Aggressive & Passive Victim Project C.A.R.E - Children and Adolescents at Risk Educcation 145 Content Preface 1 4 Preface 2 5 Chapter 1: Project Introduction Chapter 2: Conceptual Framework I. II. III. IV. V. VI. VII. Chapter 3: Chapter 4: Assessment and Research Design I. II. III. IV. V. Characteristics of the Research Research Design Targets of the Research Research Procedure Assessment Tools VI. Research Results Proactive Aggressors I. II. III. IV. V. Chapter 5: Application of Cognitive Behavioral Therapy and Related Theories Preparation for the Treatment Group Contents of Proactive Aggressor Treatment Group Case Studies Effectiveness Reactive Aggressors I. II. III. IV. V. 146 The Previously Defined Concept of Bullying The Internationally Agreed Definition of Bullying and Aggression Types of Aggressors Types of Victims Forms of Aggressive Behavior Related Theories Counseling Strategies Application of Cognitive Behavioral Therapy and Related Theories Preparation for the Treatment Group Contents of Reactive Aggressor Treatment Group Case Studies Effectiveness Project C.A.R.E - Children and Adolescents at Risk Educcation 8 12 13 13 14 20 26 29 33 40 41 42 42 44 46 56 62 63 65 68 142 156 158 159 161 164 221 235 Content Chapter 6: Aggressive Victims I. II. III. IV. V. Chapter 7: Passive Victims I. II. III. IV. V. Chapter 8: Application of Cognitive Behavioral Therapy and Related Theories Preparation for the Treatment Group Contents of Passive Victim Treatment Group Case Studies Effectiveness Practical Tips I. II. III. IV. V. VI. VII. VIII. IX. Chapter 9: Application of Cognitive Behavioral Therapy and Related Theories Preparation for the Treatment Group Contents of Aggressive Victim Treatment Group Case Studies Effectiveness Formation of the Treatment Group Theoretical Application Workers’ Qualities Basic Skills in Leading the Group Counseling Techniques Cooperation among Workers Crisis Intervention Cooperation with School and Teachers Arrangement of the Venue DVD User Guide I. II. III. Part I: Handlings of Aggressors and Victims Part II: Responses in Different Scenarios Part III: Case Studies Chapter 10: Appendices I. II. III. Content of Appendices Quantitative Assessment Tools Qualitative Assessment Tools Chapter 11: References 148 149 151 154 224 236 238 239 240 243 298 309 310 311 313 313 314 314 315 315 316 317 318 319 330 340 342 343 344 351 382 Project C.A.R.E - Children and Adolescents at Risk Educcation 147 Chapter 6: Victims Aggressive Vi 148 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Chapter 6: Treatment Group – Aggressive Victims I. Application of Cognitive Behavioral Therapy and Related Theories 1. Social Information Processing Model (Please refer to Chapter 2) Aggressive victims have a very strong sense of self-protection. Due to past experiences of being bullied, they tend to interpret social cues negatively in the second step of the process. In the third step, they have the tendency to retaliate to protect themselves. On the other hand, they also expect themselves to comply with the moral principles. Due to the discrepancy between the beliefs of retaliating and complying with the moral principles, they always suffer from the contradiction and emotional distress. 2. Attribution Theory (Please refer to Chapter 2) The attributional tendencies of aggressive and passive victims are different, and these differences can affect their emotions and how they react when handling a bullying situation. When faced with a bullying situation, aggressive victims often refuse to take responsibility for what happens and tend to attribute the consequences of their actions to external factors. Aggressive victims often complain about “unfair” and “unreasonable” conditions and events, as it is difficult for them to control or change external factors. What is more, in ambiguous circumstances they tend to externalize blame: they believe that the aggressor is picking on them and does not like them, thus they become angry and are more likely to retaliate with aggressive behavior (Camodecaet al., 2003). They blame their aggressive behavior on external factors, such as peer pressure, which makes it difficult for them to change their behavior (Georgiou & Stavrinides, 2008). 3. Freud's Concept of Anxiety (Please refer to Chapter 2) Aggressive victims’ inner struggles bring them a great deal of anxiety. When they are being bullied, they will feel anxious and restless. During the process of selecting their behavioral response to bullying, aggressive victims will experience neurotic anxiety, as they want to fight back but are afraid of being punished. Besides, when aggressive victims are being bullied, the physical and mental harm they experience will lead to reality anxiety. When aggressive victims choose to respond to bullying with aggressive behavior, they experience moral anxiety because retaliating contradicts their conscience. As aggressive victims often have these three types of anxiety, they are unable to make decisions and solve the bullying problem by themselves. 4. Theory of Cognitive Therapy on Anxiety (Please refer to Chapter 2) Aggressive victims are often bullied by their peers and therefore become sensitive to external cues. They would have bias in processing and interpreting information when they were on guard; they tended to receive only the threatening messages and ignored other factual information, and therefore easy for them to reach incorrect conclusions. They tend to exaggerate the danger of the situations they are dealing with and so often feel anxious. In respond to the anxieties generated from cognitive bias, aggressive victims tend to fight back to protect themselves. Project C.A.R.E - Children and Adolescents at Risk Educcation 149 Chapter 6 Treatment Group - Aggressive Victims 5. Application of Cognitive Behavioral Therapy (Please refer to Chapter 2 for cognitive behavioral therapy) The treatment group for aggressive victims is based on Cognitive Behavioral Therapy (CBT), coupled with the above theoretical analysis. The structure of the 10 sessions is as follows. Session Application of CBT Program objectives 1 Establish trust and rapport. Aggressive victims have experienced and witnessed violent incidents in the past, which have made them emotionally anxious. Therefore, it is crucial to establish a trusting relationship with aggressive victims and make them feel secure in the group. 2 Identify members’ emotional and behavioral responses. Allow aggressive victims to recognize how they easily become emotionally unstable and often respond thoughtlessly. These characteristics confine their ways of doing things. Detect members’ irrational beliefs. Aggressive victims often struggle with their thoughts. Use the concepts of “neurotic anxiety”, “realistic anxiety” and “moral anxiety” to explore how members attribute, interpret, and respond to events, and thus understand their irrational beliefs. 3–4 Educate members about the A-B-C concept. The concept indicates that the belief (B) is the individual's judgment of the event (A), which affects their emotional and behavioral responses (C). 5 Use common bullying situations that aggressive victims often experience to facilitate the discussion. Allow members to observe how they interpret the events, and how their beliefs affect their emotional and behavioral responses, to help them identify their irrational beliefs. Identify members’ irrational beliefs. Introduce the concepts of overgeneralizing, black-and-white thinking, and magnifying (the negatives) and minimizing (the positives). Allow members to identify the unreasonableness of their irrational beliefs. 7 Challenge members’ irrational beliefs. Workers must challenge the irrational beliefs that are often found in aggressive victims, such as “I have to have someone I respect to love and praise me,” “Bullies and bad people must be severely punished,” and “I must show that I am competent, otherwise I will be looked down upon and become worthless”. 8 Formulate new and effective rational beliefs with a new set of emotional and behavioral responses. Formulate new rational beliefs, emotional and behavioral responses using debate and behavioral assignments. 6 150 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims 9 Behavioral assignment: Assertiveness Training. Aggressive victims have poor problem-solving skills. They will be trained in assertiveness to improve their interpersonal skills, which will enhance their confidence and ability to face adversities. 10 Termination and relapse prevention. Review and praise the changes made by aggressive victims to consolidate their successful experiences. In practice, Beck's Cognitive Behavioral Therapy (CBT) provides a clear and specific theoretical framework for workers to assess members’ core beliefs, automatic thoughts, and intermediary schemas. Therefore, workers should employ Beck's cognitive theory to assess the cases. Moreover, Ellis's Rational-Emotive Theory, which used the concept of event (A), belief (B), and the correlation between behavior (B) and emotion (C) specifies the twelve irrational beliefs that arise from emotional distress and negative behavior. Ellis's A-B-C concept and irrational beliefs are specific and clear, and the concept is therefore employed by workers in the treatment group. II. Preparation for the Treatment Group Each group member attends a pre-group interview prior to attending the treatment group. Questionnaire data and interviews can reveal the cognitive, behavioral, and emotional characteristics of group members. Therefore, workers are advised to analyze the content of the questionnaires and pre-group interviews carefully to gain insight into group members’ characteristics, and to provide targeted counseling accordingly. 1. Questionnaire The table below shows the clinical scores from Kin's pre-group interview. Workers can analyze the scores from cognitive, behavioral, and emotional aspects. Behavioral Aspect: Rating Scale Bullied by Peers (Total: 105) Aggressive Behavior (Total: 38) Reactive Aggression (Total: 22) Score 76 15 16 Kin scored 76 on the “bullied by peers” index. This high score reflects that he was in a serious bullying situation. His “aggressive behavior” index was 15. Although this score is lower than the clinical cutoff for aggressors (male: 19, female: 18), it is considered a high score for a victim. Moreover, his “reactive aggression” index was 16, which suggests that most of his aggressive behavior was provoked by peers, and revealed that Kin was an aggressive victim. Project C.A.R.E - Children and Adolescents at Risk Educcation 151 Chapter 6 Treatment Group - Aggressive Victims Emotional Aspect: Rating Scale Anxiety/ Depression (Total:32) Anger Response (Total:16) Anger Personality (Total:16) Anger Trait (Total:40) Anger Internalized (Total:32) Anger Externalized (Total:32) Anger Control (Total:32) Anger Expressed (Total:48) Score 20 15 12 30 14 25 14 41 The data indicate that Kin was anxious and depressed, and with anger characteristics. However, he seldom suppressed his emotion when he was angry (anger internalized: 14), and tended to use aggressive behavior to vent his anger (anger externalized: 25); his ability to control his anger was also relatively weak (anger control: 14). Cognitive Aspect: Rating Scale School Safety (Total: 52) Fairness of School Rules (Total: 15) Clarity of School Rules (Total: 20) Score 31 9 15 The data show that cognitively, Kin did not feel that school was a safe place (higher scores indicate feeling less safe). He also felt the school rules were not fair or clear (the higher the score, the less fair and clear the rules). It was evident that he did not trust his teachers and school. This belief would prevent him from reporting to teachers when he was bullied; instead, he would choose to respond to the situation with aggressive behavior. 2. Interviews with Students Students were asked about some possible scenarios they might encounter at school. Aggressive victims have a tendency to blame others in ambiguous situations. Therefore, some of the hypothetical situations were ambiguous and did not state that the protagonists were being bullied by peers, whereas others were clearly bullying situations. Students were asked to put themselves in the situation of the protagonists and indicate what their beliefs, behavior, and emotions would be. The following is an example of an ambiguous bullying situation: “You were on your way to school and noticed your shoelaces were loose, so you put your school bag on the floor and leaned over to tie your shoelaces. Your mobile phone fell from your school bag while you were placing the bag on the floor. Your classmate walked by and happened to kick away your mobile phone. You saw the person first looking at the mobile phone and then at you.” 152 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims After Kin had heard what happened in the situation, he jumped to the conclusion that the person must have seen the mobile phone fall out of his school bag and purposely came over to kick it away to upset him. Kin believed that the person must already have ill feeling toward him, and took the opportunity to hurt him. Kin was able to come up with other possibilities, for example, that he was careless to drop his mobile phone, or the person just happened to be there when he dropped his phone. However, he believed that it was most likely that the person wanted to make his life difficult. We could see that Kin tended to blame negative events on external factors; in this case, the external factor was that the student kicked away his phone. Moreover, even if there was no clear evidence that the student acted deliberately kicked, or that is was directed against him, Kin continued to believe the person's behavior was an expression of hostility toward him. Kin felt helpless and quite angry when he was asked about his emotional response to the incident (he rated his anger as 5 on a scale of 1-10). He came up with a number of possible behavioral responses, such as ”go over immediately to scold him”, ”stare at him angrily”, and finally “ask him why he did it”. Although this behavior may seem relatively calm, he further indicated that he would question the person aggressively. We could see that he often chose to respond to potential bullying situations with aggressive behavior. When asked why he chose to respond with such behavior, he said that if he did not do so, others would think that “he was a pushover”, “he would get away with it”, and “others would damage something else of his next time”. We could see that Kin perceived aggressive behavior as a way to protect himself from others. Finally, Kin thought it was all the other student's fault because “even if I accidentally dropped the phone, he should not kick it away”. He not only believed it was the other's fault, he trusted that the person should be held responsible and compensate him with a new phone. Once again, this belief indicates a tendency to attribute the consequences of actions to external factors. The following is an example of an obvious bullying situation: “One day you walked into the toilet cubicles. You had just shut the door when you heard someone locking the toilet door from the outside, then they poured water into your toilet cubicle and made you soaking wet.” Kin felt extremely angry when he heard of the situation. He rated his anger as 11 on the 1-10 rating scale. He believed the person who pulled the prank felt happy, excited, and was having fun. He believed the person did not like him and there was animosity between them, therefore the person deliberately pulled pranks on him. He trusted similar incidents would occur again. Kin's belief indicated he had the tendency to make hostile attributions. Workers then asked Kin how he would respond to the incident. He said he would try to escape immediately, and would kick the door open or shout out loud, hoping a student or teacher would hear him and release him. He would then ask other students in the class in the hope of finding out who did it. If he found out who did it, he might respond in one of two ways. His first response would be to hit the person until “he kneeled and begged forgiveness”. He felt that he had to beat the person up in order for him to vent his angry emotion. We could see his desire for revenge and he tended to respond to bullying with violence. His other response was to report the incident to the teacher and ensure the person was punished. Although this seemed like a non-offensive way to address the issue, his focus was on revenge rather than to ensure the person corrected his wrong deeds. Kin later mentioned that he might not choose to inform the teacher because “it's no use telling the teacher”. It turned out that Kin had had a similar experience in the past, when a student soaked Kin's book with a soft drink. When he reported the incident to the teacher, the teacher only criticized the student slightly, but also told Kin that he should be careful himself. Kin felt that the teacher had not dealt with the bullying situation seriously, thus he lost his confidence in the school. Finally, he believed that no matter what he did, the person would continue to pick on him using similar or different tactics. We could see that Kin had long felt hopeless and helpless as the target of bullies. Project C.A.R.E - Children and Adolescents at Risk Educcation 153 Chapter 6 Treatment Group - Aggressive Victims 3. Conclusion Workers were able to gain a better understanding of Kin from his questionnaire scores and the content of his interview. Because he believed he was the target of bullies, he easily became angry and tended to use violence to protect himself or to retaliate. Kin was a typical aggressive victim. Workers were then able to design group activities, such as situational questions, in accordance with the characteristics and personal experiences mentioned in the interview. Thus, the counseling treatment could be more in-depth and targeted to Kin's beliefs, behavior, and emotions. III. Content of Aggressive Victim Treatment Group (A) Session: First Session Theme: A new beginning for leadership–Mutual understanding Aims: 1. To build up mutual trust and a sense of security among group members and workers. 2. To enact the code of practice. 3. To share the expectations of the group. 4. To understand the content and goals of the project, and members’ roles and the aims of participation. 5. To understand the group members’ school lives and assess their inner conflicts and pressures. Activity Introduction to the Group Duration 10 minutes Objectives 1. To let group members understand the content and aims of the group and clarify their roles. 2. To reduce group members’ anxiety about participating in the group. Procedure 1. Workers introduce themselves. 2. Group members get to know one another. 3. Workers introduce the content and aims of the project leadership training: • To understand different thinking patterns. • To broaden thinking techniques(multi-angled thinking). • To develop their problem-solving techniques. • To increase their social skills. 4. Introduction to rewards – let members know that in each session, a reward will be given to those who pay attention and contribute to the group. 5. Consult group members on their opinions and suggestions for rewards. 6. Introduce the theme of the session: mutual understanding. Material 154 Rewards Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Activity “Tell Us about Your School” Duration 35 minutes Concept Because the emotions of aggressive victims are chaotic (Dodge, 1991), they often struggle between obeying rules and using violence. Hence, workers use different emotion cards to stimulate group members’ emotional cognition, to assess their inner struggle and pressure, and to understand group members’ thoughts about bullying events. Objective To understand group members’ school life, assess group members’ inner struggles and pressures. Procedure 1. Distribute a pack of emotion cards (8 different colors) to group members (Group Material 1.1). 2. Worker picks a topic: showing group members one topic card (Group Material 1.2) at a time • The topic cards contain pictures related to school life, i.e., place where bullying happens or the people involved. 3. Group members show emotion cards: Show an emotion card representing their emotions that the topic triggers them, and then share relevant experiences of their school life with the others. • Worker can change the order of the activity to make it suitable. For example, worker can select an emotion card first, then have group members share their corresponding experiences at school. Materials Emotion cards (Group Material 1.1), “Tell Us about Your school” topic cards(Group Material 1.2) Project C.A.R.E - Children and Adolescents at Risk Educcation 155 Chapter 6 Treatment Group - Aggressive Victims Activity My Expectations of the Group Duration 35 minutes Concept Aggressive victims have often experienced or witnessed violence when growing up (Dodge, 1991), hence they have little trust in others. The first session of the group aims to build up mutual trust and create a safe environment. Objectives 1. To increase group members’ involvement in the group. 2. To understand and clarify group members’ expectations. 3. To enact the group's rules and codes of practice. 4. To build up mutual trust and create a safe environment. Procedure 1. Watch the cartoon Doreamon (North and South Pole episode). 2. Distribute the “List of Expectations” (Group Material 1.3), and invite group members to choose and enact their group expectations. Workers can prepare a blank list for group members to write down other expectations. 3. Group members share their expectations of the group. 4. Discuss their expectations of the group and how they can be achieved. 5. Conclude and write down all the expectations and rules on a large sheet of paper, to encourage group members to reach their expectations. Basic rules: • Respect yourself and others. • Do not cause harm to yourself or others. • Be actively involved in the group. • Express your own opinions. • Keep the group content and group members' sharing secret. 6. Distribute a bag to each group member, inside which there is a welcome card (including the date and time of each session), and the expectation list chosen by them. Workers should ask them to bring back the bag on the tenth session to review whether they have achieved their expectations. Materials Cartoon Doreamon (The story of “The North and South Pole”). List of Expectations(Group Material 1.3) Large sheet of drawing paper Bags 156 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Activity Debriefing and Explanation of the Homework – “Emotional Event Record Form” Duration 10 minutes Concept Because most of the aggressive victims in school have less chance of being recognized or respected, workers should praise those who give a “positive performance” to encourage them to keep up their good behavior and their sense of belonging. The “Emotional Event Record Form” may be used to record their emotions and understand what emotions they are struggling with. Objectives 1. To debrief on the group content. 2. To strengthen group members’ sense of belonging to the group. 3. To cultivate group members’ habit of finishing homework. Procedure 1. Feedback on workers’ observations and praise those who have performed well. 2. Introduce the homework “Emotional Event Record Form”. 3. Remind group members that they may receive a reward if they finish their homework. 4. Present the “Best Performance Award” to the member who showed the most active involvement in the group. Materials “Emotional Event Record Form” (Homework Assignment) Rewards Remarks 1. In the “Tell me about your school” activity, workers need to pay attention to the different topics and assess group members’ inner struggles and pressures. Group members will present the different emotion cards in order, to reflect their understanding of the topic. 2. Workers should allow time for the group members to choose the emotion cards because they may be slow to warm up. They also tend to think there are many things in life that are uncontrollable, so being able to choose what they want may increase their confidence. 3. When setting rules for the group, workers need to reiterate that the content is confidential so that group members will feel it is a safe place for them to express their feelings. 4. Nobita's (Doreamon)* character is similar to that of aggressive victims, so workers can increase group members’ involvement by showing the video. However, Nobita is often bullied by Takeshi, so workers should be careful that group members do not get labeled as Nobita, to avoid them thinking that they are similar and cannot avoid the fate of being bullied. *Doraemon is a manga series produced in Japan, which describes the daily life of an earless robotic cat from the future, a schoolboy, Nobita, and their friends. Doraemon usually helps Nobita to overcome his difficulties with the use of magic tools. Project C.A.R.E - Children and Adolescents at Risk Educcation 157 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ First Session Group Material 1.1: Emotion Cards Disdainful Lost Ashamed Secure Frightened Peaceful Worried Depressed Doubtful Proud Hopeful Satisfied Helpless Upset Angry Painful Envious Pleased Scared Surprised Happy Relaxed 158 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims First Session Group Material 1.2: Name:____________________ “Tell us about your school – Topic card” Project C.A.R.E - Children and Adolescents at Risk Educcation 159 Chapter 6 Treatment Group - Aggressive Victims First Session Group Material 1.3: Name:____________________ List of Expectations 160 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Project C.A.R.E - Children and Adolescents at Risk Educcation 161 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ First Session Homework Assignment: Emotional Event Record Form Please record three events from the past week, and reflect on how you felt and how you solved the problems. Date Event Emotion Solution (If you can't think of one, the emotion words below may help you ) Emotion words: Ashamed, outgoing, secure, happy, satisfied, proud, calm, relaxed, hopeful, envious, afraid, anxious, troubled, doubtful, depressed, relaxed, hurt, angry, surprised, helpless. 162 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims (B) Session: Second Session Theme: My tricks Aims: 1. To understand group members’ inner struggles and pressure. 2. To investigate group members’ behavioral responses, and their aggression format. 3. To investigate group members’ strengths and their stage of moral development. Activity Homework Sharing: “Emotional Event Record Form” and “Threat Index” Duration 30 minutes Content Aggressive victims only have a few ways to solve problems when facing difficulties (Guerra & Slaby, 1989), while at the same time they are emotional and do not consider things fully before reacting (Rudolph & Heller, 1997).Homework is therefore used to assess group members’ emotions and behavioral responses. Objectives 1. To understand group members’ frequent emotions. 2. To review group members’ attributions of an event. 3. To understand group members’ behavioral responses to everyday events. 4. To broaden group members’ perceptions of an event. Procedure 1. Group members share their homework content: “Emotional Event Record Form”. 2. Group members choose one event to share: • Put a “Banana Label" on the “Threat Index"(Class Assignment 1.1), to represent the degree to which they feel threatened (the highest is five bananas). • Put the “Banana Skin Label" on the “Threat Index", to represent how much they are actually being threatened (the highest is five bananas). 3. Workers give praise and a reward to those who finished their homework and were willing to share. Material “Threat Index”(Class Assignment 1.1) Banana label, banana skin label Back-up homework (if group members are unable to hand in their assignment, they can complete it immediately) Project C.A.R.E - Children and Adolescents at Risk Educcation 163 Chapter 6 Treatment Group - Aggressive Victims Activity Discussion on the Short Video – “The missing cell phone” Duration 50 minutes Content According to Crick and Dodge's (1994) Social Information Processing (SIP) theory, in steps two to four, people will process information according to their own experiences. After processing the information they will search for and choose a corresponding response. The purpose of this activity is to assess how group members interpret information and their strategies for dealing with it. Objectives 1. To investigate how group members process outside information. 2. To investigate group members’ emotions after processing information. 3. To investigate group members’ possible responses. 4. To investigate group members’ strategies for dealing with the problem. 5. To investigate group members’ aggression format. 6. To investigate group members’ moral development. Procedure 1. Play the short video – “The missing cell phone” (please refer to the DVD, Part II, Scenario 2: The missing cell phone). 2. Group members imagine themselves as the character: • If you were Wong Chun-Wah, to what degree would you have felt you were being threatened? Take a “Banana Label" and paste it on the “Trick Index" (five bananas is the highest score) (Class Assignment 1.2). • If you were Wong Chun-Wah and you encountered the same situation, what would be your solution? Write down three methods on a piece of paper and paste them on the “Trick Index". 3. Group members paste a star label by their solution label to indicate how likely it is that they would adopt that solution (five stars is the highest). 4. According to group members’ solutions, divide them into two groups (aggressive or rational behavior), and investigate group members’ reasons for their solutions. 5. The two groups share their solutions and the reasons behind them. Workers summarize and investigate group members’ thoughts and worries when choosing the solution. Materials Please refer to the DVD, Part II, Scenario 2: The missing cell phone Trick Index (Class Assignment 1.2) Banana labels, white labels, and star labels 164 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Activity Debriefing and Explanation of the Homework: “Troubling Event Record Form” Duration 10 minutes Content According to Crick and Dodge's (1994) SIP theory, in steps two to four, people will process information according to their own experience. After processing the information they will search and choose a corresponding response. The purpose of this activity is to assess how group members interpret information and their strategies for dealing with it. Objectives 1. To observe and record group members’ difficult experiences when interacting with others. 2. To investigate the source of the difficulties they experience when interacting with others. Procedure 1. Debrief on workers’ observations and praise group members’ prosocial and cooperative performance. 2. Introduce homework – “Troubling Event Record Form”. 3. Remind group members that after finishing their homework, they may earn a reward. 4. Give the best performance award to the group member who is most actively involved in the activity. Materials “Troubling Event Record Form” (Homework Assignment) Rewards Remark Group members may become confused trying to differentiate between the estimated threat and the real threat. Workers need to explain the difference clearly and also let them know that the results may not be what they expect. Project C.A.R.E - Children and Adolescents at Risk Educcation 165 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Second Session Class Assignment 1.1: Threat Index The following shows the format of the Threat Index using “Chris” as an example. When preparing this form, workers will need to use a large amount of paper, banana and banana skin labels, etc. Member: Member: Estimated Threat Estimated Threat Actual Threat Actual Threat Member: Member: Estimated Threat Estimated Threat Actual Threat Actual Threat Member: Member: Estimated Threat Estimated Threat Actual Threat Actual Threat Member: Member: Estimated Threat Estimated Threat Actual Threat Actual Threat 166 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Second Session Class Assignment 1.2: Trick Index The following shows the format of the Trick Index using “Chris” as an example. When preparing this form, workers need to use a large amount of paper, banana and banana skin labels, etc. Member: Chris Member Estimated Threat Estimated Threat Trick 1 Beat him Trick 1 Trick 2 Scold him Trick 2 Trick 3 Follow what he told Trick 3 Member Member Estimated Threat Estimated Threat Trick 1 Trick 1 Trick 2 Trick 2 Trick 3 Trick 3 Member Member Estimated Threat Estimated Threat Trick 1 Trick 1 Trick 2 Trick 2 Trick 3 Trick 3 Member Member Estimated Threat Estimated Threat Trick 1 Trick 1 Trick 2 Trick 2 Trick 3 Trick 3 Project C.A.R.E - Children and Adolescents at Risk Educcation 167 Chapter 6 Treatment Group - Aggressive Victims Second Session Homework Assignment: Name:____________________ Troubling Event Record Form Looking back to the events of the past week (or earlier), record the biggest difficulty you have experienced in getting along with others. (*Circle whichever emotions you felt at the time) When it happened Where it happened (Date/Time): (Place/Situation): Who was involved: Facing trouble Estimated threat index Actual threat index Emotion at the time: Ashamed/Happy/Safe/Satisfied/Proud/Calm/Relaxed/Hopeful/Envious/Afraid/Anxious/Frightened/Troubled/ Doubtful/Depressed/Painful/Angry/Surprised/Others___________ Solution proposed Circle the final choice 1. 2. 168 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims (C) Session: Third Session Theme: My “devil, reality, angel” Aims: 1. To investigate group members’ source of inner struggle and pressure. 2. To investigate group members’ strengths and stage of moral development. Activity Explanation of the Homework: “Troubling Event Record Form” Duration 35 minutes Concept According to Cannon (1915),when people experience negative feelings or hidden aggression, they will have a fight-or-flight response. Through the homework, workers can review group members’ behavior or emotional responses. Objectives 1. To investigate group members’ source of pressure when interacting with others. 2. To investigate group members’ behavior or emotional responses to the event. Procedure 1. Group members share their homework – “Troubling Event Record Form”. 2. Workers praise those who finished their homework and were willing to share, and give them a reward as encouragement. Material “Troubling Event Record Form” Activity “Devil, Reality, Angel” – Practical Duration 35 minutes Concept After reviewing group members’ behavioral or emotional responses, workers will investigate group members’ irrational beliefs. Because aggressive victims often feel anxious (Olweus, 1978), workers will divide their anxiety into three kinds: reality anxiety, neurotic anxiety, and moral anxiety (Hall,1955) to assess group members’ inner struggles, contradictions, and stage of moral development. Objective To let group members understand and distinguish the concepts of devil, reality, and angel. Procedure 1. Introduce the origin of members’ worries: devil, reality, and angel (Group Material 1.1). Devil: I want to do that, but I am inhibited by my own conscience (neurotic anxiety). Reality: The difficulties/dangers/threats faced in reality (reality anxiety). Angel: The conscience speech (moral anxiety). 2. The workers describe the scenario below: “While I am in a lesson with my favorite teacher, the classmate sitting behind me keeps disturbing me. He keeps throwing paper balls at me but the teacher does not notice. I tolerate it for quite a long time but the classmate does not intend to stop.” Project C.A.R.E - Children and Adolescents at Risk Educcation 169 Chapter 6 Treatment Group - Aggressive Victims Procedure 3. The group members are divided into two groups for the competition: distinguish between the devil, the reality, and the angel. • Each group has three color cards: red represents the devil, green represents the reality, and yellow represents the angel. • Referring to the sentences on the topic cards (Group Material 1.2), group members try to identify the devil, the reality, and the angel. • Each group has to raise their color cards as fast as they can to distinguish the devil, reality, and angel, with their corresponding explanations. • The first group to give the correct answer scores a point, and the group with the highest score gets a reward. Material Introduction paper (Group Material 1.1) Color cards and discussion topic cards (Group Material 1.2) Activity “Devil, Reality, Angel” –Self-evaluation Duration 35 minutes Concept After reviewing group members’ behavioral or emotional responses, workers will investigate group members’ irrational beliefs. Because aggressive victims often feel anxious (Olweus, 1978), workers will divide their anxiety into three kinds: reality anxiety, neurotic anxiety, and moral anxiety(Hall, 1955) to assess group members’ inner struggles, contradictions, and stage of moral development. Objectives 1. To let group members understand and distinguish between the concepts of devil, reality, and angel. 2. To let group members understand their devil, reality, and angel. 3. To investigate group members’ source of inner struggles and pressure. 4. To understand group members’ strengths and stage of moral development. Procedure 1. Workers role-play the following situation: “Today I brought a new game to school and had so much fun. After a while, my classmate Hugo came over and took my Gameboy. At that time, how would I feel? How would I do?” 2. Distribute “My devil, reality, angel” worksheets(Class Assignment), for group members to identify and write down their devil, reality, and angel. 3. Group members choose the devil, reality, or angel that they find the most troubling. 4. Workers divide members into three groups according to their choice of devil, reality, and angel(devil group, reality group, or angel group) 5. Discussion points: • Why is this devil/reality/angel the most troubling? • When does the devil appear? • When was the first time the devil appeared? Where did the event happen? Who was involved in the event? 6. Workers debrief on group members’ most troubling events. Material 170 “Devil, reality, angel” worksheet (Class Assignment) Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Activity Debriefing and Explanation of the Homework –“Source of Trouble” Duration 10 minutes Concept Through the homework, workers can learn more about group members’ situations and assess the appearance of reality anxiety(reality), neurotic anxiety(devil), and moral anxiety(angel). Objectives 1. For group members to observe and record conflicts with classmates in school and what it is that they feel troubled by. 2. To investigate the stress and anxiety that group members experience when conflicts occur. 3. To investigate how group members get along with their classmates. Procedure 1. Debrief workers’ observations and praise members’ performance. 2. Introduce homework – “Source of Trouble”. 3. To remind group members that when they finish doing their homework, they will be given a reward. 4. To give the best performance award to the group member who was most involved in the group. Materials “Source of Trouble” (Homework Assignment) Rewards Remarks 1. When explaining the “devil, reality, angel” concept, workers need to use everyday examples or the examples given in members’ homework to elaborate the concept. 2. When explaining the concept, workers also need to be careful that it is not only the devil, but also the angel, that can hold irrational beliefs. Project C.A.R.E - Children and Adolescents at Risk Educcation 171 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Third Session Group Material 1.1: Introduction Before an examination, Nobita is thinking… Devil: Go to sleep, you are feeling too tired and can't revise anymore! Reality: Mother will scold you and you will fail the exam. Angel: Keep on working and get the best result! 172 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Third Session Group Material 1.2: Name:____________________ Discussion Topic Card I am angry, I want to punch him I am afraid of losing face He will continue throwing things at me The whole class will laugh at me I will disappoint the teacher who likes me I can't disobey an order Project C.A.R.E - Children and Adolescents at Risk Educcation 173 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Third Session Class Assignment: My Devil, Reality, and Angel After listening to the story, what would you do in that situation? What would you consider? Which of the following worries you most? Please put a tick in the circle. Devil (What I want to do, or how I want to be, but I can't) The devil said to me Angel (What my conscience says) The angel said to me Reality Therefore, I want…(behavior) (Real difficulties and dangers) Things that happened in reality 174 Therefore, I want…(behavior) Therefore, I want…(behavior) Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Third Session Homework Assignment: Source of Trouble Angel: Please write about an incident that made you feel upsetwhen there was a conflict between classmates atschool, and indicate what was is that bothered you most. Devil: Who was involved: ________________________ (What your conscience says) Where: ______________________________ When: ______________________________ What happened: __________________________ ________________________________________ ________________________________________ (What you want to do, or how you want to be, but you can't) Reality: (Real difficulties and dangers) Project C.A.R.E - Children and Adolescents at Risk Educcation 175 Chapter 6 Treatment Group - Aggressive Victims (D) Session: Fourth Session Theme: Getting along with people Aims: 1. To investigate group members’ past anxious experiences when getting along with people. 2. To understand how group members interpret their relationships with others. 3. To understand group members’ degree of trust toward others. 4. To understand how group members interpret outside information. Activity Homework Sharing: “Source of Trouble” Duration 20 minutes Concept Once they understand the source of group members’ anxiety, workers can begin to understand the circumstances in which group members get along with others, and to assess the appearance of realistic anxiety (reality), neurotic anxiety (devil) and moral anxiety (angel). Objectives 1. To investigate the conflict between group members and their classmates and the things that they feel troubled by. 2. To investigate the stress and anxiety that group members experience when conflicts occur. 3. To investigate how group members get along with their classmates. Procedure 1. Group members share the content of their homework – “Source of Trouble”. Sharing points: • Group members choose the devil, reality, or angel. • Say which one affects them most (devil, reality, or angel). 2. Workers praise and give a reward to those who finished their homework and were willing to share. Materials Rewards Backup homework Activity “Devil versus Angel” – Part I Duration 30 minutes Concept Camodeca, Goossens, Schuengel ,and Terwogt (2003) pointed out that aggressive victims usually attribute things to others, so when they are provoked they can easily become angry and will retaliate or attack others. Workers need to understand how group members get along with others, how they interpret outside information, and how they respond to provocation. Objectives 1. To investigate how group members interpret outside information. 2. To investigate group members’ behavioral responses and emotions. 3. To investigate group members’ relationships with others. 4. To investigate group members’ trust towards others. 176 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Procedure 1. Workers select a situation from group members’ homework for the activity, and role-play the content. 2. Group members need to write down their devil and angel behavioral response on a white piece of paper, and the emotion they felt at the time. 3. After finishing the worksheet, group members need to choose their behavioral response and main emotion, and paste them on the “Getting Along” form (Class Assignment). 4. Workers divide members into two groups according to their chosen behavioral response (aggressive or non-aggressive). 5. Group members share and discuss their responses. • How they interpret the situation. • Why did they choose that response and emotion? • How do they interpret their relationships with others? • How much do they trust others? Materials “How do you get along with others?” (Class Assignment) White labels Activity “Devil versus Angel” – Part II Duration 30 minutes Concept Because aggressive victims often attribute things to others, when they encounter provocation they can easily become angry and retaliate or attack others (Camodeca et al.,2003). As a result, they are often isolated by their peers and are the most unpopular members of a group (Schwartz, 2000).Workers need to let group members understand their behavioral and emotional responses and how they affect their relationships with others. Objectives 1. To let group members understand their behavioral and emotional responses and how they affect their relationships with others. 2. To broaden group members’ problem–solving skills. Procedure 1. According to the previous activity, group members take turns to role-play their chosen behavioral and emotional response, and others’ responses. 2. The other group guesses what they are role-playing. 3. Workers need to debrief on group members’ behavioral and emotional responses and how they affect their relationships with others. Materials “How do you get along with others?” (Class Assignment) Project C.A.R.E - Children and Adolescents at Risk Educcation 177 Chapter 6 Treatment Group - Aggressive Victims Activity Debriefing and Explanation of the Homework: “Reflection on Your Thoughts” Duration 10 minutes Concept After assessing group members’ anxieties about getting along with others, workers can start to assess group members’ irrational beliefs and let them know that their thoughts affect their behavior and emotions. Objectives 1. To observe and record conflicts with classmates. 2. To investigate group members’ thoughts, behavior, and emotions. Procedure 1. Debrief on workers’ observations and praise group members’ performance. 2. Introduce homework – “Reflection on Your Thoughts”. 3. Remind group members that after finishing their homework, they will receive a reward. 4. Give the best performance award to the group member who gets most involved in the group. Materials “Reflection on Your Thoughts” (Homework Assignment) Rewards Remarks 1. In the “Devil versus Angel” activity, group members will often have both rational and irrational ideas. Workers need to listen to their sharing carefully and use group members’ rational beliefs to broaden their thoughts. 2. Workers can choose group members’ homework or their experiences of being bullied as an example, as this will make it easier for them to imagine themselves in similar situations. 178 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Fourth Session Class Assignment: How do you get along with others? Name Behavioral Response Emotion Other's response Chris Hit the other person Anger Hit me Project C.A.R.E - Children and Adolescents at Risk Educcation 179 Chapter 6 Treatment Group - Aggressive Victims Fourth Session Homework Assignment: Name:____________________ Reflection on Your Thoughts Please write about a conflict with your classmates (this may be the same situation as described in your last homework), and think back to your behavior and emotions at the time and what you thought. What happened? Your behavior… What did you think? Your emotion… Emotion words: Shamed/Happy/Safe/Satisfactory/Proud/Calm/Relaxed/Hopeful/Envious/Afraid/Anxious/Frightened/Troublesome/ Doudtful/Depressed/Painful/Angry/Surprised 180 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims (E) Session: Fifth Session Theme: The A-B-C concept and “My Thoughts” Aims: 1. To teach group members the ABC concept (A=Activating Event, B=Belief, and C=Consequence and emotional response) and the relationship between A, B, and C. 2. To assess group members’ irrational beliefs. Activity Homework Sharing: “Reflection on Your Thoughts” Time 10 minutes Concept According to group members’ past sharing and homework, workers need to assess group members’ irrational beliefs and let them understand that their beliefs will affect their behavior and emotions. Objectives 1. To assess group members’ irrational beliefs. 2. To investigate group members’ thoughts, behavior, and emotions. 3. To investigate group members’ relationships with their classmates. Procedure 1. Group members share their homework – “Reflection on Your Thoughts”. Sharing points: • Group members' thoughts, behavior, and emotions at the time. 2. Workers praise and give a reward to those who finished their homework and were willing to share. Materials Rewards Backup homework Project C.A.R.E - Children and Adolescents at Risk Educcation 181 Chapter 6 Treatment Group - Aggressive Victims Activity Introducing the ABC Concept Time 15 minutes Concept Ellis (1962) thought that when people have “irrational beliefs”, it will lead to the occurrence of negative behavior and emotions. The group will therefore use the principles of cognitive behavioral therapy (CBT) to reduce their aggressive behavior. Objective To let group members understand the ABC concept. Procedure 1. Workers use group members’ homework as an example to introduce the ABC concept (Group Material 1.1). 2. Workers use a pack of cards and the game of poker to help group members understand the ABC concept: • Spades represents thoughts. Spades have the highest value among the four suits, so thoughts represented by spades are the most important in the ABC concept. • A red heart represents an emotional response. • A club represents a behavioral response. • Diamonds have the lowest value in poker, and are therefore used to represent events that will not lead to negative behavior or emotions. Material ABC concept introduction form (Group Material 1.1) Activity Scenario: “If I Were Chris, I Would…” Time 50 minutes Concept After teaching the ABC concept, workers can use different situations to help group members understand that they may have different thoughts about the same event, which will lead them to different emotional responses. Objectives 1. To strengthen group members’ understanding of the ABC concept. 2. To assess group members’ irrational beliefs. 3. To help group members understand their thoughts. Procedure 1. Group members role-play the event in situation1(Class Assignment 1.1–1.2), and ask them to imagine what their behavioral and emotional response would be if they were Chris. 2. Workers distribute the class assignment and ask group members to write down their behavioral and emotional responses. 3. Workers divide group members into two groups according to group members’ behavioral responses (aggressive or non-aggressive behavior). 4. Workers should review whether group members can distinguish between their thoughts, behavior, and emotional response, and investigate their irrational beliefs together. 5. Two groups should take turns to role-play their behavioral and emotional responses. One group guesses what they are role-playing and the other group shares their thoughts. 6. Workers repeat steps 1-6 for situation 2(Class Assignment 1.1-1.2) Material 182 Situations 1 and 2 (Class Assignment 1.1–1.2) Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Activity Debriefing and Explanation of the Homework: “Application of the ABC Concept” Time 15 minutes Concept After learning the ABC concept, group members need to understand their irrational beliefs when they experience conflicts with others. Because aggressive victims often attribute things to others (Camodeca et al.,2003),workers need to understand how group members interpret others’ intentions. Objectives 1. To observe and record conflicts with classmates at school. 2. To investigate group members’ thoughts, behavior, and emotional responses. Procedure 1. To debrief on workers’ observations and praise their performance. 2. Homework introduction – “Application of the ABC Concept”. • Workers distribute 12 irrational belief labels (Group Material 1.2) to group members, who should choose at least one label to represent their own thoughts. Workers will already have pasted one on their homework sheet, representing members' irrational beliefs. 3. Remind group members that after finishing their homework, they will be given a reward. 4. Give the best performance award to the member who shows the most knowledge about the ABC concept. Materials “Application of the ABC Concept” (Homework Assignment) Irrational belief labels (Group Material1.2) Rewards Remarks 1. When introducing the ABC concept, workers can use everyday examples for elaboration and let group members see that they may have different thoughts about the same event, which will lead to different behavioral and emotional responses. 2. Workers can use group members’ own experiences of being bullied as an example situation. 3. To assess group members’ irrational beliefs accurately, workers need to fully understand the 12 irrational beliefs before investigating them with group members. Project C.A.R.E - Children and Adolescents at Risk Educcation 183 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Fifth Session Group Material 1.1: ABC concept ◆ Event ♠ Belief ♣ ♥ Behavioral Response Feeling 184 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Fifth Session Group Material 1.2: Name:____________________ Irrational Beliefs Labels 1. I must be loved by significant others for almost everything I do. 2. Certain acts are awful or wicked, and people who perform such acts should be severely punished. 3. It is horrible when things are not the way I like them to be. 4. Human misery is invariably due to external causes and is forced on us by outside people and events. 5. If something is (or could be) dangerous or frightening, it is normal to be terribly upset and endlessly obsess about it. 6. It is easier to avoid life's difficulties and responsibilities than to face them. 7. We absolutely need something stronger or greater than ourselves on which to rely. 8. I should be thoroughly competent, intelligent, and successful in everything I do. 9. Because something once strongly affected my life, it is inevitable that it will affect me for ever. 10. I must have certain and absolute control over things. 11. Human happiness can be achieved by inertia and inaction. 12. We have virtually no control over our emotions and cannot help getting upset about things. Project C.A.R.E - Children and Adolescents at Risk Educcation 185 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Fifth Session Class Assignment 1.1: Situation1 (A) ◆Event During the lesson, the classmate sitting in front of Chris found that his pen was on Chris's desk, then he accused Chris of being a thief…. If you were Chris, you would… (B) ♠Beliefs (C) ♣Behavioral Response 186 (C) ♥Feeling Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Fifth Session Class Assignment 1.2: Situation2 (A) ◆Event After going to the washroom, Chris found that his desk and school bag were full of rubbish… If you were Chris, you would… (B) ♠Beliefs (C) ♣Behavioral Response (C) ♥Feeling Project C.A.R.E - Children and Adolescents at Risk Educcation 187 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Fifth Session Homework Assignment: Application of the ABC Concept. Please write down one conflict with your classmates. Based on different thoughts, how would you feel and act? What do you think their purpose is? (A) ◆Event (B) ♠Beliefs (C) ♣Behavioral Response (C) ♥Feeling Their Purpose 188 (B) ♠Beliefs (C) ♣Behavioral Response (C) ♥Feeling Their Purpose (B) ♠Beliefs (C) ♣Behavioral Response (C) ♥Feeling Their Purpose Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims (F) Session: Sixth Session Theme: My Irrational Beliefs Aims: 1. To reassure group members about their irrational beliefs. 2. To let group members understand that irrational beliefs have negative consequences. 3. To create stress, and let group members feel the need to change. Activity Homework Sharing: “Application of the ABC Concept” Duration 10 minutes Concept After learning about the ABC concept, group members need to understand their irrational beliefs when conflicts happen, and understand their usual irrational beliefs. Objectives 1. To assess group members’ irrational beliefs. 2. To investigate group members’ beliefs, behavior, and emotional responses. Procedure 1. Group members share their homework “Application of the ABC Concept”. Sharing points: • Group members' thoughts, behavior, and emotional response at the time. • Their frequent irrational beliefs. 2. Workers should compliment those who finished their homework and were willing to share, and give rewards to encourage them. Material Rewards Backup homework Project C.A.R.E - Children and Adolescents at Risk Educcation 189 Chapter 6 Treatment Group - Aggressive Victims Activity Understanding My Irrational Beliefs Duration 30 minutes Concept Ellis and Bernard (2006) pointed out that when counseling young people we need to let them understand their irrational beliefs, negative behavior, and emotional responses, to strengthen their motivation to change and understand their own problems. Objectives 1. To let group members understand their irrational beliefs. 2. To strengthen group members’ beliefs, behavior, and emotional responses. Procedure 1. Group members choose the most common of the three irrational beliefs identified in their homework. 2. Workers divide group members into two or three groups according to their irrational beliefs. 3. Each group represents their irrational beliefs on the “Behavioral and Emotional Response” sheet(Group Material 1.1), and fills in the irrational beliefs caused by their behavioral and emotional responses. 4. Each group writes down their irrational beliefs and behavior on a white label and pastes it on the blackboard. 5. Each group should guess the other group's irrational belief according to the behavior and emotional response on the sheet. 6. Each group takes turns to ask the other group questions and guess their irrational beliefs. 7. The workers can give group members hints (Group Material 1.2), to help them get more involved in the activity and understand their own thoughts. 8. When each group has asked more than two or three questions, each group needs to guess the other's irrational beliefs. 9. During the activity: • Each group has 20 points • Each hint costs 5 points • Raising a relevant question: +10 points • Guessing the correct thought: +10 points • Guessing the wrong thought: -5 points Materials Behavioral and emotional response record form (Group Material 1.1)Hint sheet(Group Material 1.2) Activity Understanding Irrational Beliefs Duration 15 minutes Concept Explain group members’ false beliefs in simple words and help them to understand that their beliefs are irrational and unreasonable, to motivate them to change (Ellis & Bernard, 2006). Objectives 1. To strengthen members’ motivation to change their beliefs. 2. To let group members understand their irrational beliefs. 190 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Procedure 1. Workers introduce the unreasonable side of irrational beliefs (Group Material 1.3): • Generalizing • Black-and-white thinking • Magnifying the negatives and minimizing the positives. 2. Paste group members’ chosen irrational thoughts on the blackboard, group members then identify the three types of irrational beliefs – “overgeneralizing”, “black-and-white thinking”, and “magnifying the negatives and minimizing the positives” –and proceed to matching between the irrational thoughts and the irrational beliefs. Material Introduction to Irrational Beliefs sheet (Group Material 1.3) Irrational Beliefs sheet (refer to proactive victims in the fifth session, Group Material 1.2) Activity The Negative Effects of Irrational Beliefs Duration 20 minutes Concept Ellis and Bernard (2006) pointed out that young people often treat negative behavioral and emotional responses as a habit, so workers need to let group members understand the negative effects that arise from their irrational beliefs and let them know that their “habit” can be changed. Objectives 1. To strengthen group members’ motivation to change. 2. To let group members understand the negative effects of irrational beliefs. Procedure 1. Workers distribute the Irrational Beliefs labels from the last session's homework back to group members, so that they can choose their most frequent irrational beliefs. 2. Workers distribute the “Negative Effects of Irrational Beliefs” sheet (Class Assignment 1.1) to group members to fill out according to the picture and paste it on a white label. 3. Workers divide group members into two groups according to their irrational beliefs. 4. The human-shaped worksheet (Alass Assignment 1.2) represents group members themselves. They are told to paste the “Influence on Emotions” white sticker on the heart of the humanshaped worksheet, and paste the “Influence on Relationships with Others” sticker onto the hands and legs. Group members’ irrational beliefs are written on the head of the humanshaped worksheet. 5. Group members share their own irrational beliefs and how they affect their emotions and their relationships with others. 6. Invite other group members to share their thoughts about what would happen if the group members still held their irrational beliefs in the coming six months, one year, or two years. 7. Group members share their motivation to change. Materials “The Negative Effects of Irrational Beliefs” worksheet (Class Assignment 1.1) Human-shaped worksheet(Class Assignment 1.2) Project C.A.R.E - Children and Adolescents at Risk Educcation 191 Chapter 6 Treatment Group - Aggressive Victims Activity Debriefing and Explanation of the Homework: “Understanding the Unreasonable Side of my Irrational Beliefs” Duration 15 minutes Concept Once group members understand the unreasonable side of their irrational beliefs, it is time for them to understand their own irrational beliefs and start to change their old thoughts. Objectives 1. To strengthen group members’ motivation to change. 2. To let group members understand the negative effects of irrational beliefs. Procedure 1. To debrief workers’ observations and praise their performance. 2. Homework introduction: “Understanding the unreasonable side of my irrational beliefs”. 3. Remind group members that after finishing their homework, they will be given a reward. 4. Give the best performance award to the group member who understands the most about the ABC concept. Materials “Understanding the Unreasonable Side of my Irrational Beliefs” (Homework Assignment) Rewards Remarks 1. When group members are choosing their irrational beliefs, workers need to observe their choices, which may reflect their underlying irrational beliefs. 2. In the “Understanding My Irrational Beliefs” activity, if workers cannot group the members according to the same irrational beliefs, they can group them according to those who have made similar choices or the same choice. 192 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Sixth Session Group Material 1.1: Behavioral and Emotional Response Record Form (C) ♣Behavioral Response (C) ♥Feeling Project C.A.R.E - Children and Adolescents at Risk Educcation 193 Chapter 6 Treatment Group - Aggressive Victims Sixth Session Group Material 1.2: Name:____________________ Hint Sheet Why do you act in this way? What is your intention? How do you expect others to react? Why do you have this feeling? In what circumstances do you have this belief? 194 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Sixth Session Group Material 1.3: Name:____________________ Introduction to Irrational Beliefs Overgeneralizing: Placing a lot of importance on one single negative experience, to the point where you see one negative experience as being a sign for a never-ending pattern of negative events that you forecast (expect) to face in the near future Example: “My classmate didn't lend me a pensil, he must not like me.” Black-and-white thinking: Seeing things in black and white (in extreme terms). That is, situations or circumstances are interpreted as being good or bad, all or nothing, positive or negative. There is no middle/ common ground. Example: “Mother called me so she must want to check on me, she never believes me.” Magnifying the negatives and minimizing the positives: Exaggerating negatives, and downplaying your own, or other people's strengths and assets, or a positive event or situation that you have experienced. Example: “The homework seems hard, I won't be able to do it.” “If I review the hints, I am sure I will win.” Project C.A.R.E - Children and Adolescents at Risk Educcation 195 Chapter 6 Treatment Group - Aggressive Victims Sixth Session Class Assignment 1.1: Name:____________________ “The Negative Effects of Irrational Beliefs” (B) ♠Beliefs 1. How much is the impact of this belief in getting along with others?(1: very little, 10 very much) 1 —— 2 —— 3 ——4 —— 5 ——6 —— 7 —— 8 —— 9 ——10 What is the effect? 2. How much do these beliefs negatively affect your emotions? (1: very little, 10 very much) 1 —— 2 —— 3 ——4 —— 5 ——6 —— 7 —— 8 —— 9 ——10 What is the effect? 3. What result do you want? 4. Are you willing to change these beliefs? (1: very unwilling, 10: very willing to) 1 —— 2 —— 3 ——4 —— 5 ——6 —— 7 —— 8 —— 9 ——10 Why? 196 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Sixth Session Class Assignment 1.2: Name:____________________ Human-shaped worksheet Project C.A.R.E - Children and Adolescents at Risk Educcation 197 Chapter 6 Treatment Group - Aggressive Victims Sixth Session Homework Assignment: Name:____________________ Understanding the Unreasonable Side of my Irrational Beliefs (B) ♠Beliefs 1. Please identify the irrational beliefs(B): Generalizing: _______________________________________________ Black-and-white thinking: ________________________________________ Magnifying the negatives and minimizing the positives: ____________________ 2. What new behavior and feelings would help to achieve the ideal result? (A) ◆Event Being Made fun of (B) ♠ New Beliefs will be discussed during next session Ideal Result (C) ♣New 198 Behavior (C) ♥New Feeling Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims (G) Session: Seventh Session Theme: Fair, reasonable, and rightful thoughts – Thinking from Multiple Angles Aims: 1. To refute group members’ irrational beliefs. 2. To learn and apply reasonable beliefs. Activity Homework Sharing: “Understanding the Unreasonable Side of My Irrational Beliefs” Duration 10 minutes Concept After learning about their own irrational beliefs, group members will have greater motivation to change their old beliefs. Objectives 1. To understand their own irrational beliefs. 2. To strengthen group members’ motivation to change. Procedure 1. Group members share their homework: “Understanding the unreasonable side of my irrational beliefs”. Sharing points: • Group members share their irrational beliefs. • Group members' new behavior and emotions can help them to achieve their goal of getting along well with others. 2. Workers give praise and rewards to those who finished their homework and were willing to share. Material Rewards Backup homework Activity Introduction to Rational Beliefs Duration 10 minutes Concept Ellis and Bernard(2006) suggested that in the process of refuting irrational beliefs, workers should use simple and easy to understand concepts to help group members recognize rational beliefs. Because aggressive victims often attribute things to others and can easily become angry (Camodecaet al., 2003), the concept of “reasonable thoughts” can broaden group members’ objective view: beliefs need to be supported by objective evidence and include other possibilities. The concept of “fair thoughts” encourages group members to respect their own and others’ feelings. Objectives 1. To learn about rational beliefs. 2. To distinguish their own irrational beliefs. Procedure 1. Introduce and explain “Rational Beliefs” (Group Material). • Fair beliefs: respect their own and others' feelings. • Reasonable beliefs: beliefs can be objectively verified and there are other possibilities. Materials “Rational Beliefs” worksheet (Group Material) Project C.A.R.E - Children and Adolescents at Risk Educcation 199 Chapter 6 Treatment Group - Aggressive Victims Activity Debate on Rational Beliefs Duration 60 minutes Concept In learning how to develop “reasonable” new thoughts, group members should use role-play to involve them in different characters (Beck, 1995) and view an event from different perspectives, which will help to broaden their thinking and build up more rational beliefs. Objective To learn and try to refute group members’ irrational beliefs. Procedure 1. Workers choose materials related to group members’ irrational beliefs (e.g., video, news stories) as the topic of debate and to increase their interest in debating. 2. Workers raise debate questions: Is the character in the video acting reasonably? 3. Workers divide group members into two groups, an “irrational group” and a “rational group”, for the competition. Each group chooses two group members to represent “feelings” and the other two to represent “logic”, then present their debate topic. 4. Debate Process: • Group members take one minute to decide the roles within the group and five minutes to prepare their debating points, and toss a coin to decide the order of presentation. • Each group takes turns to reply to the other's viewpoint. • Each group has ten minutes. 5. While group members are debating, workers need to listen attentively for the relevant points about irrational beliefs. Through summarizing and reframing, encourage group members to discuss the unreasonable points in their irrational beliefs. 6. After an intense debate, each member should be encouraged to express their own opinion, and workers should debrief on all of the viewpoints expressed in the debate. Materials Related resources (e.g., video, news stories) Record form for group debate (please refer to Chapter 4 - Proactive Aggressor Group, Seventh Session, Material 1.3) 200 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Activity Debriefing and Explanation of the Homework: “Application of Rational Beliefs” Duration 10 minutes Concept According to Ellis and Bernard(2006),behavioral practice is one of the most important features when counseling young people. It can help them to change their cognition, explicitly reveal their actions, consolidate their rational beliefs, and helps workers to assess group members’ progress. Objectives 1. To understand their own irrational beliefs. 2. To strengthen group members’ motivation to change. 3. To apply behavioral practice to change their irrational beliefs. Procedure 1. Debrief on workers’ observations and praise group members’ performance. 2. Introduce homework – “Application of rational beliefs”. 3. Remind group members that after finishing their homework, they will be given a reward to strengthen their motivation. 4. Give out the best performance award to the member who shows the most active involvement in the group activity. Materials “Application of Rational Beliefs” (Homework Assignment) Rewards Remarks 1. In the debate activity, workers need to have a full grasp of group members’ irrational beliefs and listen to their distorted thoughts attentively. Workers can change group members’ irrational beliefs through their interactions with them. 2. In shaping new behavior, workers need to explain in what circumstances and how they apply the new behavior. The behavioral practice must be achievable, explicit, and not complicated, otherwise group members will give up easily. 3. In the “Debate on Irrational Beliefs”, workers may choose to show the video of the main character Kira in Death Note (Episode Two)*, as he has similar irrational beliefs to those of group members (e.g., I must punish those who do bad things and bully others).Kira's beliefs and behavior can then be used as the debate topic. Workers can make use of other resources related to the debate topic to increase the interest of group members. *Death Note is a manga series produced in Japan, which describes a high school student who discovers a supernatural notebook, the Death Note, dropped on Earth by a god of death. The death note grants its user the ability to kill anyone whose name and face they know, by writing the name in the notebook while picturing their face. Project C.A.R.E - Children and Adolescents at Risk Educcation 201 Chapter 6 Treatment Group - Aggressive Victims Seventh Session Group Material: Name:____________________ Rational Beliefs Fair Thoughts - Respect your own feelings - Respect the feelings of those you love - Respect others’ feelings Reasonable Thoughts - Make sure you have objective evidence and examples to support your thoughts - Consider other possible thoughts - Remember that others have their own feelings 202 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Seventh Session Homework Assignment: Name:____________________ “Application of Rational Beliefs” Part One Please write down your irrational belief and the unreasonable and unfair views behind that particular belief: (B) ♠Beliefs Unreasonable View _________________________________________________________ Unfair View _________________________________________________________ Fair - Respect your own feelings - Respect the feelings of those you love - Respect others’ feelings Reasonable - Make sure you have objective evidence and examples to support your thoughts - Consider other possible thoughts - Remember others have their own feelings Project C.A.R.E - Children and Adolescents at Risk Educcation 203 Chapter 6 Treatment Group - Aggressive Victims Part Two In the coming week, please try the following behavior, and write down how you felt afterwards: (C) ♣ Behavior Your experience… 204 Your feeling… Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims (H) Session: Eighth Session Theme: My Fair, Reasonable, and Rightful Thoughts Aims : 1. To refute group members’ irrational beliefs 2. To build up and apply rational beliefs, and develop new behavioral and emotional responses. Activity Homework Sharing: “Application of Rational Beliefs” Duration 10 minutes Concept When group members apply the behavioral exercise, they will have new experiences that will broaden their self-awareness and attributions of an event. Objectives 1. To understand group members’ irrational beliefs. 2. To change group members’ irrational beliefs through new experiences. Procedure 1. Group members share their homework: “Application of rational beliefs”. Sharing points: • Group members' unreasonable thoughts underlying their irrational beliefs. • The feelings and difficulties they experienced when practicing the behavior. 2. Group members praise and give rewards to those who finished their homework and were willing to share. Materials Rewards Backup homework Activity Debate on Irrational Beliefs: “Life Intersection Point” Duration 50 minutes Concept Through confrontation, group members can learn to use reasonable thoughts to refute irrational beliefs (Beck, 1995), to broaden their view, and develop more rational beliefs. Objectives 1. To refute group members’ irrational beliefs. 2. To build up reasonable thoughts, behavioral, and emotional responses. Procedure 1. Workers use the most frequent irrational beliefs (from the homework) as the discussion topic and examine the unreasonable thoughts behind them. 2. Workers divide the room into two sides– a rational group and an irrational group. 3. Group members can choose to be on either side –rational or irrational –according to their beliefs about the event, and then take a seat on that side. 4. Two groups will use “rational” thinking to refute the other group's view point. 5. While the groups are debating, workers need to listen closely to their irrational beliefs and behavior, and direct their conversation. Take the debating points for summarizing and reframing, and encourage them to discuss the irrational points in more depth. 6. After intense debate, workers need to debrief on the points of the debate. Materials Record form for group debate (Please refer to Proactive Aggressor Group, Seventh Session, Material 1.3) Project C.A.R.E - Children and Adolescents at Risk Educcation 205 Chapter 6 Treatment Group - Aggressive Victims Activity Designing Rational Beliefs Duration 20 minutes Concept After refuting their irrational beliefs, group members need to build up new rational beliefs that will give them a new angle from which to understand things. Objectives To build up rational thoughts, behavioral, and emotional responses. Procedure 1. Workers distribute the “Designing Rational Beliefs” worksheet (Class Assignment) to group members. 2. Workers divide group members into two groups (similar thoughts in one group) to discuss and practice their behavioral exercises to build up new rational beliefs. Materials “Designing Rational Beliefs” worksheet (Class Assignment) Activity Debriefing and Explanation of the Homework: “Application of Rational Beliefs” Duration 10 minutes Concept After building up new rational thoughts, group members need to apply new thoughts, behavior, and emotional responses to their daily lives. Objective 1. To apply rational beliefs, behavioral, and emotional responses. Procedure 1. To debrief on workers’ observations and praise their performance. 2. To introduce the homework, “Application of Rational Beliefs”, and paste the “Rational Beliefs” label on the group members’ homework. 3. Remind group members that they will receive a reward if they finish their homework. 4. Give out the best performance award to the member who was most actively involved in the group. Materials “Application of Rational Beliefs” (Homework Assignment) Rational Beliefs labels (Group Material) Rewards Remark When building up a new rational belief, workers should not suggest rational beliefs to the group members immediately, because they should be encouraged to think on their own so that they can understand and apply their new thoughts. 206 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Eighth Session Group Material: Name:____________________ Rational Beliefs Labels 1. We should concentrate on our own self-respect, on winning approval for practical purposes, and on loving rather than on being loved. 2. Certain acts are self-defeating or antisocial, and people who perform such acts are behaving unwisely, ignorantly, or neurotically, and would be better helped to change. People's poor behavior does not make them bad individuals. 3. It is better to try to change or control things that we don't like so that they become more satisfactory, and, if that is not possible, we should temporarily accept and gracefully tolerate their existence. 4. Neurosis is largely caused by the way that we view unfortunate events. 5. It is better to face something bravely and render it harmless and, when that is not possible, accept the inevitable. 6. The so-called easy way is usually much harder in the long run. 7. It is better to take the risk of thinking and acting less dependently. 8. Rather than always needing to do well, we would be better off accepting ourselves as imperfect beings, who have general human limitations and specific fallibilities. 9. We can learn from our past experiences but not be overly-attached to or prejudiced by them. 10. The world is full of probability and chance but we can still enjoy life despite this. 11. We tend to be happiest when we are vitally absorbed in creative pursuits, or when we are devoting ourselves to people or projects outside ourselves. 12. We have real control over our destructive emotions if we choose to work at changing the self-defeating hypotheses which we often employ to create them. Project C.A.R.E - Children and Adolescents at Risk Educcation 207 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Eighth Session Class Assignment: Designing Rational Beliefs My old feeling: Unfair Beliefs: Unreasonable Beliefs: (No respect for myself or others) (No Evidence and no other possibilities) My New Beliefs: New Behavior: 208 New Feeling: Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Eighth Session Homework Assignment: Application of Rational Beliefs Please write down your reasonable thoughts and behavior over the past week. (A) ◆Event (A) ◆Event (A) ◆Event (B) ♠New Beliefs (C) ♣Behavioral Response (C) ♥Own Feeling Other's Feeling (C) ♣Behavioral Response (C) ♥Own Feeling Other's Feeling (C) ♣Behavioral Response (C) ♥Own Feeling Other's Feeling Project C.A.R.E - Children and Adolescents at Risk Educcation 209 Chapter 6 Treatment Group - Aggressive Victims (I) Session: Ninth Session Theme: Introduction and Application of “I-Message” Aims: 1. To consolidate group members’ rational beliefs. 2. To know and apply “My Information” Self-expression Technique. 3. To raise group members’ ability to face difficulties. Activity Homework Sharing: “Application of Rational Beliefs” Duration 25 minutes Concept When group members apply rational beliefs, workers will quantify rational and irrational beliefs by scaling questions, to strengthen the possibility of group members applying and using their new rational beliefs. Objectives 1. To let group members understand the difference between rational and irrational beliefs. 2. To strengthen the possibility of group members applying and using new rational beliefs. Procedure 1. Group members share their homework – “Application of Rational Beliefs”. Sharing Points: • Feedback from the behavioral exercise, including their experience and any difficulties encountered in carrying out the behavior. 2. Group members use black labels to represent their old irrational beliefs and red labels to represents their new rational beliefs, and paste them onto the “Changing new thoughts index”(Class Assignment 1.1), to highlight the difference between their old and new thoughts. 3. Group members share the differences to consolidate their rational beliefs. 4. Workers praise and give a reward to those who finished their homework and were willing to share. Materials “Scale of Difference between Rational and Irrational Beliefs”(Class Assignment 1.1) Red and black labels Rewards Backup homework Activity Consolidation of Rational Beliefs Duration 15 minutes Concept Through behavioral practice and the previous activity, workers need to help group members to consolidate their rational beliefs and apply them in daily life. Objective To consolidate group members’ rational beliefs. 210 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Procedure 1. Workers distribute the “12 Rational Beliefs Card” to group members and ask them to choose one to remind them of their rational beliefs, then put it in an eye-catching place. 2. Group members write down one sentence on the “Leadership Motto” to remind them to use rational beliefs. Material “12 Rational Beliefs Card” (Please refer to the Proactive Aggressive Victim group content, Eighth Session – Rational Beliefs) Leadership Motto stickers Activity Introduction to “I-Message” Duration 30 minutes Concept Aggressive victims only have a few ways to solve problems when facing difficulties (Guerra & Slaby, 1989), and their responses do not tend to be calm or thoroughly considered (Rudolph & Heller, 1997).Therefore, learning the “I–Message” self-expression technique can change group members’ interpersonal skills and increase their confidence in dealing with difficulties. Objectives 1. To know and learn how to apply the “I–Message” self-expression technique 2. To increase group members’ abilities in dealing with difficulties. Procedure 1. Group members introduce and explain the “I–Message” (Group Material) – “I +My Feeling+ My expectation”. 2. Workers design four situation booths, to help group members learn and apply the “I-Message” self-expression technique. 3. Workers divide group members into two groups. Four group members will be in charge of four different booths, the other four will be the participants. 4. Participants need to use “I–Messages” to express their feelings and expectations according to the situation in the instruction sheet (Class Assignment 1.2).The booth supervisors play their roles according to the instruction sheet and give marks to participants after expressing themselves (Class Assignment 1.3). 5. When all the participants have finished all four booths, they swap places (participant and supervisor) and repeat the above steps 6. After they have finished, group members take turns to share the difficulties and feelings they experienced when using “I-Messages”. Workers and fellow group members choose the group member who used the “I-Message” best, and give them a reward. Materials Introduction to “I–Message” sheet (Group Material) Instruction sheet(Class Assignment 1.2) Scorecard (Class Assignment 1.3) Rewards Project C.A.R.E - Children and Adolescents at Risk Educcation 211 Chapter 6 Treatment Group - Aggressive Victims Activity Debriefing and Explanation of the Homework: “Applying the I-Message” Duration 20 minutes Concept After learning about “I-Messages”, group members need to apply the technique in daily life to improve their interactions with others, and to ensure they continue to use the technique in future. Objectives 1. To apply the “I-Message” technique in daily life. 2. To consolidate group members’ rational beliefs. Procedure 1. Debrief on workers’ observations and praise group members’ performance. 2. Introduce the “I-Message” homework assignment. 3. Workers stick the leadership words that group members wrote during the activity on the assignment. 4. Group members write down the scenarios, targets, and the “I-Message” sentences in advance. Workers need to review and modify the details together with group members. 5. To enhance their motivation, workers should remind group members that they will be given a reward after completing the homework assignment. 6. A best-performance prize is presented to the group member who showed the most active participation in the activity. Materials “Applying the I-Message” (Homework Assignment) Leadership Motto stickers Small rewards Remarks 1. When sharing their homework, group members may not have been successful in performing their new behavior. Workers should encourage them to try again and apply their successful experience to help them solve problems when trying new behavior. 2. Some group members may not yet have applied their new beliefs, or may not have been successful when they tried. However, group members can still take part in the “Scale of Difference between Rational and Irrational Beliefs” activity, and can predict the change in the index after changing their beliefs. Therefore, even if group members have not yet applied or tried their new beliefs, they can still feel the positive effects the changes may bring. 3. Workers can refer to group members’ homework or sharing to design the booth situations. 212 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Ninth Session Group Material: Introduction to the “I-Message” Sentence: I My Feeling My Expectation Express your feelings at the beginning Don't blame others Express a reasonable expectation Others can't reach their expectations Project C.A.R.E - Children and Adolescents at Risk Educcation 213 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Introduction to the “I-Message” Style of Expression Eye Contact Speak Firmly Emotion: Calm, without ups and downs 214 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Ninth Session Class Assignment 1.1: Scale of Difference between Rational and Irrational Beliefs The following is the format for the Scale of Difference Between Rational and Irrational Beliefs. To prepare this form, workers need to use a large amount of paper, red labels, black labels, etc. Example Member – Chris Example Member – (Old Thoughts) ---------------------------- (New Thoughts) (Old Thoughts) ---------------------------- (New Thoughts) -3 -2 -1 0 1 2 3 -3 -2 -1 0 1 2 3 Example Member – Example Member – (Old Thoughts) ---------------------------- (New Thoughts) (Old Thoughts) ---------------------------- (New Thoughts) -3 -2 -1 0 1 2 3 -3 -2 -1 0 1 2 3 Example Member – Example Member – (Old Thoughts) ---------------------------- (New Thoughts) (Old Thoughts) ---------------------------- (New Thoughts) -3 -2 -1 0 1 2 3 -3 -2 -1 0 1 2 3 Example Member – Example Member – (Old Thoughts) ---------------------------- (New Thoughts) (Old Thoughts) ---------------------------- (New Thoughts) -3 -2 -1 0 1 2 3 -3 -2 -1 0 1 2 Project C.A.R.E - Children and Adolescents at Risk Educcation 3 215 Chapter 6 Treatment Group - Aggressive Victims Ninth Session Class Assignment 1.2: Name:____________________ Instruction Sheet The following is an example of the situation booth: Booth Supervisor: You throw your rubber at him and laugh, saying “You deserve it.” Participants: You throw your rubber at him and laugh, and try to express your thoughts using an “I-Message”. 216 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Ninth Session Class Assignment 1.3: Name:____________________ Score Card ________________________(Name of Participant) How effectively can he/she use the “I-Message”? (the highest score is 5) Part One: “My Feeling” Expression of “My Feeling” 1 2 3 4 5 Comment: ___________________________ After listening to his words, how do you feel? ___________________________________________________ Part Two: “My Expectation” Expression of “My Expectation” 1 2 3 4 5 Comment: _________________________ Reasonableness of thee expectation 1 2 3 4 5 Comment: _________________________ Part Three: “Style of Expression” Staying calm 1 2 3 4 5 Comment: _________________________ Eye contact 1 2 3 4 5 Comment: _________________________ Speaking firmly 1 2 3 4 5 Comment: _________________________ Project C.A.R.E - Children and Adolescents at Risk Educcation 217 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Ninth Session Homework Assignment: Applying the “I-Message” Please write down your experience and feelings after applying the “I-Message”. Event 1 Event 1 Ta r g e t : F a m i l y / C l a s s m a t e / F r i e n d / Other__________ Ta r g e t : F a m i l y / C l a s s m a t e / F r i e n d / Other__________ New Thoughts(Leadership Motto sticker) “I-Message” – My Feeling + My Expectation “I-Message” – My Feeling + My Expectation I say: I say: Experience and feeling after applying “I-Message” 218 Experience and feeling after applying “I-Message” Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims (J) Session: Tenth Session Theme: Leadership Graduate Session Aims: 1. To prevent the relapse of group members’ irrational beliefs. 2. To strengthen group members’ rational beliefs and the “I-Message” self-expression technique. 3. To consolidate the group's successful experiences and strengthen their confidence in their ability to keep on changing. Activity Homework Sharing: “Applying the “I-Message” Duration 20 minutes Concept The successful experience of using the “I-Message” technique should strengthen group members’ rational beliefs and help them to overcome their difficulties in getting along with others. Objective To strengthen and consolidate the application of “I-Messages”. Procedure 1. Group members share their homework content: “Applying the I-Message”. Sharing points: • Their experience of putting the behavior into practice, including their feelings and any difficulties they encountered. 2. Workers praise and give a reward to those who finished their homework and were willing to share. Materials Rewards Backup homework Activity Preventing Relapse Duration 15 minutes Concept Revision of the knowledge taught in the group will help to consolidate group members’ positive experiences and prevent the relapse of their irrational beliefs and aggressive behavior. Workers need to fill in a reminder card for the group members according to their beliefs, and to remind them what to do when relapses occur. Objectives 1. To prevent group members’ relapsing into their irrational beliefs. 2. To strengthen and consolidate group members’ rational beliefs. Procedure 1. Workers adopt an award style to revise everything that the group has learned over the past nine weeks, and to remind group members how they should deal with irrational beliefs. 2. Workers introduce and distribute “Broadening and Reminding” cards (Group Material 1.1) and remind group members to put them in a noticeable place, such as their purse, to encourage and remind them in future. Material “Preventing Relapse” card (Group Material 1.1) Project C.A.R.E - Children and Adolescents at Risk Educcation 219 Chapter 6 Treatment Group - Aggressive Victims Activity Turning Over a New Leaf Duration 25 minutes Concept After completing the activities in the ten sessions, group members need to review their positive changes and consolidate their positive experiences, to encourage them to develop a new perspective on things and become a new leader. Objectives 1. To review group members’ positive changes. 2. To increase group members’ self-confidence. Procedure 1. Workers present the “List of Expectations” from the first session, for group members to review their expectations of the group. 2. Each member is given a colored label to represent themselves; for example, if group members think they have reached their expectation, they can paste the label beside it. 3. Workers cut the follow sharing topics into strips, and members share their achievements: • Most useful • Most favored • Most helpful to themselves • Most meaningful • Most influential • The happiest when achieved • Most wanted to share when achieved 4. Workers appreciate group members’ achieved expectations, and encourage them to keep on changing positively. Materials List of Expectations (refer to first session) Sharing topics strips 220 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Activity Sharing Between Group Members Duration 20 minutes Concept Apart from reviewing their positive changes, group members should continue to develop their positive thinking, learn to appreciate and encourage others, and care about their culture. Objective To build up group members’ positive thinking and learn to appreciate and encourage others. Procedure 1. Workers prepare playing cards numbered 1-9 and the king (eight group members, two workers), then let workers and group members draw cards. 2. The person who draws the king can be in charge (to make the decisions), and assigns any two members holding cards 1-9 to share: • Good performance in the group • Another person's good points • The most appreciated side of another person • The most memorable time in the group • The most improved side in the group 3. Workers debrief and encourage group members to continue to make positive changes. Materials Playing cards numbered 1-9 and the king. Activity Debriefing and Distribution of Certificates Duration 10 minutes Objectives 1. Debrief on group content. 2. Strengthen group members’ sense of achievement. Procedure Workers debrief on the experience of the ten sessions, and distribute leadership certificates (Group Material 1.2). Materials Leadership certificates (Group Material 1.2) Rewards Remark: In the last session, workers can consolidate all of the knowledge gained and successful experiences in the group, to leave them with positive feelings and encouragement to confront their difficulties. Workers can remind group members that although they may encounter bullying in the future, if they apply the knowledge they have learned and practice their new rational beliefs regularly, they can face and solve their problems with courage. Project C.A.R.E - Children and Adolescents at Risk Educcation 221 Chapter 6 Treatment Group - Aggressive Victims Name:____________________ Tenth Session Group Material 1.1: Preventing Relapse Cards Back Side Old beliefs Front Side Old Emotion Reasonable and fair beliefs New Emotion New Behavior 222 I + My Feeling + My Expectation Unreasonable Old behavior Unfair New Experience Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Tenth Session Group Material 1.2: Name:____________________ Leadership Certificate Leadership Certificate Leader: _______________ Marking Item:(Five indicates the highest) 1. Is willing to share 2. Encourages others 3. Takes homework assignments seriously 4. Is willing to change 5. Applies rational beliefs 6. Practices rational behavior 7. Uses “I-Messages” to express feelings and expectations Comments: Project C.A.R.E - Children and Adolescents at Risk Educcation 223 Chapter 6 Treatment Group - Aggressive Victims IV. Case Studies In this section, some of the above-mentioned activities are selected and described in detail with concrete examples, providing an outline of the group process, case description, and workers’ analysis for each activity. For better understanding, the treatment group sessions are grouped into four stages: first meeting, initial stage, earlymidstage, late-midstage, and late stage. 1. First Meeting of the Treatment Group First Session: “Tell Us about Your School” Group process and case description Kin and other members were eager to express their views in the “Tell Us About Your School” activity. They all felt “panic” and “troubled” at the mention of various situations. When asked about their feelings toward the school, Kin remarked that there were “underworld activities” and many fights at the school. A lot of the other members commented that schools were dangerous and they did not feel safe there. Members were very interested in the topic of peer relationships and were willing to share their personal experiences of being bullied. For instance, other students would pour soy sauce into Kin's lunch box when he was not looking. Another member said that his pens were often stolen or broken by others. Many members felt “frustrated” and “angry”. When he heard that other members felt incompetent at striking back or felt “overwhelmed” by conflicts with their peers, Kin commented that he used to be bullied frequently by his peers, but was now practicing martial arts and hoped to protect himself with his newly-learned skills. Workers’ analysis Even in the first session of the treatment group, Kin was eager to reveal that he was an insecure person with many worries. His sharing clearly reflected the perspective of an aggressive victim, who often felt unsafe and very cautious of potential danger. Therefore, he felt constantly anxious and determined to use his own way to protect himself. This was consistent with his cognitive pre-test result. He felt the school was not a safe place and school rules were neither fair nor clear, therefore he would not trust the teachers or the school. He chose not to report bullying incidents to teachers and instead retaliated with aggressive behavior. Aggressive victims often feel helpless and overwhelmed when facing bullying situations. They want to strike back but feel incompetent to do so. Like Kin, many aggressive victims will strike back when they can no longer tolerate the situation. The results of the emotional pre-test revealed that Kin was emotionally anxious, depressed, and had intense anger, hence he would often choose the angry emotion card to express his emotion. He seldom suppressed his anger and tended to vent his emotion via aggressive behavior, and had started learning martial arts to increase his ability to protect himself. In comparison with passive victims, aggressive victims are more willing to express themselves in the first meeting because it is a rare opportunity for them to be listened to by others. However, workers still need to construct a safe atmosphere for members to express their views freely in the first session. Workers must also pay attention to members’ non-verbal expression. In general, victims need more time to warm up and tend to use more non-verbal expression in comparison with aggressors. Members must be given space and time to express themselves. When a member such as Kin started to review his past experiences, other members would join in and help to create a mutual trusting relationship among members and a sense of security within the group. 224 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims First Session: “My Expectations of the Group” Group Activities : Session 1 (Please refer to the DVD, Part III, Aggressive victims – 1. First meeting of the treatment group. ) Group process and case description One of the objectives of Session 1 was to understand and clarify members’ expectations of the treatment group. Many members naturally thought and felt for Nobita, and Kin even wanted to be like Takeshi, who retaliated when bullied. In the “Group Expectations” activity, Kin indicated his wish to find ways to deal with bullying “without constant struggle”. Other members wanted to “feel relaxed” and not be bullied by others. They wished to “get along with peers”. Many members had mentioned in the previous activity that they felt they were treated unfairly by their parents and school. Workers responded appropriately to members’ expectations and by the conclusion of the session hoped to establish an atmosphere of mutual trust and fair treatment for members. Furthermore, workers reiterated in the summary of the code of practice that the group content was to be kept strictly confidential to increase members’ sense of security and ease their anxiety. Workers’ analysis Members’ concerns and needs were indicated in their expectations. Workers provided blank paper for members to write down any additional expectations. Kin put down “not to have to struggle constantly” as his expectation, which reflects how aggressive victims often contradict themselves and struggle between the social ethic of non-retaliation and retaliatory violence. Their struggle is a product of their neurotic and moral anxieties. They often feel frustrated and helpless and do not know whether to accept the reality of being bullied or to retaliate. In fact, aggressive victims want to “feel relaxed”, and not anxious or conflicted. A commonly expressed goal of group members was to “get along with peers”; therefore, aggressive victims had more motivation to attend the treatment group than passive victims. Because members were unfamiliar with the contents of the treatment group, and victims are generally less expressive in comparison with aggressors, workers provided the “List of Expectations” for members to choose from. Members were given time to make their selection to create a sense of control over it and increase their sense of efficacy. Project C.A.R.E - Children and Adolescents at Risk Educcation 225 Chapter 6 Treatment Group - Aggressive Victims 2. Initial Stage of the Treatment Group Second Session: Discussion on the Short Video – “The Missing Cell Phone” Group process and case description Quite a few members felt angry, frustrated, and afraid when they imagined themselves in the role of Wong Chunwah during the discussion of the short video: “The missing cell phone”. Kin remarked that he would feel very angry and would argue with the teacher. Kin believed the teacher was against him and that was why the teacher chose to search his school bag first. Other members worried the teacher would misunderstand and think they were involved in criminal activities, therefore they chose to clarify the matter with the teacher. Members who frequently chose aggressive behavior as the solution would indicate a higher level of threat on the “Threat Index”. Quite a few members wrote down both aggressive and rational types of behavior on the blank stickers. Kin put down “allowed the teacher to search his school bag but felt angry” and “reluctantly let the teacher search his school bag”. When members were asked to affix star stickers onto the proposed solutions, the ratio of aggressive to rational behaviors was 50:50. Although Kin put down both an aggressive and a rational solution, in the end he placed five stars (the highest score) next to the solution “allowed the teacher to search his school bag but felt angry”, and only placed four stars next to the rational solution “reluctantly let the teacher search his school bag”. Kin mentioned in the group discussion that the teacher did not have any justification for searching his school bag first and it only showed how unfair the teacher was. Kin believed the teacher thought he was a bad student because of his poor academic performance; therefore the teacher accused him of stealing and searched his school bag. Kin chose to “allow the teacher to search his school bag but felt angry” to vent his anger. Other members believed they were “aboveboard”. They would allow the teacher to search their bag to prove their innocence. Although some members chose to respond with aggressive behavior, they could not help but feel worried and anxious. They worried that the teacher would punish them by giving them demerit points if they resolved the matter with aggressive behavior. They might even be arrested for injuring the teacher. Workers’ analysis According to steps two to four of Crick and Dodge's (1994) SIP theory, individuals understand and interpret information based on the characteristics of their past experiences, then search for and choose an appropriate response. Using situational questions, workers were able to understand and assess how members interpreted external cues and what measures they took in response to these cues. Kin interpreted the situation as the teacher picking on him because of his poor academic performance, and therefore chose to search his school bag first when someone lost their mobile phone. Kin's hostile attribution arose from his previous experiences. He tended to draw unreasonable inferences (overgeneralize) based on his frequent bullying experiences. He believed that he could trust nobody and was not liked by others. We could see that Kin had low self-esteem, and felt he had to express his strength through aggressive behavior. 226 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Many of the aggressive victims, like Kin, were able to come up with both aggressive and rational behavioral measures. Therefore, workers should observe members’ moral development to find out whether aggressive behavior is their only cognitive response, or whether they would consider both aggressive and rational behaviors. Workers can only strengthen members’ moral reasoning in the later group activities if they understand members’ current level of moral development. In contrast to passive victims, Kin would still choose rational behavior to resolve his problem. He would experience a moral struggle over the consequences, such as receiving demerit points from his teacher, if he chose to respond with aggressive behavior. This suggests that Kin's moral development was still in the preconventional morality stage (law and order oriented) stage. Therefore, the aggressive behavior of aggressive victims causes less harm than that of reactive aggressors, and their forms of aggression are mainly focused on physical and verbal abuse. The aggressive victims often felt emotionally angry, frustrated, and afraid. They held grievances against the teacher for being wrongfully accused, and had no choice but to allow the teacher to search their school bags. They were emotionally confused, thus in Session 3,the focus was on helping members to identify their emotions. Third Session: “Demon, Reality, Angel”– A Self Evaluation Group Activities: Session 3 (Please refer to the DVD, Part III, Aggressive victims – 2. Initial stage of the treatment group, and 3. Explanation by Dr. Annis Fung. ) Group process and case description Workers began the session by giving an in-depth description of the “demon, reality, angel” concept to help members understand and identify their emotions. Members could easily recognize their demons and angels. While the workers were explaining the concept, Kin said that demons often appeared in his mind and asked him to beat up others. He was very troubled, often felt anxious, and did not know if he should beat up others. The struggles between demon and angel made him feel helpless, so that sometimes he would listen to the demon and sometimes to the angel. Many members worried that they would regret it if they did not listen to the angel. They thought that teachers would punish them and ask to see their parents if they were caught starting fights. Members were able to develop a good understanding of their own “demon, reality, angel” through the group activity. In the situational activity, their demons would often say “Scold him, tell him to give it back”, “Chase him for it or he won't give it back”, or “I want to make fun of him, otherwise I will not be at ease”. Angels would say “Lend it to him to play with for a while, he may give it back to me later”, or “Put up with him, don't get angry, he only wants to play for a while”. In the group discussion, Kin told the group that the demon had emerged in his childhood. He thought his parents loved his older brother very much and was given all the snacks and toys at home. Even if his older brother did something wrong, the punishment he received was much less severe, and it was unfair. The two brothers would get into fights when they argued. Kin's father had a hot temper; he would beat his mother, brother, and himself. Kin often felt lonely and helpless. Therefore, when faced with bullying situations at school, Kin came to believe that the only way to reduce the chance of being bullied was to respond with violence. Project C.A.R.E - Children and Adolescents at Risk Educcation 227 Chapter 6 Treatment Group - Aggressive Victims Workers’ analysis Because the aggressive victims often felt restless (Olweus, 1978), workers used their emotions as the point of intervention and categorized anxiety into the following three types: reality anxiety (reality), neurotic anxiety (demon), and moral anxiety (Angel) (Hall, 1955). From members’ responses to the “demon, reality, angel” task, it was evident that most members were able to grasp the concepts and apply them in their daily lives. Members’ demons reflected aggressive victims’ tendency to retaliate. They would make fun of their aggressors, and wished to settle the matter with aggressive behavior. At the same time, they worried the aggressor would not return the Gameboy to them. Workers not only introduced the concept to members, they also helped members to understand and identify their emotions, which helped in assessing their irrational beliefs. In the group discussion, workers began to explore how Kin's past experiences had contributed to his irrational beliefs. Through Kin's narration, we learned how his upbringing had made him believe the world was not fair, and he was not treated fairly. He held grudges against the world, his family, and friends. This depressed emotion was not taken seriously, nor was he able to express it. He became more depressed and angry as he entered adolescence. Because Kin was brought up in an abused family, he often saw his father using aggressive behavior. Cognitively, he agreed with using aggression as a solution. Whenever he had an argument with his brother, he would tend to resolve it through fighting. Kin's parents employed an extreme parenting model: his father was over-strict, while his mother was over-protecting. Therefore, Kin failed to become independent and did not know how to protect himself properly. Fourth Session: “Devil versus Angel” – Part I Group process and case description Workers selected one of the members’ homework assignments as the situational question. The situation was “When I was using the computer, a classmate asked if he could use it. What should I do?” (Event). Some members indicated that they would “Beat him up”, “Would rather die than let him have his way”, “Swear at him, and turn off the computer so neither of us could use it”. They all felt angry and helpless. Workers divided members into groups and, through sharing, they were able to comprehend one another's interpretations of the event. Kin believed that the student came over to him and intentionally took over his computer (belief), because the student came and asked him rather than using any of the available computers in the room, so he was very angry (emotional response). As he believed that the student came over to bully him (belief), he would choose to punish the student by turning off the computer, so neither of them could use it. Meanwhile, Kin felt that if he let the student use the computer he would lose face (belief). He did not want to be looked down upon, so he would turn off the computer as a form of retaliation (behavioral response). Workers’ analysis Workers needed to assess how members interpreted the external cues from a cognitive perspective, and how they responded to provocations. In Kin's case, it was not difficult to notice that he had a tendency to attribute problems to external factors. He believed the student wanted to take over his computer, so he reproached the student using foul language. Kin was often bullied by others and started to develop cognitive distortions. He overgeneralized the event and believed the student was a threat to him. In contrast to reactive aggressors, Kin was more receptive to external cues; he noticed there were many vacant computers in the room. However, his problem-solving skills were weak, his responses were never well thought-out, and he was always emotional (Rudolph & Heller, 1997). Therefore, he immediately swore at the student without clarifying the situation. He even turned off the computer so neither of them 228 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims could use it. As Kin was only able to solve his difficulties by using aggressive behavior, he easily became involved in conflicts and was marginalized by his peers. Moreover, Kin did not trust others and easily misinterpreted their motives. 3. The Early-MidStage of the Treatment Group Fifth Session: “Scenario – If I were Chris, I would…” Group process and case description After introducing the A-B-C concept, workers utilized various situational questions to help members understand their own beliefs, behavioral, and emotional responses. Because aggressive victims have relatively poor learning abilities, workers would illustrate the concept using examples taken from members’ daily lives. The situational questions were also related to members’ personal experiences. One of the situational question was: “Chris went to the toilet. He found his drawer and school bag were filled with garbage after he returned from the toilet. If you were Chris, you would…” (Event). Many members said they would feel “unhappy”, “angry”, or “helpless” (emotional response), some would “beat up others” to vent their emotions, and others would “empty the garbage, then report it to the teacher” (behavioral response). Kin thought the world was unfair and questioned why others had to pull pranks on him (belief).Therefore, he felt had to get revenge and would beat up those who were involved (behavioral response). Workers disseminated the “12 Irrational Beliefs” cards and asked members to select the belief(s) that best represented their own belief(s). Many members would choose one of the following: “I have to have someone I respect to love and praise me”, “Bullies and bad people must be severely punished”, and “One must show that he/ she is competent, otherwise he/she will be looked down upon, and become worthless”. Workers’ analysis After assessing members’ emotional responses, behavioral responses, interpersonal skills, and experiences of being bullied, workers introduced the A-B-C concept to help members detect their irrational beliefs. Many aggressive victims would misinterpret their behavioral responses as their beliefs; therefore, workers had to monitor each individual member's progress in learning the A-B-C concept. In Session 5, workers summarized the assessment from the previous four sessions for members to explore their irrational beliefs. Through the group discussion, members came to realize that their beliefs could affect their behavioral and emotional responses. Therefore, they could alter their beliefs to bring about more positive behavioral and emotional responses. During the activity, Kin learned to recognize his cognitive distortions and that he often overgeneralized. He believed that other people and the surrounding environment treated him “unfairly”. He would become angry whenever this belief arose and would respond with aggressive behavior. Therefore, he chose “Bullies and bad people must be severely punished” and “One must show that he/she is competent, otherwise he/she will be looked down upon, and become worthless” from the 12 irrational beliefs stickers to represent his own beliefs. This reflected the high value that Kin placed on fairness. If someone bullied him, he would retaliate with aggressive behavior, hoping not be marginalized and despised by peers. He was also full of anger and anxiety. Project C.A.R.E - Children and Adolescents at Risk Educcation 229 Chapter 6 Treatment Group - Aggressive Victims Case Background : Short temper, anxious, poor relationships with peers Related Childhood Information Kin was brought up in an abused family and often saw his father using aggressive behavior. Cognitively, he agreed with using aggression as a solution. Whenever he got into an argument with his brother, he would tend to resolve it through fighting. Kin's parents employed an extreme parenting model. His father was over-strict, whereas his mother was over-protective. Core Belief I am incompetent Hypothetical Situation/Belief/Rules I would not be bullied again if I had the strength to fight back Compensation Strategies Hold grudges, take revenge Revenge, use preemptive strategies Revenge, attack on others Situation 1 Situation 2 Situation 3 A student lost a mobile phone and the teacher searched Kin's school bag first A student indicated he wanted to use Kin's computer Kin returned from the washroom and found his drawer and school bag filled with garbage Automatic Thoughts “The teacher thinksIam a bad student because of my poor academic performance, soaccused me of stealing” Meaning behind Automatic Thoughts Automatic Thoughts “The student intentionally took over my computer” Meaning behind Automatic Thoughts I was incompetent, I was bullied I was inferior, I was bullied Emotional Response Anger Behavioral Response “Allowed the teacher to search his school bag but felt angry” 230 Automatic Thoughts “The world is unfair. Why do others have to pull pranks on me? I need to get revenge” Meaning behind Automatic Thoughts I was incompetent, I was bullied Emotional Response Anger Emotional Response Anger Behavioral Response “Swore at him and turned off the computer, so neither of us could use it” Behavioral Response Project C.A.R.E - Children and Adolescents at Risk Educcation Beat him up Chapter 6 Treatment Group - Aggressive Victims Sixth Session: “The Negative Impacts of Irrational Beliefs” Group Activities : Session 6 (Please refer to the DVD, Part III, Aggressive victims – 4. Early mid-stage of the treatment group, and 7. Explanation by Dr. Annis Fung.) Group process and case description After members had consolidated their own irrational beliefs, workers introduced the unreasonableness of their irrational beliefs (in “The Negative Effects of Irrational Beliefs” activity): “overgeneralizing”, “black-andwhite thinking”, and “magnifying the negatives and minimizing the positives”, to help members understand the unreasonableness in their irrational beliefs and strengthen their motivation to change. Kin came to realize that his original belief, “Bullies and bad people must be severely punished”, exaggerated the punishment and his power to punish (magnifying and minimizing), which would not be fair. There were other ways for them to reform themselves (black-and-white thinking) and violence for violence was not the only way to solve problems. Many members came to realize their beliefs were in fact irrational and there were other perspectives, thus members were able to broaden their thinking. It was easier for members to comprehend the negative effects of their irrational beliefs once they could see that they were unreasonable. Members came to realize that believing “Bullies and bad people must be severely punished” had a negative effect on their emotions. They would agonize over it, causing them to feel anger and undermining their relationships with peers, so that they would easily get involved in conflicts and disputes with others. Workers then utilized “Time Projection Imagery” to help members to reflect on how it would affect their lives in the future if their irrational beliefs remained unchanged. Kin insisted in the beginning that irrational beliefs would not have a great effect on his relationships with others. He strongly believed that his irrational beliefs could help him get revenge and seek justice. However, when other members reflected on how irrational beliefs might affect their lives in the future, Kin began to realize that irrational beliefs caused him great pressure. Because of it, he could not concentrate on his studying, which affected his academic achievement and future prospects. He started to see the damage caused by his irrational beliefs and need for revenge. Workers’ analysis In the process of debating their irrational beliefs, workers first helped members to recognize the unreasonableness in their irrational beliefs. During the activity, members were able to learn from one another and recognize their own thinking traps so that they could apply the concept in their daily lives. For example, Kin began to understand his belief was unreasonable, and this self-reflection increased his motivation to change. The activity “What affects me” created peer pressure through discussion and sharing. It was easy for members to self-reflect, and thus to understand the effect of their irrational beliefs. Project C.A.R.E - Children and Adolescents at Risk Educcation 231 Chapter 6 Treatment Group - Aggressive Victims To strengthen members’ motivation to change, workers divided members into groups in accordance with their irrational beliefs. Members found it easier to realize their different beliefs in relation to the same event. The negative effects of members’ irrational beliefs were visualized using the human-shaped drawing. This activity helped workers to assess members’ motivation to change. Kin initially thought his irrational beliefs had no negative effects on his relationships with others, reflecting that his irrational beliefs were deeply rooted and he had very distorted perceptions. As he had not yet changed his irrational beliefs, workers spent more time helping him to debate his irrational beliefs. Moreover, workers needed to understand and assess the barriers that prevented members from changing: was it out of fear or because of cognitive distortions? Kin believed that “people must be severely punished for their wrong deeds”, and he would uphold this belief even if it undermined his relationships with others. Workers could further discuss this belief with Kin in the debate about irrational beliefs. Furthermore, by using “Time Projection Imagery”, workers could understand the reasons behind members’ motivation to change, and thereby strengthen these motivations. Their motivations could be from their concerns about the future, or the feelings of family members. 4. The Mid-Late Stage of the Treatment Group Seventh Session: “Debate on Irrational Beliefs” Group Activities: Session 7 (Please refer to the DVD, Part III, Aggressive victims – 5. Mid-late stage of the treatment group, and 7. Explanation by Dr. Annis Fung.) Group process and case description Workers helped members to discriminate and then debate their irrational beliefs. By now, members had realized the unreasonableness of their irrational beliefs so workers were able to introduce rational beliefs to members and use the debate to help them understand them. Workers presented the concept of “fair and reasonable thoughts” for members to adopt an objective attitude, and to think “reasonably” with objective evidence and other possibilities. They encouraged members to value their own feelings and the feelings of others. Later on, workers used debate and role-play to discuss members’ irrational beliefs. Workers used clips from the cartoon “The Death Note” (Part II) to facilitate the debate competition and chose the belief of the cartoon's protagonist, who shared similar irrational beliefs(certain acts are awful or wicked and people who perform such acts should be severely damned), as the topic for the debate. Workers had to guide members through the debate and help them to come up with valid arguments, otherwise the debate might easily deviate from the topic. The unreasonableness in Kin's irrational belief was that he thought bullies must be severely punished, for example by being expelled from school. Only such severe punishment would make Kin feel secure and fairly treated. Workers had to use arguments put forward by other members or members of other groups to refute Kin's beliefs, and help Kin to understand that everyone is bound to make mistakes. They encouraged Kin to perceive the wrong deeds committed by bullies objectively, and that it was only “fair and reasonable” for the bullies to receive appropriate punishment from teachers, rather than taking justice into own hands and punishing the bullies with aggressive behavior. 232 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Workers’ analysis Workers must have a clear understanding of members’ irrational beliefs, and need to pay attention to the distorted beliefs that members share in the discussion. Through group interaction, members can change these irrational beliefs with help from workers. Kin's argument reflects aggressive victims’ longing for a fair and safe environment. Kin believed the existing school system could not foster a harmonious environment, teachers and students were not trustworthy (belief), and he did not feel secure and safe (emotional response). Therefore, Kin chose to retaliate with violent behavior to protect himself (behavioral response). The questionnaire data from Kin's pre-group interview also revealed that he did not trust teachers or school. His cognitive belief was that he would feel secure only if the bullies were “severely punished”, and even expelled from school. This narrow perspective made him even more anxious. When his expectation of feeling secure was not met, he became angry at the school and the world. In view of this, workers must help members to rebuild their trust in their school, and then instill hope by offering new experiences. They came to realize that school rules were executed by principals, officers, and teachers, and they punished students based on objective evidence. Members did not need to rely on their own means to protect themselves. If they chose to take justice in their own hands and use “severe punishment” on others, they too would have to take responsibility and bear serious consequences (to receive “severe punishment”). Workers helped members to broaden their perceptions and develop alternative views, allowing them to see things objectively and to establish new and constructive beliefs. Eighth Session: “Designing Rational Beliefs” Group process and case description After the debate on irrational beliefs, members had to detect the unreasonableness in these beliefs from a fair and reasonable perspective. Kin realized that expecting all those who did bad things to be severely punished was an unreasonable point of view, which neglected the feelings of others. He realized that demanding severe punishment without knowing the seriousness of the event was also unreasonable. Based on members’ “Application of Rational Beliefs” homework assignment, workers were able to examine whether individual members understood a “fair and reasonable” point of view, and if there were changes in their beliefs. In addition, workers assessed each case and designed and utilized behavioral assignments to change members’ irrational beliefs. Workers prepared a behavioral assignment based on “When I encounter conflicts with peers, I should inform others of their wrongdoing in a fair and reasonable manner. At the same time, I should appreciate my own courage and efforts,” for Kin to practice in the following week. Kin did what the workers requested and practiced the new belief and behavior. When he was playing basketball with his peers (event), he calmly confronted others when they fouled in the game, and managed not to attack anyone in the process. He felt excited at being able to implement the assignment successfully (emotional response). He realized that when he expressed his thoughts clearly, he was able to communicate better with others and this also helped to reduce conflicts (behavioral response). Kin's success was due to the change in his beliefs. He believed “I can express myself calmly”, therefore, he chose to express his belief with courage rather than using aggressive behavior. This successful experience encouraged him to be alert to such situations in the future, which strengthened the implementation of this new belief. The behavioral assignment provided a successful experience for Kin, which made it easier for him to construct new beliefs, new behavior, and new feelings. Kin had gained a new experience in the debate process, which broadened his self-knowledge and event attribution. This new experience helped him to construct a new and effective rational belief that “people who do wrong deeds will receive a fair and appropriate punishment”. In future, he would first calm himself, then adopt a fair and reasonable manner to solve his problems. He no longer had a short temper, and he had fewer conflicts with others (new feelings and behavior). Project C.A.R.E - Children and Adolescents at Risk Educcation 233 Chapter 6 Treatment Group - Aggressive Victims Workers’ analysis In the debate on irrational beliefs, many members were like Kin, who would refute others’ arguments. Kin still insisted on his irrational beliefs after the debate, which showed that he was still using his defense mechanism. At the same time, the arguments put forward by workers and other members helped to broaden members’ perspectives. Therefore, the homework assignment “Application of Rational Beliefs” allowed members to reflect on the unreasonableness of their irrational beliefs, and to consolidate their arguments. Workers could continue to debate members’ irrational beliefs in Session 8 if they had not changed in this session. Furthermore, workers could use scaling questions to measure how their existing and new beliefs affected members’ emotions, and thus assess the changes they had made. We could see that Kin had made cognitive changes in his homework assignment. He was able to discern the unfairness and unreasonableness his own irrational beliefs. He was courageous enough to implement the behavioral assignment, which reflected he had the motivation to change. The successful experience also strengthened Kin's determination to change, to construct new beliefs, new behavior, and new feelings. Therefore, workers must explain exactly when and how to practice the new behavior when introducing the behavioral assignment. The behavioral assignment exercises must be achievable, specific, and not complicated, otherwise members will give up. Upon completion, workers should invite members to share their successful experiences in the group to increase other members’ motivation to practice their behavioral assignments. At the same time, such sharing helps to broaden members’ perspectives, and to create a sense of achievement and satisfaction for those who practiced the assignment. 5. Late Stage of the Treatment Group Ninth Session: Application of “I-Messages” Group Activities: Session 9 (Please refer to the DVD, Part III, Aggressive victims – 6. Late stage of the treatment group, and 7. Explanation by Dr. Annis Fung.) Group process and case description Workers started the behavioral training and the “I-Message” training after members had constructed rational beliefs. Workers introduced the “I-Message” – “I + My feelings + My Expectations” – for members to learn interpersonal skills. Later on, members learned to apply the “I-Message” technique in the situational booths. The situation exercise that Kin had was set in a classroom. A student threw an eraser at Kin and made fun of him. Kin was emotional when he first responded and failed to express himself in a calm manner. Workers should point out areas that need improvement when using the “I-Message”, such as remembering to keep calm and to start the sentence with “I” to express their feelings and expectations. Members were asked to apply the “I-Message” technique in their daily lives and share their experiences in Session 10. Some members were able to apply the “I-Message” successfully. Lai, for instance, had an argument with another student during the week. She applied the “I-Message”: “I feel very unhappy; I hope you and I can discuss the matter calmly”. She was aware that it was easier for others to accept her views and understand her feelings. Many other members had also successfully applied the “I-message” and found that they felt better when they were able to express themselves; they no longer felt depressed and irritable. However, some members had 234 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims encountered difficulties in using the “I-Message”. For example, Kin worried that others might ignore him when he used the “I-Message”. Workers need to reassure members that it is normal to encounter difficulties when using the “I-message”, then help to evaluate the cause of failure, and encourage them to keep on trying. Workers’ analysis Workers helped members with their behavioral training after members had reconstructed their cognitive framework. Aggressive victims have very limited solutions when facing difficulties (Guerra & Slaby, 1989); their responses are always emotional and never well thought-out (Rudolph & Heller, 1997). Through learning to use the “I-Message”, members were able to improve their interpersonal skills with others members, thus enhancing their self-confidence and ability to overcome challenges. The situations used in the group activity were based on the actual events shared by members, so that they would closely resemble members’ real-life situations. Workers should pay attention to whether members apply the “I-Message” correctly during the exercise, as practice is important for success. Should members encounter difficulties in using the “I-Message” technique, workers should help them to evaluate the possible reasons for failure. Workers should help members to debate their irrational beliefs if they persist. Workers first need to address members’ emotional needs if they experience fear and failure during the process, then encourage them to keep on trying. Tenth Session: “Preventing Relapse Card” Group process and case description Workers again consolidated the knowledge that members developed from the group, and attributed the success of the group to the efforts of the members. Workers helped members to review the old, learn the new, and acknowledge their positive changes. Kin remarked that he had become fair and reasonable as a result of his newly developed rational belief. He learned to use “I-Messages” to express his emotions. He felt that his self-awareness had increased, and he had the courage to share his feelings with others. He no longer felt alone and was able to understand the different views of his peers. In the past, he only knew how to retaliate with violence when he was bullied and often ignored the consequences, but now that he had broadened his thoughts, he could see things from different perspectives, and could come up with various solutions to solve a problem. To prevent them relapsing into irrational beliefs and aggressive behavior after the treatment group, workers prepared a reminder card for each member in accordance with their beliefs. Members would use this card in the future as a reminder to prevent relapse. Members could become their “own therapist” with the help of the reminder card. Workers’ analysis In the final stage of the treatment group, workers prepared the end-of-group activities to help members consolidate what they had learnt. These positive experiences could help them to confront the challenges ahead, strengthen their confidence to sustain the improvements, and instil them with hope for the future. Workers should remind members that even if they encounter bullying situations in the future, as long as they remember the knowledge learnt in the treatment group, and continue to practice their newly constructed rational beliefs, they will have the courage to confront and solve their problems. The card can also be used for relapse prevention. Kin not only broadened his thoughts, increased his self-esteem, reduced his anxiety and anger, and minimized the use of aggressive behavior, but his ability to confront and solve difficulties was also increased after attending the treatment group. Project C.A.R.E - Children and Adolescents at Risk Educcation 235 Chapter 6 Treatment Group - Aggressive Victims V. Effectiveness The table below shows the data collected from treatment groups for aggressive victims among Hong Kong secondary schools. Aggressive victims treatment group: Result of student self-reports (pre-test – post-test) Pre-test – Post-test Valid sample size# Mean difference+ t-value Anxiety/Depression 67 2.51 3.29** Reactive Aggressive 66 1.95 3.65** Bullied by Peers 63 5.32 2.66** Anger Response 66 6.17 3.00** Anger Internalized 67 1.39 2.66** Control of Anger 66 -1.26 -2.00* School Safety 66 2.39 3.89** # Valid sample size: the number of students who completed both pre- and post-tests + A positive value of mean difference represents a decrease of mean score while a negative one represents an increase of mean score *p<0.05 **p<0.01 The treatment group for aggressive victims had a significant effect. Members’ “anxiety/depression” and “bullied by peers” indexes had decreased significantly after completion of the treatment group. Aggressive victims share similar behavior patterns to reactive aggressors, therefore the “reactive aggressive” index also showed a significant drop, which indicates that they reduced their use of aggressive behavior in response to bullying. There were noticeable declines in members’ scores for “anger response” and “anger internalized”, meaning that they no longer felt as angry in response to criticism and provocation, or suppressed their emotions. Their “control of anger” index increased significantly, which revealed that they put more effort into controlling their anger. Finally, members’ sense of security also improved at the completion of the treatment group. 236 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 6 Treatment Group - Aggressive Victims Project C.A.R.E - Children and Adolescents at Risk Educcation 237 Chapter 7: Passive Victims 238 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Chapter 7: Treatment Group – Passive Victims I. Application of Cognitive Behavioral Therapy and Related Theories 1. Attribution Theory (Please refer to Chapter 2) In comparison with aggressive victims, passive victims often attribute the consequences of external events to themselves (e.g. own personality and behavior); they have irrational biases in their internalized attributions. Graham and Juvonen (1998) found that passive victims often blame themselves, and have a tendency to blame their own personalities. They consider themselves to be bullied because of their personality defects. Because a person's personality is stable and uncontrollable, passive victims become more passive and will not do anything to change their current bullying situation. Most of them have been bullied for a long time, and consider it impossible for them to change their fate. These passive victims have more emotional problems, such as anxiety and loneliness, and their self-esteem is also low. However, because behavior is controllable, not stable, and can be changed, it is easier for those who see their behavior as the cause of being bullied to anticipate change, and they have fewer emotional problems than the former type of passive victims. 2. Theory of Cognitive Therapy on Anxiety (Please refer to Chapter 2) Passive victims always suffer from the pressure of being bullied. They tend to misinterpret others’ behavior as threatening and thus become anxious. In respond to the anxiety generated from the misinterpretation, passive victims tend to freeze or escape from the problems, and in return, even increase their anxiety level. 3. Application of Cognitive Behavioral Therapy (Please refer to Chapter 2 for Cognitive Behavioral Therapy) The structure of the 10-session treatment group for passive victims is based on Cognitive Behavioral Therapy (CBT) coupled with the above theoretical analysis. Session Application of CBT Program objectives 1 Establish trust and rapport. Because passive victims are often over-protected, they feel anxious and insecure in a new environment. It is therefore crucial to establish a trusting relationship with passive victims to ensure they feel secure in the group. 2 Identify members’ emotional and behavioral responses. As passive victims feel inferior, it is important to establish a relaxed atmosphere in which members can express their emotions and behavior, and to strengthen members’ sense of belonging to the treatment group. Project C.A.R.E - Children and Adolescents at Risk Educcation 239 Chapter 7 Treatment Group - Passive Victims 3 Distinguish members’ patterns of attribution. Passive victims often attribute the consequences of external events to themselves, thus it is important for members to recognize their patterns of attribution. 4 Educate members about the ABC concept. Use bullying situations that passive victims often experience to facilitate the discussion and allow members to understand the correlation between their beliefs, behavior, and emotional responses. 5 Detect members’ irrational beliefs. Assist passive victims to detect their irrational beliefs, give them hope of change, and increase their motivation to change. 6 Identify members’ irrational beliefs. Identify members’ irrational beliefs and their negative effect on members’ interpersonal relationships and emotions. 7 Debate members’ irrational beliefs. Discuss passive victims’ common irrational beliefs, such as, “I have to have one significant other to love and praise me”, and “It's always easier to run away from problems and responsibilities than to confront them”. 8 Formulate a new and effective rational belief with a new set of emotional and behavioral responses. Formulate effective rational beliefs and emotional and behavioral responses through the debate process and behavioral exercises. 9 Behavioral assignment: assertiveness training. Because passive victims often avoid personal contact, their social skills are not fully developed. It is important to enhance their social skills, assertiveness, and communication patterns, for them to end their estrangement from others. 10 Termination and relapse prevention. Review and praise the changes that group members have made, to consolidate their successful experience. II. Preparation for the Treatment Group Each group member receives a pre-group interview prior to attending the treatment group. Questionnaire data and interviews can reflect the cognitive, behavioral, and emotional characteristics of group members. Therefore, workers are advised to analyze the content of the questionnaires and pre-group interviews carefully, to gain insight into group members’ characteristics and to provide targeted counseling accordingly. 1. Questionnaire The clinical scores from Man's pre-group interview are shown below. Workers can analyze the scores from cognitive, behavioral, and emotional aspects. 240 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Behavioral Aspect: Rating Scale Bullied by Peers (Total score:105) Aggressive Behavior (Total score:38) Reactive Aggressive (Total score: 22) Score 81 2 2 Man scored 81 on the “bullied by peers” index, indicating that she was in a serious bullying situation. However, she scored only 2 on the “aggressive behavior” and “reactive aggressive” indexes, thus it is clear that she would not respond to bullying with aggressive behavior. She was a passive victim. Emotional Aspect: Rating Scale Anxiety/Depression (Total score:32) Score 27 The emotional problems of passive victims are mainly due to anxiety and depression, and Man's high score on this index shows that she was indeed very anxious and depressed. We expected Man to be rather reticent and low in mood at the beginning of the treatment group, therefore workers were aware that they should pay particular attention to her emotional changes. 2. Interviews with Students Students were asked about some possible scenarios they might encounter at school, involving either ambiguous or obvious bullying situations. Students were asked to put themselves in the situation of the protagonists and indicate what their beliefs, behavior, and emotions would be. The following is an example of an ambiguous bullying situation: “Suppose you are wearing a new pair of shoes that you really like to school today. Suddenly someone bumps into you from behind, so that you lose your balance and slip into the gutter. Your shoes are covered with mud.” Man believed that she was bumped into because she was standing in the middle of the road, and the individual was in a hurry and therefore crashed into her. She trusted that it was unintentional, unlike aggressive victims, who believe that all negative events are an expression of hostility toward them. However, Man quickly put the responsibility on herself, and blamed herself for the incident. After the incident, Man would go to the bathroom immediately to wipe the mud off her shoes, and would not confront the individual who had bumped into her. She would feel unhappy and think to herself that “The whole thing would never have happened if I’d been standing on the side of the road”. She also worried that her parents would scold her when they saw the dirt on her new shoes. She again blamed herself for being careless. We could see she had serious internalized attribution. Project C.A.R.E - Children and Adolescents at Risk Educcation 241 Chapter 7 Treatment Group - Passive Victims The following was an obvious bullying situation: “Suppose there are a few students playing in the playground. You very much want to participate, so you go up to one of them and ask if you can join in, but you are refused.” When Man was asked to imagine herself in this situation, she said she believed she was being rejected because of her poor basketball skills (she assumed the students were playing basketball in the situational question). She thought others did not want to be stuck with her on their team, because they did not like her and did not want to play with her. Moreover, Man accepted the fact that she was incompetent, therefore being rejected by others was only natural to her. We could see that Man tended to blame all negative incidents on herself. She would leave as soon as she experienced the rejection. She would feel very unhappy and blame the rejection on her incompetence. She also indicated that if she ever wanted to join them in the future, she would not dare to ask. Being rejected had confirmed her sense of inferiority. She had lost her confidence to participate in any of the social activities and became more withdrawn. 3. Conclusion Passive victims, such as Man, have serious internalized attribution and often blame themselves for any negative event (such as Man blaming her incompetency). However, unlike aggressive victims, Man would not think that others were being hostile toward her. She often felt anxious and depressed, and did not talk much as she was afraid the more she talked the more mistakes she made. Man would not retaliate in a bullying situation, but would simply walk away. She would not dare to confront others as that may make a bad situation even worse, and she did not have the confidence to solve the problem by herself. Workers designed group activities, such as situational questions, in accordance with the characteristics and personal experiences that Man described in the interview. Thus, the counseling treatment could be more in-depth and targeted to Man's beliefs, behavior and emotions. 242 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims III. Content of the Passive Victim Treatment Group (A) Session: First Session Theme: A New Start for Leadership Aims: 1. To build up trust and a sense of security between workers and members. 2. To enact a code of practice and rules for the group. 3. To let participants understand the aims and content of the group and their role in the activities. 4. To share members’ expectations of the group. Activity Introduction to the Group Duration 10 minutes Objective To increase members’ understanding of the group content and objectives. Procedure 1. Workers explain how they selected members. 2. Workers introduce the aims and content of the leadership training program: • To learn about thinking patterns. • To understand their own thinking patterns. • To broaden their thinking skills (multi-angled thinking). • To develop appropriate social skills. Activity Enhancing Relationships Through Matching Number Cards Duration 10 minutes Objective 1. To help members get to know one another. 2. To build up a group sharing atmosphere. Concept As members are usually passive, at the beginning of the group the group rules should be kept simple and body-contact activities kept to a minimum. The card activity can be used to introduce a relaxing atmosphere and help members to remember one another's names. Procedure 1. Ask members to introduce themselves using their preferred name. 2. Workers prepare several pairs of cards with the same number, for example pairs of threes, fours, sixes, and nines. 3. Distribute the cards to members one-by-one but ask them not to look at the number until told to. 4. Workers count from one to three, then tell members to look at their own cards. 5. Members then need to find the person who has the same number and call out their name immediately. 6. When a member misses another's name three times, they need to introduce one thing about themselves (e.g., “my favorite movie”). Materials Several pairs of number cards(the total number of cards should be equal to the total number of members) Project C.A.R.E - Children and Adolescents at Risk Educcation 243 Chapter 7 Treatment Group - Passive Victims Activity Animal-Metaphor Psychological Test Duration 20 minutes Objective To enhance members’ self-understanding. Concept Passive members do not usually express themselves actively and are reluctant to tell others about their characteristics and hobbies. In the animal psychological test, members can choose an animal picture and describe one of their own characteristics that is similar to the animal's. If members are not able to use the animal to describe their characteristics, workers can prompt them by offering words to describe different characteristics. Procedure 1. Workers introduce the activity and emphasize how important it is for leaders to understand themselves. 2. Members choose an animal picture with similar characteristics to themselves. 3. After choosing their animal, they will briefly share the reason why they have similar characteristics to the animal. Workers should pay attention to whether members use negative words to describe themselves and pick out their positive traits. If necessary, workers can provide some positive words for members to express themselves. Materials Animal pictures (Group Material 1.1) Activity Code of Practice Duration 20 minutes Objective 1. To make clear members’ expectations of the group. 2. To enact group regulations and a code of practice. 3. To create a supportive and trusting atmosphere. 4. To encourage members to share their expectations. Concept Members are asked to discuss their expectations so that they can learn more about one another and build up mutual trust. Members’ motivation to participate will be increased through sharing and discussion. Procedure 1. Each member is given three pieces of paper to write down: • their expectations for joining the group; • their expectations for the content of the group; and • their expectations of other group members. 2. Members share their expectations. 3. Workers emphasize the importance of group regulations and enact the code of practice with members. Members can express their views freely during the process. 4. Workers debrief on the group's expectations and code of practice according to the “Prosocial Behavior Card”. Materials Three different-colored sheets of paper Prosocial Behavior Card (Group Material 1.2) 244 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Activity My Expectations of the Group Duration 20 minutes Objective Members share their expected goals in joining the group. Concept To enhance workers’ impressions of group members and understand their expectations, thoughts, and motivations for the group. Procedure 1. Each member is given a “My Expectations” worksheet. 2. Workers instruct members to draw their own face and write down their characteristics on the worksheet. 3. Workers take an instant picture of each member. Members can pose in different postures that express their characteristics, and stick the picture on the human-shaped worksheet. 4. After this activity, workers will begin the sharing. • Sharing expectations about the group. • Discuss members’ expectations and help to find ways of achieving them. Materials Colored pens, Human-shaped worksheet (Class Assignment), Glue, Polaroid camera and film Activity Debriefing and Distribution of the Homework: “Animal Metaphor Characteristics Record Sheet” Duration 10 minutes Objective 1. Debrief on the group content. 2. To increase the involvement of group members. Concept A simple debriefing will help members to remember the topic. Workers should praise members who have shown positive performance and increase their confidence to do better. Distributing the “Animal Record Sheet” can encourage members to pay attention to their classmates’ characteristics and match them with different animals. Procedure 1. Debrief on workers’ observations of each member's performance. 2. Explain homework– “Animal Record Sheet”. • Encourage members to pay attention to classmates' characteristics and explain why they used those particular animals to represent their classmates. Materials Animal Metaphor Characteristics Record Sheet (Homework Assignment) Remarks 1. Most of the participants are likely to be quite passive in the first activity, due to a lack of trust and sense of insecurity. Therefore, at the beginning workers should give them more choices to let them feel respected and accepted. 2. The group members generally find it difficult to express themselves, therefore workers need to pay attention to their expressions and gestures to understand their thoughts and respond to them. 3. In the process, workers should observe members’ positive behavior and praise it at once. For example, when they try to help others, share their own emotions, experiences and thoughts, handle conflicts calmly, etc. 4. To motivate members to finish their homework, workers can tell members that they will receive a reward if they finish their homework. Project C.A.R.E - Children and Adolescents at Risk Educcation 245 Chapter 7 Treatment Group - Passive Victims First Session Group Material 1.1: Name:____________________ Animal Pictures 246 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Project C.A.R.E - Children and Adolescents at Risk Educcation 247 Chapter 7 Treatment Group - Passive Victims First Session Group Material 1.2: Name:____________________ Prosocial Behavior Card Pay more attention to other members and things around you. Listen more to other members Listen more to other members Use hand gestures to show support and encouragement. Take the first step towards more active participation. Feel your own and others’ thoughts. Think and reflect on your own performance. 248 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims First Session Class Assignment: Name:____________________ Human-shaped Worksheet If you were the person on the human-shaped worksheet, what would he/she be like? Please draw your appearance and characteristics on the picture and write down your expectations from the group in the blank space. Project C.A.R.E - Children and Adolescents at Risk Educcation 249 Chapter 7 Treatment Group - Passive Victims First Session Homework Assignment 1.1: Name:____________________ Animal-Metaphor Characteristics Record Sheet Pay attention to your classmates and friends, and match them with an animal with similar characteristics. 1. My classmate is_________________ They share similar characteristics with this animal: Stick the animal sticker 2. My classmate is_________________ They share similar characteristics with this animal: Stick the animal sticker 3. My classmate is_________________ They share similar characteristics with this animal: 250 Stick the animal sticker Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims First Session Homework Assignment 1.2: Name:____________________ Animal Stickers Project C.A.R.E - Children and Adolescents at Risk Educcation 251 Chapter 7 Treatment Group - Passive Victims (B) Session: Second Session Theme: To increase members’ sense of belonging and self-esteem Aims: 1. To build up members’ self-esteem. 2. To increase members’ understanding and value of themselves. 3. To motivate members to change. Activity Homework Sharing: “Animal-Metaphor Characteristics Record Sheet” Duration 15 minutes Objective For members to assess their peers’ characteristics. Concept Reflect on how members think of their peers and why they chose these particular peers. Procedure 1. Members share the content of their homework assignment –“Animal Record Sheet”. Sharing points: • Which three classmates did they choose? • What different characteristics do the chosen classmates have? • How do members get along with their classmates? Members can give examples for elaboration. 2. Give praise and a reward to members who finish their homework and are willing to share. Materials Backup homework (if group members are unable to provide their homework, they can complete it immediately) Small rewards Activity Building Tower Duration 20 minutes Objective To increase the coherence among members and learn about their strengths. Concept By encouraging members to interact and cooperate with one another, workers can observe their communication skills and patterns of expression. Procedure Divide members into two groups and distribute the materials. Members need to cooperate to build a paper tower within a limited time. The winner is the group that builds the tallest tower. Workers will also give special rewards for cooperation, creativity, and communication. Explanation: • What helped your group to build the tower successfully? • How did you divide the jobs and communicate with one another? • What contribution did you make to achieve the mission? Materials 252 Drinking straws, tape, scissors Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Activity Modeling Myself in Clay Duration 40 minutes Objective To let members introduce themselves without pressure. Concept Members can introduce themselves in a relaxing environment, to reduce the embarrassment they feel from self-disclosure and sharing in public. Procedure 1. Workers lay out plenty of materials on the desk so that members can choose them freely. 2. Members use the materials to make a model that represents them, and that reflects their appearance and characteristics. Workers need to emphasize that this is an individual activity without any rules or fixed procedure – everyone has their own specialty. 3. Once finished, members share their models. After the sharing, workers should lead members to applaud one another for encouragement. Workers will video-tape the whole process and give a copy to members as a souvenir. Materials Clay, handicraft materials such as colored paper, Camera Activity Debriefing and Distribution of the Homework: “My Positive Energy” Duration 15 minutes Objective To strengthen members’ self-esteem. Concept Passive victims have negative beliefs and underestimate their ability and performance, therefore we need to open their minds to allow them to pay attention to their positive experiences and help them to discover their internal resources. Procedure 1. Compliment members who are open-minded. 2. Look for and compliment those who are actively involved in the group. 3. Explain the homework assignment: “My Positive Energy”. Workers should offer some examples so that members will understand the focus of the assignment. 4. Remind members that they can earn a reward for finishing the assignment. Materials “My Positive Energy” worksheet (Homework Assignment) Remarks 1. Some members may still feel uncomfortable in the group so they may not want to participate in the activities. Therefore, workers need to be sensitive and motivate members by praising them and giving rewards. 2. In the “Modeling Myself in Clay” activity, members may be anxious about showing their models to others; they may say they lack artistic talent, or do not know how to participate. Therefore, workers need to emphasize that this is a creative activity. 3. Workers should appreciate the efforts of each member and should not laugh at or criticize what they create. They need to emphasize the uniqueness of each member and find positive elements in members’ negative descriptions. 4. In the sharing part of the activity, some members may be shy or passive and refuse to share. They may just lower their heads and withdraw to the edge of the group. Workers can invite other members who are better prepared to share first, but must not force them or only focus on certain members. Workers should lower members’ anxiety and maintain a harmonious and safe atmosphere. 5. Workers can take the lead in sharing their qualities and guiding members to think from different angles, so that they can extend their self-value and cognition. Project C.A.R.E - Children and Adolescents at Risk Educcation 253 Chapter 7 Treatment Group - Passive Victims Second Session Homework Assignment: Name:____________________ My Positive Energy Everyone has potential energy – please complete the following statements and find out your unique energy. 1. My favorite part of myself is: 2. My positive characteristics are: 3. Some challenges and difficulties that I have overcome: 4. Some skills that I possess: 5. Some similarities that I have with the people I like: 6. Some successful experiences that I have had: 7. People who like me would usually describe me as: 8. Some bad characteristics that I do not have: *Remember no matter how trivial things are, please write them down. 1. ________________________________________________________________________ 2. ________________________________________________________________________ 3. ________________________________________________________________________ 4. ________________________________________________________________________ 5. ________________________________________________________________________ 6. ________________________________________________________________________ 7. ________________________________________________________________________ 8. ________________________________________________________________________ 254 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims (C) Session: Third Session Theme: Thoughts and Attributions Aims: 1. To recognize the thoughts and attribution of victims. 2. To understand people's thoughts and attributions in different situations. 3. To increase sharing and create a trusting atmosphere in the group. Activity Homework Sharing: “My Positive Energy” Duration 15 minutes Objective 1. To increase self-understanding. 2. To increase the motivation to change. Concept To understand members’ thoughts and judgments of their real self and pay attention to the difference between their ideal self and real self. Procedure 1. To encourage members to share their own positive energy. Sharing points: • Sharing their positive energy. • Which positive energy do you want to possess and why? • What methods would help you to get more positive energy? Activity Acting out Your Thoughts Duration 15 minutes Objective To let members understand that different people use different methods to express themselves, so they should not judge a person solely by their apparent behavior. Concept CBT emphasizes that our thoughts and attributions about an event affect our emotional and behavioral responses, so that members understand the relationship between thoughts, beliefs, emotions, and behavior. Procedure 1. Members are divided into two teams and take turns to be the representative. 2. Workers give the representative's team a fact (e.g., the name of an occupation, food). 3. The group representative uses gestures to mime the answer and let the other members guess what it is. Focus of explanation: • Let members understand that different people have different cognitions and interpretations of the same external stimulus. • Reflect on whether there are any methods or skills that can enhance interpersonal communication. Project C.A.R.E - Children and Adolescents at Risk Educcation 255 Chapter 7 Treatment Group - Passive Victims Activity Internalized and Externalized Attributions Duration 20 minutes Objective 1. To use scenarios to explore members’ thoughts and behavioral responses. 2. To let members understand that internalized and externalized attributions can lead to different behavior. Procedure 1. Members are divided into two groups and workers provide one situation and response at a time. 2. The two groups discuss their own and others’ thoughts and responses when facing the situation, then write down their answer. 3. Those members who can distinguish between internalized and externalized attributions receive a reward. 4. Workers elaborate on the relationship between attributional thinking patterns and behavioral responses, so that members can understand their relationship. Materials “Internalized and Externalized Attribution” worksheet (Group Material) “Internalized and Externalized Attribution” record sheet Activity Attribution Classification Questionnaire Duration 25 minutes Objective 1. To assess members’ attributional thinking patterns. 2. To recognize individuals’ thoughts when making attributions. 3. To recognize the effect of internalized and externalized attribution patterns on emotions and behavior. Concept Passive victims’ common irrational beliefs are: 1) internalized attribution – all unfortunate events are their own fault; and 2) externalized attribution – all unfortunate events are caused by the external environment and cannot be changed. Procedure 1. Members fill in the Attribution Classification questionnaire by selecting their individual thoughts and responses to different situations. 2. Discuss and explain how internalized and externalized attributions affect emotions and behavior. Materials 256 Attribution Classification questionnaire (Class Assignment) Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Activity Debriefing and Distribution of the Homework:“Internalized and Externalized Thoughts” Duration 15 minutes Objective 1. To observe and record some of the unhappy events in members’ daily lives. 2. To help members understand their thoughts and attribution patterns. Concept To enhance members’ understanding of self-cognition, negative emotion, and passive behavior. Procedure Members record an unhappy event and write down their feelings and thoughts at the time, then analyze the internalized or externalized attributions in their perceptions of the event. Materials “Internalized and Externalized Thoughts” worksheet (Homework Assignment) Remarks 1. Because sharing tends to be more personalized, workers need to offer unconditional positive regard and present a non-judgmental attitude, to encourage group members and demonstrate acceptance. 2. Offering empathic understanding and a genuine caring attitude toward each member will ensure they feel loved and respected. Project C.A.R.E - Children and Adolescents at Risk Educcation 257 Chapter 7 Treatment Group - Passive Victims Name:____________________ Third Session Group Materials: Internalized and Externalized Attributions Hypothetical Situations Situation: Response: 1. You help a teacher to carry loads of stuff along the corridor and the whole class is yelling at you. • Your classmates are wrong and want to get you into trouble, so you inform the teacher. 2. During recess, you cross the basketball court and suddenly a basketball hits you right in the face. • You weren't watching what was going on on the basketball court, so you must have got in the way of your classmates. 3. Someone suddenly stamps on your feet in a train compartment. • You think it must be your fault because you were getting in the way of others. 4. A classmate swears at you. • Although it makes you unhappy, you don't respond. You don't want to be disliked by others. 5. You know the whole class is going out for a trip but they didn't invite you. • You think you are ostracized by others, therefore you won't be invited. Third Session “Internalized and Externalized Attribution” Record Sheet Group: _____________________ Internalized Attribution Externalized Attribution Problem 1 Problem 2 Problem 3 Problem 4 Problem 5 258 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Third Session Class Assignment: Name:____________________ Attribution Classification Questionnaire Please think about yourself in the situations described below. How would you think and respond? Please circle the closest response among the four choices. Situation 1: The exam is over and everyone in the class is going out together, but only you are excluded. How do you feel? 1. I don't have any money for shopping so that's why I’m not invited. 2. I don't care if they don't invite me. 3. They are making small groups so it's their fault. Even if they invited me, I would not go. 4. I’m not popular among the class, so I’m not surprised if I’m not invited. Situation 2: During recess, you are in the bathroom when you discover that the door has been locked by your classmate. How do you feel? 1. I must have made someone angry so they did this to me. 2. They are acting childishly. 3. Even though they play tricks on me, I’m sure someone will come to rescue me. 4. They play tricks on me because I’m unpopular, which is better than ignoring me. Situation 3: During class, the teacher asks the students to get into groups for a discussion. Soon everyone has formed themselves into groups except for you. How do you feel? 1. I have done something terrible things in the past, so no one wants to be with me. 2. They are always in a small group, it's really horrible. 3. My classmates isolate me intentionally. I don't care if I’m by myself. 4. I’m always unpopular so it's normal for them not to invite me. Situation 4: The teacher asks the class to clean the classroom after school, but everyone leaves and only you are left to do the cleaning up. How do you feel? 1. I don't know how to get along with others, so my classmates don't bother to tell me when they are leaving. 2. Everyone is selfish so they don't help each other. 3. They did it deliberately because they are against me. 4. I am usually bullied by others. I can't help it so I just do the cleaning up. Project C.A.R.E - Children and Adolescents at Risk Educcation 259 Chapter 7 Treatment Group - Passive Victims Third Session Homework Assignment: Name:____________________ Internalized and Externalized Thoughts Please record an unhappy event that took place this week and write down what happened and how you felt at the time. What happened? _________________________________________________________________________ _________________________________________________________________________ What were your beliefs, emotions, and behavior at the time? _________________________________________________________________________ _________________________________________________________________________ Thinking back to the event, do you attribute it as“entirely my own fault” or “others’ fault”? Please write down your analysis. _________________________________________________________________________ _________________________________________________________________________ 260 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims (D) Session: Fourth Session Theme: Beliefs and Attribution Formation Aim: To learn the “Four Steps to Truth” to reveal group members’ personal beliefs. Activity Homework Sharing: “Internalized and Externalized Thoughts” Duration 30 minutes Objective 1. To teach members to recognize whether their thinking pattern is internalized or externalized and what the effect is. 2. To explore members’ internalized and externalized thinking patterns in depth, as the basis for exploring irrational beliefs. Procedure 1. Members take turns to share their homework assignments. Sharing points: • In your personal experience, how do internalized and externalized attributions appear? • How it feels when internalized and externalized beliefs appear? • The effects of internalized and externalized beliefs. 2. Workers should give support and encouragement to members, and give credit for their sharing and valuable comments. Materials Small Rewards Activity All About Truth Duration 45 minutes Objective 1. To learn the concept of the “Four Steps to Truth”, and to understand the cognitive structure underlying the systematic receiving and processing of information. 2. To let members appreciate the advantages of CBT. Concept People's beliefs about and emotional and behavioral responses to an event represent the basic concepts of CBT. Using the videos of the model situations provided in the educational set, members can observe the process of the event and different emotional and behavioral responses, so that they can understand the thoughts and beliefs behind them. Through this activity, members can learn some of the theory together with concrete examples, to increase their engagement in the group. Procedure 1. Workers explain the concept of the “Four Steps To Truth”. Content: • Event: ♦ represents the process of an event. • Belief: ♣ represents their personal thoughts about the event. • Emotion: ♥ represents their feelings about the event. • Behavioral response: ♠ represents the consequences of the event or response. Project C.A.R.E - Children and Adolescents at Risk Educcation 261 Chapter 7 Treatment Group - Passive Victims 2. Play the short video: “Someone grabbed my potato chips” (please refer to the DVD, Part II – Scenario 8: Someone grabbed my potato chips). Members are divided into groups, using the concept of “Four Steps To Truth” to analyze the character's beliefs, emotions, and consequences. 3. After writing them down, members report the results to the group. Explanation: • Different people have different points of view of the same event. • The cause and effect of beliefs and behavior: beliefs affect emotions and the subsequent behavioral response directly. Materials Playing cards “Four Steps to Truth” hint cards (Group Material) Activity Debriefing and Distribution of the Homework: “Finding Your Personal Truth” Duration 15 minutes Objective To apply the concept of “Four Steps To Truth” in personal experience. Concept Through the video, members will learn about the relationships between events, beliefs, and emotional and behavioral responses and apply the concept to daily life. They will try to use the four steps to analyze their own responses and how they get along with others, and to consolidate their understanding of CBT and its application. Procedure 1. Debrief on workers’ observations and praise each member's performance. 2. Explain the home work assignment – “Finding Our Personal Truth” Materials “Finding Your Personal Truth” worksheet (Homework Assignment) Remarks 1. The focus of this session is on letting students understand the importance of thoughts and beliefs. From the four different emotional and behavioral responses in the video, we can deduce their thoughts and interpretation of the events. Members should find it easier to express themselves when the analysis is not personal to them. Therefore, workers should prepare personalized homework for them. 2. Some members may mix up “response” and “thought”; for example, they may mistakenly identify the behavior “want to cry” as a thought. Therefore, workers should use open-ended questions, such as “Why do you want to cry?” to help members understand the thoughts behind the behavior. 262 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Name:____________________ Fourth Session Group Materials: Hint Cards for the “Four Steps to Truth” ◆ ♣ Event Belief ◆ ♠ ♣ ♥ Behavioral response ♠ Emotion ♥ Project C.A.R.E - Children and Adolescents at Risk Educcation 263 Chapter 7 Treatment Group - Passive Victims Fourth Session Homework Assignment: Name:____________________ Finding Your Personal Truth At the time, you could see and hear… ◊ Please write down something that makes you blame yourself or blame others: _______________________ _______________________ _______________________ _______________________ _______________________ At the time, you felt... ♡ 264 At the time, your thoughtswere… ♧ What was your final response? ♤ Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims (E) Session: Fifth Session Theme: Understanding old attribution patterns and distinguishing irrational beliefs. Aims: 1. To distinguish individual irrational beliefs and motivate people to change. 2. To build up members’ mutual trust and a supportive atmosphere and to promote their motivation and confidence to change. Activity Homework Sharing: “Finding Your Personal Truth” Duration 15 minutes Objective 1. For each member to share his/her internalized and externalized attribution pattern. 2. To understand belief attributions to enhance individual growth. Concept Members can observe and understand their own attribution patterns and gain some knowledge about other members’ irrational beliefs. Procedure 1. Members take turns to share their homework, “Exploring Personal Truths”, and encourage others to give feedback. Sharing points: • Discuss the truth of the event, personal view, feeling, and behavioral response. • Is the cause of the event attributed to internal or external factors? • What is the effect of internalized and externalized attributions on interpersonal relationships, emotional status, and consequences? 2. Workers give praise to members who finished their homework and are willing to share. Activity Different Perceptions of the Truth Duration 15 minutes Objective To understand that different people have different points of view. Through sharing, we can broaden students’ thoughts. Concept Because members tend to see things from only one perspective, the aim of this activity is to broaden their thinking patterns and encourage them to view things from different angles. The visual illusions can help them understand that different people have different views, even of the same picture, to emphasize the fact that subjective thoughts are not the overall truth. Procedure 1. Workers present the visual illusion pictures. 2. Members divide into two groups and each group takes turns to say what they see in the picture and from which angle. 3. The more the pictures are presented from different angles, the more marks will be given. Explanation: • Assess the surroundings and decide which angle to use. • Each person will choose an angle that relates to their own experience. • To let members see the advantages of viewing things from different angles. Materials Laptop, Illusion PowerPoint and illusion pictures Project C.A.R.E - Children and Adolescents at Risk Educcation 265 Chapter 7 Treatment Group - Passive Victims Activity Distinguishing Irrational Beliefs Duration 45 minutes Objective 1. To increase members’ knowledge about the attribution pattern underlying their irrational beliefs. 2. To emphasize the meaning and importance of changing irrational beliefs and build up their motivation to change. Concept The previous activities have gradually taught members to see how the outcome of an event is affected by thoughts. In this activity, members can identify different types of irrational beliefs and how they affect social and interpersonal relationship through different hypothetical situations. Procedure 1. Workers should read the instructions in the DVD user guidelines (Chapter 9, Book 1/2) in advance, to grasp the content of the DVD and the thoughts and situations behind the four responses. Then, choose one video that best suits the characteristics of the group. 2. Divide members into two groups to discuss the thoughts and feelings of the character, and the possible consequences, and then report back to the whole group. 3. Workers help members to identify and clarify irrational beliefs. 4. To encourage members to share their personal experiences and their self-analysis of their irrational beliefs. Materials Chosen DVD Activity Debriefing and Distribution of the Homework: “Close-up to Irrational Beliefs” Duration 15 minutes Objective 1. To let members reflect on their old attribution patterns and irrational beliefs, increase their awareness of personal cognitions, and motivate them to change. 2. To reflect on their personal irrational beliefs and how they affect their emotions and social life, to eliminate old thinking patterns and increase their determination to change. Procedure 1. Workers debrief on the performance of each member and compliment them on their participation. 2. Explain the homework assignment – “Close-up to Irrational Beliefs”. Introduction to homework: members record events along with their irrational beliefs and assess how these affect their emotions and interpersonal relationships, and finally let members express their willingness to change. Materials “Close-up to Irrational Beliefs” worksheet (Homework Assignment) Remarks 1. Because this sharing is about personal experience, workers need to create a supportive atmosphere and emphasize that the purpose of the assignment is to promote self-understanding and growth. 2. Workers should praise members who are willing to share. 3. If members are very passive, workers can divide them into smaller groups (e.g. two groups of four) for sharing, and reconvene the whole group at a later stage. 4. If necessary, workers can share their own experiences and let members understand that it is part of the process of growing up, to avoid them feeling guilty. 266 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Name:____________________ Fifth Session Homework Assignment: Close-up to Irrational Beliefs 1. Please give an example of events that have happened because of your irrational beliefs. Event: Belief: Emotion: Behavioral Response: 2. To what degree did this belief negatively affect your communication with others? (1: not at all affected; 10: strongly affected) 1 —— 2 —— 3 ——4 —— 5 ——6 —— 7 —— 8 —— 9 ——10 What was affected: _____________________________________________________________ 3. To what degree did this belief negatively affect your emotions? (1: very little; 10: strongly affected) 1 —— 2 —— 3 ——4 —— 5 ——6 —— 7 —— 8 —— 9 ——10 What effect did it have:___________________________________________________________ 4. Do you want to change this belief? (1: Not willing to at all; 10: very willing to) 1 —— 2 —— 3 ——4 —— 5 ——6 —— 7 —— 8 —— 9 ——10 Why?_________________________________________________________________________ Project C.A.R.E - Children and Adolescents at Risk Educcation 267 Chapter 7 Treatment Group - Passive Victims (F) Session: Sixth Session Theme: Getting rid of old attribution patterns and understanding irrational beliefs Aims: 1. To distinguish individual irrational beliefs and attributions. 2. To increase members’ motivation to challenge and discard negative thinking patterns. Activity Homework Sharing: “Close-up to Irrational Beliefs” Duration 30 minutes Objective 1. To develop an in-depth understanding of how attribution patterns develop. 2. To distinguish individual irrational beliefs and attribution patterns. 3. To motivate members to change old thoughts and attribution patterns. Procedure Members share their homework “Close-up to Irrational Beliefs”. Sharing focus: 1. Workers should notice how members interpret their irrational beliefs and the effect on interpersonal relationships and emotions, then further investigate the relationship between selective attention and irrational beliefs. 2. Consider the degree to which irrational beliefs affect emotions and interpersonal relationships. Activity Twelve Irrational Beliefs Duration 45 minutes Objective 1. To provide examples of the twelve irrational beliefs. 2. To understand the characteristics of each irrational belief. 3. To understand and refute extreme beliefs. Concept This session will teach members to identify the twelve irrational beliefs and think about their own irrational beliefs. Procedure 1. Workers explain the twelve irrational beliefs. 2. Members are divided into two groups, A and B, to take part in a role-play. Group A plays the role of someone with an irrational belief and Group B will guess what the irrational belief is. 3. The group with the most correct answers will receive a reward. Explanation: • Observe members to find out what clues they use to identify irrational beliefs. • When they are faced with irrational beliefs and behavior, how do they feel? • Guide members to share an everyday example. Materials “Twelve Irrational Beliefs Contest” worksheet (Group Worksheet) Role-play instructions 268 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Activity Debriefing and Distribution of the Homework: “Twelve Irrational Beliefs” Duration 15 minutes Objective 1. To strengthen members’ cognition of their irrational beliefs. 2. To identify and write down their rational beliefs. Concept To let members inspect their own irrational beliefs, and to reflect and think in a rational way. Procedure 1. Debrief on workers’ observations of members. 2. Explain the homework: “Twelve Irrational Beliefs”. • Ask members to pay attention to which of the 12 irrational beliefs appears most often and record the number of times it occurs. • Encourage members to question and challenge their irrational beliefs so that they can analyze events rationally and change their old beliefs. Materials “Twelve Irrational Beliefs” worksheet (Homework Assignment) Remarks 1. As there are twelve irrational beliefs, members need to observe and understand them carefully. Workers must understand each of the irrational beliefs thoroughly so that they can describe them vividly. Workers can use roleplay to illustrate the twelve different messages, otherwise members may not understand them and become bored by the lengthy readings. 2. Because this session requires a lot of time and effort, workers should emphasize that if members can finish this assignment they will receive a good reward. Project C.A.R.E - Children and Adolescents at Risk Educcation 269 Chapter 7 Treatment Group - Passive Victims Name:____________________ Sixth Session Group Worksheet: Twelve Irrational Beliefs Contest The following are examples of the twelve irrational beliefs (Ellis, A. (1977). Belief: I must be loved by significant others for almost everything I do. Example: No matter what I do, there is no one who loves and appreciates me. I am useless. 1 Belief: Certain acts are awful or wicked, and people who perform such acts should be severely punished. Example: He often plays tricks on others; he deserves to be punished. Belief: If something is or may be dangerous or frightening,it is normal to be terribly upset and endlessly obsess about it. Example: People have freedom of speech, so we can't control what they say. Example: I must carry this bag all the time, otherwise I will lose it. Belief: We absolutely need something stronger or greater than ourselves on which to rely. Belief: We should be thoroughly competent, intelligent, and successful in all possible respects. Example: If I am not with Nobita, I am bound to fail. 7 Example: Nothing I do issuccessful; I am useless. 8 Belief: Human happiness can be achieved by inertia and inaction. Example: I can't even do well in Chinese composition;I am useless. Example: There is no point in thinking too much. Things are okay and there is no need to change. 270 3 Belief: It is easier to avoid than to confront life's difficulties and responsibilities. Example: No matter what I do, I am still unpopular, so it is better for me to ignore others. 5 Belief: We must have certain and perfect control over things. 10 Example: If I’m not promoted to Form 4, I am doomed to fail. 2 Belief: Human misery is invariably externally caused and is forced on us by outside people and events. 4 Belief: It is horrible when things are not the way I would like them to be. 6 Belief: Because something once strongly affected my life, itwill affect itindefinitely. Example: When I was in primary school, I was isolated by others, now the situation is the same in secondary school. 9 Belief: We have virtually no control over our emotions and we cannot help feeling disturbed about things. Example: I’m unhappy andthere's nothing I can do to change it. 11 Project C.A.R.E - Children and Adolescents at Risk Educcation 12 Chapter 7 Treatment Group - Passive Victims Role-Play Instructions Situation 1: In liberal study class, four people in the group are researching information, when suddenly the computer crashes and all the information is lost. Tomorrow is the deadline – what will you do? Belief of member A: We definitely need a stronger person to depend on. Belief of member B: Unfortunate things are caused by others and circumstances; we can't change anything. Belief of member C: We should always worry that dangerous and unpleasant events will happen. Belief of member D: We can't control our emotions. Situation 2: The school has organized an outbound competition and you are in a group of four. The competition begins in about half an hour but you are lost – what will you do? Belief of member A: We should punish people who do things wrong. Belief of member B: To be a valuable person, everyone should be capable, wise, and successful. Belief of member C: We will be happy if we are passive and lazy. Belief of member D: Past events will not disappear; instead they will affect our present and future. Project C.A.R.E - Children and Adolescents at Risk Educcation 271 Chapter 7 Treatment Group - Passive Victims Sixth Session Homework Assignment: Name:____________________ Twelve Irrational Beliefs Step 1: Try to circle the examples with irrational beliefs that are similar to yours. (1: not similar, 10: very similar) Step 2: Please challenge the two irrational beliefs with the highest marks and state the reason. 1. Belief: I must be loved by significant others for almost everything I do. Example: No matter what I do, there is no one who loves and appreciates me. I am useless. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 2. Belief: Certain acts are terrible or wicked, and people who perform such acts should be severely punished. Example: He often plays tricks on others so he deserves to be punished. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 3. Belief: It's horrible when things are not the way I would like them to be. Example: If I’m not promoted to Form 4, I’m doomed to failure. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 4. Belief: Human misery is invariably externally caused and is forced on us by outside people and events. Example: People have freedom of speech, so we can't control what they say or stop them from saying hurtful things. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 5. Belief: If something is or could be dangerous or frightening it is normal to be terribly upset and endlessly obsess about it. Example: I must carry this bag with me all the time, otherwise I will lose it. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 272 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims 6. Belief: It is easier to avoid than to face up to life's difficulties and responsibilities. Example: No matter what I do, I am still unpopular, so it is better for me to ignore other people. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 7. Belief: We absolutely need something stronger or greater than ourselves on which to rely. Example: If I am not with Nobita, I am bound to fail. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 8. Belief: We should be thoroughly competent, intelligent, and successful in all possible respects. Example: Nothing I do is successful; I am useless. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 9. Belief: Because something once strongly affected my life, it will affect it indefinitely. Example: When I was in primary school, I was excluded by others, and now the same thing will happen in secondary school. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 10. Belief: We must have certain and perfect control over things. Example: I can't even do well in Chinese composition; I’m useless. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 11. Belief: Human happiness can be achieved by inertia and inaction. Example: There is no point in thinking too much. Things are okay so there's no need to change. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ 12. Belief: We have virtually no control over our emotions and we cannot help feeling upset about things. Example: I’m unhappy and there's nothing I can do to change it. 1—2—3—4—5—6—7—8—9—10 Critical point:________________________________________________________________ Ellis, A. (1977) Project C.A.R.E - Children and Adolescents at Risk Educcation 273 Chapter 7 Treatment Group - Passive Victims (G) Session: Seventh Session Theme: Refuting individual irrational beliefs Aims: 1. To question old irrational beliefs and analyze them rationally. 2. To challenge members’ irrational beliefs and proceed to change them. 3. To explore members’ irrational beliefs in more depth, broaden their personal point of view, and develop new rational beliefs. Activity Homework Sharing: “Twelve Irrational Beliefs” Duration 25 minutes Objective To strengthen members’ cognition about their irrational beliefs and analyze them from different angles. Procedure 1. Members share their assignment – “Twelve Irrational Beliefs”. Sharing points: • Which irrational beliefs are similar to yours? • Describe a relevant event that occurred during the past week. • What effect did it have? • What could you do differently to avoid the same problem in the future? • What difficulties did you have in identifying or applying the new method? 2. Workers may give an extra reward to those who finished the assignment. Activity Three-Question Method for Broadening Beliefs Duration 20 minutes Objective 1. To understand the principles and function of the three questions. 2. To learn to use the three questions. Concept Challenging irrational beliefs and building up rational beliefs is an important part of CBT. One of the techniques used to challenge beliefs is through questioning from workers. Because the group members are still young, it is hard for them to fully grasp the theory. Therefore, we simplify the technique into three questions (Wong, 2002): 1) Do you have evidence to prove your belief is right or wrong?, 2) Is there any other possibility?, and 3) What advantage do you have if you hold this belief? Members should be taught to question themselves to work out if they have irrational beliefs. At the same time, workers will practice with members to help them grasp the technique. Procedure 1. Workers explain the principles of the “Three-Question Method for Broadening Beliefs”(Group Material 1.1) technique and give a demonstration. "Example using the Three-Question Method for Broadening Beliefs (Group Material 1.2) • To find more evidence to support your own belief. • To discover other possibilities. • To find out the effect/function of these beliefs. 2. In group practice, use role-play to practice how to use the three question method and broaden extreme thoughts. Material 274 "Three Question Method for Broadening Belief ( Group Material 1.1) "Example using the Three-Question Method for Broadening Beliefs (Group Material 1.2) Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Activity Identifying Individual Beliefs Duration 30 minutes Objective 1. To strengthen members’ ability to use the three-question technique. 2. To challenge members’ irrational beliefs. 3. To help members consider other possibilities. Concept When members have gained some understanding of the three-question technique, workers can begin to challenge members’ irrational beliefs. Therefore, workers will prepare cards stating the irrational beliefs that have appeared in the group in the previous sessions. Members will select their own irrational beliefs first, then use the three-question technique to refute members’ irrational beliefs. Procedure 1. Display all the “Individual Beliefs” cards and let members choose a card with a similar belief to their own. 2. Group together members with similar beliefs. 3. Use the three-question technique to challenge “irrational thoughts”. 4. Use the three-question technique to build up rational beliefs. 5. Share their own beliefs and suggestions of how to broaden their thoughts. Materials “Individual Beliefs” cards (Group Material 1.3) Activity Debriefing and Distribution of Homework Assignment – “Broadening Individual Beliefs” Duration 10 minutes Objective To strengthen members’ ability to use the three-question technique in daily life. Procedure 1. Choose an individual belief card as the goal for improvement. 2. Observe whether the irrational belief appears, and try to use the question technique to broaden the belief. 3. Record the new rational belief to substitute the old belief and report them in the next session. Materials “Broadening Individual Beliefs” worksheet (Homework Assignment) Remarks 1. If members’ old beliefs remain strong, they will feel uncomfortable when facing the three-question technique, and sometimes they will act defensively. When workers use the technique to question members, they should avoid judging them and use other members’ views and suggestions to let them see other possibilities. 2. Workers should avoid judging members and should emphasize that “irrational beliefs” are very common. Everyone has different beliefs and if they over-emphasize or stick firmlyto one belief it will have a negative effect. Hence, we can use the three-question technique to help us avoid falling into negative beliefs and to broaden our thoughts. Project C.A.R.E - Children and Adolescents at Risk Educcation 275 Chapter 7 Treatment Group - Passive Victims Seventh Session Group Material 1.1: Name:____________________ Three-Question Method for Broadening Beliefs 1. Any evidence? Logic? Relationship between cause and effect? 2. Possibilities? Other Reasons? Others’ Beliefs? 3. What's the effect? What's the advantage? What's the disadvantage? Will it be like that in the long run? 276 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Seventh Session Group Material 1.2: Name:____________________ Examples Using the Three-Question Method for Broadening Beliefs The three-question method is used to dispute the 12 irrational beliefs below. 1. Belief: I must be loved by significant others for almost everything I do. Example: No matter what I do, there is no one who loves and appreciates me. I am useless. • Is there any evidence to prove that a useful person must be appreciated by others? • If no one compliments you, could there be other reasons? • What would other people think if they didn't receive appreciation and compliments from others? • Is it possible to spend so much time worrying about what others think, that you fail to appreciate your own abilities and achievements? • What effect will it have if we define ourselves by how much we are complimented by others? 2. Belief: Certain acts are terrible or wicked, and people who perform such acts should be severely punished. Example: He often plays tricks on others so he deserves to be punished. • Is there any evidence to suggest that severe punishment is the most effective way to solve problems? • After the punishment, does it mean that the person will feel regret and change their behavior? • If you did something wrong, how would you expect others to treat you? (be fair/forgive you/accept you) • What do others do to deal with and correct their mistakes? • When someone makes a mistake and isn't punished, how do you feel? How does this belief and feeling affect you? 3. Belief: It's horrible when things are not the way I like them to be. Example: If I’m not promoted to Form 4, I’m doomed to failure. • Is there any evidence to suggest that not achieving our goals is such a terrible thing? • Is there any evidence to suggest that you can't be successful if you once failed at something? • If others don't achieve their goals, what do you think their beliefs and resolution would be? • Are there any other ways to continue trying to achieve your dreams and goals? • If you aren't promoted to Form 4, what's the worst thing that could happen? What could you do to deal with it? • If we continue to think of ourselves as a failure, what effect is it likely to have on us? Project C.A.R.E - Children and Adolescents at Risk Educcation 277 Chapter 7 Treatment Group - Passive Victims 4. Belief: Human misery is invariably externally caused and is forced on us by outside people and events. Example: People have freedom of speech, so we can't control what they say or stop them from saying hurtful things. • Is there any evidence to suggest that unfortunate things are always caused by other people and circumstances? • Do you have any evidence that you can't change things? • If others are being laughed at, how do they react? How do you think they feel? • Although we can't control what people say, is there something else we can do to solve the problem? • If you always think that you can't change things or stop bad things happening, what effect do you think it will have on you? • If you always believe that there are no solutions, what is the effect on you? 5. Belief: Something is or could be dangerous or frightening it is normal to be terribly upset and endlessly obsess about it. Example: I should carry this bag with me all the time, otherwise I will lose it. • Is there any evidence to suggest that the thing you are worried about will happen again? • Is it logical to think that the things you worry about will actually happen? • Do others worry about these things like you do? How do they feel? • If you worry too much, what effect will it have on you? • When you worry, how does it make you feel and what do you do? Does it have any effect on you? 6. Belief: It is easier to avoid than to face up to life's difficulties and responsibilities. Example: No matter what I do, I am still unpopular, so it's better for me to ignore other people. • Is there any evidence to suggest that you are totally unpopular? • Do you have evidence to suggest you will be accepted by others if you ignore them? • Are there other people who like or welcome you? • Is avoidance and escape the only solution? Is there any other possibility? • If you always avoid the problem or ignore it, what effect will it have on you? 278 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims 7. Belief: We absolutely need something stronger or greater than ourselves on which to rely. Example: If I am not with Nobita, I am bound to fail. • Is there any evidence to suggest that we must depend on others to succeed? • Have you had any successful experiences when no one has been there to help you? • Why do other people not depend on stronger people to succeed? What do you think their beliefs might be? • If the person is not there with you, what actually happens? • If you always depend on others to be successful, what effect will it have on you? 8. Belief: We should be thoroughly competent, intelligent, and achieving in all possible respects. Example: Nothing I do is successful; I am useless. • Is there any evidence to suggest that everyone can solve every problem? • Is there any evidence to suggest that one failure means you are useless at everything? • Do you have any special skills or qualities? • When others fail, how do they handle the situation? • If you always expect yourself to have the ability to do and succeed at everything, what effect will it have on you? 9. Belief: Because something once strongly affected our life, it will affect it indefinitely. Example: When I was in primary school, I was excluded by others, and now the same thing will happen in secondary school. • Is there any evidence to suggest that the things that you worry about will actually happen? • Is there any evidence to suggest that you are the same in the past and present? • Is there anything you can do to try to change others' view of you? • If others were in the same situation, how would they think? How do you think they would handle the situation? • If you worry too much about past events, what effect will it have on you? • If you always think about how past events have affected you, what effect will it have on your emotions and your life? Project C.A.R.E - Children and Adolescents at Risk Educcation 279 Chapter 7 Treatment Group - Passive Victims 10. Belief: We must have certain and perfect control over things. Example: I can't even do well in Chinese composition; I’m useless. • Is there any evidence to suggest that not doing well in Chinese composition means you are useless? • How do others define what's good/the best/perfect? • Are your expectations of yourself reasonable? Might your expectations be beyond your ability? • Does everyone think the same thing? If other people also did poorly in composition, what would they think? • If you insist that you must always do well in everything, what effect will it have on you? 11. Belief: Human happiness can be achieved by inertia and inaction. Example: There is no need point in thinking too much. Things are okay so there's no need to change. • Is there any evidence to suggest that doing nothing can solve problems? • If you don't care about anything, does it mean that good things will happen? • Have you ever felt happy when you accomplished/overcame something? • If you put all the problems together, would they automatically disappear? • If you are always passive and lazy, what effect will it have on you? 12. Belief: We have virtually no control over our emotions and we cannot help feeling upset about things. Example: I’m unhappy and there's nothing I can do to change it. • Is it true that you can't control your emotions at all? • Is there any evidence to suggest that you can solve problems without facing your emotions? • When you encounter difficulties, is it easier to give up quickly? • When others are unhappy, what are their beliefs? What methods do they use to handle it? • If you ignore everything that's difficult, what effect will it have on you? 280 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Seventh Session Group Material 1.3: Name:____________________ Individual Beliefs Card 1. I often worry about terrible things that might happen, so I’m afraid to do anything or try new things. 2. People who do bad things should be punished. 3. Even though he only made one mistake, he is always the bad guy and can't be trusted. 4. People who treat me badly should be punished. 5. I don't have any power to control my surroundings; other people are stronger than me. 6. If I can't achieve my goals, I am a useless person. 7. Fate decides everything; there's nothing I can do to control things. 8. I must take things seriously and can't make any mistakes. 9. If you don't want people to ignore you, you must always agree with them. 10. If no one appreciates me, I feel worthless. 11. Being isolated from the crowd is the safest way to be. 12. I am afraid I can't reach my expectations. If I can't achieve my goals I’m a failure. 13. I must have absolute control of everything around me, otherwise I will feel unsafe. 14. Avoiding problems and responsibilities is better than facing up to them. 15. No one listens to me because there's nothing about me to be appreciated. 16. I need stronger people to help me, otherwise I can't do anything. 17. I should be capable, wise, and successful. If there is something I can't do, I must be incompetent. 18. No matter how hard I try, things always turn out the same, so I might as well do nothing. 19. Past events have affected my life and they will continue to affect me in the future. 20. We don't have the power to control our emotions, so I can't help it if I’m not happy. Project C.A.R.E - Children and Adolescents at Risk Educcation 281 Chapter 7 Treatment Group - Passive Victims Name:____________________ Seventh Session: Homework Assignment: Broadening Individual Beliefs The belief I would like to broaden…. Three-Question Method for Broadening Beliefs Try asking yourself and answering the following questions. Please put a tick in the box once you have answered the question. 1. □Is there any evidence to prove that your belief is right and logical? _________________________________________________________________________ 2. □Is there any other possibility? _________________________________________________________________________ 3. □What’s the effect/function of this belief on me? _________________________________________________________________________ Record a new belief and outcome: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 282 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims (H) Session: Eighth Session Theme: Reinforcing and consolidating rational beliefs. Aims: 1. To allow members to experience the positive feeling that comes from replacing their irrational beliefs with rational ones. 2. To foster positive internal language and self-guidance to help members reinforce their rational beliefs and application. Activity Homework Sharing: “Broadening Individual Beliefs” Duration 15 minutes Objective To reinforce members’ ability to use the three-question technique. Concept Internalize the three-question technique as one of the steps in group members’ thinking process. Procedure Members share their assignments. Discussion points: 1. Review the examples of the three-question technique. 2. Members share how they have used the technique in the past week. 3. Try to replace members’ irrational beliefs with rational ones. 4. Discuss how to deepen the cognition process. 5. Workers praise members who finished the assignment and are willing to share. Activity “New Discoveries after Broadening Thoughts” – Role Play Duration 30 minutes Objective To reinforce new, rational thinking patterns. Concept After members have identified more rational beliefs, workers need to help them to apply them. Therefore, in this session, members will role-play both rational and irrational beliefs. They will be asked to apply their new rational beliefs to the situation and think about how they could be applied in their daily lives. Procedure 1. Divide members into smaller groups of two or three people. 2. Members with similar irrational beliefs can be grouped together. 3. Workers will first play the role using irrational beliefs, then members will apply the threequestion technique and the chosen rational beliefs to communicate with workers. Discussion points: • How does it feel to use the three-question technique and rational beliefs? • Ask members to share the difficulties they encountered in using the technique, and their solutions. • Discuss the difference between irrational and rational beliefs when applied to the same event. Materials Rational Beliefs Cards (Group Material) Project C.A.R.E - Children and Adolescents at Risk Educcation 283 Chapter 7 Treatment Group - Passive Victims Activity Debriefing and Distribution of the Homework: “Discovering New Beliefs” Duration 15 minutes Objective To strengthen members’ application of rational beliefs in their daily lives. Concept According to CBT, new beliefs need to be applied and tried out in different situations for them to become internalized. Procedure 1. Workers praise members’ performance. 2. Explain the homework assignment – “Discovering New Beliefs”. In the assignment, members will record their application of rational beliefs during the following week. Materials “Discovering New Beliefs” worksheet (Homework Assignment) Remarks 1. When discussing the difficulties and failures that members encountered in using the three-question technique, workers should pay more attention to those who are reluctant to share and lack confidence. 2. Workers should check if members’ chosen rational beliefs are appropriate for their situation, as some members may choose new beliefs that are easy, but which may not necessarily help them to build up effective rational beliefs. 3. Explaining how members should apply new beliefs is quite abstract; some concrete examples should be used for elaboration and the use of role-play will help members to understand the concept better. 4. Encourage members to support and remind one another even outside the group, so that they can apply what they have learned to school and daily life. 284 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Eighth Session Group Material: Name:____________________ Rational Beliefs Cards 1. We can’t predict horrible things that may not actually happen. We can change some things within our ability, however, we can’t control unavoidable disasters. 2. People who behave badly deserve an appropriate punishment and fair judgment. 3. Everyone makes mistakes. However, just because they behave badly once doesn’t mean they are the bad guy forever. 4. I can’t change those people who treat me badly, but I can control and change my view of the incident to stop myself becoming unhappy about it. 5. I have the ability to control my beliefs and do things to improve myself. 6. I can revise my expectations from this failure. I appreciate my efforts and positive attitude. 7. I can control and change my beliefs about things to make myself happy. Through trial and participation, I can have fun and gain experience. 8. Everyone can make mistakes. It’s fine as long as we do our best. 9. If you are sure about your decision, you should stick to it and ignore others’ scorn. 10. I know how to value myself. I will appreciate my effort and progress. 11. People need to cooperate and support one another. The more people cooperate, the more powerful we can become. 12. I will be disappointed if I can’t achieve my goals. However, I am still successful as long as I have tried my best. 13. We can’t control everything. Bad and good things will always happen. 14. Avoiding difficult situations just creates more problems. Solving the problem immediately will avoid serious consequences. 15. I affirm my effort and improvements. I can change my shortcomings and at the same time I can appreciate my good points. 16. I have the ability to try to solve problems. 17. Sometimes I will fail and make mistakes, but we can learn a lot from our failures and then make improvements. 18. If you don’t try, you lose the chance of things working out. If I try to get to know different people and experience new things, I might find people that I like and discover things that I enjoy. 19. The effects of past events are part of my experience and I will use them as reminders and references. 20. How we view things will affect our emotions. Holding rational beliefs will lead to positive emotions. Project C.A.R.E - Children and Adolescents at Risk Educcation 285 Chapter 7 Treatment Group - Passive Victims Name:____________________ Eighth Session Homework Assignment: Discovering New Beliefs Your old belief is belief number______________ This week, try to apply a new rational belief and record the event: ________________________________________________________________________________________ First rational belief: Result 1: If the new rational belief is not appropriate, do you have any other rational beliefs that you could try? ________________________________________________________________________________________ First rational belief: Result 1: When you tried using the two beliefs, what difficulties did you have? ________________________________________________________________________________________ Of the two beliefs mentioned above, which is more suitable for you, and why? ________________________________________________________________________________________ 286 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims (I) Session: Ninth Session Theme: New beliefs and behavior Aims: 1. To experience positive emotions and behavior from rational beliefs. 2. To affirm members’ positive qualities and potential. 3. To learn how to perform and behave like a leader. Activity Homework Sharing: “Discovering New Beliefs” Duration 30 minutes Objective To strengthen the use of rational beliefs in daily life. Concept According to CBT, new beliefs need to be applied and tried out in different situations for them to become internalized. Procedure Group members share their homework assignments. Discussion points: 1. New experiences and feelings about applying rational beliefs. 2. What is the difference between the two rational beliefs? 3. Which rational belief is more suitable? 4. Difficulties encountered in applying rational beliefs. 5. Workers praise members who finished their assignment and are willing to share. Activity Turning Over a New Leaf Duration 40 minutes Objective 1. To encourage members to appreciate and change themselves. 2. To affirm their abilities and beliefs. 3. To enhance self-confidence. 4. To change members’ passive self-image into the positive identity of a future leader. Concept Rational thoughts are used to encourage passive victims to make behavioral changes and enhance their social and communication skills. Procedure 1. Distribute the “Turning Over a New Leaf” form to members. 2. Members choose a designated behavior they are willing to try. 3. Role-play the designated behavior. 4. Observe members’ performance and skills. 5. Use sharing and feedback to enhance social and communication skills. Explanation: • What difficulties do members experience when applying the new behavior? • What are their thoughts and emotions when applying these social skills? Materials “Turning Over a New Leaf” form (Class Assignment) Project C.A.R.E - Children and Adolescents at Risk Educcation 287 Chapter 7 Treatment Group - Passive Victims Activity Debriefing and Distribution of the Homework: “Turning Over a New Leaf” Duration 20 minutes Objective To apply newly-learned social skills through role-play. Concept Members will apply their social, self-expression, and problem-solving skills to their interpersonal relationships. Procedure 1. Workers should compliment members on their involvement in the group. 2. Explain the assignment: • In the coming week, members should record a new behavior they have tried. • They should also record their thoughts and emotions in applying the skills. Materials “Turning Over a New Leaf” Worksheet (Homework Assignment) Remarks 1. In the sharing session, workers should emphasize that events and situations that have already happened are in the past, and encourage members to “turn over a new leaf”. 2. Members should be given enough time to role-play their social skills and performance. 3. Workers should affirm members’ good points and their grasp of new skills. For example, note when members’ speak clearly, make appropriate eye contact, and use natural gestures. 4. Members can be matched in groups to encourage them to participate in more activities, such as giving greeting cards. 288 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Name:____________________ Ninth Session Class Assignment 1.1: Turning Over a New Leaf For the following items, please place a tick in the box to indicate a behavior that you are willing to try. □ 1. Say hello to someone that you don’t know 2. Talk to others actively 3. Express your feelings directly 4. Forgive someone who has been unkind to you 5. Express your opinion to someone else 6. Share you expectations of another person 7. Smile in a friendlyway 8. Communicate using eye contact □ □ □ □ □ □ □ Project C.A.R.E - Children and Adolescents at Risk Educcation 289 Chapter 7 Treatment Group - Passive Victims Name:____________________ Ninth Session Homework Assignment : Turning Over a New Leaf For the following items, please tick a behavior that you are willing to try. How can you achieve this? ____________________________________________________________________________ ____________________________________________________________________________ 1. I appreciate my ( ) □ □ 3. Appreciate your own efforts □ 4. Keep an optimistic mind when facing failure□ 5. Have the courage to face problems □ 6. Let go of things that make you unhappy □ 7. Do something to relax yourself □ 8. Say hello to someone you don’t know □ 9. Talk to people actively □ 10. Express your feelings actively □ 2. Assess my expectations and plan new goals 11. Forgive someone who has been unkind to you 12. Tackle a new challenge □ 13. Face unfortunate things bravely 14. Try to face up to difficulties □ □ 15. Accept your own limitations and shortcomings □ 17. Express your views actively □ 18. Share your expectations actively □ 19. Smile in a friendly way □ 20. Communicate with eye contact □ 16. Accept something you can’t control 290 Project C.A.R.E - Children and Adolescents at Risk Educcation □ □ Chapter 7 Treatment Group - Passive Victims (J) Session: Tenth Session Theme: New strengths Aims: 1. Reinforce social skills, self-expression, and communication skills. 2. Appreciate and reinforce members’ internal strength. 3. To let members know that successful experiences can be a turning point in life. 4. Provide tips for building on the foundations of the group and preventing relapse. Activity Homework Sharing: “Turning Over a New Leaf” Duration 15 minutes Objective To encourage members to apply their new social skills in daily life. Concept Members should apply their social, self-expression, and problem-solving skills in their interpersonal relationships. Procedure 1. Members share their homework assignments. Discussion points: • Group members share how they applied their new behavior this week. • Evaluate their feelings about the task and their emotional response. • Emphasize the difficulty of the task and focus on the difference between the result and what they expected to happen. 2. Workers should praise and give rewards to members to encourage them. Activity Preventing Relapse Duration 15 minutes Objective 1. After completing the course, members can use the “Preventing Relapse” cards to remind them to use rational beliefs. 2. To prevent members from forgetting the content of the course. 3. Debrief on the beliefs and skills of the group. Concept Individual rational beliefs and talents are recorded on cards in a simple format. According to CBT, members should keep the card in their wallet as a reminder. Procedure 1. Workers distribute the “Preventing Relapse” card. • Remind members of their strong points. • Remind them of the three questions about irrational beliefs (evidence, other possibilities, and effects), to strengthen members' ability to challenge irrational beliefs and develop more rational beliefs. 2. Members read the “Preventing Relapse” card individually, to consolidate their learning and to prevent relapse. Materials Preventing Relapse Card (Group Material 1.1) Project C.A.R.E - Children and Adolescents at Risk Educcation 291 Chapter 7 Treatment Group - Passive Victims Activity Introduction and Application of the “I-Message” Duration 25 minutes Objective 1. To enhance social and language skills. 2. To strengthen self-expression skills. Concept Passive victims lack self-expression skills and cannot easily communicate their feelings to others. Learning to use “I-Messages” can help members to express their expectations clearly and become more assertive. Procedure 1. Workers explain the structure of the “I-Message” and distribute the cards. 2. Members are divided into two groups and workers provide the groups with different social situations. 3. Each member needs to set a suitable expectation and behavior for each situation. 4. Each group will take part in a role-play using the “I-Message” to cope with the social situations and guess the response from others. • Learn basic social communication skills. • Greet each other actively. • Use eye contact. • Keep a suitable distance. • Use natural body language. • Speak gently and at a suitable pace. • Use “I" to start sentences and express your own feelings and views. • Express your own expectations and views. 5. Workers give feedback to members’ on their use of language and expression. Reflection points: • What expectations (tone, manner, pace, and distance) do you have when you communicate with others? • What benefits are there from using an appropriate tone, manner, and “I-Message" when communicating with others? • When expressing your feelings and thoughts in this way, how does it feel different from the old pattern? • How can you make others understand you better? • What do you find difficult when applying the “I-Message"? • In what situations can you use the “I-Message"? Materials “Social Skills” worksheet (Group Material 1.3) "i-Message" Reminder Cards (Group Material 1.2) 292 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Activity Appreciating Others’ Strengths Duration 20 minutes Objective To ensure members leave with a successful experience and are motivated to make future improvements. Concept As the ten sessions will soon be over, members should affirm one another's contributions and performance. Procedure 1. Each member takes turns to become the “Star” and accept compliments from the rest of the group. 2. Workers should demonstrate first and talk about each member's positive qualities and improvements. They should focus on individuals’ manner, contribution, and involvement in the group, not their ability. 3. When the “Star” accepts others’ compliments, they should share their feelings and experience. Activity My Expectations for the Future Duration 15 minutes Objective To encourage members to set goals and accomplish them confidently. Procedure 1. Distribute the “My Goal” worksheet. 2. Members share their goals and plans. Materials “My Goal” worksheet (Group Material 1.4) Remarks 1. This is the last session so workers need to emphasize the changes and improvements that members have made throughout the course. 2. Workers should also remind members to apply what they have learnt to their daily lives and develop a habit of self-reflection to avoid reverting to their irrational beliefs. 3. To emphasize the use of the “Preventing Relapse” card and suggest members put it in a noticeable place. 4. After ten sessions together, members will have become good friends and this should help them to maintain a supportive group. Project C.A.R.E - Children and Adolescents at Risk Educcation 293 Chapter 7 Treatment Group - Passive Victims Name:____________________ Tenth Session Group Material 1.1: Preventing Relapse Card ________________ ’s (*write down member’s irrational beliefs) Leadership reminder My good points: 1.Evidence: (*write down members’ good points/merits) I can find a new rational belief 2. Possibility: 3. Effect: 294 (*write down members’ rational beliefs) Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Tenth Session Group Material 1.2: Name:____________________ “I-Message” Reminder Cards Steps: 1. Use “I” to start the sentence. 2. Express your feeling and emotion. 3. Express your expectation. I feel…. (Feeling/emotion) I think/I want…. (Individual Expectation) Example: 1. I feel unhappy when I’m not respected by others. 2. I feel sorry this has happened, but I can’t help you. 3. I feel angry. I want to be treated fairly over this. Project C.A.R.E - Children and Adolescents at Risk Educcation 295 Chapter 7 Treatment Group - Passive Victims Name:____________________ Tenth Session Group Material 1.3: Social Skills Worksheet Situation:_____________________________________________ Please record different social skills that members can apply and tick those that are used. 3. □ “I-Message” □ Listen actively □ 4. Respond by nodding head 5. Express empathy 6. Know how to refuse others 1. 2. 296 Eye Contact □ □ □ Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Tenth Session Group Material 1.4: Name:____________________ My Goal What goal do you want to achieve in the future? Even if it seems trivial, make your plan today and work hard to make it happen! 1. My goal is: _____________________________________________________________ ______________________________ 2. What this goal means to me: _____________________________________________________________ ______________________________ 3. What skills and experience do I have that will help me meet my goal? _____________________________________________________________ ______________________________ 4. My action will be: _____________________________________________________________ ______________________________ Project C.A.R.E - Children and Adolescents at Risk Educcation 297 Chapter 7 Treatment Group - Passive Victims IV. Case Studies In this section, some of the above-mentioned activities are selected and described in detail with concrete, reallife examples, including the group process, case description, and workers’ analysis of each activity. For better understanding, the sessions are grouped into four stages: first meeting, initial stage, early-midstage, late-midstage, and late stage. 1. First Meeting of the Treatment Group First Session: “My Expectations of the Group” Group Activities: Session 1 (Please refer to the DVD, Part III, Proactive aggressors – 1. First meeting of the treatment group) Group process and case description The atmosphere was very quiet in the first session of the treatment group. Most of the members were quite passive and felt distant from the group (both workers and other members), and were lacking a sense of security and confidence. Most of those who participated in the group were not particularly eloquent. They were generally quiet and responded only with a nod, and seldom interacted or communicated with other members. Workers designed a number of warm-up activities, such as the “matching cards”, to promote interaction between members, but found some members were more reserved than others. Man was not active and did not want to participate in the activities. It is important for workers to actively encourage and praise the positive behavior of members. In the “My Expectations of the Group” activity, workers gave a human-shaped worksheet to each member to draw their own faces on and to write down their expectations for the group. Many members chose not to draw their faces or only drew small eyes or mouths, and rarely put down their expectations for the group. Most of them did not know their objectives in joining the treatment group, nor did they show any interest in their surroundings. Therefore, when asked about their expectations for the group, the usual answer was “I don't know”. At this point, workers collected members’ human-shaped worksheets and read out their expectations. Their expectations were, for instance, to complete the treatment group and to cooperate with other members. Quite a few members emphasized the importance of members abiding by the rules of the group, and paying attention during group activities. Workers need to create a safe environment for members to share their thoughts, thus it is important to stress the confidentiality of the group. Workers’ analysis From a behavioral point of view, most of the passive victims lacked self-confidence and preferred to take the role of spectator at the start of the treatment group. They were passive and withdrawn most of the time, so workers must adjust their initial expectations of members, and give them enough space to choose to participate in the activities so that they feel secure and respected. Because they were less expressive verbally, workers paid more attention to their facial expressions and actions (non-verbal cues). When members showed positive behavior, such as actively expressing themselves, or helping and encouraging others, workers praised them immediately. 298 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Because passive victims feel emotionally lower than aggressive victims, the atmosphere of the group was generally calm. The participants were sensitive to their surroundings, and appeared to be depressed and insecure. Workers should make more eye contact with members to make them feel valued and accepted. At the same time, workers need to pay attention to their own non-verbal cues, and whether they are able to address members’ needs. As passive victims are generally insecure, it is better if workers use the same room for each session so that it becomes a familiar environment. They should also create a secure and trusting group atmosphere, by reiterating the confidentiality of the group, and encouraging and appreciating members’ efforts in participating and sharing. Moreover, workers could consider additional group activities to increase the level of trust and bonding between members. Workers could see that passive victims were less motivated to participate in group activities than aggressive victims. The design of the activities should therefore take into consideration the characteristics of passive victims. Members should be given enough freedom and choice to express themselves, for example through nonverbal activities such as writing or drawing. When workers asked members to draw their faces on the human-shaped worksheets, many of them drew only small eyes and mouths, which revealed members’ poor self-image and low self-esteem. Therefore, even though they had been selected for the leadership-training program, they had difficulty in believing they had the potential to be leaders. Although they did not have many expectations of the treatment group, they would abide by the rules of the group. Workers’ sincerity and sense of acceptance also helped to increase members’ motivation to participate in group activities. 2. Initial Stage of the Treatment Group First Session: Animal-Metaphor Psychological Test Group Activities: Session 1 (Please refer to the DVD, Part III, Passive Victims – 2. Initial stage of the treatment group, and 3. Explanation by Dr. Annis Fung) Group process and case description Workers used the “Animal-Metaphor Psychology Test” to arouse members’ self-awareness and understanding. Members chose from a selection of animal pictures and were asked to describe the characteristics that they shared with their chosen animals. This exercise can be used to foster interaction and understanding among members. Each member carefully made their selection, and shared the reasons behind their selection. Workers should observe the selection process carefully. Some members might not be able to find an animal that best represented them from the pictures provided. In this case, workers could invite these members to describe the animal that best represented them. Because most members were not good at expressing their needs, workers’ observations and sensitivity can help to strengthen the trusting relationship between members and themselves, and ensure members feel respected. Project C.A.R.E - Children and Adolescents at Risk Educcation 299 Chapter 7 Treatment Group - Passive Victims The members were all able to choose an animal with a similar personality to their own. Most members chose turtles or rats to represent themselves. Man selected a turtle to represent her, and when workers asked Man why, she was reluctant or did not know how to express herself. However, after repeated encouragement from workers, Man remarked that the turtle shell could be used to protect her and give her the sense of security that she needed. Man's effort not only encouraged others members to try to express themselves, it also strengthened the interaction among members. When workers invited Sum to share her choice of animal and the reason behind it, she was able to express herself calmly and informed the group that she felt like a rat because, like her, it runs away from difficulties. Workers should praise members for their courage in expressing themselves. Such recognition encourages members to share themselves more freely in the group. Workers’ analysis In comparison with aggressive victims, passive victims needed more time to adapt to the group environment and to participate in the group activities, or to talk about their experiences of being bullied in school. Therefore, workers should bear in mind these characteristics when designing the group activities. Workers should pace the activities according to members’ progress and not rush into debating their beliefs, which would only induce their anxieties towards the group. Because passive victims feel uneasy and distant in a group setting, workers should encourage them to share and appreciate themselves, emphasize their uniqueness, and help them to identify their own positive qualities through group activities. To reduce members’ anxiety about self-disclosure, workers used the animal-metaphor psychology test to allow members to choose an animal picture to describe them instead of analyzing their personalities directly. Members were all able to choose an animal that had similar personalities to theirs. Most members chose turtles or rats to represent them, and Man selected a turtle to represent her, which reflected her impression of herself. People's general impression of turtles is that they are slow or timid, and for Man the turtle's shell could be used to protect her and increase her sense of security. We could see Man was full of anxieties; she was afraid of the external world and had a strong sense of self-protection. This was consistent with the data from the pre-test. Man's anxiety/ depression index was rather high, and she often felt bullied by peers. The other member, Sum, felt that she shared a similar personality to a rat. Whenever she encountered difficulties, she ran away quickly like a rat, without others noticing. Sum was also full of anxieties and worries, and she often chose to run away from her difficulties. Through the use of animal pictures, workers could understand members’ usual emotional and behavioral responses, and their communication patterns. Third Session: “We are All Different” Group process and case description After members had begun to understand their emotional and behavioral responses, they started to distinguish their internalized and externalized attribution patterns. Workers introduced these attribution patterns with the use of situational questions and most of the members were able to distinguish the type of attribution in a given situation. In the situation, “You knew everyone in the class had planned an outing after the exam but you were not invited”, Man remarked that she often had internalized attributions and believed she was excluded by others. Man believed she was not invited to the outing because she was always excluded and the situation could never be changed. 300 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Later, Man shared an experience of being bullied at school. She had lent money to another student to buy snacks during recess, but the student then refused to pay her back. She believed the student did not pay back the money because she was known as a timid person, so others took advantage of her. She blamed herself for all the unfortunate things that happened to her. The activity helped Man to realize she had an internalized attributional style. Workers’ analysis The situational questions and responses were designed in accordance with the events described by members, to help them distinguish between internalized and externalized attributions. Many members realized that they had a tendency to internalize attributions. For example, Man's cognitive structure in the hypothetical situation reflected her tendency to internalize attributions. Her interpretation of the incident was that she was excluded because she was no good, unpopular, and not liked by others. Man again attributed the negative situation internally when she recalled it during the sharing session. We could see Man was used to internalizing her attributions. In subsequent sessions, workers helped members to broaden their thinking horizon and see things from different perspectives. We could see how passive victims were different from aggressive victims. Man would not retaliate with aggressive behavior but blamed herself for things that happened. Therefore, she only scored two points on both the aggressive behavior index and the reactive aggressive index in the pre-test. The treatment group was still at an early stage and the time allocated to group sharing gradually increased over the coming sessions, and the content became more in depth. Workers should demonstrate unconditional positive regard and a non-judgmental attitude towards each member, and not criticize members’ attribution patterns. 3. The Early-Mid Stage of the Treatment Group Fourth Session: “All about Truth” Group process and case description After the introduction of the ABC concept, workers used a situational question to develop members’ understanding of their own beliefs, behavioral, and emotional responses. The situation was: “The teacher organizes students into groups for project work in an English class…”. Many members considered themselves “Not popular. I live in a different world from others, ”and “Others won't want to be in the same group with me, they despise me” (belief). They would be disappointed and feel sad and confused; they would avoid taking the initiative and instead wait for the teacher to make the arrangement for them. Like other members, Man thought the whole class disliked her. She remarked that she had very few friends when she was at primary and secondary school. She dared not share her feelings with other students and was afraid she could not keep up with their conversation; she seldom interacted with others and, even when talking, she would not dare to look them in the eyes. Therefore, she spent her recess and lunch break alone every day. Project C.A.R.E - Children and Adolescents at Risk Educcation 301 Chapter 7 Treatment Group - Passive Victims Workers’ analysis After members had learnt about internalized and externalized attribution, workers would begin to introduce the ABC concept to help members detect their irrational beliefs. Most members were able to comprehend the relationship between event, belief, emotional, and behavioral responses, but sometimes they would confuse the “behavioral response” and the “belief”. For example, they easily mistook the behavior “wanted to cry” as a belief. Therefore, workers must assist members in exploring their underlying beliefs in more depth. Workers noticed that Man began to express her belief through the activity. Cognitively, she believed she was not good enough so no one would want to talk to her –an idea that had developed in primary school. She was rather passive and rarely took the initiative to make new friends. She did not have confidence in her appearance, and neither her academic performance nor her extra-curricular activities performance was outstanding. She was seldom given recognition or praised by her parents, so had no self-value. Because of these reasons, she found it difficult to interact with others, and had become a loner. Fifth Session: “Different Perceptions of the Truth” Group Activities: Session 5 (Please refer to the DVD, Part III, Passive Victim – 4. Early mid-stage of the treatment group, and 7. Explanation by Dr. Annis Fung) Group process and case description Once members had understood their attribution patterns and had a basic understanding of their irrational beliefs, workers utilized the “optical illusion images” to broaden members’ thinking horizon and stimulate their motivation to change. Workers invited members to share the characteristics of the animals that they chose in the “AnimalMetaphor Psychology Test” in Session 2. This time, however, workers encouraged members to explore the different personality traits of the animals and themselves from different perspectives. The purpose of the activity was for members to realize that subjective truth is not the whole truth, and that they had many personality traits that were yet to be discovered. Man's group chose a turtle to represent them. Workers encouraged members to appreciate the personality traits of this particular animal in a different way. For example, the turtle's shell can protect its body, and being slow could mean being focused and careful. Workers helped members to discover their own strengths and values. Man was learning to see herself from different perspectives, which allowed her to express her appreciation of both herself and other members. Workers’ analysis Because members had internalized attribution sin their thinking patterns and cognitive structures, workers needed to present the possibility of change and give members hope, to increase their motivation to change. Through the optical illusion test, members were able to recognize that their perspective did not necessarily present the whole truth. They recognized the benefit of seeing things from multiple perspectives and understood that their past beliefs could be changed. They were able to think more positively and thus discover their own potential. The treatment group became more alive and vibrant. Although members still used negative words to describe themselves (and animals) in the beginning, through continuous learning they were able to see things from different angles. Man's self-confidence had increased; she smiled more, and had the courage to express her appreciation towards Kai. Workers were careful to observe the small changes in members, and praised these improvements to foster members’ motivation to change. 302 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims Name: Man Age: 14 years old Case Background: Passive and lacking a sense of safety Related Childhood Information Man is the only daughter at home. She has been an introvert since she was very young and it is difficult for her to develop social relationships with her peers. Whenever she experiencesa conflict with peers, Man tends to seek help from her mother. Her mother is over-protective and helps Man to solve problems, thus Man has failed to learn from events and always avoids difficult situations. Core Belief No one likes me Hypothetical Situation/Belief/Rules I will never be liked no matter how much I change myself Compensation Strategies Avoids contact, does not express herself, escapes from dealing with problems, escapes from making decisions Situation 1 Situation 2 Situation 3 Classmates planned to go out together after the exam, but Man was not invited. During recess, Man lent money to a classmate to buy food, but the classmate did not repay the money. In an English lesson, the teacher divided students into groups but Man did not have a group to join. Automatic Thoughts Automatic Thoughts “My classmates definitely do not like me and do not want to play with me.” “I am not liked by others, so my classmates bully me on purpose.” Meaning behind Automatic Thoughts Meaning behind Automatic Thoughts I was not welcomed, I was bullied Emotional Response Sad Behavioral Response Do not dare to speak up I was not welcomed, I was bullied Automatic Thoughts “My classmates do not want me in their group. They despise me.” Meaning behind Automatic Thoughts I was not welcomed, I was bullied Emotional Response Emotional Response Sad Sad, worried Behavioral Response Do not dare to ask for the money back from the classmate Behavioral Response Withdraw from the choosing of groups and wait for the teacher to make anarrangement for me Cognitive Concept Chart(Beck, 1995) — Man Project C.A.R.E - Children and Adolescents at Risk Educcation 303 Chapter 7 Treatment Group - Passive Victims Sixth Session: “The 12 Irrational Beliefs” Group process and case description After members had reflected on their existing attribution patterns and irrational beliefs, it was crucial for them to detect their own irrational beliefs. Later on, workers would help members to identify their irrational beliefs, and the negative effects of these beliefs on their relationships with others and their own emotions. Man had a basic understanding of her irrational beliefs, which were “I have to have someone I respect to love and praise me”, and “It's always easier to run away from problems and responsibilities than to confront them”. She often thought she was not appreciated or liked by others, and felt like a useless person. She wished she could ignore what others thought of her, and preferred to run away from her difficulties. She realized this belief caused great distress to her and her relationships with others. She became passive, and rarely made friends. The more she ran away, the worse the situation became. She felt more alone and depressed, and had low self-confidence because of it. Workers’ analysis Workers needed to help members to comprehend their own irrational beliefs before they could debate them. Most members were able to detect their internalized attributional thinking patterns and cognitive structures, and identified their most common irrational beliefs. Man was able to recognizethe negative effects of her irrational beliefs on her emotions and social life. Man's sharing helped to foster team unity to support changes among members. Other members were able to reflect on the negative effects of their own irrational beliefs, and this in turn increased their motivation to change. Man, for example, responded positively when workers asked members to indicate their willingness to change their beliefs. Because passive victims generally have less motivation to change, workers needed to reinforce their positive behavior. Members who took the initiative in sharing their willingness to change, or in fact tried to change, were praised and openly encouraged. For those who were not yet ready to change, workers helped them to explore the reasons and the obstacles behind their reluctance. However, workers should avoid using aggressive or excessive persuasion tactics that may make members feel as though they are in the wrong if they do not change. 4. Late-Mid Stage of the Treatment Group Seventh Session: “Identifying Individual Beliefs” Group Activities: Session 7 (Please refer to the DVD, Part III, Passive Victim – 5. Mid-late stage of the treatment group, and 7. Explanation by Dr. Annis Fung) Group process and case description After members had identified their irrational beliefs and understood the effect of them, they could start to develop critical analytical thinking. By learning the “three-question method”, members were able to refute and debate their own irrational beliefs. Before the debate, members were taught relaxation techniques to relax their bodies and minds, to reduce their tension and anxiety before starting the debate. At the beginning, members may find it difficult 304 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims to become absorbed in the activity; if so, workers could play some music to help members to feel more relaxed. Members were calmer and smiled more after the relaxation exercises. Workers began to explain the principles of the “three-question method” – to find evidence to support their beliefs, to look for other possibilities, and to discover the consequences of their beliefs. Through group practice and role-play, members were able to apply the “threequestion method” to refute and broaden their irrational beliefs. Workers led members to debate their irrational beliefs in the activity, “Identifying Individual Beliefs”. Members were divided into two groups based on the event, belief, and behavioral and emotional responses mentioned in their homework assignment. Members questioned one another using the “three-question method” to debate their irrational beliefs. The event that was chosen for discussion was “If another student put garbage in your drawer, you would…”. Many members felt afraid and helpless, and said they would quietly empty the garbage from their drawers and not dare to mention the incident to anyone. They worried that if they told others of the incident, it would make the matter worse, or cause them to be bullied again in the future. Because Man frequently encountered this sort of event, she was able to identify her belief immediately as, “I am timid and always do things wrong; that's why no one likes me”. She felt lonely, helpless, and believed no one around her would like her or want to help her, and at the same time she was unable to face events like this on her own. Workers divided members into two groups. Man indicated that she had no doubt she was timid and always did things wrong. No one liked her, and that's why others bullied her. Workers invited members from the other group to refute this belief, and guided members to find real-life evidence to support their argument and to demonstrate the unreasonableness of Man's belief. Members from the other group pointed out that Man had a tendency to internalize attributions and blamed everything on herself. Members remarked that the reason Man was bullied was not necessarily because she was timid or disliked by others; they stressed that being bullied did not mean being disliked by everyone. Each person, including Man, has his/her own talents and strengths that others would appreciate. Workers reminded members of the strengths they had identified in the “Animal-Metaphor Psychology Test”, and that each member was worthy of appreciation. Later on, workers coached members to reflect on the effect of their irrational beliefs. Members’ irrational beliefs began to waver, and they started trying to establish new beliefs. Workers’ analysis Workers introduced behavioral training (relaxation exercises) before the debate on members’ irrational beliefs. The exercise allowed members to relax their bodies and minds so that they could participate enthusiastically in the debate. Workers should clearly indicate to members how these techniques can reduce their nervousness and anxiety. It may be helpful for workers to record the exercise for members to listen to later, and they could also review the video clip during their homework assignments and practice them when needed. This relaxation exercise can be particularly helpful for passive victims to relax themselves before the treatment group. Many members reflected that the relaxation exercise helped to ease their depressed feelings. It was much easier for members to talk about their experiences of being bullied when relaxed. Man mentioned her irrational belief that “I am timid and always do wrong; that's why no one likes me” (the individual has to have someone they respect to love and praise him/her). This belief had emerged during previous sessions and was Man's most common irrational belief. Workers found this belief to be deeply and strongly rooted (cognitive aspect), and other members shared the same belief, thus Man's event was chosen for discussion. Workers should avoid being judgmental, but allow members to realize other possibilities through the recommendations put forward by the rest of the group. Man had broadened her thinking during the process of the debate. She was aware that she did not love or appreciate herself, so she felt she did not deserve to be loved and appreciated by others. This belief made her depressed, but after the debate she began to appreciate herself and started to develop new beliefs. Project C.A.R.E - Children and Adolescents at Risk Educcation 305 Chapter 7 Treatment Group - Passive Victims Workers should pay attention to members’ expressions and body language during the debate process. Members may speak softly when disagreeing, or shake their heads as a self-defense mechanism. Workers should pay attention and make it clear to members that they should use the “three-question method” to facilitate the discussion, and the discussion should focus on their irrational beliefs rather than their behavioral responses. Members may feel uneasy using the “three-question method”, especially when confrontation arises in the discussion. Passive victims are not used to this type of discussion. Workers should stress that the “three-question method” is only a tool used to broaden members’ thinking horizon. Moreover, workers should hold a group discussion and avoid direct criticism of individual members. Eighth Session: “New Discoveries after Broadening Thoughts” – Role-Play Group process and case description Once members were able to debate their irrational beliefs using the “three-question method”, workers helped them to construct and implement effective rational beliefs, and would share the anticipated challenges and possible solutions. Before constructing effective rational beliefs, Man employed the “three-question method” to debate her irrational belief that “Individuals need to have someone they respect to love and praise him/her”. She realized she had put too much emphasis on others’ praise and comments in the past, but she never valued or showed appreciation of herself. Just because a person did not show appreciation of her did not necessarily mean he/ she did not like her –it may be that the person was not capable of expressing appreciation. Man realized if she continued to judge herself according to someone else's affirmation, she would become depressed, and would negate her own value. Therefore, she changed her irrational beliefs and constructed a new set of feelings and behavior: “I acknowledge my progress and efforts; I will try to improve my shortcomings, and will appreciate my own strengths”. Many members remarked that it was difficult for them to appreciate themselves because they could not find anything worthy of appreciation. Workers had to teach members to appreciate themselves through the smallest things. Workers’ analysis Workers could see cognitive changes in Man's rational beliefs. Man began to appreciate herself and tried to find her self-worth. Workers had to help members to turn their rational beliefs into simple sentences, and nurtured these beliefs so that they became part of members’ subconscious language and self-induction mechanism. Mutual support and constant reminders can help members to consolidate their effective rational beliefs and increase their motivation to implement them. Workers should also examine the difficulties that members experienced in using the “three-question method” and in implementing their effective rational beliefs. Passive victims, in particular, are liable to stop trying because of their lack of confidence and concerns about failure. Therefore, workers should empathize with members, and at the same time help them to come up with possible solution to their difficulties by encouraging and supporting them. 306 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims 5. Late Stage of the Treatment Group Ninth Session: “Turning Over a New Leaf” – Role-Play Group Activities: Session 9 (Please refer to the DVD, Part III, Passive Victim – 6. Late stage of the treatment group, and 7. Explanation by Dr. Annis Fung) Group process and case description Because passive victims often avoid personal contact, their social skills are not fully developed. It is important to help members to enhance their social skills and assertiveness, so that they can learn and establish new communication patterns. Workers distributed the “Turning over a new leaf” worksheet and taught members appropriate social skills, such as maintaining eye contact when speaking with others, so that members could learn and practice these specific skills. Workers observed members’ behavior and skills during the group exercises, to help members to understand how to express themselves. As Man did not have much experience in communicating with others, she felt uneasy at the beginning of the exercises. Workers should be patient and allow sufficient space and time for each member to practice. After repeated practice, most members were able to master new social skills and became more assertive. Workers should also affirm and praise members for their efforts during the process. Man chose several new forms of behavior before the end of this session and decided to practice them in the coming week. These behaviors were: actively expressing her own feelings, confronting the effects of unfortunate events in the past, and appreciating her own efforts. Workers’ Analysis Effective rational beliefs must be put into practice before they can be consolidated into internalized mechanisms, therefore workers needed to reinforce members’ effective rational beliefs through behavioral training. Enhancing passive victims’ social skills and assertiveness also improves their self-confidence and sense of ability, all of which help to strengthen the motivation to implement effective rational beliefs. After group practice and feedback, members clearly understood the proper way to communicate with others. For example, Man would take the initiative to express her opinions and difficulties, and made appropriate eye contact when communicating with others; she also expressed her willingness to implement the new behavioral exercise. It is important for workers to affirm and praise members’ efforts and their changes. Project C.A.R.E - Children and Adolescents at Risk Educcation 307 Chapter 7 Treatment Group - Passive Victims Tenth Session: “Preventing Relapse Card” Group process and case description Members shared their behavioral exercises from the past week. Man's behavioral exercise was to take the initiative in greeting others. Although not everyone had greeted her back, Man did not feel frustrated, but instead appreciated her own efforts in taking the first step in opening up to strangers and greeting them, and so became “A Whole New Person”. Workers praised and affirmed Man's courage and she became a role model for the group. As the group was about to end, workers distributed reminder cards to remind members of their effective rational beliefs and the progressive changes they had made in the group. Workers once again praised members for their efforts and achievements, and members also expressed their appreciation of one another and affirmed their strengths and improvements to consolidate their successful experiences in the group. Workers’ analysis As this was the final session of the group, workers emphasized members’ efforts, improvements, and changes. The treatment group was a rare social experience, particularly for passive victims. Workers should recap on the concepts and skills mentioned in the treatment group to encourage members to practice them in the future. The reminder cards are useful in case memories of the treatment group fade away. Members’ successful experiences in the group may be the turning point in their personal growth. The bonds that members have established through the group can also be used to create a support network to encourage sustainable changes and continuous improvement. For example, Man's successful experiences in the group enhanced her self-esteem and reduced her depression. The treatment group helped Man to turn over a new page in her life. 308 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 7 Treatment Group - Passive Victims V. Effectiveness The table below shows the date collected from treatment groups for passive victims among Hong Kong secondary schools. Passive victims treatment group: Results of student self-report (pre-test – post-test) Pre-test – Post-test Valid sample size# Mean difference+ t-value Anxiety/Depression 52 4.27 4.85** Bullied by peers 56 9.93 5.50** # Valid sample size: the number of students who completed both pre- and post-tests + A positive value of mean difference represents a decrease of mean score while a negative one represents an increase of mean score *p<0.05 **p<0.01 From the two sets of questionnaires, it is evident that passive victims experienced different degrees of change. There was a mean difference of 9.93 on the “bullied by peers” index, which indicates the effectiveness of the treatment groups in reducing the bullying of passive victims. Scores on the anxiety/depression index decreased by 4.27 points on average. We could see that passive victims were significantly less anxious and depressed by the end of the treatment group. Project C.A.R.E - Children and Adolescents at Risk Educcation 309 Chapter 8: Practical Tips Ti 310 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 8 Practical Tips Chapter 8: Practical Tips In previous chapters, we described the content of the group sessions for treating specific subtypes of aggressors and victims using Cognitive-Behavioral Therapy (CBT). In this chapter, we consider the practicalities of conducting the groups in schools and highlight some areas of concern. I. Formation of the Treatment Group i) To avoid the effect of labeling students, it is important to portray a positive image of the project (e.g., by using terms such as leadership training, interpersonal relationships, etc.) to encourage participation. Schools should try to implement award schemes to reward students who perform well, which will reinforce their positive behavior and motivate them to continue making changes. ii) Scheduling the group sessions during class time will help to increase students’ motivation to participate, improve attendance, and avoid the feeling that they are being given detention. iii) The group sessions offer a type of treatment and the contents of the sessions are related, so it is important to ensure coherence and hold sessions at regular times to increase members’ participation and involvement. iv) Taking into consideration the needs and characteristics of the different groups, there should be no more than eight students in groups designed for aggressors and no more than ten in groups designed for victims. v) Because groups include 7th to 9th grade students, their level of maturity may vary more than their actual ages, particularly for girls. It is therefore necessary to pay attention to the arrangement of the activities and to balance group members’ different cognitive levels and needs. vi) There is no obvious difference between single-sex and mixed-sex treatment groups. We generally aim to maintain a balance of males and females to avoid the group being dominated by either sex, which should facilitate communication among members. vii) As some group members may already know or dislike one another, it may be helpful to consult teachers before selecting group members, to avoid difficulties that may affect the progress and coherence of the group. 1. Proactive Aggressors Group i) Members of the Proactive Aggressors Group may share their own experiences of bullying in the groups, which may involve descriptions of their gang background or other violent behavior. They may do this to enhance their personal status and reputation in the group, and to create an authoritative image. If this occurs, workers must intervene immediately and clearly state that illegal behavior is not allowed in the group, to avoid other group members normalizing such illegal behavior. ii) Particularly in the early stages, workers should utilize material rewards to enhance participation in the group activities. Nevertheless, workers need to evaluate the effectiveness of using material rewards from time to time. If group members are cooperative and participate willingly in the activities, the material rewards can be reduced gradually. iii) Workers should pay attention to and show appreciation of members’ positive behavior, to encourage participation in the activities. Workers can also increase the variety of activities to retain the interest of group members and increase participation. Project C.A.R.E - Children and Adolescents at Risk Educcation 311 Chapter 8 Practical Tips 2. Reactive Aggressor Group i) Workers need to manage group members from different backgrounds and with different personalities. Reactive aggressors tend to have hostile external attributions and so have a strong sense of self-protection. Based on our observations, female members tend to use less physical aggression than males, but use more negative language or exclude others as a form of aggression. ii) At the beginning of the treatment group, some members may use destructive behavior to test the boundaries of workers and other members, so the workers must present an authoritative image and treat each member equally. Rules should be agreed with members before the treatment group so that members understand there are limitations and restrictions, and help them to establish a rational attitude. iii) Because reactive aggressors are relatively impulsive and easily provoked, workers need to establish conflictand risk-management procedures and ensure strong cooperation and a clear division of responsibilities. For example, one worker may be responsible mainly for delivering the group content, while the other may be responsible for observing group members’ reactions, encouraging participation, and handling unexpected incidents. iv) Reactive aggressors are easily labeled as trouble-makers, and lack appreciation and praise from others. Therefore, workers should encourage and compliment pro-social behavior, such as speaking politely, helping workers to clean up, and helping others. Providing them with a sense of achievement will reinforce positive behavioral changes and motivate them to change. v) Reactive aggressors have poor interpersonal relationships with others, so positive feedback from other group members can be used to highlight positive experiences with their peers and improve their social skills. However, workers must be careful to avoid members making use of this opportunity to provoke and criticize and thus creating a negative effect on the group. vi) Because the sessions are conducted in school, group members may have ongoing conflicts outside the group and may bring their problems back to the group. To avoid such incidents, workers should keep in regular contact with teachers and social workers to decide when it may be helpful to follow up on individual members outside the group. Workers may also consider the nature of such incidents to see if they are suitable to use as examples during group discussions, because real cases are more convincing and meaningful, and so are more likely to enhance group members’ motivation to change. 3. Aggressive Victims Group i) Aggressive victims tend to have a negative attitude when invited to join the group, and are extremely suspicious and insecure, thus it is vital to build rapport and relationships in the first session. ii) Workers need to be specific when expressing appreciation of group members’ efforts and good performance. They should pay particular attention when quiet members express their views, and give appropriate feedback. Such attention will help group members to feel that their participation and opinions are valued, and encourage them to continue participating actively in the group. iii) Emphasizing fairness and equality is important to group members; workers need to help them to develop a rational and objective judgment of fairness and equality in the group. iv) When designing and leading the group activities, it is important to ensure that members feel they have a choice. Workers should enable group members to understand and experience that they can express their own views and feel that they are regaining control of their own lives. For instance, workers can design various activities to encourage members to express their views and allow their own thoughts, so that they feel safe in expressing their views. 312 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 8 Practical Tips 4. Passive Victim Group i) Because passive victims lack self-esteem, they may initially adopt an observing role and avoid expressing their own opinions and feelings. Therefore, workers should give them opportunities to participate and create a sense of security and respect. Try not to push individuals too much, but allow them space and time to join the group. Workers may need to increase the number of team activities to reinforce trust and coherence among group members and encourage them to participate in the group activities. ii) Passive victims are sensitive toward others’ comments, so before asking group members to share, workers need to emphasize that there are no right or wrong thoughts and create an atmosphere of mutual trust and tolerance. If group members feel embarrassed or reluctant to share their experiences, workers can offer similar topics for the group to discuss in the third person, or workers can share their own experience as an example, to reduce group members’ anxieties about self-disclosure. iii) Because passive victims have low confidence, workers need to observe group members’ performance closely to increase their involvement in the group. Giving instant feedback and specific praise to members will enhance their confidence. Apart from meeting in the group, workers can also observe whether group members mention any successful experiences in their assignments. Workers can use this method to increase group members’ confidence, especially those who are particularly quiet and passive. II. Theoretical Application i) As the “ABC” concept is relatively abstract, workers can make it more understandable by utilizing real-life examples from campus or the daily lives of group members. Moreover, workers should explain the purpose and importance of learning this concept (e.g., enabling them to get to know themselves better), to enhance their motivation to learn. ii) Workers need to master the “ABC” concept themselves before starting the group, because group members can easily confuse the event, belief, and action when sharing their own experiences. Workers need to clarify the difference between them to help group members to dispute their irrational beliefs effectively. III. Workers’ Qualities i) Acceptance: It is very important to offer ‘acceptance’ toward the proactive aggressors and aggressive victims, as they are very often labeled as disruptive and are not welcomed by their peers. Workers should maintain a non-judgmental attitude toward group members, and understand their behavior and the formation of their irrational beliefs from their perspectives. Workers can also develop group members’ strengths in the group, by appreciating and praising their pro-social behavior. This will enable them to experience positive behavioral changes, build up trust between the workers and the group, and motivate them to continue making changes. ii) Patience: Workers should listen to the sharing of each group member patiently, especially victims, who have a poor ability to express and share. Workers need to maintain patience and open-mindedness, and allow victims time to share their own experiences. iii) Awareness of own values: Workers should be sensitive to and aware of their own values, because the opinions and points of view shared by the group members may be different from their own. Workers must first understand their own values before they can utilize their own inner resources to lead the group. Project C.A.R.E - Children and Adolescents at Risk Educcation 313 Chapter 8 Practical Tips IV. Basic Skills in Leading the Group i) As the groups are based on CBT, workers need to understand the theoretical concept and practical therapeutic skills, so that they can analyze members’ cognitive characteristics, help them to recognize and dispute their irrational beliefs, and build up a set of rational beliefs and values. ii) Both reactive aggressors and passive victims experience fluctuating emotions and lack the social skills to interact with others. Therefore, workers need to be patient, tolerant, and accepting of their unstable behavior and emotions when instructing them. iii) When conflicts occur in groups of aggressors, workers need to ensure fairness in their handling of the issue to avoid resentment among members, and should adopt a model of “persuade others through reasoning” and “keep people's problems separate”. Meanwhile, workers should be careful not to trigger conflicts and negative emotions among group members when using the reward system. iv) Both aggressors’ and victims’ emotions are very fragile and they need attention from others; therefore, workers need to be sensitive, use positive and complimentary words frequently, and respond to each member's sharing and conversation seriously. v) When leading the treatment groups, workers need to be flexible and prepared to change the agenda at any time to cope with unexpected incidents that arise during the group. If an unexpected incident has a strong effect on members, under the condition that group members have basic mutual trust, workers should explain the incident, and help members to learn from it and develop new methods to deal with similar situations. vi) During the course of the treatment group, some members may be absent due to sickness, detention, tests, or dropping out of school. However, as the treatment emphasizes the coherence of the content in the activities, absences can have a negative effect on the group by lowering coherence and involvement in the group, and absent members may not be able to catch up with the group's progress, Therefore, it is better for workers to follow up on absences to find out why they failed to attend, and to help them catch up by explaining the materials they have missed. If members are absent due to detention or school activities, worker need to consult and discuss the issue with the student's teacher or the school. vii) The treatment model emphasizes that members should apply what they have learnt to their daily lives. Worker can learn more about members’ progress through their homework. However, some members inevitably forget to complete or bring in their assignments at the beginning of the treatment group, so workers should offer praise and rewards to those members who complete the assignment. If members find it difficult to understand the homework, the group can revise the material before the end of class to enhance their confidence in completing the assignment. V. Counseling Techniques i) Although group members are already classified as different types of aggressors and victims, the personalities, thoughts, emotions, behavior, and past experiences of individual members may vary. Workers need to further understand the uniqueness and mindset of each member. ii) Workers need to listen actively when disputing the irrational beliefs of group members, then select relevant points to be summarized and reframed as subjects for discussion, and let group members debate whether or not the thoughts expressed are reasonable and fair. During the process of debating, workers should acknowledge the reasonable and fair arguments raised by group members and dispute any unreasonable and unfair arguments. 314 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 8 Practical Tips iii) Workers must listen actively to the sharing by group members and offer appropriate responses, because every sentence may reflect their thoughts, inner values, or anxieties. Appropriate and empathetic responses let group members know that workers understand their thoughts, behavior, and feelings. iv) When disputing the irrational beliefs of group members, the group must create pressure to force group members to inspect their thoughts and give up their irrational beliefs. Workers can deduce the unreasonable and unfair irrational beliefs in extreme circumstances. The aim is to broaden group members’ thoughts through debate, and enable them to learn how to think from different angles. v) The use of empathy is of great importance in treatment groups for both aggressors and victims. For instance, during the first few sessions, workers can employ empathy to build relationships with group members, reduce their defensiveness, and increase their sense of belonging. vi) Group members may feel uncomfortable and defensive when their irrational beliefs are questioned and challenged. Workers need to help group members to feel safe when attempting to change their irrational beliefs, through the design of the group procedures. For instance, the individual's name can be omitted when disputing a group member's irrational beliefs. vii) When group members are being questioned and challenged, they may prevent workers and other group members from disputing their irrational beliefs by sharing positive viewpoints. Workers need to be careful that they do not mistakenly take this to mean that their irrational beliefs have been disputed. Workers can use scaling questions to assess the extent of the changes in their thoughts, praise those who have broadened their personal thinking, and let them know that there is room for improvement. VI. Cooperation among Workers i) If two workers or more are leading a group, workers should discuss the division of labour before starting so that they are clear about their job roles and can support each other during the sessions. ii) Because the group activity procedures are complex, one worker may be responsible for leading the group activities and the other for monitoring members’ responses. In case of unexpected incidents, one of the workers can handle the incident, while the other continues to lead the group and take care of the other group members. VII. Crisis Intervention i) Aggressive behavior among group members • As proactive aggressors tend to be quite intelligent, workers should not criticize them in front of other members, but instead give signals using eye contact or gestures. At the end of the group, talk to the individual and reiterate the group rules. Let the group members know that aggressive behavior is not allowed, ask them to follow and respect the rules, and make them feel they are being respected. Workers need to evaluate each situation before deciding how best to handle it. • It is important not just to blame group members when handling incidents of aggression among aggressive victims. It is more appropriate to examine the reasons behind their aggressive behavior and handle the incident in a fair manner Project C.A.R.E - Children and Adolescents at Risk Educcation 315 Chapter 8 Practical Tips ii) Interaction among group members • If conflicts occur among group members before or outside the group, they may ignore each other during a group session, which will affect the interactions among other members. Workers should handle such situations with care, to avoid the group becoming a battle between two opposing parties. • There will often be group discussions during the group activities. Workers need to assess group members' characters and interactions, and arrange the groups and roles in accordance with the objectives of the activity, to ensure group members participate in the group and thus enhance the effectiveness of the activities. iii) Distressed emotions among group members • Some group members may feel distressed before coming to the group. For example, if a member of a passive victim group has recently encountered a bullying incident, they may bring their negative emotions into the group. Workers need to pay attention to any emotional changes in group members, to evaluate the risks and seriousness of relevant incidents. Assisting group members to handle their emotions also helps to build rapport with members. iv) Some of the victims in the group may have encountered domestic violence or other types of abuse. If members disclose such information, workers must listen carefully and pay attention to their emotions. Workers need to provide immediate emotional support during the sharing, evaluate the level of risk, and discuss whether the case needs to be followed up with the school social worker. VIII. Cooperation with School and Teachers i) The treatment group requires cooperation from the school to achieve its aims and objectives. During the project, support is needed from the school principal to set up a special team to coordinate with the workers and follow up on the progress of the group members. Workers should provide regular progress reports to the school to consolidate mutual trust and cooperation. ii) Workers will need help from the school to run the group. They should ask the school to appoint a member of staff to provide help and support with details such as arranging a venue for sessions, preparing materials and equipment (e.g., computer and projector), and leading students from different classrooms to participate, so that the group can start punctually and reduce the administrative workload of the workers. iii) Workers should maintain close contact with the school social worker, so that they can keep an eye on members’ behavior during the treatment group, and intervene or make referrals when necessary. iv) If the workers leading the group are employed by an external organization, it is important to establish close contact with the school. Establishing such contact helps workers to understand the school environment and group members’ individual circumstances. This can be useful for workers in following-up on members and also ensures the school knows more about individual cases so that they can cooperate with workers accordingly. v) Full cooperation and support from the school and teachers is required for the treatment groups to be successful. While the project is in progress, teachers can encourage group members to participate actively in the group activities, pay more attention to their conditions in class, and let them feel cared for and supported. 316 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 8 Practical Tips IX. Arrangement of the Venue i) Regarding the seating arrangement, it is suggested that seats should be arranged in a semi-circle. Workers can sit or stand a few steps behind the centre of the semi-circle so that group members can all see their face, to facilitate participation in the group. If the seats are set in a circle, workers will find it difficult to pay attention to the facial expressions of the members sitting beside them, who in turn will only be able to see the side of the workers’ faces and so will have less eye contact with them. These group members may easily feel ignored, which will reduce their sense of belonging to the group. ii) It is helpful if the treatment group takes place in a room close to the general office, so that help can be sought quickly in case of accidents. The windows in the room should also be fitted with window bars to ensure safety during the treatment group. iii) Workers need to be aware of the arrangement of the room and seating. Quiet rooms are preferred so that group members can feel free to share their own experiences and viewpoints. It is also suggested that miscellaneous objects and furniture should be removed from the room, or the seats set to face the windows, which will reduce distractions and increase members’ concentration. Project C.A.R.E - Children and Adolescents at Risk Educcation 317 Chapter 9: DVD User Guide 318 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Chapter 9: DVD User Guide The attached DVD contains17 scenarios and 4 case studies. The DVD is divided into three parts. Part I focuses on the different subtypes of aggressors and victims; Part II examines the various responses to the same scenarios according to the ABC concept (Ellis, 1977) and Attribution Theory (Heider, 1958); and Part III describes the corresponding case studies from the treatment groups for proactive and reactive aggressors, and aggressive and passive victims. The DVD has been used successfully, both in the treatment groups and in seminars for parents and teachers. The case studies are designed to facilitate understanding of the differences between the various types of aggressors and victims and the corresponding intervention methods, and are also very effective in clarifying the interdependence between the anticipated event, the belief, and the consequence (i.e., the ABC concept). I. Part I: Handlings of Different Aggressors and Victims Part I contains four scenarios, with one of the four types of aggressors or victims as the main character in each scenario. The contents of the scenarios include the characteristics of each type of aggressor or victim, and the immediate and long-term interventions by teachers, social workers, and parents. 1. Targets Teachers When teachers handle bullying incidents, they need to assess and identify the types of aggressors and victims according to the students’ characteristics. This section describes the methods of intervention when encountering bullying incidents, including immediate interventions, and how to further investigate and follow up on such incidents. The DVD also provides suggestions on improving the campus culture and relationships among schoolmates, to improve the school’s ability to cope with bullying incidents. Social Workers/Counselors The DVD describes the process of intervention for social workers and the application of cognitive behavioral therapy (CBT), including how to teach students the “A-B-C” concept and how to assess and dispute their irrational beliefs. The content of the assessment and the focus on disputing irrational beliefs will differ according to the different types of aggressors and victims. Parents Parenting styles have a profound influence on children’s personality and their ability to get along with other people. The DVD offers various methods for handling the behavioral problems of children according to the different types of aggressors and victims. Teachers and social workers can refer to the contents of the video clips to assist parents in understanding how to help their children. Parents should also be encouraged to use the scenarios to reflect on and evaluate their own parenting styles, which will help to improve their communication skills with their children and foster harmonious parent-child relationships. Project C.A.R.E - Children and Adolescents at Risk Educcation 319 Chapter 9 DVD User Guide 2. Details of Contents Scenario 1: Proactive Aggressor – Cell Phone Incident Wai is a school bully. One day, when she sees a classmate sneakily writing an SMS in class, Wai and her gang begin to tease her. Wai grabs her classmate’s phone and throws it back and forth to her gang, then intentionally drops it on the floor. Although the teacher notices the incident, Wai argues that she was just trying to discipline the classmate for the teacher. The victim does not accuse Wai because she is afraid that Wai will retaliate, so the teacher has no reason to follow up on the incident. Characteristics of proactive aggressors Wai’s considerations and actions: Cognitive: • Detailed planning: division of labor with her gang, so that the bullying cannot easily be discovered. • Personal benefits as the goal: Wai's aim is to demonstrate her strength. • Good at estimating the pros and cons: Wai knows that she would not benefit from selling the phone, and that it would be disadvantageous to her if the incident escalated. • Overlooking the possible negative consequences: she does not consider the possibility that the teacher may discover the truth and follow up on the incident –she assumes that she will be able to avoid blame. Emotional: • Calm: she does not panic even when discovered by the teacher. • Lack of empathy: Wai gets satisfaction from teasing others and ignores her classmates' feelings. Behavioral: • Likes to challenge authority: by denying the teacher any means of following up on the incident, she gains a sense of success. • Self-centered: all her actions are in her own interest and she does not consider the feelings of others. Social: • Plays a leadership role: she is the leader of the gang and often bullies others in the gang. • Demands that peers obey her: Wai uses threats and inducements to persuade others to do what she wants. Teachers’ handling of proactive aggressors On-the-spot handling of the parties concerned: • As the proactive aggressor likes to challenge authority, they will deny it even when they know they are caught doing something wrong. Therefore, it is more appropriate to talk with the students individually to follow up the incident in more depth. Subsequent handling of the parties concerned (1): • Let the proactive aggressor know that the teacher is aware of their true intentions and won't be deceived by them trying to shift the blame and responsibility onto others. The punishment should act as a deterrent, and the aggressor should be made to understand the reason and meaning behind it, so that they are more likely to take it seriously. This should also prevent the student from misunderstanding and resenting the teacher, and establishing negative thoughts and relationships. 320 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Subsequent handling of the parties concerned (2): • Apart from deducting conduct points or imposing detention after class, teachers can also arrange other types of `punishment', so that the student can encounter new experiences and reflect on their behavior. For instance, when the student is given detention, the teacher could ask the student to evaluate the negative effects of their bullying behavior and try to get them to reflect on the other person's feelings to develop more empathy. Teachers could also ask the student to participate in volunteer work or extra-curricular activities, to help them establish positive experiences and gain a sense of achievement from something other than bullying. Handling of other students: • To avoid the values of the proactive aggressor affecting and spread to other students, teachers can help students to understand the negative consequences of bullying using examples of real cases. Teachers can also take such opportunities to promote an anti-bullying culture in the school. Social workers’ handling of proactive aggressors Assessment: • Proactive aggressors focus on personal benefits, so social workers should first assess the benefits the aggressor may obtain from bullying and the factors that reinforce and reward the aggressive behavior (e.g., the proactive aggressor thinks that bullying will demonstrate his/her strength),so that their irrational beliefs can be identified. Disputing irrational beliefs: • Social workers can help the student to dispute their irrational beliefs from different perspectives (reasonable, fair, rightful). From the reasonable perspective, the proactive aggressor can be asked to put himself/herself in the victim's role, and evaluate the feelings of those who care for him/her. This enables the aggressor to recognize the negative effects of bullying. From the fair perspective, because the proactive aggressor can easily rationalize their own behavior, social workers should emphasize social rules and norms when disputing the student's irrational beliefs and consider other ways of thinking about things. From the rightful perspective, social workers can change the student's positive evaluation of the outcome of bullying with the serious consequences of bullying in real life, such as the consequences of breaking school rules or the law. Parents’ handling of proactive aggressors Negative example: • If parents of proactive aggressors do not discourage or even acknowledge their children's bullying behavior, they may encourage and rationalize the bullying behavior and irrational beliefs of their children. Project C.A.R.E - Children and Adolescents at Risk Educcation 321 Chapter 9 DVD User Guide On-the-spot handling: • Parents should take their child's misbehavior seriously and need to understand the intentions behind the behavior. The aim is to let the child realize that his/her parents care about him/her, yet disapprove of their bullying behavior. • Parents can express their worries and distress over their child's bullying, and also encourage the child to evaluate his/her own behavior. This enables the child to feel the attention and concern of his/her parents, so that he/she can also learn to care about others' feelings. Long-term handling: • Parents should encourage their child to make use of his/her talents in an appropriate way, and show appreciation when they do so. This enables the child to feel their parents' support and appreciation and to obtain satisfaction from behaving more positively, which will provide reinforcement to continue the positive behavior. Scenario 2: Reactive Aggressor – Suspected fallen photo This scenario depicts an incident in which several classmates are looking at and discussing some photos taken during the school picnic. Their excited discussion attracts Lau Chun-wai’s attention. When the class bell rings, the students lower their voices and wait for the teacher. However, Lau Chun-wai thinks they are discussing and laughing at a photo of him falling over, so he confronts them angrily. He shouts and attacks them, asking them to hand over the photo of him falling over, which confuses his classmates. Characteristics of reactive aggressors Lau Chun-wai’s considerations and actions: Cognitive • Lau Chun-wai does not consider all the available information when receiving outside messages; he focuses on certain kinds of sensory information. He only saw his classmates speaking softly and laughing, but did not hear the class bell ring. • Cognitive distortion: he thought that his classmates were circulating the photo of him falling on the floor and were making fun of him. • Hostile attribution: his classmates were just sharing their happy memories of the school picnic, but he thought they were making fun of him. • Weak problem solving skills: when encountering interpersonal conflicts, he can only respond with accusations and aggression. Emotional • Impulsive: Lau Chun-wai did not wait to find out what was actually happening before attacking his classmates. • Agitated emotion: he was unable to control his emotions even in the presence of other classmates, and responded with aggressive behavior. 322 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Behavioral • Attacks everything around: he not only attacked his classmates, but also kicked the chairs around. • Stubborn: he insisted his classmates delete the photo and assumed they were acting maliciously. Social • Lack of social and communication skills: Lau Chun-wai did not know how to express own thoughts and feelings. • Being isolated and socially excluded: his agitated emotions and behavior made his classmates wary of interacting with him. Teachers’ handling of reactive aggressors On-the-spot handling of the parties concerned: • As the emotional responses of reactive aggressors may be harmful to themselves and their classmates, teachers must first calm down the aggressor and remove him/her from the scene. The teacher should also ask other students to stand aside to avoid further upsetting the aggressor. Subsequent handling of the parties concerned (1): • Although reactive aggressors have cognitive distortions and will make hostile attributions when interpreting the incident, teachers should first try to understand the reasons for their agitated emotions, and show respect and care when calming them down. Teachers should also ensure the reactive aggressor realizes that his/her behavior is against the school rules and that they must take responsibility for what they have done and accept appropriate punishment. Subsequent handling of the parties concerned (2): • Teachers can teach reactive aggressors different methods for controlling their emotions. Through sharing and practicing various methods, the student should be able to find the best way of calming himself/herself down and thus avoid resorting to aggressive behavior. Because reactive aggressors have often used aggressive behavior to solve problems in the past, they may still use such behavior. Teachers need to continue to review and evaluate the student, and show appreciation and affirmation of the student's efforts. Handling of other students: • Teachers can teach students emotional management skills, help them to understand their own and other's emotions, and encourage them to accept other people. When a student has an emotional outburst, the teacher should ask them to leave the scene, or remind them to use the emotional control methods learned previously to calm themselves down. Project C.A.R.E - Children and Adolescents at Risk Educcation 323 Chapter 9 DVD User Guide Social workers’ handling of reactive aggressors Assessment: • Reactive aggressors usually have a hostile attributional bias when interpreting external messages. They tend to focus selectively on a particular sense when interpreting other people's intentions – as Lau Chun-wai did when he saw his classmates discussing the photos but did not hear the class bell ring. Therefore, social workers should first try to understand the student's interpretation of the incident, assess which sense they were focusing on, and encourage them to be aware of all their senses when interpreting external messages. Disputing irrational beliefs: • Social workers can review the details of the incident with the student, and point out how they focused on one particular sense. It is also important to encourage the student to consider whether there is evidence to support their negative and extreme thoughts, then explore the possibility of other interpretations and help the student to perceive the incident using different senses and from new angles. Social workers also need to let the student understand that their negative and extreme thoughts will have many negative effects and consequences, to increase their motivation to change. Parents’ handling of reactive aggressors Negative example: • The parents of reactive aggressors tend to have an irritable temper and are prone to using violence to punish their children. Because the reactive aggressor has been imperceptibly influenced by their parents since childhood, they are likely to express agitated emotions, and even respond with aggression when they encounter stress. If parents do not set a good example when teaching their children, they will not learn to evaluate their behavior intuitively. On-the-spot handling: • Parents must first calm down their own emotions, then listen patiently to their child's interpretation of the incident, so that they sense their parents' care and respect. Parents can encourage their child to express his/her feelings and expectations by using the `I-message' (please refer to Chapter 5), and let him/her learn how to respond appropriately to interpersonal conflicts. Parents can also share their own experience of calming themselves down, and discuss other methods that the child could try. Long-term handling: • Parents need to talk to their child about positive ways of venting their emotions that will not harm others, such as taking exercise. 324 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Scenario 3: Aggressive Victim – Why Pick on Me? Sze is having lunch with her classmate in the cafeteria when two classmates come over and start teasing her. Although Sze is furious, she manages to control her temper as she is afraid of being punished by the teacher. However, her classmates carry on provoking Sze, and finally she retaliates and starts shouting at them. Characteristics of aggressive victims Sze’s considerations and actions: Cognitive • Negative and hostile thoughts: Sze does not trust her teacher or classmates, and thinks that they are against her. • Tends to shirk responsibility: she thinks that it is her classmates' fault that she lost her temper, and they are entirely to blame for the incident. • Strong sense of self-protection: even when her classmates were just sitting nearby, she was already on the alert. • Conflicting values: Sze wants to behave properly, but thinks that if she does not retaliate, the situation will escalate. Emotional • Panic: Sze is constantly imagining the negative consequences of the incident. • Anxiety: she feels anxious and impatient when provoked by her classmates. • Deep grievances: Sze feels resentful that the classmates who provoked her were not punished. • Unstable emotion: although her emotions were quite calm to begin with, she quickly became anxious once her classmates approached her. • Confused and contradictory: she often struggles between complying with moral principles and repaying violence with violence. Behavioral • Protects herself in extreme ways: Sze shouted and threw things in response to the provocation. Social • Lack of social and communication skills: Sze does not know how to express her thoughts and feelings in response to provocation. • Lack of trust in people: she not only lacks trust in her classmates, she also does not believe the teacher will handle the incident fairly. Teachers’ Handling of Aggressive Victims On-the-spot handling of the parties concerned: • Because the aggressive victim feels angry and distressed about being provoked, the teacher should lead them away from the scene to avoid being further upset by their classmates. Take them to a safe place where they can calm down. Project C.A.R.E - Children and Adolescents at Risk Educcation 325 Chapter 9 DVD User Guide Subsequent handling of the parties concerned (1): • The teacher needs to understand the whole incident, but also needs to understand the feelings and viewpoint of the aggressive victim at that moment. The teacher should express his/her understanding in a nonjudgmental manner, so that the aggressive victim feels the teacher's care and develops trust in them. • The teacher must investigate and handle the incident fairly, to help the victim to establish trust in the school. If the aggressive victim has also made a mistake in the incident, the student must also learn to accept responsibility. Subsequent handling of the parties concerned (2): • In addition to helping the student learn how to calm their emotions, the teacher also needs to increase the student's assertiveness. The teacher should teach the student to use the `I-message' to express his/her own feelings and expectations when provoked. • When the aggressive victim encounters setbacks in learning how to use the `I-message', the teacher should show appreciation of the student's improvement, review the technique with the student and encourage them to try again. Handling of other students: • Because aggressive victims lack trust in other people and possess poor social and communication skills, they usually have few friends. Teachers can arrange activities to help classmates get to know one another and help the aggressive victim to establish positive relationships with their classmates. Social Workers’ handling of aggressive victims: Assessment: • Aggressive victims often feel anxious and uneasy. There are three types of anxiety – reality anxiety, neurotic anxiety, and moral anxiety. Social workers can evaluate the group members' inner struggles, contradictions, and stage of moral development according to these three types of anxiety (please refer to Chapters 2 and 6). Social workers can also assess the irrational beliefs of aggressive victims by exploring their previous aggressive behavior and past experiences of being bullied. Disputing irrational beliefs: • Social workers need to ensure aggressive victims understand the illogical reasoning underlying their irrational beliefs. For instance, punishment should be imposed according to the seriousness of the mistake, but this does not necessarily mean heavy punishment. To dispute aggressive victims' irrational beliefs, help them to understand through objective evidence, such as school rules or laws, that society has consensual rules to punish those who commit misdeeds. Furthermore, social worker must let aggressive victims realize the negative effects of their irrational beliefs, to increase their motivation to change. 326 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Parents’ handling of aggressive victims Negative example: • Parents of aggressive victims are usually poor at disciplining their children and dealing with interpersonal conflicts. Their parenting style is often ambiguous, which makes their children feel lost and helpless. On-the-spot handling: • Parents need to understand their child's ambivalence. After comprehending the incident, parents should maintain a non-judgmental attitude and provide emotional support to let the child feel their care and understanding. Parents can also discuss how to solve the problem, and encourage the child to find positive ways to solve problems and protect himself/herself. Long-term handling: • Parents should reinforce and appreciate their child's positive behavior. Parents' modeling and sharing of their own experiences will teach the child that even though there are many difficulties and problems in life, it is important to maintain a positive attitude and use a positive approach to solve problems. Scenario 4: Passive Victim – The Broken Glasses Keung is studying alone in a quiet area of the campus when a few classmates suddenly run up, snatch his new glasses and start playing with them. When Keung begs them to give his glasses back, they throw them onto the table and break them. Just at that moment a teacher passes by and asks Keung what happened, but he just says that he broke the glasses because of his own clumsiness. Characteristics of passive victims Keung’s considerations and actions: Cognitive The outside world is terrible: Keung hides under his desk during recess and is too scared even to go to the toilet. Negative and passive thoughts: he often thinks that he is bullied because of his own incompetence, so there is not point telling the teacher. Emotional Sense of helplessness: he feels that he cannot change the status quo, and teachers, parents, and social workers cannot help him. Depression: he is often unhappy. Behavioral Passive and withdrawn: even if the teacher shows concern for him, he does not tell the teacher about the bullying. Project C.A.R.E - Children and Adolescents at Risk Educcation 327 Chapter 9 DVD User Guide Social Avoids interacting with others: Keung would rather stay at home so that he does not have to face the outside world. Being looked down on: the classmates who bully him know that he will not fight back, so it is easy to pick on him. Teachers’ handling of passive victims On-the-spot handling of the parties concerned: • Passive victims feel scared and helpless after being bullied. The teacher should first lead the passive victim away from the scene to a safer place, to reduce the victim's anxiety and increase their sense of security. Subsequent handling of the parties concerned (1): • Because passive victims are introverted and anxious, the teacher needs to provide a safe place for them to calm down and allow time for the student to explain the incident. • The teacher needs to help the student to establish trust and a sense of security at school. They should reiterate that the school does not allow bullying to happen and will handle the incident in a fair manner. Subsequent handling of the parties concerned (2): • The teacher should help the passive victim to establish a social network and integrate into campus life, which will enable them to build good relationships with their peers. The teacher can also explore the strengths and interests of the passive victim, help them to develop their potential, and enhance their self-confidence. Handling of other students: • Teachers can encourage more positive and optimistic students to build relationships with the passive victim, to encourage them to integrate into campus life. This will also help the victim to re-establish trust in people and develop a sense of security. Social workers’ handling of passive victims: Assessment: • Social workers should first evaluate the passive victim's experience of being bullied in the past and how they respond to such incidents, and then review the effectiveness of this approach. Social workers should also try to find out more about the disciplinary style of the victim's parents, and explore how they construct their irrational beliefs. 328 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide • Social workers should provide emotional support for passive victims and use empathy to enhance their sense of security and trust in teachers, so that the victim will be more willing to share their experiences of being bullied. Social workers also need to help passive victims to establish aspirations and hope for the future, to strengthen their motivation to change. Disputing irrational beliefs: • Social workers can design behavioral exercises together with the passive victim, such as practicing the `I-message' in daily life. This will help the passive victim to improve their social and language skills and strengthen their capacity for self-expression. When the victim has a successful experience, social workers should praise and encourage them to continue the behavioral practice, to change their feelings of withdrawal and helplessness. Social workers should also encourage passive victims to explore their own strengths, so that they learn to value and appreciate themselves. Parents’ handling of passive victims Negative example: • If parents take too much responsibility for their child – teaching them to be absent from school to avoid the bullying problem, rather than teaching problem-solving and conflict-handling skills – the child will not learn to resolve difficult situations and their only solution will be to escape from their problems. On-the-spot handling: • Parents should encourage their child to have the courage to deal with the problem. They should discuss ways of solving the problem and practice different methods for handling interpersonal conflicts, so that they can learn from the process. Long-term handling: • Because passive victims lack self-confidence, parents need to show their child a great deal of appreciation and encouragement to help them explore their own strengths and build their self-confidence. Parents can also encourage their child to get involved with more new activities, to change their passive character. Project C.A.R.E - Children and Adolescents at Risk Educcation 329 Chapter 9 DVD User Guide II. Part II: Responses in Different Scenarios The 13 scenarios described in Part II portray typical incidents that secondary school students may encounter at school or at home. When students view similar incidents in the video clips, it helps them to develop a deeper understanding of how adolescents with different beliefs respond to such situations. 1. Theories Behind the Response Cognitive Behavioral Theory The core theory of Cognitive Behavioral Therapy (CBT) is based on Albert Ellis’s (1977) ABC concept: ‘anticipated event – belief – consequence’. Ellis believed that human behavior is mainly influenced by one’s beliefs, which generate various responses. Beliefs are mainly shaped by an individual’s character, experiences, and values. When an individual encounters an objective event, their existing beliefs determine how they interpret it and what action they will take. Attribution Theory People look for explanations for the causes of events, and this cognitive process is called ‘attribution’ in psychology. According to Heider, who first proposed Attribution Theory in 1958, there are two main types of attribution – ‘situational attributions’ and ‘dispositional attributions’. When a situational attribution is made, the cause of the behavior is attributed to the environment or the situation in which the behavior occurred. When a dispositional attribution is made, the cause of the behavior is attributed to the individual’s personality, attitudes, character, or disposition. The video clips present four types of responses, according to the ABC model and Attribution Theory. Agitated response: The actor in the video clips will have an irrational, hostile attributional bias when analyzing events. People with a hostile attributional bias tend to see other people’s behavior as hostile and aggressive when they encounter social difficulties. To protect themselves, they counterattack emotionally and behaviorally, even when the other’s actions and intentions are not harmful. Most reactive aggressors have a hostile attributional bias. Dispositional attribution: The actor in the video clips will blame all problems generated by external events on himself/herself. People with a dispositional attribution bias usually maintain very high standards for themselves (e.g., I have to get the task completed), but when they cannot achieve their target, they will usually attribute the failure to their own character and ability. Many passive victims have this irrational belief. As they often doubt their own ability, their self-confidence is low and they become anxious. 330 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Situational attribution: The actor in the video clips will tend to blame everything on external factors. They think that their problems are caused by other people and their own behavior is irrelevant. They often complain of being treated in an ‘unfair’ and ‘unreasonable’ manner, and think that the people around them do not understand their thoughts. Because their thoughts and behavior make other people feel alienated and discontented, they easily offend others and have poor interpersonal relationships. Rational response: Individuals with a rational response style are able to analyze their situation. They can express their own feelings, thoughts, and expectations assertively, and are able to establish positive and trusting relationships with others. 2. Details of Contents A brief summary of each of the scenarios depicted in the videos is given below. Scenario 1:Staying Behind After School Because Chan Ho-Ming was not concentrating during mathematics class, he could not answer the teacher’s question. The teacher was concerned that Ho-Ming was getting behind, and suggested he stay behind after class to catch up on his work. How did Ho-Ming respond to this? Response 1 (agitated response): Ho-Ming tends to have irrational beliefs with a ‘hostile attribution’ bias. He thought that the teacher’s suggestion to stay behind after class was a ‘punishment’ and was deliberately intended to cause him difficulty. Moreover, he believed that the teacher purposely asked him questions in class to embarrass him in front of his classmates. Ho-Ming considered the teacher’s behavior as an act of aggression against him, so he responded pre-emotively in anger. Response 2 (full of remorse): Ho-Ming has irrational beliefs with an ‘internal attribution’ style. He held the irrational belief that ‘I must be able to answer the teacher’s question accurately if I am a valuable and useful person. Otherwise, I am useless.” He would interpret the teacher’s request for a remedial class as a ‘punishment’ and thought that it was entirely his own fault. Ho-Ming would also ‘over-analyze’ his failure and solos confidence to participate in the next day’s violin contest. Response 3 (blaming others): Ho-Ming’s irrational beliefs are due to his ‘external attribution’ style. Ho-Ming thought it was someone else’s fault that he had to stay behind after class; for instance, he may blame the teacher for not explaining properly, or another classmate for answering the question before him. He would complain about his ‘misfortune’ and deny any responsibility for the incident. Project C.A.R.E - Children and Adolescents at Risk Educcation 331 Chapter 9 DVD User Guide Response 4 (rational and positive thinking): Ho-Ming is a person with rational and positive thoughts. He thought that he should be responsible for his own study and regretted not having studied, but he also considered the violin contest the next day. After rationally analyzing the importance of the two, he decided that the violin contest was more important at that moment, so he proactively apologized to the teacher and expressed his own ideas and expectations. Scenario 2: The Missing Cell Phone Chan Chi-wah discovered his cell phone was missing from his schoolbag after P.E. class and reported it to his teacher, Mr Lee. Mr Lee immediately informed the discipline teacher, Mr Chan, who asked to frisk and check all the students’ schoolbags to investigate the incident fairly. One of the classmates, Wong Chunwah, was the last person to leave the classroom. How would he deal with this incident? Response 1 (agitated response): Chun-wah has irrational beliefs with ‘hostile attributions’. He believed that the teacher first mentioned his name to hint that he had stolen the cell phone. Chun-wah thought the teacher was picking on him, so he used an impatient tone when arguing with the teacher and then left angrily. Response 2 (bearing all the responsibility): Chun-wah has irrational beliefs with ‘internal attributions’. He thought that as he was the last one to leave the classroom, he should be responsible for preventing the incident. Therefore, he blamed Chan Chi-wah’s loss entirely on himself, and intended to compensate him. Response 3 (blaming others): Chun-wah has irrational beliefs with ‘external attributions’. He considered the whole incident to be entirely Chan Chi-wah’s responsibility. Even though he was the last one to leave the classroom, Chun-wah would blame all the inconvenience caused by the incident on others; for instance, if Chan Chi-wah had not brought the cell phone to school, the teacher would not have asked to check his schoolbag, and if his classmates were not so thoughtless, he would not be suspected. In any case, Chun-wah thought that everyone was making fun of him. Response 4 (rational and positive thinking): Chun-wah thinks in a rational and positive way. He was willing to co-operate with the teacher and put the schoolbag on the desk for the teacher to check. He also felt empathy toward Chan Chi-wah, who had lost his cell phone. He therefore convinced the other students to co-operate, so that the teacher could complete the investigation smoothly. Although he was the last one to leave the classroom, he confidently stated that he had not taken the phone, and would wait for the outcome of the investigation. Scenario 3: The Speech Team’s Public Performance The Mandarin Speech Team had the opportunity to participate in a variety show on TV. Because there would be a chance for the students to meet the pop-singers backstage after the performance, everyone was very excited. However, only six performers were allowed, so the teacher could only select some of the team members. Cheung Siu-yau was one of the Speech Team members; would she be selected as one of the performers? 332 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Response 1 (agitated response): Siu-yau has irrational beliefs with ‘hostile attributions’. When she heard that she was not being selected, she thought that the teacher was selecting his favorite students. She believed that the teacher had deliberately failed to choose her, and saw it as an intentional and aggressive action. She felt very angry and argued with the teacher. Response 2 (full of remorse): Siu-yau has irrational beliefs with ‘internal attributions’. She believed that if she was a capable team member she ought to be selected. Failing to be picked for the team meant she was a failure, and she blamed her own faults: her appearance wasn’t good enough, she didn’t have a wonderful voice, or she hadn’t practiced enough. Eventually, she came to believe that she was incompetent. Response 3 (blaming others): Siu-yau has irrational beliefs with ‘external attributions’. On the one hand, she thought that she was good enough to be picked for the performance. On the other hand, she thought that she had lost because someone else had got the place by improper means: some students like to get close to the teacher, or the teacher may prefer certain students. She thought that everything in the world was unfair. Response 4 (rational and positive thinking): Siu-yau thinks in a rational and positive way. Rather than taking this defeat as a failure, she analyzed it from an optimistic perspective to find a positive meaning. When she encountered such problems, Siu-yau would not think in a confused way; she would adopt a pragmatic and proactive approach to find the truth. So, she took the initiative and raised her query with the teacher. Scenario 4: Playing Computer Games before the Exam Ah-ming is a 9th grade student with average academic achievement. However, he had recently become addicted to playing online games and his academic results had deteriorated. Ah-ming’s parents worried that he would not be able to enroll in the same high school for the 10th grade, so they became stricter with him. In the evening before the first-semester exam, Ah-ming did not study, but sat in front of the computer playing an online game and talking on the phone to his friend about it at the same time. When his father saw what he was doing, he was very disappointed with Ah-ming. What sort of conflict would arise between the father and the son? Response 1 (agitated response): Ah-ming has irrational beliefs with ‘hostile attributions’. He felt that his father looked down on him, and considered his father’s advice and persuasion as antagonistic and intended to spoil his privacy. He became exasperated and left the room angrily. Response 2 (full of remorse): Ah-ming has irrational beliefs with ‘internal attributions’. He believed that he should not make his father feel disappointed and worried. When he failed to achieve this goal, Ah-ming blamed himself, which made him doubt his self-confidence and ability, and he saw himself as a bad person. Project C.A.R.E - Children and Adolescents at Risk Educcation 333 Chapter 9 DVD User Guide Response 3 (blaming others): Ah-ming has irrational beliefs with ‘external attributions’. He just wanted to relax by playing his computer game, and did not think it should be a problem. On the contrary, he thought that his father and other people forced him to study for their own sake. He also blamed all his problems on the rest of his family, and felt that he was the only victim. He even blamed the education system, and attributed his problems to the external environment. Response 4 (rational and positive thinking): Ah-ming thinks in a rational and positive way. Although he knew that he just wanted to take a break and play the computer game for a while, he also understood why his father worried about his behavior, so he stopped playing the game. To reassure his father, Ah-ming communicated with his father in a rational manner, explaining how he was progressing with his study and the reason for playing the computer game. Scenario 5: A Call from a Teacher After school, the teacher called Sze-man’s parents to discuss her performance at school and to understand more about her situation at home. Sze-man saw her mother talking with the teacher on the phone and was very curious. What happened to her? Response 1 (agitated response): Sze-man has irrational beliefs with ‘hostile attributions’. She has the following two thoughts: 1) I must have done something wrong at school so the teacher called my mother; and 2) when mother received the phone call from the teacher, she must have told the teacher something bad about me. Sze-man interpreted the teacher making the phone callas hostile, and believed her mother would take this opportunity to attack her. As a result, she felt unhappy and got in a bad temper. Response 2 (full of remorse): Sze-man has irrational beliefs with ‘internal attributions’. She assumes that ‘I must have done something wrong at school so the teacher called my mother.’ However, she also thought that to be a proper daughter, she had to have good academic achievement and conduct. If she could not achieve this expectation, she would blame herself. She also felt that her mother must not like her, which made her moody and unhappy. Response 3 (blaming others): Sze-man has irrational beliefs with ‘external attributions’. She believed that her mother was conspiring with the teacher, and would blame her no matter what. At the same time, she also thought there were problems with everyone around her: her classmates were forming cliques, the teacher was picking on her, and eventually she felt that no one understood her situation. Response 4 (rational and positive thinking): Sze-man thinks in a rational and positive way. She would like to know more about the reason the teacher was calling, so she asked her mother proactively to avoid any unnecessary misunderstanding. 334 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Scenario 6: A Dispute over Pocket Money Sze-man’s mother found Sze-man’s wallet when she was cleaning the house, and saw that her pocket money had gone. Her mother was curious and also concerned, so she went to look for Sze-man with the wallet. What would be the outcome of the incident? Response 1 (agitated response): Sze-man has irrational beliefs with ‘hostile attributions’. When she saw her mother carrying her wallet, she immediately saw it as hostile behavior. She believed that her mother had intentionally gone to check her wallet. From Sze-man’s perspective, this was an intrusion of her privacy so she responded in anger. Response 2 (full of remorse): Sze-man has irrational beliefs with ‘internal attributions’. She thought that she should be responsible for taking care of her brother and so had lent him money to buy his sports kit. However, she also thought that to be a proper daughter, she should not make her mother worry about her financial status. Whenever there is a dilemma, she will attribute the problem to herself. Response 3 (blaming others): Sze-man has irrational beliefs with ‘external attributions’. She blamed the problem of not having enough pocket money on the rest of her family. As far as she was concerned, the problem was that she was given insufficient pocket money, without facing up to her own responsibility. Response 4 (rational and positive thinking): Sze-man thinks in a rational and positive way. She would proactively explain to her mother why she had no money, and express her expectation (to borrow money) in an appropriate manner. When her mother responded to her expectation, Sze-man was able to listen with a positive and patient attitude. Scenario 7: Talking on the Phone Day and Night Sze-man sat on the sofa while talking on the phone, and became so excited that she often laughed loudly and banged on the sofa. Her mother was quite upset when she saw Sze-man’s behavior in the living room. Would Sze-man be reprimanded by her mother and how would Sze-man respond? Response 1 (agitated response): Sze-man has irrational beliefs with ‘hostile attributions’. She interpreted her mother’s actions as hostile, and considered her mother’s eavesdropping while she talked on the phone as deliberate, regardless of any other external factors. Response 2 (full of remorse): Sze-man has irrational beliefs with ‘internal attributions’. She would not only consider her mother’s blame a disaster, she would also believe she was deficient in other areas. Project C.A.R.E - Children and Adolescents at Risk Educcation 335 Chapter 9 DVD User Guide Response 3 (blaming others): Sze-man has irrational beliefs with ‘external attributions’. She would not consider that there might be a problem with her own behavior. Instead, she just attributed the cause of the event to other people. Response 4 (rational and positive thinking): Sze-man thinks in a rational and positive way. She understood that her own behavior caused inconvenience to others, and admitted her own mistake honestly. However, she also had her own view of how her mother handled the situation. Therefore, to resolve the problem she would use a rational and gentle approach to express her feelings and expectations. Scenario 8: Someone Grabbed my Potato Chips Wai-lun bought himself some potato chips and a soft drink during recess. However, he came across two senior schoolmates who grabbed Wai-lun’s snacks as a joke. At the same time, two of Wai-lun’s good friends approached him. What would happen next? Response 1 (agitated response): Wai-lun has irrational beliefs with ‘hostile attributions’. He thought that anyone who approached him wanted to grab his snacks and would hurt him. He then took out his anger on his good friends, and as a result the teacher punished him instead. Response 2 (full of remorse): Wai-lun has irrational beliefs with ‘internal attributions’. He thought the senior students took his snacks because of his own inadequacy. Wai-lun ignored the fact that the behavior of the senior students was inappropriate, and attributed all the blame to himself. Response 3 (rational and positive thinking): Wai-lun thinks in a rational and positive way. He responded to his friends calmly, and told them the whole incident. After discussing with his friends, Wai-lun made a rational decision to seek help from the discipline teacher, instead of handling the problem by himself. Response 4 (rational and positive thinking): Wai-lun thinks in a rational and positive way. He was able to respond to his friends calmly and even though Wailun did not tell his friends about the incident immediately, he could still handle it in a pleasant manner. Scenario 9: A New Immigrant Classmate Lai-chun is a grade 8 student in a good secondary school with outstanding English academic achievement. A new student, Lily, had recently joined the class. During the English lesson, the teacher grouped the students into groups of five for a case study and group presentation. Lai-chun saw Lily walking towards her. How would Lai-chun treat her new classmate? 336 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Response 1 (agitated response): Lai-chun has irrational beliefs with ‘hostile attributions’. Lai-chun’s hostility made her feel that her status in class would be threatened if the new classmate joined her group, thus she reacted angrily toward Lily. Response 2 (isolating): Lai-chun is a proactive aggressor. Although she didn’t want the new classmate to join her group, rather than saying anything herself, she calmly incited other students to boycott Lily so that she would avoid being punished by the teacher. This not only achieved the objective of aggression, it also kept Lai-chun out of the incident. Response 3 (rational and positive thinking): Lai-chun thinks in a rational and positive way. Although she was a little anxious about the new classmate, Lai-chun nevertheless tried to get to know her and find out her strengths. Lai-chun patiently observed Lily’s performance, and tried to understood her new classmate from a factual perspective. Response 4 (rational and positive thinking): Lai-chun thinks in a rational and positive way. She took the initiative to get to know and understand her new classmate, and comment on Lily according to the facts. Scenario 10: Distributing Report Card The teacher had distributed a test paper at the beginning of the last class. The students were very anxious when the teacher told them that some of their marks had deteriorated. What would happen when the teacher returned the papers to the individual students? Response 1 (agitated response): Lee Chi-shing has irrational beliefs with ‘hostile attributions’. He thought the teacher was picking on him, and had deliberately started distributing the papers starting with the highest mark onwards. He became agitated and responded with an irritable temper. Response 2 (plotting revenge): Lee Chi-shing is a proactive aggressor. He thought his teacher was picking on him and embarrassing him in front of the class. However, Lee Chi-shing chose a surreptitious revenge that enabled him on the one hand to vent his hatred, while on the other hand avoiding direct conflict with the teacher, which would be punished. Response 3 (rational and positive thinking): Lee Chi-shing thinks in a rational and positive way. Although he was unhappy because he had expected a good mark, he would also think calmly about whether his inference was correct or not. Response 4 (rational and positive thinking): Lee Chi-shing thinks in a rational and positive way. He noted how the teacher distributed the report cards and how it made him and other classmates feel unhappy and unfairly treated. He proactively talked to the teacher to express his feelings and expectations in a positive way. Project C.A.R.E - Children and Adolescents at Risk Educcation 337 Chapter 9 DVD User Guide Scenario 11: New Semester Seating Arrangement In the first week of the school term, Ka-man broke the school rules by having her hair dyed. As she also refused to tie her hair up, her name was marked down by Miss Chan, the discipline teacher. Since then, Kaman thought that Miss Chan was always picking on her, and then there was a problem over changing seats. What would happen to the relationship between Ka-man and Miss Chan? Response 1 (agitated response): Ka-man has irrational beliefs with ‘hostile attributions’. Although it was Ka-man who originally broke the school rules, she distorted the facts and believed the teacher was picking on her. This view gradually generalized until Ka-man believed that the teacher was blaming her for everything. Kary, who sat next to her on the other side, did not take any action, but Ka-man had already decided that Kary would be against her. Ka-man thought that the teacher had changed her seat in retaliation, so she responded in an agitated way. Response 2 (full of remorse): Ka-man has irrational beliefs with ‘internal attributions’. She linked up all the negative incidents and blamed herself, until she saw her future campus life as a tragedy. Response 3 (rational and positive thinking): Ka-man thinks in a rational and positive way. She was aware that the ‘changing seats’ and ‘previous punishment’ were two different incidents, therefore she decided to handle it calmly and communicate with the teacher proactively. She was able to express her own expectations and the reasons behind them rationally. Response 4 (rational and positive thinking): Ka-man thinks in a rational and positive way. Although she had to sit next to a classmate that she did not like, Ka-man was also aware of other external factors. When she assessed the real effect of this incident, Ka-man found that her good friends were sitting nearby and so she happily accepted the new seat. Scenario 12: “Jessy” Jessy was a new student in the class. She was short and seldom talked with her classmates, usually concentrating on her own thing. When Jessy sat in a quiet corner of the campus during lunch, a basketball rolled towards her. What would happen to Jessy? Response 1 (agitated response): Jessy has irrational beliefs with ‘hostile attributions’. She linked her own name with “bird droppings” (which sounds like “Jessy” in Cantonese) and thought the others had deliberately given her such a nickname. She considered that everyone was against her, so she frequently attacked others with no reason. Response 2 (full of remorse): Jessy has irrational beliefs with ‘internal attributions’. In a similar way to Response 1, she linked her name with “bird droppings” and thought the others had deliberately given her a nickname. However, Jessy thought that they gave her the nickname because she was no good and felt that she was not accepted by others. 338 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Response 3 (rational and positive thinking): Jessy thinks in a rational and positive way. Although she was upset with her classmates, she took the initiative to clarify things with her classmates instead of imagining on her own. When she had cleared things up with her classmates, she proactively assisted them in reporting the incident to the teacher. Response 4 (rational and positive thinking): Jess thinks in a rational and positive way. Although she was upset with her classmate’s behavior, she would calm down and think about whether any other external factors could have caused the incident. When she thought of a reasonable explanation for the incident, she would help her classmates to handle it. Scenario 13: Love Test Eric was short, and was often made fun of by his classmates. Recently he had started dating Hazel, a pretty girl in the next class. However, Eric noticed that Hazel’s mobile phone was always ringing, and he started to have doubts about who was calling Hazel so often. How would Eric handle this? Response 1 (agitated response): Eric has irrational beliefs with ‘hostile attributions’. On the one hand, he felt that he was often made fun of by others and had a poor self-image. On the other hand, Eric thought that as Hazel was so pretty, she could have a better choice of boys to date. Eventually, Eric concluded that Hazel must be dating another boy. As he had strong hostile attributions, Eric thought that Hazel did not really like him and just wanted to tease him, so he lost his temper and broke up their relationship. Response 2 (full of remorse): Eric has irrational beliefs with ‘internal attributions’. Similar to Response 1, Eric concluded that Hazel must be dating another boy. However, as Eric had very low self-esteem and felt bad about himself, he thought Hazel must not really like him, so he simply wanted to withdraw from their relationship. Response 3 (rational and positive thinking): Eric thinks in a rational and positive way. He thought that as he also had female friends, it was not surprising at all for Hazel to have male friends. He also thought there should be mutual trust between boyfriend and girlfriend. If Eric was willing to take the initiative and ask Hazel, he knew she would tell him everything, so there was no need to worry about it. Response 4 (rational and positive thinking): Eric thinks in a rational and positive way. Eric observed Hazel’s response carefully, and thought that she often made phone calls because she had some important things going on. As a boyfriend, Eric also thought that he should trust his girlfriend, so he decided to take the initiative to be supportive toward her. Project C.A.R.E - Children and Adolescents at Risk Educcation 339 Chapter 9 DVD User Guide III. Part III: Case Studies Part III presents case studies of the treatment groups for proactive and reactive aggressors and aggressive and passive victims. The case studies cover different stages of the treatment group: the first meeting, the initial stage, the early-midstage, mid-late stage, and late stage, with comprehensive explanations by Dr. Annis Fung. The case studies should help to develop a deeper understanding of the treatment groups for different subtypes of aggressors and victims covered in Chapter 4 to Chapter 7. 340 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 9 DVD User Guide Project C.A.R.E - Children and Adolescents at Risk Educcation 341 Chapter 10: Appendices 342 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices Chapter 10: Appendices I. Content of Appendices 1. Quantitative Assessment Tools Appendix 1: [Reactive and Proactive Aggression Questionnaire] _Students Appendix 2: [Peer Victimization Questionnaire] _Students Appendix 3: [Anger Self-Report] _Students Appendix 4: [Reactive and Proactive Aggression Questionnaire-Teacher Rating Scale] _Teachers Appendix 5: [Peer Victimization Questionnaire] _Teachers Appendix 6: [Reactive and Proactive Aggression Questionnaire-Parent Rating Scale] _Parents Appendix 7: [Child Disclosure] _Parents 2. Qualitative Assessment Tools Appendix 8: [Proactive Aggressors- Student Qualitative Study] _Students Appendix 9a: [Reactive Aggressors- Student Qualitative Study for Males] _Students Appendix 9b:[Reactive Aggressors- Student Qualitative Study for Females]_ Students Appendix 10: [Aggressive Victims- Student Qualitative Study] _Students Appendix 11: [Passive Victims- Student Qualitative Study] _ Students Appendix 12: [Proactive Aggressors- Teacher Qualitative Study] _Teachers Appendix 13: [Reactive Aggressors- Teacher Qualitative Study] _ Teachers Appendix 14: [Aggressive Victims- Teacher Qualitative Study] _ Teachers Appendix 15: [Passive Victims- Teacher Qualitative Study] _ Teachers Appendix 16: [Proactive Aggressors- Parent Qualitative Study] _ Parents Appendix 17: [Reactive Aggressors- Parent Qualitative Study] _ Parents Appendix 18: [Aggressive Victims- Parent Qualitative Study] _ Parents Appendix 19: [Passive Victims- Parent Qualitative Study] _ Parents Project C.A.R.E - Children and Adolescents at Risk Educcation 343 Chapter 10 Appendices II. Quantitative Assessment Tools 1. Appendix 1: [Reactive and Proactive Aggression Questionnaire] _Students There are times when most of us feel angry, or have done things we should not have done. Please pick the most appropriate answer indicating your situation in the past 3 months. In the past 3 months, how often have you… Never Sometimes Always 1. yelled at others when they have annoyed you 0 1 2 2. had fights with others to show who was on top 0 1 2 3. reacted angrily when provoked by others 0 1 2 4. taken things from other students 0 1 2 5. gotten angry when frustrated 0 1 2 6. vandalized something for fun 0 1 2 7. had temper tantrums 0 1 2 8. damaged things because you felt mad 0 1 2 9. had a gang fight to be cool 0 1 2 10. hurt others to win a game 0 1 2 11. become angry or mad when you don't get your way 0 1 2 12. used physical force to get others to do what you want 0 1 2 13. gotten angry or mad when you lost a game 0 1 2 14. gotten angry when others threatened you 0 1 2 15. used force to obtain money or things from others 0 1 2 16. felt better after hitting or yelling at someone 0 1 2 17. threatened and bullied someone 0 1 2 18. made obscene phone calls for fun 0 1 2 19. hit others to defend yourself 0 1 2 20. gotten others to gang up on someone else 0 1 2 21. carried a weapon to use in a fight 0 1 2 22. gotten angry or mad or hit others when teased 0 1 2 23. yelled at others so they would do things for you 0 1 2 Reactive Aggression score: 1+3+5+7+8+11+13+14+16+19+22 Proactive Aggression score: 2+4+6+9+10+12+15+17+18+20+21+23 344 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 2. Appendix 2: [Peer Victimization Questionnaire] _Students The statements below describe experiences that sometimes happen to people your age. Please pick the most appropriate answer indicating the frequency of each situation in the past 3 months. In the past 3 months, other kids… Never Seldom Sometimes Often Always 1. broke or destroy my things 1 2 3 4 5 2. called me names 1 2 3 4 5 3. left me out of things they were doing 1 2 3 4 5 4. acted like they were going to beat me up or hurt me 1 2 3 4 5 5. said things to put me down 1 2 3 4 5 6. gave me the “silent treatment” 1 2 3 4 5 7. beat me up or physically hurt me in some way 1 2 3 4 5 8. giggled or laughed at me 1 2 3 4 5 9. refused to help me 1 2 3 4 5 10. spread rumors about me 1 2 3 4 5 11. did not invite me to parties, dances, social events, etc. 1 2 3 4 5 12. stole or took things from me 1 2 3 4 5 13. said things to put down people I like or care about 1 2 3 4 5 14. physically touched me in a way I did not want 1 2 3 4 5 15. refused to do things with me 1 2 3 4 5 16. threatened to beat me up or hurt 1 2 3 4 5 17. would not sit near me at lunch or in class 1 2 3 4 5 18. refused to share information or materials with me 1 2 3 4 5 19. threw things at me 1 2 3 4 5 20. said things that offended me 1 2 3 4 5 21. tried to ditch or get rid of me 1 2 3 4 5 Peer Victimization score: 1+2+3+4+5+6+7+8+9+10+11+12+13+14+15+16+17+18+19+20+21 Project C.A.R.E - Children and Adolescents at Risk Educcation 345 Chapter 10 Appendices 3. Appendix 3: [Anger Self-Report] _Students Please pick the most appropriate answer next to each statement according to the amount of your agreement or disagreement. Strong Moderate Slight Slight Moderate Strong disagreement disagreement disagreement agreement agreement agreement 1. I get mad easily. 1 2 3 4 5 6 2. I never feel hate towards members of my family. 1 2 3 4 5 6 3. People should never get angry. 1 2 3 4 5 6 4. It's right for people to express themselves when they are mad. 1 2 3 4 5 6 5. Some of my family members have habits that bother and annoy me very much. 1 2 3 4 5 6 6. Sometimes I feel that I could injure someone 1 2 3 4 5 6 7. People should never get irritated. 1 2 3 4 5 6 8. At times I have a strong to do something harmful or shocking. 1 2 3 4 5 6 9. Feeling angry is terrible. 1 2 3 4 5 6 10. It doesn't make me angry to have people hurry me. 1 2 3 4 5 6 11. At times I feel like smashing things. 1 2 3 4 5 6 12. My parents never made me angry. 1 2 3 4 5 6 13. I hardly ever feel like swearing. 1 2 3 4 5 6 14. I hardly ever get angry. 1 2 3 4 5 6 15. I find it hard to think badly of anyone. 1 2 3 4 5 6 16. When people are angry, they should let it out. 1 2 3 4 5 6 17. I am rarely cross and grouchy. 1 2 3 4 5 6 18. In spite of how my parents treated me, I didn't get angry. 1 2 3 4 5 6 19. It's useless to get angry. 1 2 3 4 5 6 20. I think little of people who get angry. 1 2 3 4 5 6 346 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 4. Appendix 4: [Reactive and Proactive Aggression Questionnaire-Teacher Rating Scale] _Teachers Please pick the most appropriate answer indicating the frequency of each behavior of that student in the past 3 months. In the past 3 months, how often have that student… Never Sometimes Always 1. yelled at others when they have annoyed him/her 0 1 2 2. had fights with others to show who was on top 0 1 2 3. reacted angrily when provoked by others 0 1 2 4. taken things from other students 0 1 2 5. gotten angry when frustrated 0 1 2 6. vandalized something for fun 0 1 2 7. had temper tantrums 0 1 2 8. damaged things because he/she felt mad 0 1 2 9. had a gang fight to be cool 0 1 2 10. hurt others to win a game 0 1 2 11. become angry or mad when he/she didn't get his/her way 0 1 2 12. used physical force to get others to do what he/she wanted 0 1 2 13. gotten angry or mad when he/she lost a game 0 1 2 14. gotten angry when others threatened him/her 0 1 2 15. used force to obtain money or things from others 0 1 2 16. felt better after hitting or yelling at someone 0 1 2 17. threatened and bullied someone 0 1 2 18. made obscene phone calls for fun 0 1 2 19. hit others to defend himself/herself 0 1 2 20. gotten others to gang up on someone else 0 1 2 21. carried a weapon to use in a fight 0 1 2 22. gotten angry or mad or hit others when teased 0 1 2 23. yelled at others so they would do things for him/her 0 1 2 Reactive Aggression score: 1+3+5+7+8+11+13+14+16+19+22 Proactive Aggression score: 2+4+6+9+10+12+15+17+18+20+21+23 Project C.A.R.E - Children and Adolescents at Risk Educcation 347 Chapter 10 Appendices 5. Appendix 5: [Peer Victimization Questionnaire] _Teachers The statements below describe experiences that sometimes happen to students and people his/her age. Please pick the most appropriate answer indicating the frequency of each situation happened on that student in the past 3 months. In the past 3 months, other classmates… Never Seldom Sometimes Often Always 1. broke or destroy his/her things 1 2 3 4 5 2. called he/she names 1 2 3 4 5 3. left he/she out of things they were doing. 1 2 3 4 5 4. acted like they were going to beat he/she up or hurt he/she. 1 2 3 4 5 5. said things to put he/she down 1 2 3 4 5 6. gave he/she the “silent treatment” 1 2 3 4 5 7. beat he/she up or physically hurt me in some way. 1 2 3 4 5 8. giggled or laughed at he/she. 1 2 3 4 5 9. refused to help he/she. 1 2 3 4 5 10. spread rumors about he/she. 1 2 3 4 5 11. did not invite he/she to parties, dances, social events, etc. 1 2 3 4 5 12. stole or took things from he/she. 1 2 3 4 5 13. said things to put down people he/she likes or cares about. 1 2 3 4 5 14. physically touched he/she in a way he/ she does not want. 1 2 3 4 5 15. refused to do things with he/she. 1 2 3 4 5 16. threatened to beat he/she up or hurt. 1 2 3 4 5 17. would not sit near he/she at lunch or in class. 1 2 3 4 5 18. refused to share information or materials with he/she. 1 2 3 4 5 19. threw things at he/she. 1 2 3 4 5 20. said things that offended he/she. 1 2 3 4 5 21. tried to ditch or get rid of he/she. 1 2 3 4 5 Peer Victimization score: 1+2+3+4+5+6+7+8+9+10+11+12+13+14+15+16+17+18+19+20+21 348 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 6. Appendix 6: [Reactive and Proactive Aggression Questionnaire-Parent Rating Scale] _Parents Please pick the most appropriate answer indicating the frequency of each behavior of your child in the past 3 months. In the past 3 months, how often have your child… Never Sometimes Always 1. yelled at others when they have annoyed him/her 0 1 2 2. had fights with others to show who was on top 0 1 2 3. reacted angrily when provoked by others 0 1 2 4. taken things from other students 0 1 2 5. gotten angry when frustrated 0 1 2 6. vandalized something for fun 0 1 2 7. had temper tantrums 0 1 2 8. damaged things because he/she felt mad 0 1 2 9. had a gang fight to be cool 0 1 2 10. hurt others to win a game 0 1 2 11. become angry or mad when he/she didn't get his/her way 0 1 2 12. used physical force to get others to do what he/she wanted 0 1 2 13. gotten angry or mad when he/she lost a game 0 1 2 14. gotten angry when others threatened him/her 0 1 2 15. used force to obtain money or things from others 0 1 2 16. felt better after hitting or yelling at someone 0 1 2 17. threatened and bullied someone 0 1 2 18. made obscene phone calls for fun 0 1 2 19. hit others to defend himself/herself 0 1 2 20. gotten others to gang up on someone else 0 1 2 21. carried a weapon to use in a fight 0 1 2 22. gotten angry or mad or hit others when teased 0 1 2 23. yelled at others so they would do things for him/her 0 1 2 Reactive Aggression score: 1+3+5+7+8+11+13+14+16+19+22 Proactive Aggression score: 2+4+6+9+10+12+15+17+18+20+21+23 Project C.A.R.E - Children and Adolescents at Risk Educcation 349 Chapter 10 Appendices 7. Appendix 7: [Child Disclosure] _Parents Following statements are about how you get along with your child. Please pick the most appropriate answer indicating the situation at present and in the past 3 months. Your child… Never Seldom Often Usually Always 1. needed to have your permission to stay out late on a weekday evening 1 2 3 4 5 2. been required to tell you where he/she was going and who he/she would be with, before he/she went out at a weekend night 1 2 3 4 5 3. been required to explain to you what he/she did and whom he/she was with, if he/she had been out very late one night 1 2 3 4 5 4. always been required to tell you where he/she was at night, who he/she was with, and what they did together 1 2 3 4 5 5. needed to have your permission to go out at weekend. 1 2 3 4 5 6. need to tell you what he/she spent his/her money on 1 2 3 4 5 7. know who you have as friends during your free time 1 2 3 4 5 8. told you how school was when he/she got home (how he/she did on different exams, his/her relationships with teachers, etc.) 1 2 3 4 5 9. kept a lot of secrets from you about what he/she did during his/her free time 1 2 3 4 5 10. hid a lot from you about what he/she did during nights and weekends 1 2 3 4 5 11. liked to tell you what he/she had done that evening when he/she get home, if he/she was out at night 1 2 3 4 5 Child Disclosure score: 1+2+3+4+5+6+7+8+9+10+11 350 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices III. Qualitative Assessment Tools 1. Appendix 8: [Proactive Aggressors- Student Qualitative Study] _Students The researcher may use the scale below to gather information about the frequency of characteristics in the “assessment” column. The characteristics in boldface are those of proactive aggressors: the higher the frequency, the higher the possibility that the child is a proactive aggressor. “The following are some scenarios. Try to imagine you are the character in each story. Here is the first scenario”: Scenario 1: “Imagine that you and four teammates won a ball game and got a $500 bonus. Every teammate has put equal effort into the game. Because you are the captain, you can decide how to allocate the bonus. How would you make your decision? You will now be given $500, please allocate the money among yourself and your four teammates.” Question Assessment 1. Why did you make this decision? (Then ask “Any other reasons?” until the student says “No”.) Frequency of Characteristics Total Remarks Emphasizing selfbenefits Emphasizing relationships Concern for others 2. If your teammates disagreed with your decision, what would you do? Why? (If the student allocated the money equally, or the teammates received more money, then ask, “Some of the teammates thought they deserved more because they put in more effort. What would you do? Why?”) Self-centered Project C.A.R.E - Children and Adolescents at Risk Educcation 351 Chapter 10 Appendices Scenarios 2: One day, you did not eat breakfast and forgot to bring any money for lunch. At lunchtime, some of your classmates have arranged to have a school lunch box, and others are leaving the campus to get their lunch. You are desperately hungry, but you have no money for lunch and have not ordered a lunch box from school. What would you do?” Question 1. What is the problem you are facing in this scenario? 2. What are possible ways to solve this problem? 3. (Continue to ask “Any more?” until the student says “No”.) 4. Considering these different solutions, which would you choose to solve the problem? Why? 5. If the above solution is not used, which do you think is the second-best choice? Why? 352 Assessment Frequency of characteristics Make sure the student understands the scenario Aggressive behavior Non-aggressive behavior Aggressive behavior Non-aggressive behavior Aggressive behavior Non-aggressive behavior Project C.A.R.E - Children and Adolescents at Risk Educcation Total Remarks Chapter 10 Appendices Scenario 3: You are always wishing you had the latest model of cell phone, but you don't have enough money to buy it. One day, when you are reading in the library, the schoolmate sitting next to you leaves in a hurry. You realize that he/she forgot his/her mobile phone, which is the latest model you have been longing for.” Question Assessment 1. What would you do with the mobile phone? Why? Emphasizing (Continue to ask “Any other methods?” until the student says “No”.) Frequency of characteristics Total Remarks self-benefits 1a. If the student says “Depends on whether I know the schoolmate or not,” then ask, “What if you know him/her? What if you don't know him/her?” 1b. If the student says, “Look around for that schoolmate and return the mobile,” then ask, “If the schoolmate has already left, what would you do?” Emphasizing relationships 2. If you responded in this way, what do you think the consequences would be? Expects positive consequences (Only ask students who focus more on self-benefits in Question 1.) (Continue to ask “Any other consequences?” until the student says “No”.) Expects negative consequences Project C.A.R.E - Children and Adolescents at Risk Educcation 353 Chapter 10 Appendices Scenario 4: During recess, you see two schoolmates quarreling and then start a fight in the playground.” Question Assessment Frequency of characteristics 1. Why do you think they started a fight? (Continue to ask “Any other reasons?” until the student says “No”.) 1a. If the student says “Maybe because of a romantic relationship or friendship,” then ask, “Why would a romantic relationship make them fight? Why would friendship make them fight?” 1b. If the student says, “Disagreement of opinions,” then ask, “What issue do you think they have different opinions on?” 2. What would you do when you saw this happening? Why? (Continue to ask “Any other possible actions?” until the student says “No”.) Proactive aggressor's mindset Reactive aggressor's mindset Rationalizes aggressive behavior 2a. If the student says, “Inform the teacher,” then ask “Why?” Does not 2b. If the student says, “Depends on whether I know the schoolmate or not,” then ask, “What if you know him/her? What if you don't know him/her?” 354 rationalize aggressive behavior Project C.A.R.E - Children and Adolescents at Risk Educcation Total Remarks Chapter 10 Appendices Scenario 5: In your class there is a student whose behavior is weird, and as a result other students dislike him. One day, when the classmate is in one of the cubicles in the washroom, you and several students lock the door from outside and pour water into the cubicle. The classmate is soaked from head to toe.” Question Assessment Frequency of characteristics Total Remarks Guilty 1. How would you feel after participating in this event? (Continue to ask “Any other feelings?” until the student says “No”.) Not guilty Positive feelings Negative feelings 2. How do you think the classmate would feel? (Continue to ask “Any other feelings?” until the student says “No”.) 3. If you think the classmate would be unhappy because of this event, would you do the same thing next time? Why? (Continue to ask “Any other reasons?” until the student says “No”.) 4. What do you think other classmates would think of you, after this event? (Continue to ask “Any other possible viewpoints?” until the student says “No.”) 5. Do you wish other classmates to think of you in this way? Takes the other's perspective Does not take the other's perspective Shows empathic concern Shows no empathic concern Positive appraisals Negative appraisals Yes No Project C.A.R.E - Children and Adolescents at Risk Educcation 355 Chapter 10 Appendices 6. Do you think this incident would get you into trouble? (Continue to ask “Any other possible trouble?” until the student says “No”.) Expects negative consequences Expects no negative consequences Yes – for his own reasons 7. If the classmate did not tell on you, would you do the same thing again? Why? (Then ask “Any other reasons?” until the student says “No”.) 7a. If the student says “Depends on whether he/she behaves better,” then ask “What if he/she behaves better? What if he/she does not behave better?” Yes – for reasons relating to the classmate No – for his own reasons No – for reasons relating to the classmate (e.g., “Because he/ she behaves better” “Because he/she is so poor.”) No – to obey the rules Yes – not afraid of 8. If the classmate told on you and the teacher punished you, would you do the same thing again? Why? (Continue to ask “Any other reasons?” until the student says “No”.) violating the rules Yes – to the same victim Yes – to other victims 356 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 2. Appendix 9a: [Reactive Aggressors- Student Qualitative Study for Males] _Students Situation: While arguing with your classmate, he pushes you. not at all a. How angry would you be in this situation? very much 1---2---3---4---5 Why? _________________________________ The following three questions are about how you would feel, not necessarily what you would do. not at all b. How much would you feel like getting back at your classmate? very much 1---2---3---4---5 Why? _________________________________ c. How much would you feel like fixing the situation? 1---2---3---4---5 Why? _________________________________ d. How much would you feel like letting off steam? 1---2---3---4---5 Why? _________________________________ The following seven questions are about what you would actually do: not likely very likely e. I would hit him as hard as I could. 1---2---3---4---5 f. I would be angry with myself for getting into it. I should know better than to argue with him. 1---2---3---4---5 g. I would tell my classmate he’d hurt me, and ask if we could talk about what was bothering him. 1---2---3---4---5 h. I would walk away. 1---2---3---4---5 i. I would hit someone else later. 1---2---3---4---5 j. I would think my classmate was having a bad day. 1---2---3---4---5 k. I would destroy something important to him. 1---2---3---4---5 The following three questions are about the long-term consequences of how you would handle the situation. Looking back over what you would actually do, how do you think things would turn out in the long-run? harmful beneficial e. Would the long-term effect be harmful or beneficial to you, personally? 1---2---3---4---5 f. Would the long-term effect be harmful or beneficial to your classmate, personally? 1---2---3---4---5 g. Would the long-term effect be harmful or beneficial to your relationship with your classmate? 1---2---3---4---5 Project C.A.R.E - Children and Adolescents at Risk Educcation 357 Chapter 10 Appendices 3. Appendix 9b:[Reactive Aggressors- Student Qualitative Study for Females]_ Students Situation: You find out a “friend” was talking about you behind your back. not at all a. How angry would you be in this situation? Why? _________________________________ very much 1---2---3---4---5 The following three questions are about how you would feel, not necessarily what you would do. not at all very much b. How much would you feel like getting back at your classmate? Why? _________________________________ 1---2---3---4---5 c. How much would you feel like fixing the situation? Why? _________________________________ 1---2---3---4---5 d. How much would you feel like letting off steam? Why? _________________________________ 1---2---3---4---5 The following seven questions are about what you would actually do. not likely very likely e. I would slam the door in the person's face next time they came by. 1---2---3---4---5 f. I would do something I enjoy to take my mind off it. 1---2---3---4---5 g. I would tell all our friends this person can't be trusted. 1---2---3---4---5 h. I would think maybe the friend just let something slip, and the whole thing was blown out of proportion. 1---2---3---4---5 i. I wouldn't really care what he or she thinks. He or she wasn't a good friend anyway. 1---2---3---4---5 j. I would ask the friend why we couldn't talk to each other about things that are bothering us. 1---2---3---4---5 k. I would take it out on another friend by being short-tempered. 1---2---3---4---5 The following three questions are about the long-term consequences of how you would handle the situation. Looking back over what you would actually do, how do you think things would turn out in the long-run? harmful beneficial l. Would the long-term effect be harmful or beneficial to you, personally? 1---2---3---4---5 m. Would the long-term effect be harmful or beneficial to your classmate, personally? 1---2---3---4---5 n. Would the long-term effect be harmful or beneficial to your relationship with your classmate? 1---2---3---4---5 358 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 4. Appendix 10: [Aggressive Victims- Student Qualitative Study] _Students (Purpose: Researcher can use the scale below to gather statistics on the frequency of students hitting the characteristics in the assessments. The bolded ones are the characteristics of aggressive victim. The higher the frequency, the more possible is the student an aggressive victim.) “Here are some scenarios below. Imagine you play one of the roles. Scenario 1 Imagine you wear a pair of new shoes to school today. You like the shoes very much, and this is the first time you wear them. Suddenly there is a classmate crashing into you. You lose the balance and stamp on the mud, and your shoes are then all covered with mud.” Question Assessment 1. Why do you think the classmate would kick away your mobile phone? hostile attribution 2. Do you think your classmate is intentional, or just careless? Why do you think so? Frequency of characteristics Total Remarks non-hostile attribution hostile attribution non-hostile attribution positive feeling (hostile attribution / non-hostile attribution) 3. What do you think the classmate feel? Why? negative feeling (hostile attribution / non-hostile attribution) no feeling (hostile attribution / non-hostile attribution) infuriated emotion non-infuriated emotion 4. What is your feeling? (go to Question 6) no feeling (go to Question 6) 5. (If the student has infuriated emotion in Question 4) If 1 score is not angry, and 10 score is very angry, how would you rate your fury? the level of fury Project C.A.R.E - Children and Adolescents at Risk Educcation 359 Chapter 10 Appendices aggressive method 6a. What possible reaction would you have? (meaning behavior, not emotion) Why? (then ask “Any other possible reaction?” until the student replies “no”) non-aggressive method retaliation aggressive method 6b. Which reaction would you choose? non-aggressive method retaliation 6c. If you react like this, what would happen at last? 6d. Do you think the incident would happen on you again if you do so? 7. (If the student has not chosen aggressive method) If you scold or even hit your classmate, what do you think would happen at last? 8. (If the student has not chosen aggressive method) Do you think the incident would happen on you again if you react like this? rationalize aggressive behavior does not rationalize aggressive behavior rationalize aggressive behavior does not rationalize aggressive behavior rationalize aggressive behavior does not rationalize aggressive behavior rationalize aggressive behavior does not rationalize aggressive behavior I have done wrong 9. Do you think anyone has done wrongly in this incident? Why? the classmate has done wrong no one has done wrong blame the classmate 10. Would you blame your classmate? 360 would not blame anyone Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices Scenario 2 On the way to school, you find your shoelaces have loosened. So you put your schoolbag on the floor, and bend forward to tie the shoelaces. Your mobile drops out from the bag when you put it down. At the same time, your classmate passes by and coincidentally kicks away your mobile phone. You see that person looking at the mobile phone and then looking at you. Question 1. Why do you think the classmate would crash into you? 2. Do you think your classmate is intentional, or just careless? Why do you think so? Assessment Frequency of characteristics Total Remarks hostile attribution non-hostile attribution hostile attribution non-hostile attribution positive feeling (hostile attribution / non-hostile attribution) 3. What do you think the classmate feel? Why? negative feeling (hostile attribution / non-hostile attribution) no feeling (hostile attribution / non-hostile attribution) infuriated emotion 4. What is your feeling? non-infuriated emotion (go to Question 6) no feeling (go to Question 6) 5. (If the student has infuriated emotion in Question 4) If 1 score is not angry, and 10 score is very angry, how would you rate your fury? the level of fury aggressive method 6a. What possible reaction would you have? (meaning behavior, not emotion) Why? (then ask “Any other possible reaction?” until the student replies “no”) non-aggressive method retaliation Project C.A.R.E - Children and Adolescents at Risk Educcation 361 Chapter 10 Appendices aggressive method 6b. Which reaction would you choose? non-aggressive method retaliation 6c. If you react like this, what would happen at last? 6d. Do you think the incident would happen on you again if you do so? 7. (If the student has not chosen aggressive method) If you scold or even hit your classmate, what do you think would happen at last? 8. (If the student has not chosen aggressive method) Do you think the incident would happen on you again if you react like this? rationalize aggressive behavior does not rationalize aggressive behavior rationalize aggressive behavior does not rationalize aggressive behavior rationalize aggressive behavior does not rationalize aggressive behavior rationalize aggressive behavior does not rationalize aggressive behavior I have done wrong 9. Do you think anyone has done wrongly in this incident? Why? the classmate has done wrong no one has done wrong blame the classmate 10. Would you blame your classmate? 362 would not blame anyone Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices Scenario 3 One day, when you go into a compartment of the washroom, somebody locks the door and pours water into the compartment that makes you all wet. Question Assessment Frequency of characteristics Total Remarks positive feeling 1. What do you think the other party would feel? Why? negative feeling no feeling infuriated emotion 2. What is your feeling? non-infuriated emotion (go to Question 4) no feeling (go to Question 4) 3. (If the student has infuriated emotion in Question 2) If 1 score is not angry, and 10 score is very angry, how would you rate your fury? the level of fury just for fun 4. Why do you think the other party did this? some problem with the other party blame on himself/herself by accident would 5a. Do you think this incident would also happen on other classmates? would not blame on himself/herself 5b. Why? blame on the other party would 6a. Do you think this incident would happen on you again? would not self I have paid my effort it is my fault 6b. Why? other party it is his/her fault s/he is afraid Project C.A.R.E - Children and Adolescents at Risk Educcation 363 Chapter 10 Appendices 7a. If you do not know who the other party is, what possible reaction would you have? (meaning behavior, not emotion) Why? (then ask “Any other possible reaction?” until the student replies “no”) aggressive method non-aggressive method retaliation aggressive method 7b. Which reaction would you choose? non-aggressive method retaliation 7c. If you react like this, what would happen at last? 7d. Do you think the incident would happen on you again if you do so? 8a. If you know who the other party is, what would you do? Why? (then ask “Any more?” until the student replies “no”) rationalize aggressive behavior does not rationalize aggressive behavior rationalize aggressive behavior does not rationalize aggressive behavior aggressive method non-aggressive method retaliation aggressive method 8b. Which reaction would you choose? non-aggressive method retaliation 8c. If you react like this, what would happen at last? 8d. Do you think the incident would happen on you again if you do so? 364 rationalize aggressive behavior does not rationalize aggressive behavior rationalize aggressive behavior does not rationalize aggressive behavior Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 5. Appendix 11: [Passive Victims- Student Qualitative Study] _ Students The following are some situations that you may encounter and some typical responses. Try to imagine yourself in these situations. I will ask you some questions about your responses to each scenario. Situation 1: Imagine that you are standing on the playground playing catch with another schoolmate. You throw the ball to him/her and he/she catches it. You turn around, and the next thing you realize is that he/she has thrown the ball and hit you in the middle of your back. The ball hits you hard, and it hurts a lot. Question a. Why do you think he/she hit you in the back? Question b. How would you respond to him/her after he/she hit you? Question c. Why would you respond this way? Situation 2: Imagine that you see some schoolmates playing on the playground. You would really like to play with them, so you go over and ask one of them if you can play. He/She says no. Question a. Why do you think he/she said no? Question b. How would you respond to him/her after he/she said no? Question c. Why would you respond this way? Situation 3: Imagine that you are walking to school and you are wearing brand new sneakers. You really like your new sneakers and this is the first day you have worn them. Suddenly, your schoolmate bumps into you from behind, so that you stumble into a puddle and your new sneakers get muddy. Question a. Why do you think he/she bumped into you? Question b. How would you respond to him/her after he/she bumped into you? Question c. Why would you respond this way? Situation 4: Imagine that you go to the first meeting of a club you want to join. You would like to make friends with the other kids in the club. You walk up to some of the other kids and say “Hi!” but they do not say anything back. Question a. Why do you think they did not answer you? Question b. How would you respond to them after they didn't answer you? Question c. Why would you respond this way? Project C.A.R.E - Children and Adolescents at Risk Educcation 365 Chapter 10 Appendices 6. Appendix 12: [Proactive Aggressors- Teacher Qualitative Study] _Teachers (1) Background information 1. How long have you been teaching at this school? 2. What kind of work are you responsible for at the school? 3. What do you think proactive aggressive behavior is? Definition: Proactive aggressive behavior is defined by the perpetrator's intention and motivation and can bring the aggressor advantages and benefits, such as authority, manipulation of others, etc. Proactive aggressors are calm and deliberate, and are typical bullies. They have a strong desire to control other people, have a subjective view of themselves, and lack empathy for their victims. 4. Please describe the situation of proactive bullying in your school. 5. Describe some specific types of behavior shown by proactive aggressors in schools. (2) The campus life of the student 1. How long have you known XXX? 2. How would you describe him/her? 3. How is his/her academic achievement? 4. How popular do you think he/she is at school? (score 1 – 10, with 1 = very unpopular, 10 = very popular)? Why? 5. As far as you are aware, how many close friend(s) does s/he have at school? 6. Does his/her friend(s) show proactive aggressive behavior? How is their relationship? 7. How would other teachers describe him/her? 8. As far as you know, does he/she have any experience of being bullied? What happened? (3) The student's behavior 1. Does he/she often have disagreements with the teachers? 2. Has he/she ever deliberately provoked the teachers? Describe the situation. 3. Does he/she often go along with a gang of classmates, playing the role of leader? 4. Does he/she attract much attention in class and around campus? 5. Are other classmates afraid of him/her in class and around campus? 6. What is his/her attitude like during lessons? 7. Does he/she disrupt the class during lessons? Describe what happens. 8. Has he/she ever had conflicts with teachers or classmates? Describe the situation. 9. How often does he/she show proactive aggressive behavior? 10. i) once every week ii) once every two weeks iv) once every three months v) other iii) once every month How do teachers normally handle his/her behavior? What would be his/her response afterwards? 366 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 11. Has he/she changed because of this? 12. What is his/her response when he/she is punished? (e.g., not at all fearful, dismissive, scared) 13. What do you think are the reasons behind his/her bullying behavior? 14. What do you think he/she thinks about his/her bullying behavior? 15. Who does he/she tend to bully most? 16. Do you think his/her bullying behavior is influenced or encouraged by other students? 17. How do teachers influence his/her behavior? (4) The student's relationship with his/her parents 1. As far as you know, what is the parenting style of his/her father? 2. As far as you know, what is the parenting style of his/her mother? (5) Expectations of the treatment group What are your expectations of this project? What would you wish him/her to gain, or in what way you would like him/her to change? Project C.A.R.E - Children and Adolescents at Risk Educcation 367 Chapter 10 Appendices 7. Appendix 13: [Reactive Aggressors- Teacher Qualitative Study] _ Teachers (1) Background information 1. How long have you been teaching at this school? 2. What kind of work are you responsible for at the school? 3. What do you think reactive aggressors are? Definition: Reactive aggressors are over-sensitive to the threat of the outside world, due to their selective attention and hostile attribution bias. They often view their peers’ neutral behavior (e.g., being bumped into accidentally) as hostile, and think others are trying to harm them. They will then become angry and may use aggression to protect themselves or retaliate against their peers. Reactive aggressors are usually bad-tempered and angry, and will suddenly lose control when they encounter particular incidents. They are more likely than proactive aggressors to disrupt the discipline in the classroom and are subject to peer rejection. 4. Please describe the situation of reactive aggression in your school. 5. Describe some specific types of behavior shown by reactive aggressors in schools. (2) The campus life of the student 1. How long have you known XXX? 2. How would you describe him/her? 3. How is his/her academic achievement? 4. How popular do you think he/she is at school? (score 1 – 10, with 1 = very unpopular, 10 = very popular)? Why? 5. As far as you are aware, how many close friend(s) does s/he have at school? 6. Does his/her friend(s) show reactive aggressive behavior? How is their relationship? 7. How would other teachers describe him/her? 8. As far as you know, does he/she have any experience of being bullied? What happened? (3) The student's behavior 1. In school, under what circumstances he/she will lose his/her temper? What will he/she do at the moment? 2. When was the first time when he/she showed his/her reactive aggressive behavior? 3. How often does he/she show reactive aggressive behavior? 4. i) once every week ii) once every two weeks iv) once every three months v) other iii) once every month Does his/her current reactive aggressive behavior differ from his/her past ones? i) Become more frequent/ less frequent; worse/ better 5. When he/she gets angry, how likely will he/she show reactive aggressive behavior: i) Always, sometimes, seldom, never 368 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 6. When is his/her most impressive reactive aggressive behavior? What was he/she doing at the moment? 7. How do teachers normally handle his/her behavior? What would be his/her response afterwards? 8. How do other teachers handle his/her behavior? What would be his/her response afterwards? 9. How does the school handle his/her behavior? What would be his/her response afterwards? 10. What do you think about these handling? Did his/her situation get any better? 11. What do you think he/she thinks about his/her aggressive behavior? What do you think are the reasons behind his/her aggressive behavior? 12. To who does he/she tend to show his/her aggressive behavior the most? 13. As far as you know, does he/she have any past experience of being bullied? What happened at the moment? 14. Do you think his/her aggressive behavior is influenced or encouraged by other students? 15. How do teachers influence his/her behavior? Has he/she changed because of this? (4) The student's relationship with his/her parents 1. As far as you know, what is the parenting style of his/her father? 2. As far as you know, what is the parenting style of his/her mother? (5) Expectations of the treatment group What are your expectations of this project? What would you wish him/her to gain, or in what way you would like him/her to change? Project C.A.R.E - Children and Adolescents at Risk Educcation 369 Chapter 10 Appendices 8. Appendix 14: [Aggressive Victims- Teacher Qualitative Study] _ Teachers (1) Background information 1. How long have you been teaching at this school? 2. What kind of work are you responsible for at the school? 3. What do you think aggressive victims are? Definition: When aggressive victims are being bullied or hurt, they will become specially anxious and tensed, and will have the idea of retaliation and would likely to use violent approach. The aggressive victims may even take the initiative to provoke others. In case of quarrel or fighting, they would declare themselves victims and for the reason of self-defense, to rationalize their aggression. The aggressive victims usually have more collection of offensive weapons or toys than passive victims. They would also have higher incidence of quarrels and fighting than passive victims. The self-valuation of aggressive victims is usually low. They often think that they are not as intelligent as others, and have unattractive appearance and body. They often feel anxious and impatient, and are not welcomed by their peers. It is believed that they are the unhappy group when compared to other people. 4. Please describe the situation of aggressive victims in your school. 5. Describe some specific types of behavior shown by aggressive victims in schools. (2) The campus life of the student 1. How long have you known XXX? 2. How would you describe him/her? 3. How is his/her academic achievement? 4. How popular do you think he/she is at school? (score 1 – 10, with 1 = very unpopular, 10 = very popular)? Why? 5. As far as you are aware, how many close friend(s) does s/he have at school? 6. Does his/her friend(s) show aggressive victims’ behavior? How is their relationship? 7. How would other teachers describe him/her? 8. As far as you know, does he/she have any experience of being bullied? What happened at the moment? 370 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices (3) The student's behavior 1. As far as you know, has he/she ever been bullied? What happened at the moment? 2. How often will he/she be bullied by others? i) once every week ii) once every two weeks iv) once every three months v) other: 3. What would he/she do when he/she was bullied? 4. Would he/she respond to others’ bullies by aggressive behavior? 5. How often would he/she respond to others’ bullies by aggressive behavior: i) once every week ii) once every two weeks iv) once every three months v) other: iii) once every month iii) once every month 6. When he responded to others’ bullying by aggressive behavior, how would you handle? What would be his/ her response afterwards? 7. How would other teachers handle then? What would be his/her response afterwards? 8. Who would bully him/her? 9. What do you think are the reasons he/she was bullied by others? What are the motives of the bullies? 10. How would you handle when he/she was being bullied? What would be his/her response afterwards? 11. How would other teachers handle when he/she was being bullied? What would be his/her response afterwards? 12. How would the school handle then? What would be his/her response afterwards? 13. What do you think about these handlings? 14. Do you think his/her victimization is influenced or encouraged by other students? 15. How do teachers influence his/her behavior? (4) The student's relationship with his/her parents 1. As far as you know, what is the parenting style of his/her father? 2. As far as you know, what is the parenting style of his/her mother? (5) Expectations of the treatment group What are your expectations of this project? What would you wish him/her to gain, or in what way you would like him/her to change? Project C.A.R.E - Children and Adolescents at Risk Educcation 371 Chapter 10 Appendices 9. Appendix 15: [Passive Victims- Teacher Qualitative Study] _ Teachers (1) Background information 1. How long have you been teaching at this school? 2. What kind of work are you responsible for at the school? 3. What do you think passive victim is? Definition: Passive victims tend to be shorter and skinner. They are not strong enough to protect themselves from the stronger aggressors. When they are bullied they tend to cry and withdraw themselves from others. Passive victims are usually quiet, anxious, submissive, very sensitive and insecure. They have poor communication skills, coping skills and interpersonal relationship. They tend to have low self-esteem and low confidence. When they are bullied, they tend to take the blame and internalize them as own responsibilities. 4. Please describe the situation of passive victims in your school. 5. Describe some specific types of behavior shown by passive victims. (2) The campus life of the student 1. How long have you known XXX? 2. How would you describe him/her? 3. How is his/her academic achievement? 4. How popular do you think he/she is at school? (score 1 – 10, with 1 = very unpopular, 10 = very popular)? Why? 5. As far as you are aware, how many close friend(s) does s/he have at school? 6. Does his/her friend(s) show behavior of passive victim? How is their relationship? 7. How would other teachers describe him/her? 8. As far as you know, does he/she have any experience of being bullied? What happened? (3) The student's behavior 1. As far as you know, has he/she ever been bullied? What happened at the moment? 2. How often will he/she be bullied by others? i) once every week ii) once every two weeks iv) once every three months v) other: iii) once every month 3. What would he/she do when he/she was bullied? 4. Would he/she response others’ bullies by aggressive behavior? 5. Who would bully him/her? 6. What do you think are the reasons he/she was bullied by others? What are the motives of the bullies? 7. How would you handle when he/she was being bullied? What would be his/her response afterwards? 372 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 8. How would other teachers handle when he/she was being bullied? What would be his/her response afterwards? 9. How would the school handle then? What would be his/her response afterwards? 10. What do you think about these handlings? 11. Do you think his/her victimization is influenced or encouraged by other students? 12. How do teachers influence his/her behavior? (4) The student's relationship with his/her parents 1. As far as you know, what is the parenting style of his/her father? 2. As far as you know, what is the parenting style of his/her mother? (5) Expectations of the treatment group What are your expectations of this project? What would you wish him/her to gain, or in what way you would like him/her to change? Project C.A.R.E - Children and Adolescents at Risk Educcation 373 Chapter 10 Appendices 10. Appendix 16: [Proactive Aggressors- Parent Qualitative Study] _ Parents (1) Background information 1. What family member(s) does s/he live with? 2. Does s/he have any sibling? How many? (If no, please skip Part 5) (2) Understanding of your child The questions below ask about the behavior of your children in the past three months. Please answer according to your children's behavior at that time. 1. How deep is your understanding to XXXXX? Please rate yourself from 1 to 10, with 1 meaning very little understanding and 10 meaning very deep understanding. 2. How would you describe him/her in the past three months? 3. How is his/her behavior in the past three months? 4. How is his/her emotion in the past three months? 5.. Has s/he ever made trouble at home in order to obtain any benefit? How did the most impressive or most recent incident happen? 6. What is his/her frequency and extent of making trouble at home in the past three months? 7. To your knowledge, how many friends did s/he have in the past three months? 8. To your knowledge, how would you describe his/her friends in the past three months? 9. To your knowledge, what would s/he do with his/her friends together in the past three months? 10. Has his/her teacher talked to you on his/her problem? What is it about? 11. Continuing with the last question, do you have any corresponding method to handle the problem? 12. Do you think the support from school is sufficient? (3) The student's relationship with parents 1. How is relationship with his/her father in the past three months? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 2. How is relationship with his/her mother in the past three months? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 3. Has s/he ever had any conflict with his/her father? How did the most impressive or the most recent incident happen? 4. Has s/he ever had any conflict with his/her mother? How did the most impressive or the most recent incident happen? 5. What is the frequency and extent of the conflict with his/her father in the past three months? 6. What is the frequency and extent of the conflict with his/her mother in the past three months? 7. What is his/her frequency of helping the household tasks in the past three months? 8. What is his/her frequency of participating in volunteer work in the past three months? 9. Has s/he ever stayed outside overnight? How did the most impressive or the most recent incident happen? 374 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 10. What is his/her frequency of staying outside overnight in the past three months? 11. Do you know what s/he does if s/he stays outside overnight? 12. Has s/he ever committed crime before? How did the most impressive or the most recent incident happen? 13. What is his/her frequency of committing crime in the past three months? (4) The discipline model 1. How much time would you spend to communicate with him/her? 2. Is s/he willing to communicate with you? Why? 3. How would you handle when s/he has any behavioral problem? 4. What is his/her response when you handle in this way in the past three months? 5. Have you ever used reward to encourage his/her positive behavior? What is it? 6. Have you ever used punishment to punish his/her negative behavior? 7. What is his/her response when you punish him/her in the past three months? 8. What do you think about your discipline model? 9. What do you think about the effectiveness of your discipline model? 10. What do you think about the discipline model of his/her father/mother? 11. What do you think about the effectiveness of the discipline model of his/her father/mother? (5) The student's relationship with the siblings 1. How is the relationship with his/her sibling(s) in the past three months? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 2. Has s/he ever any conflict with his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? 3. What is the frequency and extent of having conflict with his/her sibling(s) in the past three months? 4. Would the sibling(s) be very afraid of him/her in the past three months? 5. Has s/he ever bullied his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? 6. What is the frequency and extent of bullying his/her sibling(s) in the past three months? 7. Has s/he ever obtained any benefit by bullying his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? 8. What is the frequency and extent of obtaining benefit by bullying his/her sibling(s) in the past three months ? 9. Has s/he ever been bullied by his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? Project C.A.R.E - Children and Adolescents at Risk Educcation 375 Chapter 10 Appendices 11. Appendix 17: [Reactive Aggressors- Parent Qualitative Study] _ Parents (1) Background information 1. What family member(s) does s/he live with? 2. Does s/he have any sibling? How many? (If no, please skip Part 5) (2) Understanding of your child The questions below ask about the behavior of your children in the past three months. Please answer according to your children's behavior at that time. 1. How deep is your understanding to XXXXX? Please rate yourself from 1 to 10, with 1 meaning very little understanding and 10 meaning very deep understanding. 2. How would you describe him/her in the past three months? 3. How is his/her behavior in the past three months? 4. How is his/her emotion in the past three months? 5. Has s/he ever made trouble at home in order to obtain any benefit? How did the most impressive or most recent incident happen? 6. What is his/her frequency and extent of making trouble at home in the past three months? 7. To your knowledge, how many friends did s/he have in the past three months? 8. To your knowledge, how would you describe his/her friends in the past three months? 9. To your knowledge, what would s/he do with his/her friends together in the past three months? 10. Has his/her teacher talked to you on his/her problem? What is it about? 11. Continuing with the last question, do you have any corresponding method to handle the problem? 12. Do you think the support from school is sufficient? (3) The student's relationship with parents 1. How is relationship with his/her father in the past three months? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 2. How is relationship with his/her mother in the past three months? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 3. Has s/he ever had any conflict with his/her father? How did the most impressive or the most recent incident happen? 4. Has s/he ever had any conflict with his/her mother? How did the most impressive or the most recent incident happen? 5. What is the frequency and extent of the conflict with his/her father in the past three months? 6. What is the frequency and extent of the conflict with his/her mother in the past three months? 7. What is his/her frequency of helping the household tasks in the past three months? 8. What is his/her frequency of participating in volunteer work in the past three months? 9. Has s/he ever stayed outside overnight? How did the most impressive or the most recent incident happen? 376 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices 10. What is his/her frequency of staying outside overnight in the past three months? 11. Do you know what s/he does if s/he stays outside overnight? 12. Has s/he ever committed crime before? How did the most impressive or the most recent incident happen? 13. What is his/her frequency of committing crime in the past three months? (4) The discipline model 1. How much time would you spend to communicate with him/her? 2. Is s/he willing to communicate with you? Why? 3. How would you handle when s/he has any behavioral problem? 4. What is his/her response when you handle in this way in the past three months? 5. Have you ever used reward to encourage his/her positive behavior? What is it? 6. Have you ever used punishment to punish his/her negative behavior? 7. What is his/her response when you punish him/her in the past three months? 8. What do you think about your discipline model? 9. What do you think about the effectiveness of your discipline model? 10. What do you think about the discipline model of his/her father/mother? 11. What do you think about the effectiveness of the discipline model of his/her father/mother? (5) The student's relationship with the siblings 1. How is the relationship with his/her sibling(s) in the past three months? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 2. Has s/he ever any conflict with his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? 3. What is the frequency and extent of having conflict with his/her sibling(s) in the past three months? 4. Would the sibling(s) be very afraid of him/her in the past three months? 5. Has s/he ever bullied his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? 6. What is the frequency and extent of bullying his/her sibling(s) in the past three months? 7. Has s/he ever obtained any benefit by bullying his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? 8. What is the frequency and extent of obtaining benefit by bullying his/her sibling(s) in the past three months ? 9. Has s/he ever been bullied by his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? Project C.A.R.E - Children and Adolescents at Risk Educcation 377 Chapter 10 Appendices 12. Appendix 18: [Aggressive Victims- Parent Qualitative Study] _ Parents (1) Background information 1. What family member(s) does s/he live with? 2. Does s/he have any sibling? How many? (If no, please skip Part 5) (2) Understanding of your child 1. How deep is your understanding to XXXXX? Please rate yourself from 1 to 10, with 1 meaning very little understanding and 10 meaning very deep understanding. 2. How would you describe him/her in the past three months? 3. How is his/her behavior in the past three months? Has s/he ever any aggressive behavior? 4. What do you think is his/her emotion in the past three months? 5. Is s/he easily agitated? What response (behavior) would s/he have if agitated? 6. Is s/he easily infuriated? What response (behavior) would s/he have if infuriated? 7. Is s/he an impulsive person? What response (behavior) would s/he have if impulsive? 8. Is s/he often unhappy? What response (behavior) would s/he have if unhappy? (3) The student's relationship with parents 1. How is relationship with his/her father? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 2. How is relationship with his/her mother? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 3. Has s/he ever had any conflict with his/her father? How did the most impressive or the most recent incident happen? 4. Has s/he ever had any conflict with his/her mother? How did the most impressive or the most recent incident happen? 5. What is the frequency and extent of the conflict with his/her father? 6. What is the frequency and extent of the conflict with his/her mother? 7. How is his/her behavior at home? What is the frequency of helping the household tasks? (4) The discipline model 1. How much time would you spend to communicate with him/her? 2. Is s/he willing to communicate with you? Why? 3. How would you handle when s/he has any behavioral problem? 4. What is his/her response when you handle in this way? 5. Have you ever used reward to encourage his/her positive behavior? What is it? 6. Have you ever used punishment to punish his/her negative behavior? What is it? 7. What is his/her response when you punish him/her? 8. What do you think about your discipline model? 9. What do you think about the effectiveness of your discipline model? 10. What do you think about the discipline model of his/her father/mother? 11. What do you think about the effectiveness of the discipline model of his/her father/mother? 378 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices (5) The student's relationship with the siblings 1. 2. 3. 4. 5. 6. 7. 8. 9. How is the relationship with his/her sibling(s) in the past three months? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. Has s/he ever any conflict with his/her sibling(s) in the past three months? If yes, how did the most impressive or the most recent incident happen? What is the frequency and extent of having conflict with his/her sibling(s)? How would s/he respond (emotionally and behaviorally) when s/he encounters conflict with his/her sibling(s)? Has s/he ever been bullied by his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? How did s/he respond to his/her sibling(s)’ bullying? Has s/he ever used aggressive behavior to respond to his/her sibling(s)’ bullying? How did the most impressive or the most recent incident happen? Would s/he be very afraid of his/her sibling(s)? Would the sibling(s) be very afraid of him/her? (6) The child's school life 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. How is the relationship with his/her classmates? How many (close) friend(s) does s/he have? How would you describe his/her friend(s)? Where did they know each other? What does s/he do with his/her friend(s) usually? What extra-curricular activity does s/he participate in school? Has s/he participated in any volunteer work? What is the frequency? Has s/he ever had any conflict with his/her classmates? How did the most impressive or the most recent incident happen? What is the frequency and extent of having conflict with his/her classmates? How would s/he respond (emotionally and behaviorally) when s/he encounters conflict with his/her classmates? Has s/he ever had any conflict with his/her teachers? How did the most impressive or the most recent incident happen? What is the frequency and extent of having conflict with his/her teachers? How would s/he respond (emotionally and behaviorally) when s/he encounters conflict with his/her teachers? To your knowledge, has s/he ever being bullied by the classmates? How did the most impressive or the most recent incident happen? What is the frequency and extent of being bullied? Who would bully him/her usually? Why do you think he would become the target of bullying? To your knowledge, how does s/he respond to other's bullying (behaviorally and emotionally)? Has s/he ever used aggressive behavior to respond to other's bullying? How did the most impressive or the most recent incident happen? Has s/he ever committed crime before? How did the most impressive or the most recent incident happen? What is his/her frequency of committing crime at present? Has his/her teacher talked to you on his/her problem? What is it about? Continuing with the last question, do you have any corresponding method to handle the problem? Do you think the support from school is sufficient? Why? Continuing with the last question, do you have any suggestion? Project C.A.R.E - Children and Adolescents at Risk Educcation 379 Chapter 10 Appendices 13. Appendix 19: [Passive Victims- Parent Qualitative Study] _ Parents (1) Background information 1. What family member(s) does s/he live with? 2. Does s/he have any sibling? How many? (If no, please skip Part 5) (2) Understanding of your child 1. How deep is your understanding to XXXXX? Please rate yourself from 1 to 10, with 1 meaning very little understanding and 10 meaning very deep understanding. 2. How would you describe him/her in the past three months? 3. How is his/her behavior in the past three months? Has s/he ever any aggressive behavior? 4. What do you think is his/her emotion in the past three months? 5. Is s/he easily agitated? What response (behavior) would s/he have if agitated? 6. Is s/he easily infuriated? What response (behavior) would s/he have if infuriated? 7. Is s/he an impulsive person? What response (behavior) would s/he have if impulsive? 8. I s s/he often unhappy? What response (behavior) would s/he have if unhappy? (3) The student's relationship with parents 1. How is relationship with his/her father? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 2. How is relationship with his/her mother? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. 3. Has s/he ever had any conflict with his/her father? How did the most impressive or the most recent incident happen? 4. Has s/he ever had any conflict with his/her mother? How did the most impressive or the most recent incident happen? 5. What is the frequency and extent of the conflict with his/her father? 6. What is the frequency and extent of the conflict with his/her mother? 7. How is his/her behavior at home? What is the frequency of helping the household tasks? (4) The discipline model 1. How much time would you spend to communicate with him/her? 2. Is s/he willing to communicate with you? Why? 3. How would you handle when s/he has any behavioral problem? 4. What is his/her response when you handle in this way? 5. Have you ever used reward to encourage his/her positive behavior? What is it? 6. Have you ever used punishment to punish his/her negative behavior? What is it? 7. What is his/her response when you punish him/her? 8. What do you think about your discipline model? 9. What do you think about the effectiveness of your discipline model? 10. What do you think about the discipline model of his/her father/mother? 11. What do you think about the effectiveness of the discipline model of his/her father/mother? 380 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 10 Appendices (5) The student's relationship with the siblings 1. 2. 3. 4. 5. 6. 7. 8. 9. How is the relationship with his/her sibling(s) in the past three months? Please rate from 1 to 10, with 1 meaning very bad and 10 meaning very good. Has s/he ever any conflict with his/her sibling(s) in the past three months? If yes, how did the most impressive or the most recent incident happen? What is the frequency and extent of having conflict with his/her sibling(s)? How would s/he respond (emotionally and behaviorally) when s/he encounters conflict with his/her sibling(s)? Has s/he ever been bullied by his/her sibling(s)? If yes, how did the most impressive or the most recent incident happen? How did s/he respond to his/her sibling(s)’ bullying? Has s/he ever used aggressive behavior to respond to his/her sibling(s)’ bullying? How did the most impressive or the most recent incident happen? Would s/he be very afraid of his/her sibling(s)? Would the sibling(s) be very afraid of him/her? (6) The child's school life 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. How is the relationship with his/her classmates? How many (close) friend(s) does s/he have? How would you describe his/her friend(s)? Where did they know each other? What does s/he do with his/her friend(s) usually? What extra-curricular activity does s/he participate in school? Has s/he participated in any volunteer work? What is the frequency? Has s/he ever had any conflict with his/her classmates? How did the most impressive or the most recent incident happen? What is the frequency and extent of having conflict with his/her classmates? How would s/he respond (emotionally and behaviorally) when s/he encounters conflict with his/her classmates? Has s/he ever had any conflict with his/her teachers? How did the most impressive or the most recent incident happen? What is the frequency and extent of having conflict with his/her teachers? How would s/he respond (emotionally and behaviorally) when s/he encounters conflict with his/her teachers? To your knowledge, has s/he ever being bullied by the classmates? How did the most impressive or the most recent incident happen? What is the frequency and extent of being bullied? Who would bully him/her usually? Why do you think he would become the target of bullying? To your knowledge, how does s/he respond to other's bullying (behaviorally and emotionally)? Has s/he ever used aggressive behavior to respond to other's bullying? How did the most impressive or the most recent incident happen? Has s/he ever committed crime before? How did the most impressive or the most recent incident happen? What is his/her frequency of committing crime at present? Has his/her teacher talked to you on his/her problem? What is it about? Continuing with the last question, do you have any corresponding method to handle the problem? Do you think the support from school is sufficient? Why? Continuing with the last question, do you have any suggestion? Project C.A.R.E - Children and Adolescents at Risk Educcation 381 Chapter 11: References 382 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Chapter 11: References Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL 14 – 18, YSR, and TRF profiles. VT: Dept. of Psychiatry, University of Vermont. Achenbach, T. (1991). Manual for the child behavior checklist/4-18 and 1991 child profile. Burlington, VT: Dept. of Psychiatry, University of Vermont. Anderson, C. A., & Bushman, B. J. (2001). Effects of violent games on aggressive behavior, aggressive cognition, aggressive affect, physiological arousal, and prosocial behavior: A meta-analytical review of the scientific literature. Psychological Science, 12, 353-359. Anderson, G. L. (1989). Critical ethnography in education: Origins, current status, and new directions. Review of Educational Research, 59(3), 249-270. Andreou, E. (2001) Bully/ Victim problems and their association with coping behavior in conflictual peer interaction among school-age children. Educational Psychology, 21, 59-66. Arsenio, W. F., Adams, E., & Gold, J. (2009). Social information processing, moral reasoning, and emotion attributions: Relations with adolescents' reactive and proactive aggression. Child Development, 80(6), 1739-1755. Artigas, J. (1999). Manifestaciones psicolo´gicas de la epilepsia en la infancia. Revista de Neurologia, 28, 135 – 141. Asher, S. R., Chung, T., & Hopmeyer, A. (1995, March). Children's goals and strategies in conflict situations. Paper presented at the biennial meeting of the Society for Research in Child Development, Indianapolis, IN. Averill, J. R. (1982). Anger and aggression: An essay on emotion. New York: Springer-Verlag. Avramidis, E., Bayliss, P., & Burden, R. (2000). A survey into mainstream teachersattitudes towards the inclusion of children with special educational needs in the ordinary school in one local education authority. Educational Psychology, 20(2), 191-211. Bandura, A. (1973). Aggression: A social learning analysis. Englewood Cliffs, N.J.: Prentice-Hall. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, N.J.: Prentice Hall Bandura, A. (1999). Social cognitive theory of personality. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (2nd ed.). New York: Guilford Press. Barratt, E. S. (1991). Measuring and predicting aggression within the context of a personality theory. Journal of Neuropsychiatry, 3, 35-39. Project C.A.R.E - Children and Adolescents at Risk Educcation 383 Chapter 11 References Beale, A. V. (2001). Bullybusters: Using drama to empower students to take a stand against bullying behavior. Professional School Counselling, 4, 300-306. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press. Beck, A. T. (1985). Theoretical perspectives on clinical anxiety. In A. H. Tuma, & J. D. Maser (Eds.), Anxiety and the Anxiety Disorders. Hillsdale, NJ, England: Lawrence Erlbaum Associates. Beck, A. T. (1999). Prisoners of hate: The cognitive basis of anger, hostility, and violence. NY: Harper Collins Publishers. Beck, A. T., Freeman, A., & Davis, D. D. (2004). Cognitive therapy of personality disorders The Guilford Press. Beck, A. T., & Rector, N. A. (2002). Delusion: A cognitive perceptive. Journal of Cognitive Psychotherapy, 16(4), 455-468. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press. Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford Press. Berkowitz, L. (1963). Aggression. New York: McGraw Hill. Besag, V. E. (1989). Bullies and victims in schools: A guide to understanding and management. Milton Keynes, England: Open University Press Blair, R. J. R. (2001). Neuro-cognitive models of aggression, the antisocial personality disorders and psychopathy. Journal of Neurology, Neurosurgery and Psychiatry, 71, 727-731. Blair, R. J. R. (2004). The roles of orbital frontal cortex in the modulation of antisocial behavior. Brain and Cognition, 55, 198-208. Bond, L., Carlin, J. B., Thomas, L., Rubin, K., & Patton, G. (2001). Does bullying cause emotional problems: A prospective study of young teenagers. British Medical Journal, 323, 480-483. Bowers, L., Smith, P. K., & Binney, V. (1994). Perceived family relationships of bullies, victims, and bully/victims in middle childhood. Journal of Social and Personal Relationship, 11, 215-232. Boxer. P., & Tisak. M. S. (2003). Adolescents' attributions about aggression: An initial investigation, Journal of Adolescence, 26, 559-573. Brendgen, M., Vitaro, F., Tremblay, R., & Lavoie, F. (2001). Reactive and proactive aggression: Predictions to physical violence in different contexts and moderating effects of parental monitoring and caregiving behavior. Journal of Abnormal Child Psychology, 29, 293-304. Brockenbrough, K. K., Cornell, D. G., & Loper, A. B. (2002). Aggressive attitudes among victims of violence at school. Education & Treatment of Children, 25, 273-287. 384 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press. Brown, K., Atkins, M. S., Osborne, M. L., & Milnamow, M. (1996). A revised teacher rating scale for reactive and proactive aggression. Journal of Abnormal Child Psychology, 24, 473-480. Burns, D. D. (1980). Feeling good: The new mood therapy. New York: Signet. Buss, A. H. (1961). The psychology of aggression. New York, : Wiley. Buss, A. H., & Perry, M. (1992). The aggression questionnaire. Journal of Personality and Social Psychology, 63(3), 452-459. Camodeca, M., Goossens, F. A., Schuengel, C., & Terwogt, M. M. (2003). Links between social information processing in middle childhood and involvement in bullying. Aggressive Behaviour, 29, 116-117. Cannon, W. B. (1915). Bodily changes in pain, hunger, fear and rage: An account of recent researches into the function of emotional excitement. New York: Appleton. Card, N. A., & Little, T. D. (2006). Proactive and reactive aggression in childhood and adolescence: A metaanalysis of differential relations with psychosocial adjustment. International Journal of Behavioral Development, 30(5), 466. Carney, A. G., & Merrell, K. W. (2001). Bullying in schools: Perspectives on understanding and preventing an international problem. School Psychology International, 22, 364-382. Cary, P. M., Swearer, S. M., Song, S. Y., Haye, K. M. & Sohn, E. (2001). The relationship between depression and aggression across the bully/victim continuum. Poster presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Philadelphia, PA. Cava, M. J., Musitu, G., Buelga, S., & Murgui, S. (2010). The relationships of family and classroom environments with peer relational victimization: An analysis of their gender differences. The Spanish Journal of Psychology, 13(1), 156-165. Cava, M. J., Musitu, G., & Murgui, S. (2007). Individual and social risk factors related to overt victimization in a sample of spanish adolescents. Psychological Reports, 101(1), 275. Cima, M., & Raine, A. (2009). Distinct characteristics of psychopathy relate to different subtypes of aggression. Personality and Individual Differences, 47(8), 835-840. Cluver, L., & Orkin, M. (2009). Cumulative risk and AIDS-orphanhood: Interactions of stigma, bullying and poverty on child mental health in South Africa. Social Science & Medicine, 69(8), 1186-1193. Cohen, J. (1988). Statistical power analysis for the behavioral sciences, Hillsdale, NJ: Lawrence Erlbaum Associates. Cole, J. C. M., Cornell, D. G., & Sheras, P. (2006). Identification of school bullies by survey methods. Professional School Counseling, 9(4), 305. Project C.A.R.E - Children and Adolescents at Risk Educcation 385 Chapter 11 References Coleman, P. K., & Karraker, K. H. (2000). Parenting self-efficacy among mothers of school-age children: Conceptualization, measurement, and correlates. Family Relations, 49(1), 13-24. Connelly, F. M. & Clandinin, D. J. (1990). Stories of experience and narrative inquiry. Educational Research, 19(5), 2-14. Conners, C. K. (1973). Rating scales for use in drug studies in children. Psychopharmacology Bulletin. Special issue – pharmacotherapy of children, 9, 24-84 Conners, C. K. (1997). Conners’ Rating Scales-Revised: Technical Manual. North Tonawanda, NY: MHS. Cornell, D. G., Warren, J., Hawk, G.., Stafford, E., Oram, G., & Pine, D. (1996). Psychopathy in instrumental and reactive violent offenders. Journal of Consulting and Clinical Psychology, 64, 783-790. Craig, W. M. (1998). The relationship among bullying, victimization, depression, anxiety, and aggression in elementary school children. Personality and Individual Differences, 24(1), 123-130. Craig, W. M., & Pepler, D. J. (1997). Observations of bullying and victimization in the school yard. Canadian Journal of School Psychology, 13, 41-60. Crick, N. R. (1996). The role of overt aggression, relational aggression, and prosocial behavior in the prediction of children's future social adjustment. Child Development, 67, 2317-2327. Crick, N. R., & Dodge, K. A. (1994). A review and reformulation of social information processing mechanisms in children's social adjustment. Psychological Bulletin, 115, 74–101. Crick, N. R., & Dodge, K. A. (1996). Social information-processing mechanism in reactive and proactive aggression. Child Development, 67, 993-1002. Crick, N. R. & Grotpeter, J. K. (1995). Relational aggression, gender, and social-psychological adjustment. The Society for Research in Child Development, 66, 710-722. Crick, N. R., & Ladd, G. W. (1990). Children's perceptions of the outcomes of socialstrategies: Do the ends justify being mean? Developmental Psychology, 26, 612-620. Crockenberg, S., & Langrock, A. M. (2001). The role of specific emotions in children's responses to interparental conflict: A test of the model. Journal of Family Psychology, 15, 163 -182. Crothers, L. M., & Levinson, E. M. (2004). Assessment of bullying: A review of methods and instruments. Journal of Counseling & Development, 82(4), 496-503. Curtner-Smith, M. E. (2000). Mechanisms by which family processes contribute to school-age boys' bullying. Child Study Journal, 30, 169-187. Davis, M. (2000). The role of the amygdala in conditioned and unconditioned fear and anxiety. In J. P. Aggleton (Ed.), The amygdale: A functional analysis (pp. 289-310). Oxford: Oxford University Press. 386 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalogue of Selected Documents in Psychology, 10, 85. Deater-Deckard, K. (2001). Annotation: Recent research examining the role of peer relationships in the development of psychopathology. Journal of Child Psychology and Psychiatry, 42(5), 565-579. Denham, S., Zoller, D., & Couchoud, E. A. (1994). Socialization of preschoolers' emotion understanding. Developmental Psychology, 30, 928-936. DiGiuseppe, R., & Kelter, J. (2006). Treating aggressive children: A rational-emotive behavior systems approach. In A. Eillis & M. E. Bernard (Eds.), Rational emotive behavioral approaches to childhood disorders (pp. 257281). New York: Springer. Dishion, T. J., & McMahon, R. J. (1998). Parental monitoring and the prevention of child and adolescent problem behavior: A conceptual and empirical formation. Clinical Child Family Psychology Review, 1, 61-75. Dodge, K. A. (1986). A social-information processing model of social competence in children. In M. Perlmutter (Ed.), Minnesota symposium in child psychology (Vol. 18, pp. 77-125). Hillsdale, NJ: Erlbaum. Dodge, K. (1991). The structure and function of proactive and reactive aggression. In Pepler D., Rubin K. (Eds.), The development and treatment of childhood aggression. Hillsadle, NJ: Lawrence Erlbaum. Dodge, K. A. (2002) Investing in the prevention of youth violence. International Society for the Study of Behavioural Development Newsletter, 2, 8-10. Dodge, K. A., & Coie, J. D. (1987). Social-information processing factors in reactive and proactive aggression in children's peer groups. Journal of Personality and Social Psychology, 53, 1146-1158. Dodge, K. A., Bates, J. E., & Pettit, G. S. (1990). Mechanisms in the cycle of violence. Science, 250, 1678-1683. Dodge, K. A., Laird, R., Lochman, J. E., & Zelli, A. (2002). Multidimensional latent-construct analysis of children`s social information processing patterns: Correlations with aggressive behavior problems. Psychological Assessment, 14(1), 60-73. Dodge, K. A., Lochman, J. E., Harnish, J. D., Bates, J. E., & Pettit, G. S. (1997). Reactive and proactive aggression in school children and psychiatrically-impaired chronically assaultive youth. Journal of Abnormal Psychology, 106, 37-51. Dollard, J., Doob, L., Miller, N., Mowrer, O., & Sears, R. (1939). Frustration and aggression. New Haven, CT: Yale University Press. Dong, Q., Wang, Y., & Ollendick, T. H. (2002). Consequences of divorce on the adjustment of children in China. Journal of Clinical Child and Adolescent Psychology, 31, 101 – 110. Duncan, R. (1999). Peer and sibling aggression: An investigation of intra- and extra-familial bullying. Journal of Interpersonal Violence, 14, 871-886. Project C.A.R.E - Children and Adolescents at Risk Educcation 387 Chapter 11 References Dunn, J., & Brown, J. (1994). Affect expression in the family, children's understanding of emotions, and their interactions with others. Merrill-Palmer Quarterly, 40, 120-137. Education and Manpower Bureau (EMB), Parent Education Implementation Team. (2003). Validation of the Chinese version of the Eyberg Child Behavior Inventory for use in Hong Kong. Hong Kong SAR: Education and Manpower Bureau. Egger, S. (2002). The killers among us: An examination of serial murder and its investigation (2nd ed.). Upper Saddle River, NJ: Prentice-Hall. Eisenberg, N., Fabes, R. A., & Murphy, B.C. (1996). Parents' reactions to children's negative emotions: relations to children's social competence and comforting behaviour. Child Development, 67, 2227-2247. Ellis, A. (1962). Reason and emotion in psychotherapy. NY: Citadel Press. Ellis, A. (1977). Anger - How to live with and without it. NY: Carol Publishing Group. Ellis, A., & Bernard, M. E. (2006). Rational emotive behavioural approaches to childhood disorders: Theory, practice and research. NY: Springer. Eronen, M. (1995). Mental disorder and homicidal behavior in female subjects. American Journal of Psychiatry, 152, 216–1218. Eslea, M., Menesini, E., Morita, Y., O'Moore, M., Mora-Merchán, J. A., Pereira, B., & Smith, P. K. (2004). Friendship and loneliness among bullies and victims: Data from seven countries. Aggressive Behavior, 30, 71–83. Estévez, E., Jiménez, T. I., & Musitu, G. (2008). Violence and victimization at school in adolescence. In D. H. Molina (Ed.), School psychology: 21st century issues and challenges (pp.79-115). New York: Nova Science Publishers. Fagan, A. A. (2005). The relationship between adolescent physical abuse and criminal offending: Support for an enduring and generalized cycle of violence. Journal of Family Violence, 20(5), 279-290. Firestone, P., Bradford, J., Greenberg, D., Larose, M., & Curry, S. (1998). Homicidal and non-homicidal child molesters: Psychological, phallometric, and criminal features. Sexual Abuse: Journal of Research and Treatment, 10, 305–323. Fite, P. J., Colder, C. R., & Pelham, W. E. (2006). A factor analytic approach to distinguish pure and co-occurring dimensions of proactive and reactive aggression. Journal of Clinical Child & Adolescent Psychology, 35(4), 578-582. Fite, P. J., Raine, A., Stouthamer-Loeber, M., Loeber, R., & Pardini, D. A. (2009). Reactive and proactive aggression in adolescent males: Examining differential outcomes 10 years later in early adulthood. Criminal Justice and Behavior, 37(2), 141. Fite, P. J., Stoppelbein, L., & Greening, L. (2009). Proactive and reactive aggression in a child psychiatric inpatient population. Criminal Justice and Behavior, 36(5), 481. 388 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Forrest, S., Eatough, V., & Shevlin, M. (2005). Measuring adult indirect aggression: The development and psychometric assessment of the indirect aggression scales. Aggressive Behavior, 31(1), 84-97. Fowles, D. C., & Kochanska, G. (2000). Temperament as a moderator of pathways to conscience in children: The contribution of electrodermal activity. Psychophysiology, 37, 788-795. Frick, P. J., Cornell, A. H., Barry, C. T., Bodin, S. D., & Dane, H. E. (2003). Callous-unemotional traits and conduct problems in the prediction of conduct problem severity, aggression, and self-report of delinquency. Journal of Abnormal Child Psychology, 31(4), 457-470. Frick, P. J., & Hare, R. D. (2001). The Antisocial Process Screening Device (APSD). Toronto: Multi-Health Systems. Fung, A. L. C. (2006). Evaluating treatment outcomes on parental cognition, behavior and stress of parents with aggressive children. International Journal of Interdisciplinary Social Sciences, 1(1), 9-20. Fung, A. L. C. (2007). A qualitative evaluation of social-cognitive changes in children with reactively aggressive behaviors. Journal of School Violence, 6(1), 45-64. Fung, A. L. C. (2008). Group intervention programs for proactive aggressors and aggressive victims in secondary schools: Research, assessment, and practice. Hong Kong: Project Care. Fung, A. L. C. (2009) Typologies of student aggression and victimization of school bullying: Cognitive-behavioral Therapy group intervention process in proactive and reactive aggression, and aggressive and passive victimization in secondary schools. Hong Kong: Project Care. Fung, A. L. C. (2010). Student and parental intervention for young children with reactive aggression in primary schools. Hong Kong: Project Care. Fung, A. L. C. (2011). Student and parental intervention for young children with proactive aggression in primary schools. Hong Kong: Project Care. Fung, A. L. C. (revision). Group treatment of reactive aggressors by social workers in a Hong Kong school setting: A two-year longitudinal study adopting quantitative and qualitative approaches. British Journal of Social Work. Fung, A. L. C. (under review-a). Cognitive-behavioral group therapy for passive victims of school bullying in Hong Kong: A one-year longitudinal study. Journal of School Health. Fung, A. L. C. (under review-b). Intervention for aggressive victims of school bullying: A longitudinal mixedmethods study in Hong Kong. Scandinavian Journal of Psychology. Fung, A. L. C., Gerstein, L. H., Chan, J. Y. C., & Hutchison, A. (under review). Cognitive-behavioral group therapy for Hong Kong students that engage in bullying. Child Psychiatry & Human Development. Fung, A. L. C., Raine, A., & Gao, Y. (2009). Cross-cultural generalizability of the Reactive–Proactive aggression questionnaire (RPQ). Journal of Personality Assessment, 91(5), 473-479. Project C.A.R.E - Children and Adolescents at Risk Educcation 389 Chapter 11 References Fung, A. L. C., & Tsang, S. K. M. (2006). Parent-child parallel-group intervention for childhood aggression in Hong Kong. Emotional and Behavioural Difficulties, 11, 31-48. Fung, A. L. C., & Tsang, S. K. M. (2007). Anger coping method and skill training for Chinese children with physically aggressive behaviors. Early Child Development and Care, 177(3), 259-273. Fung, A. L. C., & Wong, J. L. P. (2007). Group intervention programs for reactive aggressors and passive victims in secondary schools. Hong Kong: Project Care. Fung, A. L. C., Wong, J. L. P. & Chak, Y. T. C. (2007). School bullying: Risk factors, cognitive distortion and intervention for reactive aggressors. Journal of Youth Studies, 10 (1), 3-13. Fung, A. L. C., Wong R. C. M., & Wong J. L. P. (2004). Practitioner's training manual and guideline for children with aggressive behavior. Hong Kong: St. James Settlement. Gacono, C. B., Meloy, J. R., Sheppard, K., & Speth, E. (1995). A clinical investigation of malingering and psychopathy in hospitalized insanity acquittees. Bulletin of the American Academy of Psychiatry and the Law, 23, 387–397. Galovski, T. E., Malta, L. S., & Blanchard, E. B. (2006). Road rage: Assessment and treatment of the angry, aggressive driver. Washington, DC: American Psychological Association. Geberth, R., Vernon, J., & Turco, R. N. (1997). Antisocial personality disorder, sexual sadism, malignant narcissism, and serial murder. Journal of Forensic Sciences, 42, 49–60. George, R. L., & Christiani, T. S. (1990). Counseling: Theory and practice. Englewood Cliffs, NJ: Prentice Hall. Georgiou, S. N., & Stavrinides, P. (2008). Bullies, victims and bully-victims: Psychosocial profiles and attribution styles. School Psychology International, 29(5), 574-589. Gill, R., & Kang, T. (1995). Relationship of home environment with behavioural problems of pre-school children. Indian Journal of Psychometry and Education, 26, 77 – 82. Gilmartin, B. G. (1987). Peer group antecedents of severe love-shyness in males. Journal of Personality, 55, 467489. Glancy, G., & Saini, M. A. (2005). An evidenced-based review of psychological treatments of anger and aggression. Brief Treatment & Crisis Intervention, 5(2), 229-248. Glew, G. M., Fan, M. Y., Katon, W., Rivara, F. P., & Kernic, M. A. (2005). Bullying, psychosocial adjustment, and academic performance in elementary school. Archives of Pediatrics and Adolescent Medicine, 159(11), 1026. Glew, G. M., Rivara, F., & Feudtner, C. (2000). Bullying: Children hurting children. Pediatrics in Review, 21, 183190. Goldstein, A. P. (1981). In response to aggression: Methods of control and prosocial alternatives. New York: Pergamon Press. 390 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Gottfredson, G. D. (1984). The effective school battery: User's manual. Odessa, Fla: Psychological Assessment Resources. Goyer, P. F., Andreason, P. J., Semple, W. E., Clayton, A. H., King, A. C., Compton-Toth, B. A., Schulz, S. C., & Cohen, R. M. (1994). Positron-emission tomography and personality disorders. Neuropsychopharmology, 10, 21-28. Graham, S., & Juvonen, J. (1998). Self-blame and peer victimization in middle school: An attributional analysis. Developmental Psychology, 34(3), 587-599. Granic, I., O'Hara, A., Pepler, D., & Lewis, M. D. (2007). A dynamic systems analysis of parent–child changes associated with successful “real-world" interventions for aggressive children. Journal of Abnormal Child Psychology, 35(5), 845-857. Grills, A. E., & Ollendick, T. H. (2002). Peer victimization, global self-worth, and anxiety in middle school children. Journal of Clinical Child & Adolescent Psychology, 31(1), 59-68. Guerra, N. G., Huesmann, L. R., Tolan, P. H., Van Acker, R., & Eron, L. D. (1995). Stressful events and individual beliefs as correlates of economic disadvantage and aggression among urban children. Journal of Consulting and Clinical Psychology, 63, 518-528. Guerra, N. G., & Slaby, R. G. (1989). Evaluative factors in social problem solving by aggressive boys. Journal of Abnormal Child Psychology, 17, 277-289. Gumpel, T. P. (2008). Behavioral disorders in the school: Participant roles and subtypes in three types of school violence. Journal of Emotional and Behavioral Disorders, 16 (3), 145162. Hall, C. S. (1955). Freud's concept of anxiety. Pastoral-Psychology, 6(52), 43-48. Hanish, I. D., & Guerra, N. G. (2000). Children who get victimized at school: What is known? What can be done? Professional School Counseling, 4, 113-119. Hanish, L. D., & Guerra, N. G. (2004). Aggressive victims, passive victims, and bullies: Developmental continuity or developmental change? Merrill-Palmer Quarterly, 50(1), 17–38. Haynie, D. L., Nansel, T., Eitel, P., Crump, A. D., Saylor, K., Yu, K., & Simon-Morton, B. (2001). Bullies, victims, and bully/victims: Distinct groups of at-risk youth. Journal of Early Adolescence, 21, 29-49. Hazler, R., Hoover, J., & Oliver, R. (1992). What kids say about bullying. The Executive Educator, 14, 20-22. Heider, F. (1958). The psychology of interpersonal. relations. New York: Wiley. Hickey, E. (1997). Serial killers and their victims (2nd ed.). Belmont, CA: Wadsworth. Hilton, J. M., Anngela-Cole, L., & Wakita, J. (2010). A cross-cultural comparison of factors associated with school bullying in Japan and the United States. The Family Journal: Counseling and Therapy for Couples and Families, 18(4), 413-422. Project C.A.R.E - Children and Adolescents at Risk Educcation 391 Chapter 11 References Hoover, J. H., Noll, M. J., & Olsen, G. (2003). School violence and bullying: Implications for home and school partnerships. In G. Olsen & M. L. Fuller (Eds.), Home-school relations: Working successfully with parents and families (pp. 342-361). Boston, MA: Pearson Education. Howard, N., Horne, A., & Jolliff, D. (2001). Self-efficacy in a new training model for the prevention of bullying in schools. Journal of Emotional Abuse, 2, 181-191. Hubbard, J. A., Dodge, K. A., Cillessen, A. H. N., Coie, J. D., & Schwartz, D. (2001). The dyadic nature of social information-processing in boys' reactive and proactive aggression. Journal of Personality and Social Psychology, 80, 268-280. Hubbard, J. A., Smithmyer, C. M., Ramsden, S. R., Parker, E. H., Flanagan, K. D., Dearing, K. F., Relyea, N., & Simons, R. F. (2002). Observational, physiological, and self-report measures of children's anger: Relations to reactive versus proactive aggression. Child Development, 73, 1101-1118. Huesmann, L. R., & Guerra, N. G. (1997). Children's normative beliefs about aggression and aggressive behavior. Journal of Personality and Social Psychology, 72, 408-419. Hymel, S., Bowker, A., & Woody, E. (1993). Aggressive versus withdrawn unpopular children: Variations in peer and self-perceptions in multiple domains. Child Development, 64(3), 879-896. Jiménez, T. I., Musitu, G., Ramos, M. J., & Murgui, S. (2009). Community involvement and victimization at school: An analysis through family, personal and social adjustment. Journal of Community Psychology, 37(8), 959974. Kabasakal, Z., & Ba, A. U. (2010). A research on some variables regarding the frequency of violent and aggressive behaviors among elementary school students and their families. Procedia - Social and Behavioral Sciences, 2, 582-586. Kaltiala-Heino, R., Rimpela, P. R., & Rimpela, A. (2000). Bullying at school: An indicator of adolescents at risk for mental disorders. Journal of Adolescence, 23, 661-674. Kameguchi, K., & Murphy-Shigematu, S. (2001). Family psychology and family therapy in Japan. American Psychologist, 56, 65-70. Kassinove, H. & Sukhodolsky, D. G. (1995). Anger disorders: Basic science and practical issues. In H. Kassinove (Ed.), Anger disorder: Definition, diagnosis, and treatment. Washington, D.C.: Taylor and Francis. Kazdin, A. E. (1987). Treatment of antisocial behavior in children: Current status and future direction. Psychology Bulletin, 102, 187-203. Kazdin, A. E. (1995). Conduct disorders in childhood and adolescence (2nd ed.). Thousand Oaks, CA: Sage. Kelleher, M. D., & Kelleher, C. L. (1998). Murder most rare: The female serial killer. Westport, CT: Praeger. Klomek, A. B., Marrocco, F., Kleinman, M., Schonfeld, I. S., & Gould, M. S. (2007). Bullying, depression, and suicidality in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 46(1), 4049. 392 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Kohlberg, L. (1981). The philosophy of moral development: Moral stages and the idea of justice. Essays on Moral Development: Vol. 1. San Francisco: Harper & Row. Krahé, B. (2001). The Social Psychology of Aggression. Hove: Psychology Press. Krahé, B., Bieneck, S., & Scheinberger-Olwig, R. (2007). The role of sexual scripts in sexual aggression and victimization. Archives of Sexual Behavior, 36(5), 687-701. Kumpulainen, K., & Rasanen, E. (2000). Children involved in bullying at elementary and school age: Their psychiatric symptoms and deviance in adolescence. Child Abuse & Neglect, 24, 1567-1577. Kumpulainen, K., Rasanen, E., & Puura, K. (2001). Psychiatric disorders and the use of mental health services among children involved in bullying. Aggressive Behavior, 27, 102-110. Ladd, G. W., & Ladd, B. K. (1998). Parenting behaviors and parentchild relationships: Correlates of peer victimization. Development Psychology, 34, 1450-1458 Laura, P., Irma, S., Ritva-Liisa, A. & Liisa, K. (1998). Parents' social problem-solving strategies in families with aggressive and non-aggressive Girls. Aggressive Behaviour, 24, 37-51. LeDoux, J. E. (1998). The Emotional Brain. Phoenix, London. Leuner, H. (1969). Guided affective imagery (GAI). A method of intensive psychotherapy. American Journal of Psychotherapy, 23(1), 4-22. Lochman, J. E. (1985). Effects of different treatment lengths in cognitive behavioral interventions with aggressive boys. Child Psychiatry and Human Development, 16(1), 45-56. Lochman, J. E. (1990). Modification of childhood aggression. In M. Hersen, R. Eisler, & P. M. Miller (Eds.), Progress in behavior modification (Vol. 25, pp. 48-86). Thousand Oaks, CA: Sage. Lochman, J. E., & Dodge, K. A. (1994). Social cognitive processes of severely violent, moderately aggressive, and nonaggressive boys. Journal of Consulting and Clinical Psychology, 62, 366-374. Lochman, J. E., & Larson, J. (2002). Helping schoolchildren cope with anger. London: Guilford. Lochman, J. E., & Wells, K. C. (1996). A social-cognitive intervention with aggressive children: Prevention effects and contextual implementation issues. In R. D. Peters, & R. J. McMahon (Eds.), Preventing childhood disorders, substance abuse, and delinquency (pp. 111-143). Thousand Oaks, CA: Sage. Lopez, C. (1997). Peer victimization: Preliminary validation of a multidimensional self-report measure for children and young adolescents. Unpublished master's thesis, University of Missouri-Columbia. Lopez-Duran, N. L., Hajal, N. J., Olson, S. L., Felt, B. T., & Vazquez, D. M. (2009). Individual differences in cortisol responses to fear and frustration during middle childhood. Journal of Experimental Child Psychology, 103(3), 285-295. Lunde, C., Frisén, A., & Hwang, C. P. (2006). Is peer victimization related to body esteem in 10-year-old girls and Project C.A.R.E - Children and Adolescents at Risk Educcation 393 Chapter 11 References boys? Body Image, 3(1), 25-33. Marsee, M. A., & Frick, P. J. (2007). Exploring the cognitive and emotional correlates to proactive and reactive aggression in a sample of detained girls. Journal of Abnormal Child Psychology, 35(6), 969-981. Marsh, D. T. (1982). The development of interpersonal problem solving among elementary school children. Journal of Genetic Psychology, 140, 107-118. Martin, K. M., & Huebner, E. S. (2007). Peer victimization and prosocial experiences and emotional well-being of middle school students. Psychology in the Schools, 44(2), 199-208. Mayberry, M. L., & Espelage, D. L. (2007). Associations among empathy, social competence, & reactive/proactive aggression subtypes. Journal of Youth and Adolescence, 36(6), 787-798. McAdams, C. R., & Schmidt, C. D. (2007). How to help a bully: Recommendations for counseling the proactive aggressor. Professional School Counseling, 11(2), 120-128. McCloskey, L. A., & Stuewig, J. (2001). The quality of peer relationships among children exposed to family violence. Development and Psychopathology, 13, 83-96. McMahon, R. J., & Wells, K. C. (1989). Conduct problems. In E. J. Mash & R. A. Barkley (Eds.), Treatment of childhood disorders (2nd ed., pp. 111-207). London: Guilford. McNamara, B., & McNamara, F. (1997). Keys to dealing with bullies. Hauppauge, NY: Barron's. Meichenbaum, D., & Turk, D. C. (1987). Facilitating treatment adherence: A practitioner's guidebook. New York: Plenum Press. Meloy, J. R. (1988). The psychopathic mind: Origins, dynamics, and treatment. Northvale: Jason Aronson. Morrow, M. T., Hubbard, J. A., McAuliffe, M. D., Rubin, R. M., & Dearing, K. F. (2006). Childhood aggression, depressive symptoms, and peer rejection: The mediational model revisited. International Journal of Behavioral Development, 30(3), 240. Muñoz, L. C., Frick, P. J., Kimonis, E. R., & Aucoin, K. J. (2008). Types of aggression, responsiveness to provocation, and callous-unemotional traits in detained adolescents. Journal of Abnormal Child Psychology, 36(1), 15-28. Mynard, H., & Joseph, S. (1997). Bully victim problems and their association with Eysenck's personality dimensions in 8 to 13 year-olds. British Journal of Educational Psychology, 67, 51-54. Nagasawa, T., Hirota, S., Tachibana, K., Takakura, N., Nishikawa, S., Kitamura, Y., Yoshida, N., Kikutani, H., & Kishimoto, T. (1996). Defects of B-cell lymphopoiesis and bone-marrow myelopoiesis in mice lacking the CXC chemokine PBSF/SDF-1. Nature, 382(6592), 635-638. Nansel, T. R., Overpeck, M., Pilla, R. S., Ruan, W. J., Simons-Morton, B., & Scheidt, P. (2001). Bullying behaviors among US youth: Prevalence and association with psychological adjustment. JAMA, 285, 2094-2110. 394 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References National Institute of Child Health & Human Development (2001). Bullying widespread in U.S. schools, survey finds. Rockville, MD: Author. Retrieved from http://www.nichd.nih.gov/new/ releases/bullying.cfm Newman-Carlson, D., & Horne, A. M. (2004). Bully Busters: A psychoeducational intervention for reducing bullying behavior in middle school students. Journal of Counseling & Development, 82, 259–267. Nickerson, A. B., Mele, D., & Princiotta, D. (2008). Attachment and empathy as predictors of roles as defenders or outsiders in bullying interactions. Journal of School Psychology, 46, 687-703. Nordahl, J. K., Poole, A., Stanton, L., Walden, L. M., & Beran, T. N. (2008). A review of school-based bullying interventions. Democracy & Education, 18(1), 16-20. Nylund, K., Bellmore, A., Nishina, A., & Graham, S. (2007). Subtypes, severity, and structural stability of peer victimization: What does latent class analysis say? Child Development, 78(6), 1706-1722. Olweus, D. (1978). Aggression in the schools: Bullies and whipping boys. Washington, D.C.: Hemisphere. Olweus, D. (1980). Familial and temperament determinations of aggressive behavior in adolescent boys: A causal analysis. Developmental Psychology, 16, 644-660. Olweus, D. (1991). Bully/Victim problems among school children: Basic facts and effects of a school based intervention program. In D. Pepler & K. Rubin (Eds.), The development and treatment of childhood aggression (pp. 411-448). Hillsdale, NJ: Erlbaum. Olweus, D. (1993). Bullying at school: What we know and what we can do. Cambridge, MA: Blackwell. Olweus, D. (1994). Annotation: Bullying at school: Basic facts and effects of a school based intervention program. Journal of Child Psychology and Psychiatry and Allied Disciplines, 35, 1171-1190. Olweus, D. (1995). Bullying or peer abuse in school: Fact and intervenion. Current Directions in Psychological Science, 4, 196-200. O'Moore, M., & Kirkham, C. (2001). Self-esteem and its relationship to bullying behavior. Aggressive behavior, 27, 269-283 Osborne, J. (1990). Some basic existential phenomenological research methodology for counsellors. Canadian Journal of Counselling, 24(2), 79–91. Pakaslahti, L., Spoof., I., Asplund-Peltola, R., & Keltikangas-Jävinen, L. (1998). Parents` social problem-solving strategies in families with aggressive and non-aggressive girls. Aggressive Behavior, 24, 37-51. Parker, J. G., & Asher, S. R. (1987). Peer relations and later personal adjustment: Are low accepted children at risk? Psychological Bulletin, 102, 357-389. Patrick, C. J. (1994). Emotion and psychopathy: Startling new insights. Psychophysiology, 31, 319-330. Project C.A.R.E - Children and Adolescents at Risk Educcation 395 Chapter 11 References Patterson, G. R., DeBaryshe, B. D., & Ramsey, E. (1989). A developmental perspective on antisocial behavior. American Psychologist, 44, 329-335. Pepler, D. J., Craig, W. M., Ziegler, S., & Charach, A. (1994). An evaluation of an anti-bullying intervention in Toronto schools. Special Issue: Prevention: Focus on children and youth. Canadian Journal of Community Mental Health, 13, 95-110. Pepler, D., Jiang, D. Craig, W., & Connolly, J. (2008). Developmental trajectories of bullying and associated factors. Child Development, 79, 325-338. Perry, D., Kusel, S., & Perry, L. (1998). Victims of peer aggression. Developmental Psychology, 24, 807-814 Perry, D. G.., Perry L. C., & Rasmussen, P. (1986). Cognitive social learning mediators of aggression. Child Development, 52, 700-711. Pettit, G. S., Polaha, J. A., & Mize, J. (2001). Perceptual and attributional processes in aggression and conduct problems. In J. Hill, & B. Maugham (Eds), Conduct disorders in childhood and adolescence (pp. 292-319). Cambridge: Cambridge University Press. Phillips, N. C., & Lochman, J. E. (2003). Experimentally manipulated change in children's proactive and reactive aggressive behavior. Aggressive Behavior, 29, 215-227. Pianta, R. C. (1999). Enhancing relationships between children and teachers. Washington, D.C.: American Psychological Association. Popoola, B.I. (2005). Prevalence of peer victimization among secondary school students in Nigeria. International Education Journal, 6(5), 508-516. Poulin, F., & Boivin, M. (2000a). Reactive and proactive aggression: Evidence of a two-factor model. Psychological Assessment, 12, 115-122. Poulin, F., & Boivin, M. (2000b). The role of proactive and reactive aggression in the formation and development of boys' friendships. Developmental Psychology, 36, 233-240. Pulkkinen, L. (1996). Proactive and reactive aggression in early adolescence as precursors to anti and prosocial behavior in young adults. Aggressive behavior, 22, 241-257. Pulkkinen, L., & Pitkanen, T. (1993). Continuities in aggressive behavior from childhood to adulthood. Aggressive Behavior, 19, 249-264. Quiggle, N. L., Garber, J., Panak, W. F., & Dodge, K. A. (1992). Social information processing in aggressive and depressed children. Child Development, 63, 1305-1320. Rabiner, D., Lenhart, L., & Lochman, J. E. (1990). Automatic versus reflective social problem-solving in popular, average, and rejected children. Developmental Psychology, 26, 1010-1016. 396 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Raine, A., Dodge, K., Loeber, R., Gatzke-Kopp, L., Lynam, D., & Reynolds, C. (2006). The Reactive-Proactive Aggression Questionnaire: Differential correlates of reactive and proactive aggression in adolescent boys. Aggressive Behavior, 32(2), 159-171. Randall, P. (1997). Adult bullying: Perpetrators and victims. London: Routledge. Rican, P., Klicperova, M.,& Koucka, T. (1993). Families of bullies and their victims: A children's view. Studia Psychologica, 35, 261-266. Rigby, K. (1993). School children's perceptions of their families and parents as a function of peer relations. Journal of Genetic Psychology, 154, 501-513. Roberts Jr., W. B., & Morotti, A. A. (2000). The bully as victim: Understanding bullying behaviors to increase the effectiveness of interventions in the bully-victim dyad. Professional School Counselling, 4(2), 148-155. Roberts, W. B. (2000). The bully as victim. Professional School Counselling, 4, 148-156. Roland, E., & Idsoe, T. (2001). Aggression and bullying. Aggressive Behavior, 27, 446-462. Ronen, T., Rahav, G., & Moldawsky, A. (2007). Aggressive behavior among Israeli elementary school students and associated emotional/behavioral problems and self-control. School Psychology Quarterly, 22, 407-431. Rudolph, K. D., & Heller, T. L. (1997). Interpersonal problem solving, externalizing behavior, and social competence in preschoolers: A knowledge-performance discrepancy? Journal of Applied Developmental Psychology, 18, 107-118. Rutter, M., & Quinton, D. (1984). Parental psychiatric disorder: Effects on children. Psychological Medicine, 14(4), 853-880. Sahin, M. (2010). Teachers' perceptions of bullying in high schools: A Turkish study. (2010). Social Behavior and Personality, 38(1), 127-142. Salmivalli, C., & Nieminen, E. (2002). Proactive and reactive aggression among school bullies, victims and bullyvictims. Aggressive Behavior, 28, 30-44. Scarpa, A., Haden, S. C., & Tanaka, A. (2010). Being hot-tempered: Autonomic, emotional, and behavioral distinctions between childhood reactive and proactive aggression. Biological Psychology, 84(3), 488-496. Schurman-Kauflin, D. (2000). The new predator: Women who kill, profiles of female serial killers. New York: Algora. Schwartz, D. (2000). Subtypes of victims and aggressors in children's peer groups. Journal of Abnormal Chid Psychology, 28, 181-192. Schwartz, D., Dodge, K. A., & Coie, J. D. (1993). The emergence of chronic peer victimization in boys` play groups. Child Development, 64, 1755-1772. Schwartz, D., Dodge, K. A., Pettit, G. S., & Bates, J. E. (1997). The early socialization of aggressive victims of bullying. Child Development, 68, 665-675. Project C.A.R.E - Children and Adolescents at Risk Educcation 397 Chapter 11 References Schwartz, D., Proctor, L. J., & Chien, D. H. (2001). The aggressive victim of bullying: Emotional and behavioral dysregulation as a pathway to victimization by peers. In J. Juvonen, & S. Graham (Eds.), Peer harassment in school: The plight of the vulnerable and victimized. NY: Guilford Press. Seah, S. L., & Ang, R. P. (2008). Differential correlates of reactive and proactive aggression in Asian adolescents: Relations to narcissism, anxiety, schizotypal traits, and peer relations. Aggressive Behavior, 34(5), 553-562. Skinner, B. F. (1953). Science and Human Behavior. NY: Macmillan. Slaby, R. G., & Guerra, N. G. (1988). Cognitive mediators of aggression in adolescent offenders: I. Assessment. Developmental Psychology, 24, 580–588. Smith, C., & Thornberry, T. P. (1995). The relationship between childhood maltreatment and adolescent involvement in delinquency. Criminology, 33(4), 451-481. Smith, P. K. (2004). Bullying: Recent developments. Child and Adolescent Mental Health, 9(3), 98-103. Smith, P. K., & Brain, P. (2000). Bullying in schools: Lessons from two decades of research. Aggressive Behavior, 26, 1-9. Smithmyer, C. M., Hubbard, J. A., & Simons, R. F. (2000). Proactive and reactive aggression in delinquent adolescents: Relations to aggression outcome expectancies. Journal of Clinical Child Psychology, 29, 8693. Smokowski, P. R., & Kopasz, K. H. (2005). Bullying in school: An overview of types effects, family characteristics, and intervention strategies. Children & Schools, 27 (2), 101-110. Smorti, A., Menesini, E., & Smith, P. K. (2003). Parents' definitions of children's bullying in a five-country comparison. Journal of Cross-Cultural Psychology, 34, 417-432. Song, S., Swearer, S., Paulk, D. L., Eagle, J., & Cary, P. (2000). Bullying and school achievement: Understanding complex relationship. Poster session presented at the 2000 annual meeting of the National Association of School Psychologists, New Orleans, LA. Southam-Gerow, M. A., & Kendall, P. C. (2000). Cognitive-behavior therapy with youth: Advances, challenges, and future directions. Clinical Psychology and Psychotherapy, 7, 343-366. Spielberger, C. D. (1991). State-Trait Anger Expression Inventory. Odessa, Fla: Psychological Assessment Resources. Spielberger, C. D. (1995). Manual for the State-Trait Personality Inventory. Palo Alto, CA: Mind Garden. Spielberger, C. D., Crane, R. S., Kearns, W. D., Pellegrin, K. L., Rickman, R. L., & Johnson, E. H. (1991). Anger and anxiety in essential hypertension. In C. D. Spielberger & I. G. Saranson (Eds.). Stress and emotion (Vol. 14, pp. 266-283). Washington, D.C.: Taylor and& Francis. 398 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Stadler, C., Feifel, J., Rohrmann, S., Vermeiren, R., & Poustka, F. (2010). Peer-victimization and mental health problems in adolescents: Are parental and school support protective? Child Psychiatry and Human Development, doi:10.1007/s10578-010-0174-5. Stattin. H., & Kerr. M. (2000). Parental monitoring: A reinterpretation. Child Development, 71(4), 1072-1085. Stefanis, N., Delespaul, P., Smyrnis, N., Lembesi, A., Avramopoulos, D., Evdokimidis, I., Os, J. (2004). Is the excess risk of psychosis-like experiences in urban areas attributable to altered cognitive development? Social Psychiatry and Psychiatric Epidemiology, 39(5), 364-368. Stevens, V., De Bourdeaudhuij, I., & Van Oost, P. (2001). Anti-bullying interventions at school: Aspects of programme adaptation and critical issues for further programme development. Health Promotion International, 16, 155-167. Stevens, V., De Bourdeaudhuji, I., & Van Oost, P. (2002). Relationship of the family environment to children's involvement in bully/victim problems at school. Journal of Youth and Adolescence, 31, 419-428. Stevens, V., Van Oost, P., & De Bourdeaudhuij, I. (2001). Implementation process of the flemish antibullying intervention and relation with program effectiveness. Journal of School Psychology, 39(4), 303-317. Straus, M. A. (1979). Measuring intrafamily conflict and violence. The Conflict Tactic (CT) Scales. Journal of Marriage and the Family, 41, 75-88. Straus, M., & Gelles, R. (Eds.). (1990). Physical violence in American families: Risk factors and adaptations to violence in 8,145 families. New Brunswick, NJ: Transaction Press. Straus, M., Hamby, S., Boney-McCoy, S., & Sugarman, D. (1996). The revised Conflict Tactics Scales (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17(3), 283-316. Strauss, A. & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park: Sage. Sugimori, S. (1998). Bullying in Japanese schools: Cultural and social psychological perspectives. In M. W. Watts (Ed), Cross-cultural perspectives on youth and violence (pp. 175-186). London, England: JAI Press. Swearer, S. & Doll, B. (2001). Bullying in schools: An ecological framework. Journal of Emotional Abuse, 2, 7-24. Swearer, S. M., Song, S. Y., Cary, P., Eagle, J., & Mickelson, W. T. (2001). Psychosocial correlates in bullying and victimization: The relationship between depression, anxiety, and bully/victim status. Journal of Emotional Abuse, 2, 95–121. Tangney, J. P., Wagner, P. E., Gavlas, J., & Gramzow, R. (1991). The Anger Response Inventory for Adolescents (ARI-Adol). Fairfax, VA: George Mason University. Toolan, M. T. (1988). Narrative: A critical linguistic introduction. London: Routledge. Project C.A.R.E - Children and Adolescents at Risk Educcation 399 Chapter 11 References Trouton, A., Spinath, F. M., & Plomin, R. (2002). Twins early development study (TEDS): A multivariate, longitudinal genetic investigation of language, cognition and behavior problems in childhood. Twin Research, 5(5), 444448. Twemlow, S. W., Sacco, F. C., & Williams, P. (1996). A clinical and integrationist perspective on the bully-victimbystander relationship. Bulletin of the Menninger Clinic, 60(3), 296-313. Vitaro, F., Barker. E. D., Boivin, M., Brendgen, M., & Tremblay, R. E. (2006). Do early difficult temperament and harsh parenting differentially predict reactive and proactive aggression? Journal of Child Psychology, 34, 685-695. Vitaro, F., Brendgen, M., Tremblay, R. E. (2002). Reactively and proactively aggressive children: Antecedent and subsequent characteristics. Journal of Child Psychology and Psychiatry, 43(4), 495-505. Vitaro, F., Gendreau, P. L., Tremblay, R. E., & Oligny, P. (1998). Reactive and proactive aggression differentially predict later conduct problems. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39, 377385. Vitiello, B., Behar, D., Hunt, J., Stoff, D. & Ricciuti, A. (1990). Subtyping aggression in children and adolescents. Journal of Neuropsychiatry, 2, 189-192. Vreeman, R. C., & Carroll, A. E. (2007). A systematic review of school-based interventions to prevent bullying. Archives of Pediatric Adolescent Medicine, 161(1), 78–88. Walters, G. D. (2005). Proactive and reactive aggression: A lifestyle view. In J. P. Morgan (Ed.), Psychology of aggression (pp. 29–43). Hauppauge, NY: Nova Science Publishers. Weiner, B. (1995). Judgments of responsibility: A foundation for a theory of social conduct. New York: Guilford Press. Weisz, J. R., Sigman, M.,Weiss, B., & Mosk, J. (1993). Parent reports of behavioral and emotional problems among children in Kenya, Thailand, and the United States. Child Development, 64, 98 – 109. Weisz, J. R., Suwanlert, S., Chaiyasit, W., Weiss, B., Achenbach, T. M., & Eastman, K. L. (1993). Behavioral and emotional problems among Thai and American adolescents: Parent reports for ages 12-16. Journal of Abnormal Psychology, 102, 395 – 403. Willard, N. (2006). Cyberbullying and Cyberthreats: Responding to the challenge of online social cruelty, threats, and distress. US: Center for Safe and Responsible Internet Use. Wolke, D., Woods, S., Bloomfield, L., & Karstadt, L. (2000). The association between direct and relational bullying and behavior problems among primary school children. Journal of Child Psychology and Psychiatry, 41, 989–1002. Xu, Y., Farver, J. A. M., & Zhang, Z. (2009). Temperament, harsh and indulgent parenting, and Chinese children's proactive and reactive aggression. Child Development, 80(1), 244-258. 400 Project C.A.R.E - Children and Adolescents at Risk Educcation Chapter 11 References Xu, Y., & Zhang, Z. (2008). Distinguishing proactive and reactive aggression in Chinese children. Journal of Abnormal Child Psychology, 36(4), 539-552. Yarvis, R. M. (1995). Diagnostic patterns among three violent offender types. Bulletin of the American Academy of Psychiatry and the Law, 23, 411-419. Zoccali, R., Muscatello, M. R. A., Bruno, A., Cedro, C., Campolo, D., Pandolfo, G., & Meduri, M. (2007). The role of defense mechanisms in the modulation of anger experience and expression: Gender differences and influence on self-report measures. Personality and Individual Differences, 43(6), 1426-1436. 黃成榮、盧鐵榮(2002)。〈從香港中學教職員問卷調查看學童欺凌現象輿對策 〉。《教育研究學報》,第17卷,. 第2期,253 -271頁。 黃富強 (2005)。<走出抑鬱的深谷 ──「認知治療」自學/輔助手冊> 。香港:天健出版社。 黃富強、孫玉傑 (2007)。<駕馭焦慮 ──「認知治療」自學/輔助手冊> 。香港:天健出版社。 馮麗姝、黃超文、黃麗萍 (2004)。〈由暴躁如雷到心平氣和處理兒童暴躁行為訓練手冊> 。香港:聖雅各福群會家庭 及輔導服務。 Project C.A.R.E - Children and Adolescents at Risk Educcation 401 402 Project C.A.R.E - Children and Adolescents at Risk Educcation Project C.A.R.E - Children and Adolescents at Risk Educcation 403 Project Director : Annis Lai-chu Fung, Ph.D. Assistant Professor, Department of Applied Social Studies, College of Liberal Arts and Social Sciences, City University of Hong Kong Consultant : Prof. Adrian Raine Richard Perry University Professor, Department of Criminology and Psychiatry, University of Pennsylvania Clinical Supervisors : Ho Wai Ling, Lydia Lui Wai Ling, Winnie Members : Tsui Wing Ki (Executive Officer), Lee Wing Hang (Clerical Assistant), Lam Yin Hung (Senior Research Assistant), Fan Sai Man (Research Assistant), Leung Yik Kiu (Research Assistant), Chuah Zhi Xue (Research Assistant), Lo Kin Fai (Social Worker), Tsang Shuk Yi (Social Worker), Lai Kwun Lun (Social Worker), Choi Kong (Social Worker), Chan Man Kuen (Counselor) Organization : City University of Hong Kong Printed In : September 2011 Funded By : Quality Education Fund ISBN : 978-988-17052-6-6 404 Project C.A.R.E - Children and Adolescents at Risk Educcation
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