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Multitheoretical psychotherapy (MTP) is a new approach to integrative psychotherapy developed by Jeff E. Brooks-Harris and his colleagues at the University of Hawaii at Manoa. MTP is organized around five principles for integration:
Being intentional involves making informed choices about the focus of treatment, theoretical conceptualization, intervention strategies, and relational stances.
MTP encourages counselors to think in a multidimensional manner, recognizing the rich interaction between thoughts, actions, and feelings within the context of biology, interpersonal patterns, social systems, and cultural contexts.
MTP uses a multitheoretical framework to organize training and treatment. Psychotherapists can use a combination of theories to formulate a multitheoretical conceptualization to understand clients and guide interventions. The combination of theorical ideas and interventions is based on the individual needs of clients.
MTP encourages therapists to work interactively with thoughts, actions, and feelings:
Counselors are also encouraged to use theories that explore contextual dimensions that shape thinking, acting, and feeling
MTP training involves building a repertoire of key strategies drawn from different theoretical approaches. Key strategies have been described using strategy markers (suggesting when a particular skill will be most useful) and expected consequences (predicting the likely outcome of a specific intervention). Training also involves learning how to combine ideas and strategies from different theories based on the individual needs of clients. Integrative treatment planning involves conducting a multidimensional survey, establishing an interactive focus on two or three dimensions, formulating a multitheoretical conceptualization, and choosing intervention strategies corresponding to focal dimensions. The Brooks-Harris (2008) text describes applications of MTP to depression, anxiety, substance abuse, and health problems.
As a second-generation model of integrative psychotherapy, MTP combines features of earlier approaches. Like Arnold Lazarus' multimodal therapy, MTP encourages attention to the interaction of different dimensions. Like Prochaska and DiClemente's transtheoretical model, MTP describes the relationship between several different theories. Like Larry E. Beutler's systematic treatment selection, MTP predicts when particular strategies will be most useful.
Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. There are numerous types of psychotherapy designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders, and other types have been criticized as pseudoscience.
Transactional analysis (TA) is a psychoanalytic theory and method of therapy wherein social interactions are analyzed to determine the ego state of the communicator as a basis for understanding behavior. In transactional analysis, the communicator is taught to alter the ego state as a way to solve emotional problems. The method deviates from Freudian psychoanalysis which focuses on increasing awareness of the contents of subconsciously held ideas. Eric Berne developed the concept and paradigm of transactional analysis in the late 1950s.
Counseling psychology is a psychological specialty that encompasses research and applied work in several broad domains: counseling process and outcome; supervision and training; career development and counseling; and prevention and health. Some unifying themes among counseling psychologists include a focus on assets and strengths, person–environment interactions, educational and career development, brief interactions, and a focus on intact personalities.
Perfectionism, in psychology, is a broad personality style characterized by a person's concern with striving for flawlessness and perfection and is accompanied by critical self-evaluations and concerns regarding others' evaluations. It is best conceptualized as a multidimensional and multilayered personality characteristic, and initially some psychologists thought that there are many positive and negative aspects. Perfectionism drives people to be concerned with achieving unattainable ideals or unrealistic goals, often leading to many forms of adjustment problems such as depression, anxiety, OCD, low self-esteem, suicidal thoughts and tendencies and a host of other psychological, physical, relationship, and achievement problems in children, adolescents, and adults, although perfectionist sights can reduce stress, anxiety, and panic. Recent data show that perfectionistic tendencies are on the rise among recent generations of young people.
Integrative psychotherapy is the integration of elements from different schools of psychotherapy in the treatment of a client. Integrative psychotherapy may also refer to the psychotherapeutic process of integrating the personality: uniting the "affective, cognitive, behavioral, and physiological systems within a person".
Behaviour therapy or behavioural psychotherapy is a broad term referring to clinical psychotherapy that uses techniques derived from behaviourism and/or cognitive psychology. It looks at specific, learned behaviours and how the environment, or other people's mental states, influences those behaviours, and consists of techniques based on learning theory, such as respondent or operant conditioning. Behaviourists who practice these techniques are either behaviour analysts or cognitive-behavioural therapists. They tend to look for treatment outcomes that are objectively measurable. Behaviour therapy does not involve one specific method, but it has a wide range of techniques that can be used to treat a person's psychological problems.
Multimodal therapy (MMT) is an approach to psychotherapy devised by psychologist Arnold Lazarus, who originated the term behavior therapy in psychotherapy. It is based on the idea that humans are biological beings that think, feel, act, sense, imagine, and interact—and that psychological treatment should address each of these modalities. Multimodal assessment and treatment follows seven reciprocally influential dimensions of personality known by their acronym BASIC I.D.: behavior, affect, sensation, imagery, cognition, interpersonal relationships, and drugs/biology.
Motivational therapy is a combination of humanistic treatment and enhanced cognitive-behavioral strategies, designed to treat substance use disorders. It is similar to motivational interviewing and motivational enhancement therapy.
Interpersonal psychotherapy (IPT) is a brief, attachment-focused psychotherapy that centers on resolving interpersonal problems and symptomatic recovery. It is an empirically supported treatment (EST) that follows a highly structured and time-limited approach and is intended to be completed within 12–16 weeks. IPT is based on the principle that relationships and life events impact mood and that the reverse is also true. It was developed by Gerald Klerman and Myrna Weissman for major depression in the 1970s and has since been adapted for other mental disorders. IPT is an empirically validated intervention for depressive disorders, and is more effective when used in combination with psychiatric medications. Along with cognitive behavioral therapy (CBT), IPT is recommended in treatment guidelines as a psychosocial treatment of choice for depression.
Emotionally focused therapy and emotion-focused therapy (EFT) are a family of related approaches to psychotherapy with individuals, couples, or families. EFT approaches include elements of experiential therapy, systemic therapy, and attachment theory. EFT is usually a short-term treatment. EFT approaches are based on the premise that human emotions are connected to human needs, and therefore emotions have an innately adaptive potential that, if activated and worked through, can help people change problematic emotional states and interpersonal relationships. Emotion-focused therapy for individuals was originally known as process-experiential therapy, and it is still sometimes called by that name.
Face-Negotiation Theory is a theory conceived by Stella Ting-Toomey in 1985, to understand how people from different cultures manage rapport and disagreements. The theory posited "face", or self-image when communicating with others, as a universal phenomenon that pervades across cultures. In conflicts, one's face is threatened; and thus the person tends to save or restore his or her face. This set of communicative behaviors, according to the theory, is called "facework". Since people frame the situated meaning of "face" and enact "facework" differently from one culture to the next, the theory poses a cultural-general framework to examine facework negotiation. It is important to note that the definition of face varies depending on the people and their culture and the same can be said for the proficiency of facework.
The hypostatic model of personality is a view asserting that humans present themselves in many different aspects or hypostases, depending on the internal and external realities they relate to, including different approaches to the study of personality. It is both a dimensional model and an aspect theory, in the sense of the concept of multiplicity. The model falls into the category of complex, biopsychosocial approaches to personality.
Interpersonal communication is an exchange of information between two or more people. It is also an area of research that seeks to understand how humans use verbal and nonverbal cues to accomplish a number of personal and relational goals.
Family therapy, also referred to as couple and family therapy, marriage and family therapy, family systems therapy, and family counseling, is a branch of psychology that works with families and couples in intimate relationships to nurture change and development. It tends to view change in terms of the systems of interaction between family members.
Interpersonal emotion regulation is the process of changing the emotional experience of one's self or another person through social interaction. It encompasses both intrinsic emotion regulation, in which one attempts to alter their own feelings by recruiting social resources, as well as extrinsic emotion regulation, in which one deliberately attempts to alter the trajectory of other people's feelings.
Mode deactivation therapy (MDT) is a psychotherapeutic approach that addresses dysfunctional emotions, maladaptive behaviors and cognitive processes and contents through a number of goal-oriented, explicit systematic procedures. The name refers to the process of mode deactivation that is based on the concept of cognitive modes as introduced by Aaron T. Beck. The MDT methodology was developed by Jack A. Apsche by combining the unique validation–clarification–redirection (VCR) process step with elements from acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and mindfulness to bring about durable behavior change.
Clinical mental health counseling is a distinct profession with national standards for education, training, and clinical practice. Clinical mental health counselors operate from a wellness perspective, which emphasizes moving toward optimal human functioning in mind, body, and spirit, and away from distress, dysfunction, and mental illness. Counselors also view wellness and pathology as developmental in nature, and take into consideration all levels of a client's environment when conducting assessment and treatment. Counselors also frequently take a team approach, collaborating with other mental health professionals to provide the most comprehensive care possible for the client.
Accelerated experiential dynamic psychotherapy (AEDP) is a mind-body psychotherapy that is informed by research in the areas of attachment theory, emotion theory, and neuroscience of change. This model of psychotherapy incorporates techniques from experiential therapies and ISTDP.
Eclectic psychotherapy is a form of psychotherapy in which the clinician uses more than one theoretical approach, or multiple sets of techniques, to help with clients' needs. The use of different therapeutic approaches will be based on the effectiveness in resolving the patient's problems, rather than the theory behind each therapy.
Dr. Paul L. Hewitt is a Full Professor in the Department of Psychology, an Associate Member of the Psychotherapy Program in the Faculty of Medicine at the University of British Columbia, and a Registered Psychologist in British Columbia, Canada. He is a Fellow of the Canadian Psychological Association and of its Section on Clinical Psychology. He has won numerous awards. In 2017, Hewitt was named one of the top 10 Canadian clinical psychology professors for research productivity and, in 2019, he was awarded the Canadian Psychological Association’s Donald O. Hebb Award for Distinguished Contributions to Psychology as a Science. Dr. Hewitt is a researcher and clinician and has had a private practice since 1988 which focuses on psychodynamic/interpersonal assessment and psychotherapy for individuals experiencing difficulties from perfectionistic behavior, early trauma, depression, anxiety, personality, and interpersonal problems.