19
Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Embed Size (px)

Citation preview

Page 1: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Reaching for a Good Life: A Group Program for Abusive MenKAREN M NIELSEN, PHD, RSW (CLINICAL)

Page 2: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

The Reaching for a Good Life: A Program for Men who Batter

The focus

Based on The Good Lives Model (GLM) of offender rehabilitation (Ward &

Brown, 2004) Identifies strengths and resiliency rather than deficits and pathology

Emphasizes respect not shame.

Three Principles

People are more likely to make positive changes (moving toward a positive goal)

than a negative change (moving away from a problematic behavior.) ( Feist &

Feist, 2006).

People have some level of awareness of what they want in life i.e., they have

motivating “good life “goals.

It is not the goals that are a problem but the means by which the people attempt to

attain their “good life” goals.

Page 3: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

The Program Program has four phases : Orientation, Intake, Group Modules, and a Post-program

evaluation.

Each group module is self-contained and lasts for four sessions.

Individuals may join the group at the beginning of each module.

The four group modules

Emotional communication,

Managing arousal,

Ethics and values,

Personal power.

Page 4: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

The Program

All participants complete a testing package prior to

commencing group

In the first year, those who completed the sixteen sessions of

the RFGL program are asked to complete the post-group test

package and to book an interview with the program designers

to discuss their experiences with the program

Page 5: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Psychological and Attitudinal Tests

1. The Personality Assessment Inventory (Morey, 1991) 2. The Behavior Rating Inventory of Executive Function (BRIEF-A)

◦ The Behavior Rating Inventory of Executive Function is a self-report inventory ◦ Measures an individual’s perception of their ability to survey & organize information, formulate a

plan, set goals, keep track of progress toward goals, anticipate problems and modifying goals and plans accordingly.

◦ 9 scales relate to specific executive functioning skills: Inhibit, Shift, Emotional Control, Self-Monitoring, Initiate, Working Memory, Plan/Organize, Task Monitor and Organization of Materials.

◦ The scales are further grouped into 2 broader indexes: the Behavioral Regulation Index (Inhibit, Shift, Emotional Control, and Self-monitoring) and the Meta-cognition Index (Initiate, Working Memory, Plan/Organize, Task Monitor & Organization of Materials).

◦ These indexes combine for an overall summary score, the Global Executive Composite. ◦ There are 3 validity indexes (i.e., Negativity, Infrequency and Inconsistency)

3. The Buss-Perry Aggression Questionnaire (BPAQ). A 29-item inventory with 4 subscales (Physical Aggression, Verbal Aggression, Anger, and Hostility).

 

.

Page 6: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Post Group

The Behavior Rating Inventory of Executive Function

The Buss-Perry Aggression Questionnaire

24 participants attended a post treatment, semi-structured interview:

Participants provided feedback on what they found helpful What they believed changed in their lives, The feedback they experienced about their behavior changes How they maintained any changes.

The transcripts of these interviews were subjected to a thematic analysis and emerging themes were recorded.

Page 7: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Quantitative Results

Page 8: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)
Page 9: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)
Page 10: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Qualitative Data Major Themes: More than 50% of the Participants

I have less negative thinking and my perceptions of friends, family and others has changed

“I listen to my wife now before I wouldn’t listen to her points. It was all about me making my points”

“I am more involved in family activities”

“ I am a better boss now, I teach and mentor rather than dismiss and get frustrated

Page 11: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Themes I am aware that others have noticed the change and people are no longer afraid of me

“My wife and kids aren’t walking on eggshells anymore”

‘Before group the boss was scared to phone because I would blow up’

‘Before group my family feared me, my answer used to be to punch their lights out’

‘My case worker told me that 3 months ago I was scary and she was concerned about being in the same room as me, now she is helping me to get my kids back’

Page 12: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Themes Better Arousal Management

“I learned to think before speaking and not with my lizard brain”

“I’m stopping and thinking now, not reacting”

“It never occurred to me before to monitor my levels, I was like a boiling kettle’

“I stop and think, not reacting, not being so “in your face”

“I am calmer now, I don’t yell as much. Not reactive, thinking ahead”

Page 13: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Themes More Emotional Awareness and Getting in Touch with My Personal

Values

“I am not sweating the small stuff”

“I am calmer now, I stop and smell the flowers”

“I am less paranoid and less resentful”

“I am feeling more mature in my relationships”

“I am working on patience”

Page 14: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

More Themes Arousal Management Practice

“I put stickers on mirrors as reminders.”

“I have been breathing more lately”. [relaxation breathing]

“ I am doing breathing exercises every day”

Page 15: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

More Themes

Balance between Work and Play

“I no longer work such long hours”

“I try to balance my work and not work so much overtime”

“ Thinking about balance between work and l was helpful”

Page 16: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Other Themes Increased Communication Skills

“I learned that healthy relationships need trust and that I bottled my feelings”

“I learned to say things in more than one way”

“I use “soft” openings now”

“Communication was my issue, I am learning the tools”

Page 17: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Feedback about the group

“The facilitators had lots of patience and respect”

“It was great. I took an anger management course before and got nothing out of it. This time I did.

‘I feel less alone I am not the only one”.

“Learning about power was important”

“The group was great no one forces you to say any thing and you don’t get blamed.”

“The group gave me tools that were useful, I was hooked the first night

Page 18: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

In Closing

By the end of the first year, we were encouraged that a Good Lives

approach was appropriate for men dealing with family violence.

.

Page 19: Reaching for a Good Life: A Group Program for Abusive Men KAREN M NIELSEN, PHD, RSW (CLINICAL)

Contact Us