By Marsha Linehan
This quantity is the authoritative presentation of Dialectical habit treatment (DBT), Linehan's entire, built-in method of treating people with borderline character sickness. DBT--which has in view that been tailored for different difficult-to-treat issues regarding emotion dysregulation--combines cognitive and behavioral innovations with parts of psychodynamic, strategic, and different modalities. Delineated are particular techniques for contingency administration, publicity, cognitive amendment, and talents education. In-depth descriptions of talents education techniques are supplied within the better half handbook. middle emotion law abilities also are taught on to consumers in Linehan's abilities education videos.
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Extra info for Cognitive-Behavioral Treatment of Borderline Personality Disorder
5. DBT's effectiveness at enhancing the behavioral skills targeted was mixed. With respect to emotion regulation, D B T subjects, more so than treatment-as-usual subjects, tended to rate themselves more successful in changing their emotions and improving general emotional control. They also had significantly lower scores on self-report measures of trait anger and 24 THEORY A N D CONCEPTS anxious rumination. However, there were no differences between groups in self-reported depression even though all subjects improved.
Treatment response, and biological markers Nature'' Cognitive Frances; Grinker; Gunderson; Spitzer's DSM-III, DSM-III-R, DSM-IV Linehan, Millon, Turner Beck, Pretzer, Young A specific personality disorder Combination of symptoms A specific personality disorder Behavioral observation. structured interviews. behaviorally anchored test data A specific personality disorder Behavioral observation. structured interviews. behaviorally anchored test data Nature, nurture Nurture and behavioral observations.
M y emphasis on the therapeutic relationship as crucial to progress in D B T comes primarily from m y work in interventions with suicidal individuals. At times, this relationship is the only thing that keeps them alive. Behavior therapists attend to the therapeutic relationship (see Linehan, 1988, for a review of this literature), but have not historically given it the prominence that I give it in D B T . Kohlenberg and Tsai (1991) have recently developed an integrated behavioral therapy in which the vehicle of change is the relationship between therapist and patient; their thinking has influenced the development of D B T .