The Sexual Abuse Victim and Sexual Offender Treatment Planner, with DSM 5 Updates

David J. Berghuis, Rita Budrionis

• Publisher: Wiley
• Year: 2015
• ISBN:
  9781119074816
• Edition: 1
• Topic: Psychologie
• Subtopic: Recherche et méthodologie en psychologie

This timesaving resource features:

• Treatment plan components for 27 behaviorally based presenting problems
• Over 1, 000 prewritten treatment goals, objectives, and interventions—plus space to record your own treatment plan options
• A step-by-step guide to writing treatment plans that meet the requirements of most insurance companies and third-party payors

The Sexual Abuse Victim and Sexual Offender Treatment Planner provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal review agencies.

• Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized treatment plans for clients who are sexual abuse victims and/or sexual offenders
• Organized around 27 main presenting problems, including such offender issues as anger difficulties, deviant sexual arousal, and legal issues; such victim issues as eating disorders, self-blame, and social withdrawal; and such offender and victim issues as family reunification and self-esteem and stress-management deficits
• Over 1, 000 well-crafted, clear statements describe the behavioral manifestations of each relational problem, long-term goals, short-term objectives, and clinically tested treatment options
• Easy-to-use reference format helps locate treatment plan components by behavioral problem
• Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies (including HCFA, JCAHO, and NCQA)

Part 1

VICTIM ISSUES

ANGER DIFFICULTIES^*

BEHAVIORAL DEFINITIONS

1. Unexpected and unpredictable feelings of rage have occurred since having been sexually abused.
2. History of suppression of anger regarding having been sexually abused, resulting in depression, self-­destructive behaviors, or somatic symptoms.
3. Dissociation or numbing of feelings of anger toward the sexual offender.
4. History of explosive, aggressive outbursts that are out of proportion to precipitating stressors leading to assaultive acts or destruction of _­property.
5. Overreactions of hostility to insignificant irritants.
6. Use of verbally abusive language.
7. Body language or tense muscles (e.g., clenched fist or jaw, glaring looks, or refusal to make eye contact).
8. Use of passive-­aggressive patterns (e.g., social withdrawal due to anger, lack of complete or timely compliance in following directions or rules, complaining about authority figures behind their backs, or nonparticipation in meeting expected behavioral norms).

LONG- TERM GOALS

1. Accept the right to have and express anger toward the victim in ways that are self-­empowering and healing.
2. Decrease overall intensity and frequency of angry feelings, and increase ability to recognize and appropriately express angry feelings as they occur.
3. Develop an awareness of current angry behaviors, clarifying origins of and alternatives to aggression, passive-­aggressive behaviors, or suppression of anger.
4. Come to an awareness and acceptance of angry feelings while developing better control and more serenity.
5. Become capable of handling angry feelings in constructive ways that enhance daily functioning.

SHORT- TERM OBJECTIVES	THERAPEUTIC INTERVENTIONS
1. Verbally acknowledge experiencing feelings of anger. (1, 2)	1. Assist the victim in coming to the realization that he/she is angry by asking him/ her to explore and label his/her feelings. 2. Assign the victim to readthe book Of Course You're Angry (Rosellini and Worden) or The Angry Book (Rubin).
2. Identify targets of and causes for anger in daily life. (2, 3, 4)	2. Assign the victim to read the book Of Course You're Angry (Rosellini and Worden) or The Angry Book (Rubin). 3. Ask the victim to keep a daily journal that documents actions, environmental events, or internal thoughts that cause anger, frustration, or irritation. 4. Assign the victim to write a list of targets of and causes for anger, and process this list in session.
3. Verbalize an increased awareness of anger expression patterns. (5, 6)	5. Gently confront the victim about the transfer of angry feelings toward the therapist, either directly or indirectly, such as indicated by missed appointments, critical comments, or angry outbursts. 6. Refer the victim to an anger management class or group.
4. Identify how significant others in childhood have modeled ways to handle anger. (7)	7. Explore family-­of-­origin rules regarding anger expression, and use a genogram to identify how significant others in childhood (e.g., parents, caretakers, siblings, teachers) expressed angry feelings.
5. Identify the pain and hurt of past or current life that fuels ongoing anger. (8, 9)	8. Assign the victim to list the experiences of life that have hurt and led to anger. 9. Empathize with and clarify the victim's feelings of hurt and anger tied to traumas of the past.
6. Verbalize feelings of anger in a controlled, assertive way. (10, 11, 12, 13)	10. Teach the victim assertiveness skills, or assign him/her assertiveness training classes. 11. Process the victim's angry feelings or angry outbursts that have recently occurred, and review alternative behaviors that are available (e.g., taking a time-­out, using deep breathing and relaxation techniques, speaking assertively but not aggressively, sharing feelings in writing or with a friend to diffuse anger). 12. Use role-­playing techniques to assist the victim in developing non-­self-­defeating ways of handling angry feelings (e.g., assertive use of “I” messages). 13. Assign a specific exercise from an anger management workbook (e.g.,Dr. Weisinger's Anger Work Out Book by Weisinger or Skills Training Manual for Treating Borderline Personality Disorder by Linehan), and process the exercise with the victim.
7. Use relaxation techniques to cope with angry feelings. (14)	14. Teach the victim relaxation techniques (e.g., deep breathing, positive guided imagery, deep muscle relaxation) to cope with initial response to angry feelings when they occur.
8. Verbalize an increased awareness of how maladaptive ways of expressing angry feelings have had a negative impact on self and others. (15, 16)	15. Ask the victim to list...

Table of contents

• COVER
• TITLE PAGE
• COPYRIGHT
• TABLE OF CONTENTS
• DEDICATION
• PRACTICEPLANNERS® SERIES PREFACE
• ACKNOWLEDGMENTS
• INTRODUCTION
• PART 1: VICTIM ISSUES
• PART 2: OFFENDER ISSUES
• PART 3: OFFENDER AND VICTIM ISSUES
• APPENDIX A: BIBLIOTHERAPY SUGGESTIONS
• APPENDIX B: RECOVERY MODEL OBJECTIVES AND INTERVENTIONS
• End User License Agreement