Arnold Lazarus was a
Behaviour Therapist (he coined the term), who developed what became MultiModal
Therapy (MMT) as he built on the premise that we are basically biological beings
who experience emotions, think, imagine, smell & touch, and relate to others as
well as act, which at that time, Behaviour Therapy had limited itself to.
Lazarus lists the
modalities in the acronym BASIC I.D.
B
Behaviour
A
Affect (emotions)
S
Sensation (touch, smell, sight, hearing, taste)
I
Imagery (thinking in pictures, self-image)
C
Cognition (thinking in words, beliefs, attitudes, opinions, thinking styles)
I
Interpersonal (how we relate to others)
D
Drugs & biology (medications, substances, diet, exercise, general health, sleep)
MMT has therefore developed into
a therapy that incorporates all elements of our personality, rather than
restricting therapy to one or two dimensions. A MultiModal Life History
Inventory, which is usually offered to clients to complete at home following the
initial consultation, helps the therapist and client to identify those
modalities (dimensions) that the client prioritises and/or is neglecting.
Therapy can therefore commence with the most appropriate modality which is
likely to be most beneficial to that client. Therapy will include
interventions in all modalities, and the interventions may include effective
techniques from other psycho-therapeutic approaches.
From this multimodal
assessment, a treatment plan is devised and will include interventions in each
modality. For example, someone who is very passive when relating to other
people, will plan some assertiveness training. Someone who is depressed
might have the following example treatment plan:
Behaviour
Stays in bed
stays home - minimal
contact with friends and family
Do little
Specific behavioural goals
Increase contact and time
with others
Activity scheduling
Affect
Depressed, sad
Guilt feelings
Explore triggers and
associated thoughts
Encourage positive
activity (mastery and pleasure)
Sensation
Tiredness
Relaxation
Listening to inspiring
music
Imagery
Poor self-image, recurring
images of past events and possible future problems
MMT is adapted to each client.
Three depressed clients might receive three very different courses of therapy,
as a result of identifying and tuning into the client's preferred modality
("bridging") and, then identifying and prioritising the client's firing order of
the modalities ("tracking"). In addition, at the initial interview, each
client is asked what they want from their therapist, and how they want their
therapist to act - perhaps reflective or more
directive, although Lazarus cautions about wasting time, and advocates that MMT
is a
brief but comprehensive psychotherapy.