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Conference Day 2: Early Afternoon Selections 2:30 - 4:00



"using schema therapy formulation in group sex offender treatment" 

 hot topic by lisa wright


Summary:

Sex offender intervention is currently dominated by CBT based group therapies, focused on the thoughts, attitudes and beliefs linked to offending. Evidence for the effectiveness of these treatments is variable and issues have been raised as to the emotional depth of the therapy and its neglect of the underlying psychological factors linked to risk of re-offending, in particular in addressing the impact of childhood trauma on sexual and emotional development.

The use of schema therapy informed formulation within sex offender group treatment allows for the expansion of the intervention, helping participants to understand the origins of their offending behaviour in unmet childhood needs and the development of maladaptive offence relate modes of functioning. The incorporation of ST formulation into a community based group treatment for men who have sexually offended against children will be described, using case examples. 

ST is compatible with the models frequently used in sex offender intervention and the inclusion of a ST based formulation within a group setting allows for a more comprehensive and idiosyncratic understanding of risk, facilitating greater opportunity for psychological change and reduction of risk of re-offending. Issues related to using ST informed formulation within a wider group intervention rather than providing full schema therapy will be discussed and implications for future interventions outlined.


Lisa Wright Bio:

Lisa is a Clinical Psychologist working for Mersey Care NHS Trust in the North West of England. She completed her Schema Therapy training in 2008 and further training on using ST in forensic settings in 2011. Lisa has worked in secure hospitals, prisons and in the community and specialises in working with personality disorder, psychosis, trauma and various offending behaviours, using a range of therapeutic approaches. She currently manages an out-patient forensic psychology service which provides therapy aimed at reducing risk of offending/re-offending, violently or sexually, to people living in the community. Schema Therapy is a core component of the service and Lisa has gradually incorporated various aspects of ST into the sex offender group intervention program.


Why Schema Therapy?

Schema therapy has been extensively researched to effectively treat a wide variety of typically treatment resistant conditions, including Borderline Personality Disorder and Narcissistic Personality Disorder. Read our summary of the latest research comparing the dramatic results of schema therapy compared to other standard models of psychotherapy.

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