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Thinking for a Change

Overview & InteractionsPresented by David Malinowski

AHA Health Risk Awareness

Your age Your sex Family history of heart

attack Smoke tobacco High cholesterol

High blood pressure Physically inactive Excess body weight Diabetes Medical history of

heart attack or other

problems

•What if your doctor told you that you are high risk for a heart attack?•What could would you be able to change?

National Heart Lung and Blood Institute, National Institute of Health

1971

What does that year mean to you?

Attica Prison Riot

Professional Development Recommend Policy Directions

Program Development Translate Research into Practice

Robert Martinson - 1974

Meta-analysis Examined 231 correctional studies Asking…

… Are correctional interventions effective? Finding…

… NOTHING WORKS! What effects do you think this had on the

field?

Ted Palmer - 1975

Re-analyzed data Examined types of populations Types of programs Types of outcomes Finding…

… SOME THINGS WORK!

NIC “What Works” Project

Cognitive-Behavioral Programs

Traditional Talk Therapy

Iceberg Analogy

Cognitive Restructurin

g

Actions

Thoughts

Feelings

Attitudes/BeliefsInte

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Exte

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Iceberg Analogy

Cognitive-Behavioral Interventions

ThinkingThinking (an internal behavior) controls our overt actionsactions (external behavior).

Long-term behavior change is based Long-term behavior change is based on changing ways of thinking.on changing ways of thinking.

Two Cognitive Schools Cognitive

RestructuringFocuses on WHAT you

are thinking.

Cognitive SkillsFocuses on HOW to think

and act.

When someone cuts you off in traffic what do you THINK?

When someone cuts you off in traffic, what do you DO?

Two Types of Programs

Cognitive Restructuring Addresses what people think, feel and believe Teaches reflection and self-insight Teaches people NEW ways of thinking in order to

change behavior

Cognitive Skills Emphasizes the role of learning Skill acquisition

Thinking for a Change

Integrated Cognitive Behavior Change Program

Jack Bush, Barry Glick, Juliana Taymans

Social SkillsSocial Skills Cognitive Self ChangeCognitive Self Change Problem SolvingProblem Solving

Program Organizer

Cognitive Self Change

1. Pay attention to our thoughts and feelings.

2. Recognize when there is risk of our thoughts and feelings leading us into trouble.

3. Use new thinking that reduces that risk.

Thinking ReportSituation: ____________________________

Thoughts:1. _________________________________2. _________________________________3. _________________________________4. _________________________________5. _________________________________6. _________________________________7. _________________________________8. _________________________________

Feelings: _____________________________

Attitudes _____________________________& Beliefs: _____________________________

Thinking Reports1. A brief, factual description of the

situation. 2. A list of all the thoughts you had in

that situation.3. A list of all the feelings you had in that

situation.4. Attitudes or beliefs behind your

thoughts or feelings.

What are skills?

Social Skills Social skills are the skills we use when we

deal with other people

Good social skills help get us what we want; maximizing positive responses, and minimizing negative responses from other people

Knowing Your FeelingsKnowing Your Feelings

Definition:

Steps we use to tune into what is going on inside of us that make us think or act in a certain way.

Knowing Your FeelingsKnowing Your Feelings

1. Tune in to what is going on in your body that helps you know what you are feeling.

2. Decide what happened to make you feel that way.

3. Decide what you could call the feeling.

Social Skills Lesson Format

1. Homework Review2. Overview of the new skill3. Instructor Models the new skill4. Discussion of the Modeling Display5. All participants practice the skill

(Role Play)6. Feedback (Discussion) of the Role Play

(Practice)7. Prepare the Homework assignment of the

skill

Problem Solving

The Conflict Cycle

Problem

ConsequencesFeelingsThoughts

Action

Problem Solving Steps

1. Stop and ThinkWhat are my thoughts & feelings? What are my risk thoughts & feelings?Do the 3 steps:1. Be quiet2. Get Space3. Calm Down

2. Problem DescriptionWhat is the problem?What is my risk reaction?

3. Getting Info/Set Goal

Info: Facts? Other person?Goal: What is my goal?

4. Choices and ConsequencesWhat are my choices? My opinions and belief?What are the consequences?

5. Choose – Plan – Do What is my best choice?

What is my plan?Do it.

6. EvaluationAm I closer to my goal? Hurt others? What have I learned?

Implementation Issues

1. Group size: 8-12 members2. Facilitators: 2 certified facilitators at all

sessions3. Frequency of groups: 1x minimum, 2x week

(recommended), 3x week maximum [M-W-F]4. Length of group sessions: 1-2 hours

David Malinowski

malinowskidm@gmail.com

407.970.5015