Background Encouraging engagement is a challenge in forensic services. A model of behaviour chang... more Background Encouraging engagement is a challenge in forensic services. A model of behaviour change suggests that dissatisfaction with the self may express itself either as resistance to or commitment to engagement in treatment, and that this expression may be moderated by the individual's attributional style. Aims/Hypotheses It was hypothesised that there would be relationships between measures of dissonance, resistance to treatment and commitment to treatment, and that these relationships would be moderated by locus of control. Method Thirty-two patients from within a high secure dangerous and severe personality disorder service completed assessments measuring dissonance, locus of control, resistance and commitment. These measures were analysed for a moderated mediation using techniques outlined by . Results There were significant indirect relationships between dissonance and both resistance and commitment. These relationships were moderated by locus of control. However, the specifics of the relationships were not as expectedboth internal and external locus of control interfered with therapy, but in different ways. Conclusions/Implications for practice A patient who experiences dissonance may translate this into either commitment to or resistance to treatment, depending on features of the patient such as attributional style.
Psychopathy is a vital construct in the treatment of mentally disordered offenders, and it is arg... more Psychopathy is a vital construct in the treatment of mentally disordered offenders, and it is arguable that at the heart of psychopathy is a deviant interpersonal style. The present study analysed the changes in perceived dominance and warmth (as rated by staff using the Chart of Interpersonal Reactions in Closed Living Environments) of 34 male psychopathic patients admitted to the Dangerous and Severe Personality Disorder Service of a highsecurity hospital in the UK. Results showed that the level and direction of change in dominance and warmth were dependent on the level of psychopathy; patients with a higher level of psychopathy increased significantly in dominance but did not decrease in warmth, whereas patients with a lower level of psychopathy decreased significantly in warmth but did not increase in dominance. These results are discussed in terms of possible implications for the treatment and management of patients with varying levels of psychopathy. thy cannot be adequately understood in separation from the question of how psychopathic individuals behave towards others.
Purpose. Clinical psychology may not be making full use of the experimental psychological researc... more Purpose. Clinical psychology may not be making full use of the experimental psychological research available to it. The purpose of this article is to review the literature on cognitive dissonance in order to assess its usefulness in developing and deconstructing clinical psychological therapies and practice.
Purpose. The aim of this article is to demonstrate the utility of the concept of cognitive disson... more Purpose. The aim of this article is to demonstrate the utility of the concept of cognitive dissonance in clinical psychology by showing how it may underlie an existing intervention. The technique of motivational interviewing (MI) is taken as an example of an area where the literature on cognitive dissonance can find such an application. The further aim of this exercise is to utilize insights from cognitive dissonance to suggest possible modifications to the intervention as it currently stands.
A key aim of the dangerous and severe personality disorder (DSPD) project is the assessment of th... more A key aim of the dangerous and severe personality disorder (DSPD) project is the assessment of the effectiveness of different treatment approaches with patients usually considered ‘untreatable’, i.e. dangerous offenders with personality disorders. We present outcome analyses for a small pilot sample of patients in the Broadmoor DSPD unit over their first two years of treatment. To assess the effectiveness of the treatment provided within the Broadmoor DSPD pilot unit in terms of risk reduction and clinical indicators of improvement, routine assessment data were collected for each patient on a six-monthly basis. Patient changes were assessed to determine if they were statistically reliable at the individual level using reliable change index analyses. This provides an idiographic assessment of changes for each patient.
A key aim of the dangerous and severe personality disorder (DSPD) project is the assessment of th... more A key aim of the dangerous and severe personality disorder (DSPD) project is the assessment of the effectiveness of different treatment approaches with patients usually considered ‘untreatable’, i.e. dangerous offenders with personality disorders. We present outcome analyses for a small pilot sample of patients in the Broadmoor DSPD unit over their first two years of treatment. To assess the effectiveness of the treatment provided within the Broadmoor DSPD pilot unit in terms of risk reduction and clinical indicators of improvement, routine assessment data were collected for each patient on a six-monthly basis. Patient changes were assessed to determine if they were statistically reliable at the individual level using reliable change index analyses. This provides an idiographic assessment of changes for each patient.
... There may also be variable levels of tolerance for deviant behaviours between different ethni... more ... There may also be variable levels of tolerance for deviant behaviours between different ethnic groups (Hackett et al., 1991; Sahibzada, 1992). ... Each vignette was followed by a series of forced-choice questions asking: 1 Do you think Sarah/Isaac has a problem (yes or no)? ...
Background Encouraging engagement is a challenge in forensic services. A model of behaviour chang... more Background Encouraging engagement is a challenge in forensic services. A model of behaviour change suggests that dissatisfaction with the self may express itself either as resistance to or commitment to engagement in treatment, and that this expression may be moderated by the individual's attributional style. Aims/Hypotheses It was hypothesised that there would be relationships between measures of dissonance, resistance to treatment and commitment to treatment, and that these relationships would be moderated by locus of control. Method Thirty-two patients from within a high secure dangerous and severe personality disorder service completed assessments measuring dissonance, locus of control, resistance and commitment. These measures were analysed for a moderated mediation using techniques outlined by . Results There were significant indirect relationships between dissonance and both resistance and commitment. These relationships were moderated by locus of control. However, the specifics of the relationships were not as expectedboth internal and external locus of control interfered with therapy, but in different ways. Conclusions/Implications for practice A patient who experiences dissonance may translate this into either commitment to or resistance to treatment, depending on features of the patient such as attributional style.
Psychopathy is a vital construct in the treatment of mentally disordered offenders, and it is arg... more Psychopathy is a vital construct in the treatment of mentally disordered offenders, and it is arguable that at the heart of psychopathy is a deviant interpersonal style. The present study analysed the changes in perceived dominance and warmth (as rated by staff using the Chart of Interpersonal Reactions in Closed Living Environments) of 34 male psychopathic patients admitted to the Dangerous and Severe Personality Disorder Service of a highsecurity hospital in the UK. Results showed that the level and direction of change in dominance and warmth were dependent on the level of psychopathy; patients with a higher level of psychopathy increased significantly in dominance but did not decrease in warmth, whereas patients with a lower level of psychopathy decreased significantly in warmth but did not increase in dominance. These results are discussed in terms of possible implications for the treatment and management of patients with varying levels of psychopathy. thy cannot be adequately understood in separation from the question of how psychopathic individuals behave towards others.
Purpose. Clinical psychology may not be making full use of the experimental psychological researc... more Purpose. Clinical psychology may not be making full use of the experimental psychological research available to it. The purpose of this article is to review the literature on cognitive dissonance in order to assess its usefulness in developing and deconstructing clinical psychological therapies and practice.
Purpose. The aim of this article is to demonstrate the utility of the concept of cognitive disson... more Purpose. The aim of this article is to demonstrate the utility of the concept of cognitive dissonance in clinical psychology by showing how it may underlie an existing intervention. The technique of motivational interviewing (MI) is taken as an example of an area where the literature on cognitive dissonance can find such an application. The further aim of this exercise is to utilize insights from cognitive dissonance to suggest possible modifications to the intervention as it currently stands.
A key aim of the dangerous and severe personality disorder (DSPD) project is the assessment of th... more A key aim of the dangerous and severe personality disorder (DSPD) project is the assessment of the effectiveness of different treatment approaches with patients usually considered ‘untreatable’, i.e. dangerous offenders with personality disorders. We present outcome analyses for a small pilot sample of patients in the Broadmoor DSPD unit over their first two years of treatment. To assess the effectiveness of the treatment provided within the Broadmoor DSPD pilot unit in terms of risk reduction and clinical indicators of improvement, routine assessment data were collected for each patient on a six-monthly basis. Patient changes were assessed to determine if they were statistically reliable at the individual level using reliable change index analyses. This provides an idiographic assessment of changes for each patient.
A key aim of the dangerous and severe personality disorder (DSPD) project is the assessment of th... more A key aim of the dangerous and severe personality disorder (DSPD) project is the assessment of the effectiveness of different treatment approaches with patients usually considered ‘untreatable’, i.e. dangerous offenders with personality disorders. We present outcome analyses for a small pilot sample of patients in the Broadmoor DSPD unit over their first two years of treatment. To assess the effectiveness of the treatment provided within the Broadmoor DSPD pilot unit in terms of risk reduction and clinical indicators of improvement, routine assessment data were collected for each patient on a six-monthly basis. Patient changes were assessed to determine if they were statistically reliable at the individual level using reliable change index analyses. This provides an idiographic assessment of changes for each patient.
... There may also be variable levels of tolerance for deviant behaviours between different ethni... more ... There may also be variable levels of tolerance for deviant behaviours between different ethnic groups (Hackett et al., 1991; Sahibzada, 1992). ... Each vignette was followed by a series of forced-choice questions asking: 1 Do you think Sarah/Isaac has a problem (yes or no)? ...
Uploads
Papers by Simon Draycott