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
 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