 In MDT these modes and their associated core beliefs are validated and normalized in the client's perspective by cultivating awareness and acceptance rather than disputing any belief as irrational or "bad".The proposition is that awareness and acceptance improves the therapist-client bond, client cooperation, commitment and motivation, which enables an effective and durable therapeutic change process.The application of MDT integrates the unique validation–clarification–redirection (VCR) process step with selected elements from Acceptance and commitment therapy, Dialectical behavior therapy, and mindfulness (psychology) through a systematic and collaborative case conceptualization and implementation process.