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Modularity in the design and application of therapeutic interventions
Affiliation:1. Child Health and Development Institute, Farmington, CT, United States;2. Department of Psychiatry, UCONN Health Center, Farmington, CT, United States;3. Judge Baker Children''s Center, Boston, MA, United States;4. Child Study Center, Yale School of Medicine, New Haven, CT, United States;5. The Consultation Center, Yale School of Medicine, New Haven, CT, United States;6. University of South Florida, Department of Mental Health Law and Policy, Tampa, FL, United States;1. University of Miami, Department of Psychology, P.O. Box 248185, Coral Gables, FL 33124-0751, USA;2. University of Connecticut School of Medicine, 65 Kane Street Room 3022, West Hartford, CT 06119, USA;3. Southern Methodist University, Department of Psychology, P.O. Box 750442, Dallas, TX 75275, USA
Abstract:This paper introduces the concept of modularity as an approach to therapeutic protocol design and application. Modularity is defined in terms of four key properties, and a detailed example of a modular psychotherapy protocol is presented. By explicitly outlining clinical strategies and algorithms, modular design of psychotherapy protocols provides a promising framework for testing many of the assumptions underlying traditional therapy protocols. Modular design also offers numerous potential advantages in terms of design efficiency (reusability of modules, ease of updating or reorganizing protocols) and effectiveness (e.g., greater adaptability for applied contexts, increased therapist satisfaction). Finally, preliminary evidence for the efficacy of modular protocols is encouraging, and suggests that such design should preserve and could even enhance the efficacy of existing therapy protocols.
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