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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
The multimodal approach rests on the assumption that unless seven discrete but interactive modalities are assessed, treatment is likely to overlook significant concerns. Initial interviews and the use of a Multimodal Life History Inventory (Lazarus & Lazarus, 1991) provide an initial overview of a client's significant Behaviors, Affective responses, Sensory reactions, Images, Cognitions, Interpersonal relationships, and the need for Drugs and other biological interventions. The first letters yield BASIC ID, an acronym that is easy to recall. These modalities exist in a state of reciprocal transaction and flux, connected by complex chains of behavior and other psychophysiological processes. The therapist, usually in concert with the client, determines which specific problems across the BASIC ID are most salient. Whenever possible, the choice of appropriate techniques rests on well-documented research data, but multimodal therapists remain essentially flexible and are willing to improvise when necessary. They are technically eclectic but remain theoretically consistent, drawing mainly from a broad-based social and cognitive learning theory (because its tenets are open to verification or disproof). Multimodal therapy is essentially psychoeducational and contends that many problems arise from misinformation and missing information. Thus, with most outpatients, bibliotherapy, the use of selected books for home reading, often provides a springboard for enhancing the treatment process and content. An assiduous attempt is made to tailor the therapy to each client's unique requirements. Thus, in addition to mastering a wide range of effective techniques, multimodal counselors or clinicians address the fact that different relationship styles are also necessary. Some clients require boundless warmth and empathy, others prefer a more austere businesslike relationship. Some prefer an active trainer to a good listener (or vice versa). Because the therapeutic relationship is the soil that enables the techniques to take root, it is held that the correct method delivered within and geared to the context of the client's interpersonal expectancies will augment treatment adherence and enhance therapeutic outcomes. Another issue that requires careful scrutiny is whether individual therapy, couples therapy, family therapy, or participation in a group (or some combination of the foregoing) seems advisable. Judicious referrals are effected when necessary and feasible. Reference |