10/8/2018

1

Paul DePompo, PsyD, ABPP * Cassandra Moore, LMFT

Cognitive Behavioral Institute of Southern California www.cbtiofsocal.com

Presented at the 2018 PCIT ConferenceOctober 18th, 2018

Learn to help caregivers identify existing strengths to manage PCIT stuck-points (e.g. decreasing negativity/increasing PRIDE skills authentically, ability to ignore/active ignore)

Facilitate caregiver-generated imagery and metaphors that are potent to help the caregiver remember and creatively employ new positive attitudes and behaviors

Set-up behavioral experiments with caregivers designed with the goal to stay resilient and PCIT focused rather than resorting to old patterns

Practice constructive therapy methods and interview practices including use of smiling and silence

10/8/2018

2

TRIGGER THE PROBLEMATIC ATTITUDE RESPONSE

1. Ignores me

2. Talks back

3. Tries to negotiate

4. Refuses to get ready for bed

1. Repeat myself, then Yell!

2. Argue back, Threaten

3. Tries to Educate/Lecture

4. Lose it--- and take “everything away”

“I have to GET LOUD to get them to listen!”

TRIGGERS THE PROBLEMATIC ATTITUDE RESPONSE

1. Child yells

2. Child angrily throws a toy

3. Doesn’t get way and starts to cry

4. Tantrums when time for bed

5. Refuses to eat

1. Engages child

2. Asks why questions, avoids

3. Gives in, accommodates, promises next time

4. Pushes bed time, comforts

5. Offers new foods, accommodates

“To get them to stop I eventually just GIVE IN”

C2

Slide 5

C2 Check the responses to be sure all correspondCassandraQ, 10/1/2018

10/8/2018

3

TRIGGERS STRENGTH STRENGTH RESPONSE

1.

2.

3.

4.

5.

1.

2.

3.

4.

5.

GOAL:

C1

Testing out the RECYCLEDstrength during Special Playtime

Slide 8

C1 Pick one?CassandraQ, 10/1/2018

10/8/2018

4

Crane, M. F., Searle, B. J., Kangas, M., & Nwiran, Y. (2018). How resilience is strengthened by exposure to stressors: the systematic self-reflection model of resilience strengthening. Anxiety, Stress, & Coping, 1-17.

Greenberger, D., & Padesky, C. A. (2015). Mind over mood: Change how you feel by changing the way you think. Guilford Publications.

Holmes, E. A., Arntz, A., & Smucker, M. R. (2007). Imagery rescripting in cognitive behaviour therapy: Images, treatment techniques and outcomes. Journal of behavior therapy and experimental psychiatry, 38(4), 297-305.

Padesky, C. A., & Mooney, K. A. (2012). Strengths-based cognitive–behaviouraltherapy: A four-step model to build resilience. Clinical Psychology & Psychotherapy, 19(4), 283-290.