文章基本信息

标题：Family mode deactivation therapy (FMDT): A randomized controlled trial for adolescents with complex issues.
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作者：Joan Swart ; Jack Apsche
期刊名称：International Journal of Behavioral Consultation and Therapy
印刷版ISSN：1555-7855
出版年度：2014
卷号：9
期号：1
页码：14-22
DOI：10.1037/h0101010
出版社：Behavior Analyst Today
摘要：There is an unquestionable need for psychotherapy interventions to effectively treat adolescents with aberrant behaviors, complex comorbid problems, and a history of abuse—a population that is widely considered as difficult- to-treat, but warranting attention due to their cost to society. In response, Family Mode Deactivation Therapy (FMDT) was developed with its roots in cognitive and behavior theories. By recognizing the need to explore and validate core beliefs in the family unit that underlie individual and collective dysfunctional cognitions, a unique Validation-Clarification-Redirection (VCR) process was combined with selected elements from Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and mindfulness. In this study 122 adolescents and their families were randomly divided into two groups, a control group treated with classical Cognitive Behavioral Therapy (CBT) techniques, and the experimental group treated with FMDT methodology. Child Behavior Checklist (CBCL) and State-Trait Anger Expression Inventory-2 (STAXI-2) tests were scored pre- and post-treatment. The average CBCL and STAXI-2 scores indicated a consistently significant improvement with FMDT treatment, which outperformed that of the control group noticeably. Incidents of physical aggression were also tracked pre-, post-treatment, and at 16-month follow-up. Again, FMDT outperformed the Treatment as Usual (TAU) control group, especially at follow-up, which suggests a much better durability of treatment effects in the time period. The positive results with this population in their family group warrant further research of FMDT.
其他关键词：Mode Deactivation Therapy, MDT, mindfulness, ACT, DBT, CBT, adolescent, schema, family therapy, FMDT, conducl disorder, oppositional defiant disorder