与罪犯合作、有效改变和持久降低风险的有效策略

A. Lah, Jacqui Saradjian
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摘要

研究表明,至少70%的罪犯达到了人格障碍的标准,而不是反社会,由于世界范围内精神病院的关闭;监狱中有越来越多患有精神疾病的罪犯。为了充分评估和减少罪犯带来的风险,并试图纠正这种风险,必须理解和解决潜在的犯罪动机。要做到这一点,罪犯必须真正参与进来。有人认为,这部分是由于不良的依恋历史和没有健康依恋的内在模型。这篇论文是由一位临床和法医心理学家顾问撰写的,他在为有心理健康问题的男性建立和运行服务和治疗方面有着长期的可靠记录,并在降低风险方面取得了杰出的成果,同时也是由一位经验丰富的专家撰写的,他对有效参与和改变所需的过程都有深入的个人见解。它描述了如何成功吸引罪犯以及如何发展健康和修复性治疗关系的可用策略。它描述了协作临床配方的重要性,以帮助连贯叙述的发展,以及情感上在场和参与的治疗师。需要在受害者和罪犯问题上共同努力,以实现真正的改变和减少风险。
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Proven Strategies for Engagement, Effective Change and Enduring Risk Reduction with Offenders
Research indicates that at least 70% of offenders reach criteria for personality disorder other than antisocial and, due to the closure of mental health hospitals world-wide; there are an increasing number of offenders with mental illness located in prisons. To fully assess and reduce the risk an offender poses and to try to remediate that risk, the underlying drives to offend must be understood and addressed. To do this an offender must be genuinely engaged. It is suggested that this is in part due to having poor attachment histories and no internal model of a healthy attachment. This paper is written by a consultant clinical and forensic psychologist with a long standing proven record of establishing and running services for and working therapeutically with men with mental health issues with outstanding results in risk reduction alongside and by an expert by experience who has in-depth personal insights into the both the processes needed for effective engagement and change. It describes useable strategies as to how to successfully engage offenders and how to develop a healthy and reparative therapeutic relationship. It describes the importance of a collaborative clinical formulation to aid the development of a coherent narrative and of an emotionally present and engaged therapist. The need to work on both victim and offender issues to bring about real change and risk reduction is elucidated throughout.
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