Multimodal Therapy ARNOLD LAZARUS

Connection to Social Work Evidence-based Assumes “parity” Avoids diagnostic labels Acknowledges multiple dimensions Acknowledge interactions among dimensions

MMT’s Assumption about People Move Feel Sense Imagine Think Relate interpersonally

Personality and MMT Personalities are products of Behaviors Affective processes Sensations Images Cognitions Interpersonal relationships Biological functions

For ease of memory & euphony Behaviors Affective processes Sensations Images Cognitions Interpersonal relationships Drugs & other biological functions

Further Assumptions Thorough, detailed assessment is essential to effective treatment. An assessment schema should be: Easy to remember Easy to use Point the way to effective interventions

More Assumptions The BASIC ID schema meets the criteria for a good schema Systematically addressing each of the 7 modalities is comprehensive Addressing problems in the 7 modalities will lead to progress

Theoretical Background Classical conditioning Operant conditioning Social learning theory Cognitive theory

MMT and the Unconscious The “unconscious” as an entity is iffy. People have different degrees of self-awareness. Unrecognized stimuli can influence thoughts, feelings, and behaviors.

Basic Concepts Classical and operant conditioning Modeling and vicarious processes Private events Nonconscious processes Defensive reactions Communication Metacommunication

Functional Analysis Identify Antecedent stimuli Organismic (mediating) variables Response (observable) variables Consequences

Second-order BASIC IDs The BASIC ID analysis can be applied to any problem identified on the first BASIC ID analysis.

Using BASIC ID Identify issues across BASIC ID Note the primary modality Build from the primary modality Note the modality firing order Use techniques appropriate to each modality