Dialectical Behaviour Therapy: Distinctive Features

by Swales; Michaela A.

• ISBN13: 9780415444583
• ISBN10: 0415444586
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2009-01-26
• Publisher: Routledge

Summary

Dialectical Behaviour Therapy (DBT) is a psychotherapeutic approach designed particularly to treat the problems of chronically suicidal individuals with borderline personality disorder (BPD). The therapy articulates a series of principles that effectively guide clinicians in responding to suicidal and other behaviours that challenge them when treating this population. Dialectical Behaviour Therapyhighlights 30 distinctive features of the treatment and uses extensive clinical examples to demonstrate how the theory translates into practice. In part I: The Distinctive Theoretical Features of DBT, the authors introduce us to the three foundations on which the treatment rests “ behaviourism, Zen and dialectics “ and how these integrate. In part II: The Distinctive Practical Features of DBT, Swales and Heard describe both how the therapy applies these principles to the treatment of clients with borderline personality disorder and elucidate the distinctive conceptual twists in the application of cognitive and behavioural procedures within the treatment. This book provides a clear and structured overview of a complex treatment. It is written for both practicing clinicians and students wishing to learn more about DBT and how it differs from the other cognitive behaviour therapies.

Table of Contents

Theory

Principle Driven Treatment

Integrative Therapy

Dialectical Philosophy

Primacy of Affect

Transactional Theory of Capability and Motivational Deficits

Learning Theory I: Classical Conditioning

Learning Theory II: Operant Conditioning

Behavioural Approach to Diagnosis

Zen Philosophy

Practice

Developing Modalities to Fulfil Specific Functions

Coaching on the Phone

Consulting in a Team

Treating the System

Structuring the Treatment in Stages

Strengthening Commitment in Pre-treatment

Targeting Behaviours According to a Hierarchy

Validating in the Current Context or Clients' Inherent Capabilities

Analysing Behaviours with a Contextual Twist

Integrating Multiple CBT Procedures in a Solution Analysis

Using Skilful Means

Exposing to a Variety of Affects

Managing Contingencies in the Therapeutic Context

Restructuring Cognitions

Being Dialectical

Using Self-disclosure

Confronting and Being Irreverent

Consulting to the Client

Treating the Client's Therapy-interfering Behaviour

Treating the Therapist

Evidence for Efficacy and Effectiveness

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