Therapeutic Learning Program

In ten interactive computer sessions
the Therapeutic Learning Program (TLP) 
takes a user through four stages of behavior change.

TLP: computer-assisted brief therapy

  1. Identifying Stress Related Problems, Conflicts & Symptoms

  2. Clarifying Goals and Focusing on Action

  3. Thinking Through the Consequences of Taking Action

  4. Uncovering Hidden Motives, Fears of Failure & Success

  5. Exploring Anger & Guilt as Obstacles to Action

  6. Confronting Issues of Self Esteem

  7. Examining Old Detrimental Patterns of Behavior

  8. Understanding the History of Self-doubts

  9. Analyzing a Current Incident Involving a Self-doubt

  10. Evaluating the Changes Experienced during the Course

The Stages of Behavior Change

Stage 1:  Building Motivation

Stage 2:  Exploring Options

Stage 3:  Reducing Irrational Fear

Stage 4:  Managing Self Image

It is a complex Cognitive/Emotional process that requires a partial transformation of the individual’s world view.

Stage 1: Building Motivation
Clarifying commitment to change behavior

From: “My current behavior is good enough.”

To: “I am motivated to try new behavior.”

The individual must move to a level of “believable” mindfulness in order to overcome the inertia of mindless automatic behavior.  Through internal conversations one can achieve the insight necessary to overcome the dynamic denial processes at work.

Stage 2: Exploring Options
Understanding the power of choice

From: “There are no attractive options to my current behavior.”

To: “There are viable options that I can choose from.”

By acknowledging that reality affords options and that choices can be made, the intention to act becomes strengthened.  There is a shift of the locus of control and the individual is empowered by recognizing the alternatives.

Stage 3: Reducing Irrational Fear    

Acknowledging ungrounded constructs

From: “There is considerable danger or discomfort in changing my behavior.”

To: “At least one of the options I am considering is a reasonable risk.”

When erroneous thinking contaminates reality testing  there is a reluctance to act.  It is common for the individual to “give away” their own power and authority.  It is important to regain perspective and self-determination.

Stage 4: Managing Self Image
Recognizing false labeling

From: “If I change it will expose a vulnerable part of me.”

To: “The new me represented by the new behavior is more mature and healthy.”

Even small changes in behavior can upset  an individual’s balance of self-protective and defensive mechanisms.  This disruption and fear of re-definition of self can cause the individual to feel overly vulnerable.

1985: The first version of the TLP was used in a wellness setting with 2,000 Cigna outpatients.

1990: TLP was implemented with 4,000 clients in EAPs, HMOs & Community Mental Health Centers around the country.

And the TLP was effectively used with 8,000 patients in more than a dozen inpatient hospitals nationwide.

1995: The Gould Center's outpatient clinics utilized the TLP model in delivery of services to 2,000 managed care clients. This lead to the development of the FOCUS computerized intake session.

Statements from Satisfied Users

"I feel that the computer helped me get to the heart of the problem in less time than it would take with a therapist."

"It is WONDERFUL to have the printouts and be able to refer back to them if I feel myself slipping."

"The single most helpful benefit I got was the Action Step. I use it all the time. It has become a mantra.

How do I feel, do I want to feel like this, can I change it, what are the consequences, can I live with them?
Yes - take the action.

It gave me a concrete useable tool for everyday life."

Data from 637 patients (from four hospitals) 
who completed all 10 sessions of the TLP

Over 90% of the patients found the computer program helpful and to be of direct benefit.

Out of 10 items, the average patient selected 4.6 positive statements, such as:

"I am less likely to give other people too much power to influence my feelings and stop me from doing what I need to do."

On average, patients selected 10.3 "symptom indicators" and showed improvement in 58% of the items by the end of the last session.

As well an overall improvement in 78% of the items indicating poor coping mechanisms:

  • 92% were better at admitting there was a problem

  • 88% improved in accepting the reality of the situation

  • 87% indicated they are better at expressing feelings