PR

1. Services Offered & Approach Used
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2. Caplan Therapy Centre
 Tom Caplan, MSW
 Phone: 514-737-7208
 Fax: 514-737-0497
 eMail: tcaplan@sympatico.ca
 Web: www.tomcaplanmsw.com
 Web: www.needs-abc.com
 5845 Cote des Neiges
 Suite 440
 Montreal, QC
 H3S 1Z4
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3. Present Clinical Work
 Adjunct Professor at McGill S.W. School
 McGill Domestic Violence Clinic
 Research
 Papers
 Books
 Designated DV Expert in the Quebec Court System
 Private Practice
 Approved AAMFT Clinical Supervisor
 Caplan Therapy Centre
 Montreal Anger Management Centre
 McGill Domestic Violence Clinic
 Clinical Training on Behaviour Management and the
Needs ABC Model
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4. Caplan Therapy Centre
Centre de Therapie Caplan
 English language men’s groups for anger management (including DV)
 French language women’s groups for anger management (including DV)
 McGill Domestic Violence Clinic
 English services for men
 Support for women (during the school year)
 Individual counselling
 Marriage and family therapy
 Christian counselling
 Jewish counselling
 Sex therapy
 Testing for school-aged children
 Workshops and trainings tailored to the needs of the resource:
 Behaviour management
 Anger in the workplace
 Improving compliance in clients (O.T.’s, physios, M.D.’s, etc.)
 The Needs ABC intervention model
 Group work
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5. Professional Status of CTC
 All clinicians have a minimum of a Master’s level
degree
 All are members of a professional order
 All are trained in the Needs ABC Model as well as
other accredited intervention models
Note: We are the only resource for Anger Management
whose clinicians all are accredited by a professional
order.
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6. 6

7. Quest for the
“Holy Grail” of Relational Therapy
 Looking for a better and more effective way of helping clients – individuals, couples and
families – to move forward with an improved quality of life together.
 This quest exists despite the brilliant approaches created by – but not limited to:
 Jacobson
 Gottman Have any of you presented?
 Greenberg
 Johnson So – How am “I“ feeling
 White
 Miller
today?
 Rollnick
 Teyber What do I need to feel
 De Shazer better?
 Ellis
 Glasser
 And others
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8. What I Have Learned
 All models have merit and can succeed or fail
depending upon the therapists style and/or
personality
 The best way to work on a problem is NOT to work on
the problem
 Individual client needs and feelings in relationships
need to be defined and clarified
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9. Model
[Needs ABC]
 This model is presently being used with problems such
as:
 Substance abuse
 Anger management - DV
 Gambling
 There are two parts to the model:
 1. Determining a clients relational needs
 2. Collaborating on strategies to get needs met
productively with an eye on emotion
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10. 10
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11. Behaviour Management
 Treatment Goals?
 The immediate cessation of all forms of inappropriate behaviour
within and without the family or contextual setting.
 Effective case management: if several professionals are involved in
treating the client (s)
 Creating and Maintaining Hope
 Stages of Treatment
 Stage 1: Creating a Context for Change
 Stage 2: Creatively Challenging Old Patterns and Expanding New
Alternatives
 Stage 3: Consolidation of New More Productive Behaviours
 Restoration of Positive Behaviours versus Retribution
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12. Needs ABC Approach
 Does all 3:
 Creating a Context for Change (safety)
 Supportively Challenges Old Patterns and Promotes
New Alternatives to Problem-Solving through:
 Consolidation of New More Productive Behaviours
 Restoration of Positive Behaviours versus Retribution
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13. The Most Difficult Journey
The most difficult journey of all is the distance between
two people.
Author unknown – Perhaps a take off on the Victor Borge quote: “Laughter is the shortest
distance between two people.”
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14. Most Important Prognostic Factors
Difficult to
measure Common Factors associated with Psychotherapy Outcome
 “Extra-therapeutic” Factors (40%) - (e.g., safe and stable housing, secure
employment, adequate financial resources, positive interactions, supports in the
community)
 Therapeutic Alliance (30%) - (e.g., a health care provider’s non-judgmental
attitude, warmth, respect and caring)
 Placebo Effect / Expectancy (15%) – (MOTIVATION: a client’s sense of hope and
expectation for recovery)
 Therapy Model or Technique (15%) – (cognitive-behavioural therapy, mindfulness-
based stress reduction, etc.)
Asay, T.P. and M.J. Lambert (1999) 'The Empirical Case for the Common Factors in Therapy: Quantitative Findings', in
Hubble et al. (1999).
Bachelor, A. (1988) 'How Clients Perceive Therapist Empathy: A Content Analysis of 'Received' Empathy', Psychotherapy:
Theory, Research and Practice 25: 227-40.
Bordin, E.S. (1979) 'The Generalizability of the Psychoanalytic Concept of the Working Alliance', Psychotherapy:
Theory, Research and Practice 16(3): 252-60.Kitron, D. (2007). Psychoanalytic psychotherapy: The immeasurable
profession. Psychoanalytic Review, 94(3), 463-473.
Bachelor, A. and A. Horvath (1999) 'The Therapeutic Relationship', in Hubble et al. (1999), pp. 133-78.
Krupnick, J.L. et al. (1996) 'The Role of the Therapeutic Alliance in Psychotherapy and Pharmacotherapy Outcome:
Findings in the National Insitute of Mental Health Treatment of Depression Collaborative Research Program', Journal
of Consulting and Clinical Psychology 64: 532-39.
Lambert, M. J. & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome.
Psychotherapy: Theory, Research, Practice, Training, Vol 38(4), 357-361.
Orlinsky, D., Grawe, K. and Parks, B. (1994) Process and outcome in psychotherapy: Noch einmal. in A. Bergin and S.
Garfield (Eds). The Handbook of Psychotherapy and Behavior Change. (4th Ed) Toronto: Wiley.
The Heart & Soul of Change: What Works in Therapy (1999). M. Hubble, B. Duncan, S. Miller (Eds) . Washington DC: APA
Press.
Weinberger, J. (2006). Common factors aren't so common: The common factors dilemma. Clinical Psychology: Science and
Practice, 2(1), 45-69 www.needs-abc.com 14

15. Therefore: Strengths of Model
 The model helps clients to take responsibility by
focusing on THEIR needs (not on others such as the
partner, the employer , the system, etc.)
 This model helps clients to feel understood and
supported (joining)
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16. Needs Acquisition and Behaviour Change Model
An Integrated, Relational, Client-Focused Approach
to Therapy – using concepts also described in:
 Cognitive-Behavioural / Motivational
 (Ellis 1997, Jacobsen 1995, Miller & Rollnick 1991)
 Narrative
 (White 1990, Jenkins 1990, Avis-Myers 2004)
 Solution Focused
 (De Shazer 1991, I.K. Berg 1993)
 Emotion Focused
 (Greenberg & Johnson 1988, Greenberg & Pavio 1997)
 Process-Oriented
 (Shulman 1992, Teyber, 2000, Caplan, 2005)
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17. Basic Assumption of the Model
 It is the NEED (as described in the theme of a
client’s narrative) that DRIVES the EMOTIONS.
 It is EMOTION that DRIVES the BEHAVIOURS.
 MEETING THE NEED – through appropriate
behaviour – will result in EXTINGUISHING the
inappropriate BEHAVIOUR.
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18. The Needs ABC Model’s Focus:
 On Relational needs – NOT on client behaviours!
(defensiveness - shame!)
 On the emotions they predict when unmet
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19. The Needs ABC Model’s strategy:
 Illuminate a client’s missing relational
needs
 Highlight emotions that are more
relationally productive
 Help clients to
 communicate these needs productively;
and/or
 Acquire these needs more functionally
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20. Benefits of Using Model
 It is a way of listening
 You can continue to use your own style and strategies, etc.
 You can integrate it with the model you are using.
 It gives clients “answers” – something tangible to work with.
 You can “label” the client’s struggle
 Relational triggers are demystified
 It helps to lead clients away from a “power struggle” and towards
collaborative problem-solving.
 The model transcends sexual, racial and cultural issues.
 The model can also reduce anxiety for clients with Mental Health
Issues.
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21. Interesting Quote
 They may forget what you said, but they will never
forget how you made them feel.
Carl Buchner
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22. Needs ABC Emotion Concepts
 “Emotion Focus” Helping the client to
understand their emotional possibilities.
 “Emotion Conscious” Helping the client
to understand which emotions are more
useful in problem-solving.
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23. Needs ABC Emotion Focus
 Less “Useful” [productive] emotions tend to
drive problematic behaviours and, as a result,
tend not to get our needs met.
 More “Useful” [productive] emotions tend to
expose more appropriate options for satisfying
unmet needs.
Note: A “useful emotion” is one that will facilitate problem-
resolution at that time.
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24. Questions
Trainings
Available
 Tom Caplan, MSW
(514) 737-7208
 tcaplan@sympatico.ca

www.needs-abc.com
 www.tomcaplanmsw.com
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25. Questions
Trainings Available
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