his life?

<p>Opened up values-guided behavioral response choices</p> Signup and view all the answers

What key concept does Acceptance and Commitment Therapy (ACT) focus on when addressing experiential avoidance strategies in forensic clients?

<p>Values clarification</p> Signup and view all the answers

Why is it important for ACT clinicians to be mindful of self-disclosure in therapy sessions with forensic clients?

<p>To maintain professional boundaries and ethical conduct</p> Signup and view all the answers

What is a common tactic used by street-savvy forensic clients to manipulate staff in forensic settings?

<p>Manipulating staff through charm and deception</p> Signup and view all the answers

What are the four basic personality types in corrections according to Evert (2011)?

<ol> <li>The Entitled, 2. The Bully, 3. The Self-righteous, 4. The Sheep</li> </ol> Signup and view all the answers

How does ACT help forensic clients alter uncomfortable thoughts, feelings, and physical sensations?

<p>By altering the function of uncomfortable experiences, not necessarily reducing their intensity or frequency.</p> Signup and view all the answers

What is the key focus of values clarification in ACT therapy for forensic clients?

<p>To guide values-congruent behavioral change and prosocial living in a restrictive environment.</p> Signup and view all the answers

How can ACT clinicians address antisocial values in highly antisocial forensic clients?

<p>By listening for the context of expressed values to elicit and distill the true meaning.</p> Signup and view all the answers

What is the purpose of delineating S.M.A.R.T. goals for forensic clients in ACT therapy?

<p>To help clients achieve valued living through realistic workable goals.</p> Signup and view all the answers

Why is values clarification particularly challenging for many forensic clients?

<p>Because many forensic clients have either never identified their values or do not know how to pursue valued living.</p> Signup and view all the answers

How does ACT therapy address the normality of human suffering experienced by humankind?

<p>By helping clients reduce the influence of their experiences over behavior without necessarily reducing their intensity or frequency.</p> Signup and view all the answers

What is the significance of forensic clients experiencing experiential avoidance in ACT therapy?

<p>Forensic clients may engage in experiential avoidance due to lack of control, leading to a range of unpleasant thoughts and feelings.</p> Signup and view all the answers

How can ACT clinicians help forensic clients clarify values and achieve prosocial living?

<p>By distilling values clarification and delineating S.M.A.R.T. goals for valued living.</p> Signup and view all the answers

What is the role of values clarification in promoting positive behavioral change in forensic clients?

<p>Values clarification serves as the guiding force for prosocial living in a restrictive environment.</p> Signup and view all the answers

How can ACT clinicians address antisocial behavior in forensic clients?

<p>By respectfully addressing the behavior when it occurs, identifying the reasons behind it, and processing the event in therapy to find prosocial alternatives.</p> Signup and view all the answers

What is the purpose of the 'Values Masterpiece' exercise in ACT therapy for forensic clients?

<p>To help clients identify their core values by creating an art project involving household magazines, construction paper, scissors, and glue sticks.</p> Signup and view all the answers

How should ACT clinicians handle forensic clients who have difficulty naming their core values?

<p>By asking clients to identify the common theme of their collage and listening contextually to establish the identified values.</p> Signup and view all the answers

What were the key findings of Lanza & González-Menéndez's study on ACT in incarcerated women for drug abuse?

<p>The key findings were increased abstinence rates, improved psychological flexibility, and reduction in comorbid psychopathology.</p> Signup and view all the answers

What are the key components of Contact with the Present Moment in ACT therapy for forensic settings?

<p>Acceptance, mindfulness exercises, and identification of avoidance strategies.</p> Signup and view all the answers

In the author's pilot study using ACT with civilly committed Sexually Violent Persons (SVP), what notable change was observed?

<p>Participants showed an increased willingness to engage in mindfulness practice to monitor their reactions to anger.</p> Signup and view all the answers

Why is creating a Values Clarification Certificate important in ACT therapy with forensic clients?

<p>To serve as a reminder for clients about their identified core values and focus their attention on making behavioral choices aligned with those values.</p> Signup and view all the answers

What did Jim struggle with early in treatment according to the text?

<p>Jim struggled to identify his core values early in treatment.</p> Signup and view all the answers

How do Defusion techniques in ACT therapy aim to help forensic clients?

<p>By loosening the grip of judgmental thoughts and feelings to achieve psychological flexibility.</p> Signup and view all the answers

According to Division 12 of the APA, what level of research support does ACT have for chronic pain?

<p>ACT has strong research support for chronic pain according to Division 12 of the APA.</p> Signup and view all the answers

What is the focus of Acceptance and Commitment Therapy (ACT) when addressing Experiential Avoidance in forensic settings?

<p>To identify avoidance strategies and promote psychological flexibility through mindfulness exercises.</p> Signup and view all the answers

What was Jim diagnosed with upon intake in the ACT-based Sex Offender treatment program?

<p>Jim was diagnosed with Felony Rape I for his sexual assault against a 29-year-old female.</p> Signup and view all the answers

Why is Values Clarification considered essential in ACT therapy for forensic clients?

<p>To help clients identify what truly matters to them and what they want for their life, especially since many have never explored their core values.</p> Signup and view all the answers

What is a key focus of Acceptance and Commitment Therapy (ACT) when addressing experiential avoidance strategies in forensic clients?

<p>A key focus is on addressing the function of the behavior contextually.</p> Signup and view all the answers

How can ACT clinicians help forensic clients identify their core values through the 'Values Masterpiece' exercise?

<p>By encouraging clients to review magazines, cut out pictures representing what they want in life, and explain the commonalities of their chosen pictures.</p> Signup and view all the answers

What does the text suggest about the use of Acceptance and Commitment Therapy (ACT) in forensic populations?

<p>The text suggests that research in forensic populations using ACT is relatively limited.</p> Signup and view all the answers

What should ACT clinicians be mindful of during the 'Values Masterpiece' exercise in forensic settings?

<p>Possible risk-relevant issues like the content of magazines, use of sharp tools, and keeping track of all art supplies due to the restrictive nature and heightened security.</p> Signup and view all the answers

What is the primary focus for clients in forensic settings from an ACT view?

<p>The primary focus is on promoting psychological flexibility and acceptance.</p> Signup and view all the answers

Why is values clarification particularly important for forensic clients in an ACT setting?

<p>Values clarification is important for enhancing self-awareness and guiding behavior change.</p> Signup and view all the answers

What is a powerful motivator for male incarcerates in ACT treatment?

<p>A powerful motivator is the desire for freedom gained through psychological flexibility.</p> Signup and view all the answers

What specific diagnosis was Jim classified with upon intake into the ACT-based Sex Offender treatment program?

<p>Paraphilia Not Otherwise Specified (NOS); Polysubstance Dependence; Anxiety Disorder NOS; Antisocial Personality Disorder; and Borderline Intellectual Functioning</p> Signup and view all the answers

How did Jim demonstrate psychological flexibility through Acceptance and Commitment Therapy (ACT) according to the text?

<p>By bringing mindful awareness to his responses to stressors and letting go of struggling to control his thoughts</p> Signup and view all the answers

What adaptive skill did Jim learn at an early age that interfered with his ability to build prosocial relationships?

<p>'Happy Mask'</p> Signup and view all the answers

What core value did Jim identify for himself during the Values Masterpiece exercise in therapy?

<p>Integrity – his desire to change the way society reacts to sex offenders</p> Signup and view all the answers

How did Jim struggle early in his ACT-based Sex Offender treatment?

<p>He struggled to identify his core values and how they align with his treatment</p> Signup and view all the answers

What is a hallmark characteristic of Jim as described in the text?

<p>The 'Happy Mask' he wears to avoid uncomfortable reactions to his traumatic past events</p> Signup and view all the answers

How did Jim demonstrate self-awareness and growth in therapy according to the text?

<p>By noticing his anger triggers, self-reflecting, and changing his perspective on past behaviors</p> Signup and view all the answers

What key challenge did the ACT clinician face in building a therapeutic relationship with Jim?

<p>Modeling psychological flexibility and addressing Jim's suppression of emotions and criminogenic thinking</p> Signup and view all the answers

What was the primary goal of the Defusion interventions for Jim in therapy?

<p>To reduce the impact of his judgmental thinking by changing his responses to thoughts</p> Signup and view all the answers

Why was it important for the ACT clinician to address Jim's suppression of emotions, criminogenic thinking, and lack of empathy in therapy?

<p>To help Jim build prosocial relationships and make values-congruent behavioral changes</p> Signup and view all the answers
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