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

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

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

    What character did Jim choose for the defusion exercise?

    <p>Thor</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</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</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</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</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</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</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</p> Signup and view all the answers

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

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

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

    <p>Desirous of group inclusion</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</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</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</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</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</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</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</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'</p> Signup and view all the answers

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

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

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

    <p>Public declaration of Committed Action</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</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'</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</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</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</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</p> Signup and view all the answers

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

    <p>'ACT-consistent mindfulness'</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'</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'</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.</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.</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.</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.</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.</p> Signup and view all the answers

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

    <p>Sexual Assault</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.</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</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</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.</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.</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.</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.</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.</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.</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.</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.</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.</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.</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</p> Signup and view all the answers

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

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

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

    <p>Defusion</p> Signup and view all the answers

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

    <p>Integrity</p> Signup and view all the answers

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

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

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

    <p>Build prosocial relationships</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'</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'</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</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</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</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</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</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</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</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</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</p> Signup and view all the answers

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

    <p>False</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</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</p> Signup and view all the answers

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

    <p>False</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</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</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</p> Signup and view all the answers

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

    <p>False</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</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</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</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</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</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</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</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</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</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</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</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</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</p> Signup and view all the answers

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

    <p>False</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</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</p> Signup and view all the answers

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

    <p>True</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</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</p> Signup and view all the answers

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

    <p>False</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</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</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</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</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</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</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</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</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</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</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</p> Signup and view all the answers

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

    <p>False</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</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</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</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</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</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</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</p> Signup and view all the answers

    Jim struggled to identify his core values early in treatment.

    <p>True</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

    Jim struggled to change his judgmental thoughts in therapy.

    <p>True</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</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</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</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</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</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</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</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</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</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</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</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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