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Anger Management: Cognitive Therapy Interventions
7 CEUs Anger Management: Cognitive Therapy Interventions

Section 8
Track #8 - Helping the 'Incapable & Overworked' Client with
Assertiveness Training

Question 8 | CEU Answer Booklet | Table of Contents | Anger Management CEU Courses
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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On the last track, we discussed rationalizations that perpetuate anger. Four rationalizations you may have encountered are "my past is to painful, forgiveness is too good, why should I try when no one else does, and anger is a familiar habit".

On this track, we will discuss Cognitive Behavior Therapy Assertiveness Training through Role Playing.  I use five steps in my Assertiveness Training.  See how they compare with the model you use.  I also enlist the help of another therapist whenever possible. 

The five steps are select an incident, role-play with another group member, have the client visualize the situation once more, have the client role play the situation twice with the other group member, and encourage the client.  As I describe the steps involved in Assertiveness Training, apply them to your last role play or an upcoming one.

Nick, age 36, had a very demanding boss.  Nick stated, "My boss is such a jerk.  If I ask for help on a project, he tells me I’m incapable.  And he never lets me finish a project.  He’ll approach me while I’m in the middle of something and tell me to do something else.  Then I’ll be working on the second thing and he’ll yell at me for not finishing the initial project.  I just want to tell him off!  But, he’s my boss.  I’m probably better off getting mad outside of work."  Nick had been openly aggressive towards his friends and, more recently, people he didn’t even know.  Would you agree that Nick was an ideal candidate for assertiveness training?

CBT Assertiveness Training through Role Playing - 5 Steps

Share on Facebook Step #1 - Select An Incident
In the first step, I asked Nick to select an incident or situation involving anger.  Nick selected a time when his boss, Mr. Thomas, berated him for not finishing a project after assigning him another task.  Once the incident was selected, I asked Nick to close his eyes and visualize the way the incident actually happened.  Right away this increased Nick’s understanding of what initially went wrong.  Next, I had Nick describe how the situation would normally play out.

First, Nick described the incident and the personality traits of Mr. Thomas.  Nick stated, "I was assigned to a marketing campaign for which I needed to write a financial proposal.  Shortly after beginning, Mr. Thomas requested me to begin an audit of company spending over the last six months!"  As Nick described it, the incident consisted of Nick being reprimanded by a pushy and overbearing Mr. Thomas.  

Share on Facebook Step #2 - Primary Role Play
The second step involves role-playing with another group member.  In this step, Nick observed two group members role-playing the incident in a non-hurtful, non-anger-provoking, assertive manner.  One group member from the anger management group played Nick asserting himself to Mr. Thomas.  To help Nick share his reaction I asked him a few questions.  "Did the group member portray Mr. Thomas well?"  "Did he model an assertive confrontation with which you could feel comfortable?"  Nick’s answers were positive, however if he had said no, I would have requested details.

Share on Facebook Step #3 - Visualize the Situation
The third step I use in anger management group Assertiveness Training is to have the client visualize the situation once more.  The purpose here is to give the client the opportunity to incorporate the assertive techniques modeled by the other group members.  Nick visualized the situation between himself and Mr. Thomas differently this time.  It was interesting to observe how Nick exhibited progress in implementing assertiveness. Nick stated, "I see that I should be calmly reminding Mr. Thomas that I have not completed the previously assigned task."

Share on Facebook Step #4 - Secondary Role Play
The fourth step in my group assertiveness training is to have the client role play the situation twice with other group members.  The first time, Nick played Mr. Thomas to gain insight regarding his boss’s motivation.  Nick began to feel that Mr. Thomas actually held him in high regard.  As you probably know, this insight helped Nick to gain a broader, more objective perspective and develop more empathy towards Mr. Thomas.  

The second time through, Nick and the other group member switched roles.  During this role play, I directed Nick by giving him cues and suggestions.  These cues included words or actions that Nick used to be more assertive.  For example, Nick stated, "I am overworked."  I asked Nick to use specify his generalization of overworked by listing the specifics of the first task assigned that were not completed.  After this role play was over, I asked both Nick and the other group member to share what they experienced in both roles.  Also, the Nick was given feedback from the group.  

Share on Facebook Step #5 - Encourage the Client
In addition to selecting an incident, role-playing with another therapist, having the client visualize the situation once more, and having the client role play the situation twice with the other therapist, the fifth step is encouraging the client.  I encouraged Nick to move forward at his own pace when he felt comfortable with the assertive techniques he had learned regarding his supervisor Mr. Thomas.  If Nick had expressed a need for more time to practice assertive confrontation skills with Mr. Thomas, another role-playing session would have taken place during this group meeting or a future one.  The main benefit I felt that Nick derived from role-playing was an increased empathy for Mr. Thomas and improved assertive confrontation and anger management skills.  

On this track, we discussed   CBT Assertiveness Training through Role Playing.  There are five steps in Assertiveness Training.  They are: select an incident, role-play with another group member, have the client visualize the situation once more, have the client role play the situation twice with the other group member, and encourage the client.

On the next track, we will discuss the need for clients to make behavioral changes that support accountability.  Four behavioral change concepts to consider are setting goals, making amends, choosing positive communication, and being authentic.

QUESTION 8
What can be five steps in CBT Assertiveness Training through Role-Playing?
To select and enter your answer go to CEU Answer Booklet.

 
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