Aggressive Victim Group Intervention (Secondary School)

Introduction

In this section, the details of the aggressive victim group intervention are presented with real examples and videos. For better understanding, the progress of the group intervention will be divided into six stages over ten sessions: preparation, first meeting, initial stage, early mid-stage, late mid-stage and late stage.

Session Plan

Session Application of CBT Program Objective
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 group members’ emotional and behavioural responses. Help aggressive victims to recognise how they may easily become emotionally unstable and often respond thoughtlessly to others. Emphasise that these characteristics restrict their ability to respond appropriately to situations
3 - 4 Detect group members’ irrational beliefs. Aggressive victims often struggle with rationalising their thoughts. Workers should use the concepts of ‘neurotic anxiety’, ‘realistic anxiety’ and ‘moral anxiety’ to explore how group members attribute, interpret and respond to events, as this will assist group members’ understanding of their irrational thought-patterns.
5 Educate group members about Ellis’ A-B-C concept. Use bullying situations commonly experienced by aggressive victims to facilitate the discussion. Assist group members to observe how they interpret the events, and how their beliefs affect their emotional and behavioural responses, to help them identify their irrational beliefs.
6 Discriminate group members’ irrational beliefs. Introduce the concepts of overgeneralising, black-and-white thinking and magnifying (the negatives) and minimising (the positives). Help group members to identify the unreasonableness of their irrational beliefs.
7 Dispute group members’ irrational beliefs. Workers should challenge the irrational beliefs that are often held by 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 behavioural responses. Workers should help group members to construct a new and effective set of rational beliefs with a new set of emotional and behavioural responses through behavioural training and debating their irrational beliefs.
9 Behavioural assignment: Assertiveness Training. Aggressive victims have poor problem-solving skills. Assertiveness training can improve their interpersonal skills, which will enhance their confidence and ability to deal with adversities.
10 Termination and relapse prevention. Review and praise members on the positive changes they have made, to consolidate their successful experiences.

Case Study

Preparation for the group intervention

Case description(excerpted from Project C.A.R.E., Volume 6, 87 - 89)

 

First meeting of the group intervention

Case description(excerpted from Project C.A.R.E., Volume 6, 90 - 93)

 

Initial stage of the group intervention

Case description(excerpted from Project C.A.R.E., Volume 6, 94 - 99)

 

Early-mid stage of the group intervention

Case description(excerpted from Project C.A.R.E., Volume 6, 100 - 105)

 

Mid-late stage of the group intervention

Case description(excerpted from Project C.A.R.E., Volume 6, 106 - 109)

 

Late stage of the group intervention

Case description(excerpted from Project C.A.R.E., Volume 6, 110 - 112)