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Unread March 8th, 2005, 10:53 AM
James Pretzer James Pretzer is offline
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Join Date: Jun 2004
Posts: 283
Default Re: CBT and Aggression (in schizophrenics in a forensic setting)

I've been waiting in the hopes that someone who works with this population would reply. However, since they haven't I'll contribute a few ideas.

Plenty of work has been done on CBT with anger/aggression, CBT with schizophrenia, and CBT in forensic settings but I haven't seen much that combines the three. (You can find info on each of these topics in the archives)

I'd expect it to be quite difficult to develop a collaborative relationship with aggressive schizophrenics in a forensic setting. Unfortunately, it is difficult to do CBT effectively without a collaborative relationship. A Motivational Interviewing approach probably would be a useful way to identify collaborative goals and generate motivation for change.

My experience with paranoid/aggressive schizophrenics has been that treating them with respect makes a big difference. It is important to communicate respect both verbally and non-verbally. They can be very sensitive to even subtle signs of disrespect and this has a major impact on interactions within the session and compliance between sessions.
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