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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Treatment With Defiant and Aggressive Adolescents, Dr. Fred J. Hanna demonstrates his practical approach to working with adolescents who have behavior problems. Dr. Hanna's precursors to change model has been used successfully with teenagers who are involved in drugs, gangs, violence, or serious misbehavior in school and other situations. This approach emphasizes seven precursors to change, including instilling a sense of necessity for change and the hope that change is attainable, along with the willingness to experience anxiety and confront issues. In this session, Dr. Hanna works with a 17-year-old boy who says he wants to succeed in school, although he also asserts that it is all right to drink and party with his friends. Dr. Hanna first assesses the presence of the precursors to change, then creates cognitive dissonance between the two sides of the client's personality so that the client will seek to resolve this split and commit to making changes in his life.
This application of therapy is called the precursors approach. It utilizes the precursors model of change, and is specifically designed for use with difficult clients. The model and its corresponding techniques have been published in articles and in the book, Therapy with Difficult Clients: Using the Precursors Model to Awaken Change, published by the American Psychological Association. Since adolescents are among the most difficult populations, the model seems to fit well in such settings.
Fred J. Hanna, PhD, is director of the School of Applied Psychology and Counselor Education at the University of Northern Colorado. Before arriving at UNC, he served as professor of counseling at Johns Hopkins University for 11 years and remains a faculty associate there. He has held positions on the editorial boards of six scholarly journals and has published a wide range of scholarly and professional articles. In addition to many years of therapy practice, he serves as a consultant and trainer to community agencies and school systems across America, and his teaching and training methods and delivery are highly praised. His research interests have focused on developing the precursors model of change. He has also developed and published many innovative clinical techniques aimed at positive change for addicted clients, victims of oppression, criminal personalities, and especially difficult adolescents. An accomplished world traveler, he has also developed therapeutic approaches in the areas of culture and spirituality. He is the author of the book, Therapy with Difficult Clients: Using the Precursors Model to Awaken Change, published by the American Psychological Association.
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