Brief but Comprehensive Psychotherapy: The Multimodal Way by K. R. MacKenzie, Arnold A. Lazarus

By K. R. MacKenzie, Arnold A. Lazarus

Rutgers college, New Brunswick, NJ. Discusses the author's options for short psychotherapy. For clinicians.

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Additional info for Brief but Comprehensive Psychotherapy: The Multimodal Way (Springer Series on Behavior Therapy and Behavioral Medicine)

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Cognition: His panic-driven thinking would be addressed, and in place of his penchant toward catastrophic ideation he could learn self-calming statements and more rational and realistic ideas. • Interpersonal: His difficulties with his employer's son could be examined and possible social skills could be taught. • Drugs/Biology: Instead of resorting to Xanax, he could be encouraged to apply the relaxation methods and positive imagery procedures. It is also important to determine one's clients' strengths and to point out that they have already solved several problems in various spheres of their lives (see de Shazer, 1988).

He was inclined to give orders (rather than make requests), and he was quick to offer destructive rather than constructive criticism. Perhaps even worse, it was not uncommon for him to issue ultimatums. But he could wax eloquent about the interstices of the unconscious, about ego-psychology or the vicissitudes of object relations or structural theory. 1 A Simple Modality Profil e Problem Modality Proposed treatment B "Disorganized/sloppy" Phobic avoidance Leaves things to last minute Contingency contracting Systematic desensitization Time management A Guilt Explore antecedents and irrational ideas Coping imagery and rational disputation Explore faulty thinking and encourage her to seek out positive events Anxiety related to criticism and rejection Sadness/despondency S Fatigue/lower back pain/ tension headaches Relaxation training/ physiotherapy exercises I Loneliness images/ poor self-image/ images of failing Coping imagery exercises c Dichotomous reasoning/too many/ "shoulds" overgeneralizes Cognitive restructuring I.

Anger/resentment/hostility (seldom directly expressed; fear (of pregnancy); fear of having a heart attack • Sensation. Headaches; palpitations, stomach pains; tremors; chest pain; menstrual pain 34 BRIE F BUT COMPREHENSIV E PSYCHOTHERAPY • Imagery. Death images; not coping; failing • Cognition. Perfectionistic; false romantic ideas; overconcerned about parental approval • Interpersonal Resorts to passive-aggressive tactics (spiteful), especially with husband • Drugs/Biology. May require medical intervention for menstrual dysfunction The Modality Profile can be modified at any time.

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