Table Of Contenti
INDIVIDUAL PSYCHOLOGICAL
THERAPIES IN FORENSIC SETTINGS
From the ‘nothing works’ maxim of the 1970s to evidence-b ased interventions to challenge
recidivism and promote pro-social behaviour, psychological therapy has played an important
role in rehabilitation and risk reduction within forensic settings in recent years. And yet the
typical group therapy model isn’t always the appropriate path to take.
In this important new book, the aims and effectiveness of individual therapies within
forensic settings, both old and new, are assessed and discussed. Including contributions from
authors based in the UK, North America, Europe, Australia and New Zealand, a broad range of
therapies are covered, including Cognitive Behavioural Therapy, Mentalisation Based Therapy,
Schema Therapy, Acceptance and Commitment Therapy and Compassion Focused Therapy.
Each chapter provides:
• an assessment of the evidence base for effectiveness;
• the adaptations required in a forensic setting;
• whether the therapy is aimed at recidivism or psychological change;
• the client or patient characteristics it is aimed at;
• and a case study of the therapy in action.
The final section of the book looks at ethical issues, the relationship between individual and
group-based treatment, therapist supervision and deciding which therapies and therapists to select.
This is essential reading for probation staff, psychologists, criminal justice and liaison
workers and specialist treatment staff. It will also be a valuable resource for any student of
forensic or clinical psychology.
Jason Davies is Professor of Forensic and Clinical Psychology at Swansea University, UK
and a Consultant Forensic and Clinical Psychologist with ABMU Health Board in South
Wales. He has worked in high, medium and low secure mental health settings, and is the
author of Supervision for Forensic Practitioners (Routledge 2015).
Dr Claire Nagi is a Chartered Psychologist and Registered Forensic Psychologist with
ABMU Health Board in South Wales, UK. She is Associate Clinical Tutor at the Department
of Applied Psychology, Cardiff Metropolitan University, Wales, UK. She has worked in
prison, forensic mental health and community NHS services.
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INDIVIDUAL
PSYCHOLOGICAL
THERAPIES IN FORENSIC
SETTINGS
Research and Practice
Edited by Jason Davies and Claire Nagi
iv v
First published 2017
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
711 Third Avenue, New York, NY 10017
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2017 selection and editorial matter, Jason Davies and Claire Nagi;
individual chapters, the contributors
The right of the editor to be identified as the author of the editorial material,
and of the authors for their individual chapters, has been asserted in accordance
with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced
or utilised in any form or by any electronic, mechanical, or other means,
now known or hereafter invented, including photocopying and recording,
or in any information storage or retrieval system, without permission in
writing from the publishers.
Trademark notice: Product or corporate names may be trademarks or registered
trademarks, and are used only for identification and explanation without
intent to infringe.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloguing in Publication Data
A catalog record for this title has been requested.
ISBN: 978-1-138-95571-4 (hbk)
ISBN: 978-1-138-95572-1 (pbk)
ISBN: 978-1-315-66613-6 (ebk)
Typeset in Bembo
by Out of House Publishing
vv
JD: For Susie, Bryn and Freya
CN: For my late parents, Norman and Miranda
vi vii
vviiii
CONTENTS
List of contributors ix
1 Introduction 1
Claire Nagi and Jason Davies
PART I
Individual therapies 9
2 Acceptance and Commitment Therapy 11
David Brillhart
3 Cognitive- Behavioural Therapy 28
Andrew Day
4 Cognitive Analytic Therapy 41
Karen Shannon and Philip Pollock
5 Exploring Compassion Focused Therapy in forensic settings:
an evolutionary and social- contextual approach 59
Paul Gilbert
6 Eye Movement Desensitisation and Reprocessing with
sexual offenders 85
Ronald J. Ricci and Cheryl A. Clayton
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viii Contents
7 Mentalisation based treatment 100
Gill McGauley
8 Personal construct psychotherapy 121
Adrian Needs and Lawrence Jones
9 Psychodynamic psychotherapy 142
Nigel Beail
10 Schema Therapy 157
Marije Keulen- de Vos and David P. Bernstein
11 Sensorimotor psychotherapy 180
Naomi Murphy
PART II
Key issues associated with individual therapies 195
12 Individual psychological therapy with associated groupwork 197
Claire Nagi and Jason Davies
13 Ethical issues in the treatment of offenders 213
Tony Ward
14 Supervising the therapists 228
Jason Davies and Claire Nagi
15 Selecting therapies and therapists 243
Jason Davies and Claire Nagi
16 Conclusions and future directions 257
Jason Davies and Claire Nagi
Subject index 265
Author index 272
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CONTRIBUTORS
Nigel Beail is Professor of Psychology at the Clinical Psychology Unit, Department
of Psychology at the University of Sheffield, UK. In addition, he is Consultant
Clinical Psychologist and Professional Lead for Psychological Services for South
West Yorkshire Partnership NHS Foundation Trust. He has published extensively
on practice- based research from his clinical work.
David P. Bernstein, PhD is Professor of Forensic Psychotherapy, an endowed chair
sponsored by Maastricht University and Forensic Psychiatric Center de Rooyse
Wissel. He received his doctoral degree in Clinical Psychology from New York
University in 1990, and joined the faculty of Maastricht University in 2004. He has
published extensively on personality disorders, psychological trauma and forensic
psychology. He is an internationally known expert on Schema Therapy, an inte-
grative therapy for personality disorders. He has served as Vice-P resident of the
International Society for Schema Therapy, and President of the Association for
Research in Personality Disorders.
David Brillhart, PsyD is a licensed psychologist specialising in Acceptance and
Commitment Therapy (ACT) with high-r isk and special needs violent offenders
in correctional and forensic settings. He developed his ACT Behind Bars workshop
based on his ACT forensic work and outcome measures of his 20- month pilot study
using ACT with Sexually Violent Persons (SVP). He has also presented and facili-
tated workshops nationally and internationally for correctional and forensic- based
clinicians using ACT. Working with this difficult population gives him the oppor-
tunity to help non- forensic clients navigate life’s ‘roadblocks’ at his private practice,
ACT II Psychology. For more information, visit http:// actiipsychology.com
Cheryl A. Clayton is a Licensed Clinical Social Worker and a Virginia Certified Sex
Offender Treatment Provider. She is the Director of Specialised Treatment Services
