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>> PEGGY PICO: At age 70 the Mayor says he will spend two weeks undergoing behavioral
therapy in a residential center. Here with a perspective on options is clinical
psychologist, Jeff Daly. Welcome
>>> Thank you so much. >> PEGGY PICO: After seven accusers come forward
the Mayor admits to not respecting women. How does his behavior or I should say what
does his behavior suggest? >> It suggests a few things.
One is that he may have very outdated, traditional views of men and women and of course that's
not enough because many people do and they don't behave if that way and it tells me he
may lack empathy, remorse and he may objectify and dehumanize women.
These are personality traits and these are of real concern.
>> PEGGY PICO: What is behavioral therapy? >> Behavioral therapy is a very general term
so it's nonspecific at this time. What it means basically is you have an undesirable
behavior, we want you to have a healthy behavior. That's it.
We don't know anything else. That's probably not going to be enough.
So we need to work with with his thinking, his perceptions, his thoughts, feelings, not
just his behavior. So whether he goes to somewhere where he lives
for a week or two weeks are or he goes a few times a week, it will be intense and hopefully
he will be doing individual therapy, group therapy, going to meetings, maybe 12 step
in he's entering into an addiction kind of therapy but it should be intense enough to
where his treatment is all day long. >> PEGGY PICO: Does this indicate a ***
addiction or compulsive or mental illness? >> Yes, all three things could be hamming.
Really the only person that's going to know is his treating doctor and that's if the Mayor
decides to be honest with him. You can easilyingly into treatment and say
the things people want to hear, yes, I know I need to be here but unless he is surrenders
to treatment we may not know. >> .
>> PEGGY PICO: What about a personality disorder not necessarily a medical diagnoses in the
DSM 5, are those treatable? >> Yes, they can get better but there is a
custom issues here, one is he is in his 70s and his personality is inflexible, pervasive
and change will be difficult. One of the reasons is not only does he have
experience, his brain has stopped growing and that happens in your twenties so real
change is difficult the older we get. The motivating factor is he willing to change.
If he is not willing to he will not if he is willing to, that is the only thing that
will get him to make progress. >> PEGGY PICO: How would doctors get at the
root of this problem? >> That takes a while.
The root of the problem means we need the person to be honest, we need the person to
chronicle all the things that are in line with his behavior now.
My personal feeling and this comes with treating people with similar issues, tip of the iceberg.
If we know of six or seven that have come out that means there have been many other
victims involved in what we are talking about. So you have to get honest, go back to where
it began. Sometimes we figure these things out in childhood,
that's where it begins. >> PEGGY PICO: He said he's going to be in
intensive therapy for two weeks is that enough time?
>> No, I'm not aware of any treatment program that can guarantee a cure in two weeks.
>> PEGGY PICO: Okay. He he said he's going to be working and going
back to work after therapy. Could there be triggers at work that impede
his treatment? >> There will be triggers that will impede
his treatment. When we treat we recognize that the treatment
you're getting now will not be enough. When you leave here you're going to need on
going treatment, because once you're on your own those behaviors, thoughts and feelings
are going to come back and you need to be aware of them.
>> PEGGY PICO: Can he continue outpatient therapy?
>> He should, he needs to. Once he's done with intensive treatment the
rule of thumb, enter into a lower level of care
>> PEGGY PICO: Could we expect to see changes after the two weeks?
Where you have behavioral changes we can otherwise and see
>>> You will see after two weeks great behavior, whether they want to be better or not and
long term we will see if there is progress. You will see good changes right away but in
six months it a year that's the real test. >> PEGGY PICO: Jeff Daly thanks so much.