The Dialectical Behavior Therapy Primer. How DBT Can Inform Clinical Practice

  • ID: 2586765
  • Book
  • 264 Pages
  • John Wiley and Sons Ltd
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Dialectical Behavior Therapy (DBT) has quickly become a treatment of choice for individuals with borderline personality disorder (BPD), suicidal behavior, non–suicidal self injury, and other complicated psychiatric conditions. However, there are very few well–trained DBT practitioners, limited opportunities for training, and a dearth of easily accessible reading material. Becoming proficient in fully adherent DBT requires intensive training and years of experience. Fortunately, many DBT principles and procedures can be readily adapted for therapists conducting supportive, psychodynamic, and even cognitive behavioral treatments.

The Dialectical Behavior Therapy Primer fulfills a great demand for an easy to read, simplified translation of the complexities of DBT. The authors provide a clear, comprehensive summary of DBT principles and techniques illustrated with rich clinical vignettes. Through addressing the top ten questions clinicians ask about working with individuals who have BPD, the authors encourage a conversion to the DBT way of thinking about psychotherapy as well as BPD. Through personal discussion of their experience, they share how they have come to understand the emotional and behavioral world of individuals with severe difficulty with emotion regulation. Their orientation is that, in order to maintain these individuals in treatment, to reduce symptoms, and to increase capacity for positive life experience, therapists need to rethink their assumptions and interpretations and take on more responsibility for treatment failure. The dialectic worldview, when applied to the treatment of BPD, provides therapists with a viable alternative theoretical approach. The authors take pains to illustrate how the dialectic philosophy underlies each DBT intervention and how integral this way of thinking is to the effective practice of DBT.

This book is the ideal guide to DBT for clinicians at all levels of experience.

Related Titles

Psychodynamic Formulation
Deborah L. Cabaniss, Sabrina Cherry, Carolyn J. Douglas, Ruth Graver, and Anna R. Schwartz

Psychodynamic Psychotherapy: A Clinical Manual
Deborah L. Cabaniss, Sabrina Cherry, Carolyn J. Douglas, and Anna R. Schwartz

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About the Authors ix

Foreword xi

Acknowledgments xiii

1 Introduction 3

Part I Theoretical, research, and clinical foundations 13

2 When DBT is indicated: The patients, the clinicians, and the evidence 15

3 BPD: Treatable or untreatable? 27

4 BPD: Diagnosis, stigma, and phenomenology 33

5 Understanding and treating self–harm behaviors in BPD 45

6 The ABC s of DBT the theoretical perspective 63

7 The ABC s of DBT overview of the treatment 75

Part II Using DBT in clinical practice 83

8 Commitment and goal setting 85

9 The DBT tool kit: The essential DBT strategies and what happens in the individual session 101

10 Skills training: The rationale and structure 125

11 Skills training: The four skill modules 135

12 Between–session contact and observing limits 153

13 Management of suicidal behavior 177

14 The Safety Planning Intervention 185

15 The three C s of consultation 193

16 DBT case formulation 205

17 Beyond Target 1 Therapy and quality of life interfering behaviors 221

18 The end of treatment 239

Index 245

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As the authors state at the outset, it is likely most useful for clinicians wondering what DBT is and what it includes, as well as for non–clinicians wondering what DBT is about. Some of the concepts are good therapy (e.g., the emphasis on validation), whereas some are unique to DBT (e.g., the consult team). Because some of the elements of DBT are good practice and can be incorporated into other treatment modalities, the authors succeed in finding a middle path between ignorance of DBT and trained practice of allelements.   (British Journal of Psychology, 6 January 2014)

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