Mindfulness, mode deactivation, and family therapy: A winning combination for treating adolescents with complex trauma and behavioral problems

Joan Swart, Jack Apsche
2014 International Journal of Behavioral Consultation and Therapy  
Mode Deactivation Therapy (MDT) was conceptualized in recognition that the available therapy approaches were not effective in treating adolescents with behavioral problems and comorbid conditions. By combining unique assessment and process components with the acceptance and mindfulness elements of Acceptance and Commitment Therapy and Dialectical Behavior therapy as well as family systems theory, the MDT methodology was formulated. This study is the most recent in a series that establishes an
more » ... idence base of the effectiveness of MDT as a treatment protocol for adolescents with conduct issues. Eighty-four (84) male adolescents between 14-and 17-years-old were randomly assigned either a Cognitive Behavioral Therapy control group or a Mode Deactivation Therapy experimental group and received structured treatment for six to eight months. Pre-and post-treatment STAXI-2, CBCL, and other test results reconfirmed the effectiveness of MDT as a superior treatment for this population. Target behavioral outcome effects improved consistently by an average of 36%, while the control group only achieved improvements of around 5% in treatment. These results reconfirm and expand the existing evidence base of the superior effectiveness MDT for an adolescent population with multi-problem psychopathology, especially reactive aggression and internalized affective difficulties.
doi:10.1037/h0100992 fatcat:mwoeclplbrgopb2witbu4anrxu