t4 c overview david
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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
rnal
Beh
avio
rs
Exte
rnal
Beh
avio
rs
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
