Matakuliah
Tahun
: L0332 – Psikologi Konseling
: 2009
Multimodal Therapy
Pertemuan 08
PERTEMUAN 8
Multimodal Therapy
Introduction
•
Lazarus (a clinical psychologist): Multimodal therapy is a
comprehensive, systematic, and holistic approach to psychotherapy
that seeks to effect durable change in an efficient and humane way.
•
Clients’ needs are often better served if therapists work in multimodal
rather than unimodal or bimodal fashions.
•
Lazarus: The importance of breadth without sacrificing depth became
a primary focus and culminated in the multimodal orientation
•
Read: p. 362 - 363
BASIC CONCEPT
•
Human personality can be divided into 7 discrete, yet interacting,
dimensions: read p. 365
* Behaviour
* Affect
* Sensation
* Imagery
* Cognition
* Interpersonal
* Drugs / biology
BASIC CONCEPT
• 7 Key constructs shape and maintain human personality:
read p. 366-368
* Associations and relation among events
* Modelling and imitation
* Non-conscious processes
* Defensive reactions
* Private events
* Meta-communication
* Thresholds
BASIC CONCEPT
•
Factors, interacting with those already mentioned, that can contribute
to people maintaining dysfunctional thoughts, feelings and
behaviours: read p. 369
* Conflicting or ambivalent feelings or reactions
* Interpersonal inquietude
* Poor self-acceptance
THERAPY
•
Lazarus: In essence, effective therapy calls for appropriate
techniques, correctly administered, within the context of a trusting
and caring relationship
Therapeutic goals:
• Behaviour: taking effective actions in pursuit of realistic goals
• Affect: Acknowledging, clarifying and recognizing feelings; coping
with negative feelings and enhancing positive feelings
• Sensation: Being in touch with and enjoying one’s senses
• Imagery: Being in touch with one’s imagination; using coping images
• Cognition: Possessing sufficiently accurate and complete information;
thinking realistically
• Interpersonal: Possessing good relating skills, for instance assertion
and conversational skills; capacity for healthy interdependency
• Drugs/biology: Taking good care of one’s body and physical health;
eating and drinking in moderation
PROCESS THERAPY
Read p. 371 - 376
Initial session:
• no rigid format; small talk & collecting basic information (address, phone
#)
• Two main questions:
“what has led to the current situation?” & “What or who is maintaining it?”
• Look for signs of psychosis, organic problems and depression
• Try to assess clients’ expectations about therapy & the most appropriate
kind of relationship style to adopt.
• Look for clients’ strengths and positive attributes
• --Quite often in initial interviews, therapists use specific interventions, for
instance cognitive disputation—
• At the end of the initial interview, therapist give most adult clients the
fifteen-page Multimodal Life History Inventory: asking numerous
questions about antecedent events and maintaining factors with the
answers being divided into BASIC ID categories.
• Know your own limitations and other clinicians’ strengths – referrals
should be made where other therapists have skills that the therapist does
not possess or more appropriate personal style for particular clients
PROCESS THERAPY
Read p. 371 - 376
The modality Profile
The Structural Profile
Tracking
Second-Order Basic ID Assessments
Selection of interventions
Progress evaluations
Behaviour
THERAPEUTIC INTERVENTIONS
Read p. 379 - 384
Affect
Sensation
Imagery
Cognition
Interpersonal
Drugs/Biology
Strategy for saving time