Abstract
Apsche and DiMeo’s small text presents the authors’ conceptual model of mode deactivation therapy (MDT)—an integrative model that they stipulate is based upon acceptance and commitment therapy, dialectical behavior therapy, and cognitive behavior therapy. It appears that the model seems to also draw from psychodynamic theory, particularly with regard to its emphasis on early childhood and deterministic behaviors. Whereas some believe that this type of theoretical eclecticism is precisely what is needed to treat complex issues, others may have difficulty finding coherence in this type of model.
The model was designed for work with aggressive and oppositional behaviors in adolescents. The book provides a brief review of how these types of behaviors are conceptualized. Language such as patient and typology are used to reflect the model’s emphasis on pathology; however, the authors also note the model’s emphasis on involving the patient in the development of the case conceptualization suggesting that at least this part of the therapeutic process should in fact be collaborative. While this type of collaborative engagement has been standard protocol for counselors, it appears that this level of interaction between the clinician and client has not been viewed as common practice to the authors. Counselors who work with adolescents and who subscribe to the notion that all counseling must be collaborative will find it interesting that the authors highlight a collaborative case conceptualization process.
MDT is described as an evidence-based approach; however, the research supporting the conceptual model is quite limited, with the majority having been conducted by the authors. This is not uncommon with the development of new treatment models, and there is ample indication that the authors are diligently working to establish an evidence basis. Such research will be essential, as we continue to try to find the most effective approaches to work with young people.
Overall, the book serves as a brief primer for MDT and resembles a workbook more than a text due to a significant portion of the book being comprised of various assessment tools. Examples of the therapeutic process are used to illustrate the model in action. The book also includes short chapters on a description of MDT, assessments used in MDT, case conceptualization, treatment planning, and exercises using MDT.