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.
The theoretical constructs of Mode Deactivation Therapy (MDT) are based on the Mode Model (Beck, 1996), suggesting that people learn from unconscious experiential components and cognitive structural processing components. Therefore, to change behavior of individuals there must be a restructuring of the experiential components and a corresponding cognitive reformation of the structural components. MDT is an empirically based methodology that systematically assesses and restructures dysfunctional compound core beliefs. By restructuring these beliefs, MDT addresses underlying perceptions that may be applicable to setting in motion the mode related charge of aberrant schemas, that enable the behavior integration of Dialectic Behavioral Therapy (DBT) principles (Linehan, 1993) of treating of sex offending or aggressive behavior (Kohlenberg & Tsai, 1993). The Mode Deactivation framework also utilizes the case conceptualization methodology and emphasizes a team approach in working with clients; particularly those with reactive emotional dysregulation, which includes parasuicidal acts and aggression. The case conceptualization is systematically designed to provide functionally based treatment to complex emotional, thought, and behavior disorders. The following article demonstrates this comprehensive process and delineates the procedures used to develop the case within the mode deactivation theoretical perspective.
The theoretical constructs of Mode Deactivation Therapy (MDT) are based on the Mode Model (Beck, 1996), suggesting that people learn from unconscious experiential components and cognitive structural processing components. Therefore, to change behavior of individuals there must be a restructuring of the experiential components and a corresponding cognitive reformation of the structural components. MDT is an empirically based methodology that systematically assesses and restructures dysfunctional compound core beliefs. By restructuring these beliefs, MDT addresses underlying perceptions that may be applicable to setting in motion the mode related charge of aberrant schemas, that enable the behavior integration of Dialectic Behavioral Therapy (DBT) principles (Linehan, 1993) of treating of sex offending or aggressive behavior (Kohlenberg & Tsai, 1993). The Mode Deactivation framework also utilizes the case conceptualization methodology and emphasizes a team approach in working with clients; particularly those with reactive emotional dysregulation, which includes parasuicidal acts and aggression. The case conceptualization is systematically designed to provide functionally based treatment to complex emotional, thought, and behavior disorders. The following article demonstrates this comprehensive process and delineates the procedures used to develop the case within the mode deactivation theoretical perspective.The Case Conceptualization helps the clinician examine underlying fears of the resident. These fears serve the function of developing avoidance behaviors in the youngster. These behaviors usually appear as a variety of problem behaviors in the milieu. Developing personality disorders often surrounds underlying posttraumatic stress disorder (PTSD) issues. The Case Conceptualization method has an assessment for the underlying compound core beliefs that are generated by the developing personality disorders. Thus far, preliminary results suggest that our typology of youngsters have a conglomerate of personality disorder compound core beliefs. This conglomerate of beliefs, is the crux of why youngsters fail in treatment. One cannot treat specific disorders, such as sex offending and aggression, without gathering these conglomerate beliefs. It is also apparent that these beliefs are not cluster specific. That is to say that the Conglomerate of Beliefs and Behaviors contains beliefs from each cluster that integrate with each other. Because of this complex integration of beliefs, it makes treatment for this typology of youngster more complicated. The conglomerate of compound core beliefs represents protection for the individual from their abuse issues, which may present as treatment interfering behaviors. The attempt to use the usual didactic approaches to treatment, without addressing these beliefs amounts to treatment interfering behavior on the part of the Psychologist, or treating professional,
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