Family mode deactivation therapy as a manualized cognitive behavioral therapy treatment.

Apsche, Jack A.; Bass, Christopher K.; Houston, Marsha-Ann

doi:10.1037/h0100627

Cited by 15 publications

(25 citation statements)

References 9 publications

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“…MDT gains support as an efficacious intervention as evidence suggests that the tools developed via MDT sessions reduces the level and frequency of aggressive incidents, sexual behaviors, and emotional dysregulation Apsche et al, 2007). These studies also demonstrate MDT exercises effectiveness across a wide variety of behavioral outcomes.…”

mentioning

confidence: 75%

Mediation analysis of mode deactivation therapy (reanalysis and interpretation).

Bass

Apsche

2013

International Journal of Behavioral Consultation and Therapy

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A key component of Mode Deactivation Therapy (MDT) is the development of self-awareness and regulatory skills by the client with the aim of helping adolescent males with conduct disordered behaviors, including sexually inappropriate behaviors and emotional dysregulation. The goal includes altering specific behaviors to fall within socially acceptable norms. In MDT the intervention of Validation-Clarification-Redirection (VCR) is the fulcrum of the transformation of detrimental learned beliefs about the adolescents' environment that manifest destructive behaviors into ideas about the world and those in it, into functional beliefs that are more balanced and lead to more compliant behaviors. While evidence suggests that this is the mechanism of change, a study specifically identifying the impact of the introduction and use of this skill has not been conducted to date. The purpose of this study was to examine the effect of MDT in both meta-analysis of total outcome versus Cognitive Behavioral Therapy (CBT) and mediation analysis of the VCR variable of MDT. The population includes adolescents with co-existing problems of conduct, opposition personality traits and history of trauma.

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confidence: 75%

Mediation analysis of mode deactivation therapy (reanalysis and interpretation).

Bass

Apsche

2013

International Journal of Behavioral Consultation and Therapy

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“…The most compelling point of data was that the MDT group had no referrals for out-of-home placement, while the TAU group had seven. The results showed potential efficacy for Family MDT with this population, although the small number of participants was also a limitation of this study (Apsche, Bass, & Houston, 2008). Apsche, Bass, Zeiter, and Houston (2009) completed a separate treatment study of 40 adolescents and their families; divided into a 20-member TAU control group and a 20-member MDT experimental group.…”

Section: Fmdt Outcomesmentioning

confidence: 89%

“…A study of outpatient Family MDT (Apsche, Bass, & Houston, 2008) was also completed comparing an MDT group and a separate TAU group. This study examined physically aggressive youth with conduct problems and characteristics of personality disorders.…”

Section: Fmdt Outcomesmentioning

confidence: 99%

Family mode deactivation therapy (FMDT) as a contextual treatment.

Swart¹,

Apsche²

2014

International Journal of Behavioral Consultation and Therapy

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Mode Deactivation Therapy (MDT) was developed as a third wave therapy approach to cater for the challenging population of adolescents with conduct and oppositional behavior problems, emotion dysregulation, physical and sexual aggression, and other complex comorbid psychopathologies. The theoretical construct of MDT is based on the Beck's Mode Model and the principles of Cognitive Behavioral Therapy with elements of Functional Analytic Psychotherapy (FAP), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and mindfulness. The methodology is based on the fundamental proposition that core beliefs based on an individual interpretation of past experiences regulate thoughts, emotions, and feelings when activated by a trigger event. This may lead to aberrant behaviors when cognitive processes are distorted. MDT has proven very successful in practice to balance the dichotomous thinking of the client by exploring positive alternatives on a continuum and realigning perceptions. Family MDT (FMDT) is especially valuable in a family therapy context as the family unit's experiences and interactions inarguably have an integral influence on the youth's beliefs and behavior. MDT is a structured and sequential process, although sufficiently flexibility to utilize continuous feedback loops to optimize the case conceptualization and treatment plan. Evidence is provided to support the claim that MDT is superior to Treatment as Usual (TAU) in treating the target population in an outpatient and residential setting with their families.

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“…They are told that they can only change the way they behave when such feelings and perceptions appear, in order to have a better life. Finally, MDT has also developed an intervention at a family level (Apsche et al, 2008), through which the therapist seeks to extend and generalize the treatment effects.…”

Section: Mdt Mdt Principlesmentioning

confidence: 99%

Contextualist Perspectives in the Treatment of Antisocial Behaviors and Offending: A Comparative Review of FAP, ACT, DBT, and MDT

Visdómine-Lozano

2020

Trauma, Violence, & Abuse

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This article presents a comparative review of the application of four contextualist therapies in the treatment of antisocial behavior and offending. The therapies reviewed are functional analytic psychotherapy (FAP), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and mode deactivation therapy (MDT). A descriptive and comparative review was conducted through a search carried out in both general and specific databases related to each therapy. We included a total of 44 studies treating any type of antisocial behavior or offending. Results show that these interventions have been used to treat challenging behavioral patterns, inmates’ institutional behaviors, exhibitionism, at-risk adolescents’ aggressive conducts, and offending behaviors performed by juveniles who committed robbery and/or serious sexual offenses. The main conclusions are that the four therapies show very positive outcomes: Although FAP and ACT have been used more sparsely, DBT and MDT have been employed in a larger number of interventions and using more controlled comparative designs. The therapeutic components that seem to be relevant to understanding in a transversal way how changes in behavior are achieved are acceptance/validation of clients’ histories of neglect and abuse and clients’ commitment to behaving toward their valued directions in life.

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Family mode deactivation therapy as a manualized cognitive behavioral therapy treatment.

Cited by 15 publications

References 9 publications

Mediation analysis of mode deactivation therapy (reanalysis and interpretation).

Mediation analysis of mode deactivation therapy (reanalysis and interpretation).

Family mode deactivation therapy (FMDT) as a contextual treatment.

Contextualist Perspectives in the Treatment of Antisocial Behaviors and Offending: A Comparative Review of FAP, ACT, DBT, and MDT

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