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Multimodal Therapy ARNOLD LAZARUS
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Connection to Social Work
Evidence-based Assumes “parity” Avoids diagnostic labels Acknowledges multiple dimensions Acknowledge interactions among dimensions
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MMT’s Assumption about People
Move Feel Sense Imagine Think Relate interpersonally
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Personality and MMT Personalities are products of Behaviors
Affective processes Sensations Images Cognitions Interpersonal relationships Biological functions
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For ease of memory & euphony
Behaviors Affective processes Sensations Images Cognitions Interpersonal relationships Drugs & other biological functions
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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
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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
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Theoretical Background
Classical conditioning Operant conditioning Social learning theory Cognitive theory
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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.
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Basic Concepts Classical and operant conditioning
Modeling and vicarious processes Private events Nonconscious processes Defensive reactions Communication Metacommunication
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Functional Analysis Identify Antecedent stimuli
Organismic (mediating) variables Response (observable) variables Consequences
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Second-order BASIC IDs
The BASIC ID analysis can be applied to any problem identified on the first BASIC ID analysis.
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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
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