Treatment Planning and Interventions · Dual Control Mapping

Accelerators and Brakes

Ten things clients have actually said, each one classified twice. Which of the five domains it belongs to, and whether it is an accelerator or a brake. The domain is what tells you which kind of intervention could reach it.

What this exercise practises

Hearing an offhand remark as a mappable factor, placing it in the domain that determines the intervention pathway, and distinguishing the brakes you can work with from the one you cannot.

Two factors per domain, five accelerators and five brakes. If your counts come out uneven, something is misfiled, and the notes will say which.

Estimated time to complete this exercise: 20 minutes

1Ten factors
2Implementation
3Close

Before you begin

How this one works

Ten things clients have actually said. Each one gets two decisions: which of the five domains it belongs to, and whether it is an accelerator or a brake.
The second decision only appears once you have made the first, and both are revealed together. You cannot change an answer once it is in.
There are two factors per domain and five of each direction, so a count that comes out uneven tells you something is misfiled.
Nothing is graded and nothing is recorded. Reloading starts it again.

The Dual Control framework is directly actionable for one reason: identifying the client’s primary inhibitors provides specific intervention targets. The domain tells you what kind of intervention could reach a given brake, which is why the two decisions in this exercise are separate.

References

  1. Brotto, L. A., Basson, R., & Luria, M. (2012). A mindfulness-based group psychoeducational intervention targeting sexual arousal disorder in women. The Journal of Sexual Medicine, 5(7), 1646–1659. https://doi.org/10.1111/j.1743-6109.2008.00850.x
  2. Janssen, E., & Bancroft, J. (2007). The dual control model: The role of sexual inhibition and excitation in sexual arousal and behavior. In E. Janssen (Ed.), The psychophysiology of sex (pp. 197–222). Indiana University Press.
  3. Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002). The Sexual Inhibition (SIS) and Sexual Excitation (SES) Scales: Measuring sexual inhibition and excitation proneness in men. Journal of Sex Research, 39(2), 114–126. https://doi.org/10.1080/00224490209552130