This paper is a comparison of two groups of adolescent sexual offenders receiving different types of therapy; one group participated in Treatment As Usual (TAU), which is a Cognitive Behavioral Therapy (CBT) based approach, and the other group engaged in Mode Deactivation Therapy (MDT). The data presented is reflective of treatment comparisons not a research protocol. The results are descriptive and not necessarily comparison research. MDT is an empirically based therapy, based on CBT, Dialectical Behavioral Therapy (DBT; Linehan, 1993), and Functional Analytic Psychotherapy (FAP; Kohlenberg & Tsai, 1993), recently implemented in the Behavioral Studies Program, existing in Portsmouth, Virginia. MDT is a methodology that systematically assesses and expands underlying compound core beliefs that are a product of their unconscious experience merging with their cognitive processing, acceptance, balance, and validation. By addressing these beliefs, MDT examines underlying perceptions that may be applicable to setting in motion the mode related charge of aberrant schemas, that enable the behavior integration of DBT principles (Beck, 1996;Nezu et al, 1998). The MDT system also implements the Case Conceptualization method based an adaptation of the Beck (1996) suggested methodology of mode deactivation. Results suggest that MDT may be more effective in this treatment research than TAU, evident by reduced internal distress, resulting from various psychological disorders, and reduced sex offending risk.

This research study compared the efficacy of three treatment methodologies for adolescent males in residential treatment with conduct disorders and/or personality dysfunctions and documented problems with physical and sexual aggression. The results showed that Mode Deactivation Therapy, an advanced form of cognitive behavioral therapy based on Beck's theory of modes, was superior to Cognitive Behavioral Therapy and Social Skills Training in reducing both physical and sexual aggression. At the same time, Mode Deactivation Therapy was the only treatment of the three that significantly reduced sexual aggression for these youth. The results also showed that MDT was superior to CBT and SST in reducing external and internal psychological distress as measured by DSMD and CBCL.

Virgin Islands MDT provides an empirically based treatment for adolescents with behavioral problems such as anger, oppositional defiant and sexual and physical aggression (Apsche & DiMeo, 2010). It offers therapists a more efficient and timely intervention that positively effects recidivism rates

This article is a review of articles, chapters and current research examining Mode Deactivation Therapy. Current applications of MDT suggest that mindfulness is a core component of MDT, as well as acceptance, defusion and validation, clarification and redirection of the functional alternative beliefs. These components are the core of MDT and a recent study has evaluated each of them as to how it affects the target or outcome goals. The evolution of MDT is reviewed from case studies to a mediation and meta-analysis. The purpose of this article is to review the foundation of MDT and current articles that elucidate the efficaciousness of MDT as an evidenced-based methodology.

This research study compared the efficacy of three treatment methodologies for adolescent males in residential treatment with conduct disorders and/or personality dysfunctions and documented problems with physical and sexual aggression. The results showed that Mode Deactivation Therapy, an advanced form of cognitive behavioral therapy based on Beck's theory of modes, was superior to traditional Cognitive Behavioral Therapy and Social Skills Therapy in reducing both physical and sexual aggression. At the same time, Mode Deactivation Therapy was the only treatment of the three that significantly reduced sexual aggression for these youth.