Dialectical behavior therapy (DBT) is a specific type of cognitive-behavioral psychotherapy developed in the late 1980s by psychologist Marsha M. Linehan to help better treat borderline personality disorder. Since its development, it has also been used for the treatment of other kinds of mental health disorders.

The Oxford Handbook of DBT charts the development of DBT from its early inception to the current cutting edge state of knowledge about both the theoretical underpinnings of the treatment and its clinical application across a range of disorders and adaptations to new clinical groups.

Experts in the treatment address the current state of the evidence with respect to the efficacy of the treatment, its effectiveness in routine clinical practice and central issues in the clinical and programmatic implementation of the treatment.

In sum this volume provides a desk reference for clinicians and academics keen to understand the origins and current state of the science, and the art, of DBT.

Michaela Swales PhD is a Consultant Clinical Psychologist with Betsi Cadwaladr University Health Board and Reader in Clinical Psychology North Wales Clinical Psychology Programme & School of Psychology, Bangor University. She trained in Dialectical Behaviour Therapy in Seattle in 1995 with Marsha Linehan and for twenty years ran a clinical programme for suicidal young people in an inpatient service. She was a founder members of the UK DBT Training Team becoming its Director in 2002. She has trained more than a thousand professionals in DBT, seeding over 400 programmes, in both the UK and further afield. She is the author with Heidi Heard PhD of Dialectical Behaviour Therapy: Distinctive Features (2009 & 2017) and Changing Behavior in DBT: Problem-Solving in Action (2015).

Section I: Introduction
1. Dialectical Behaviour Therapy: Development and Distinctive Feature, Michaela A. Swales
Section II: Theoretical underpinnings of DBT
2. Recent developments in understanding the bio in the biosocial theory of BPD in DBT, Inga Niedtfeld and Martin Bohus
3. Invalidating Environments and the Development of Borderline Personality Disorder, Jeremy L. Grove and Sheila E. Crowell
4. Behavioural foundations of DBT: Applying behavioural principles to the challenge of suicidal behaviour and non-suicid, Alex Chapman
5. Modifying Behaviour Therapy to meet the challenge of treating BPD: Incorporating Zen and mindfulness, Randy Wolbert
6. Modifying behaviour therapy to meet the challenge of treating BPD: utilizing dialectics, Jennifer Sayrs and Marsha Linehan
Section: III The Structure of Treatment
7. The structure of DBT Programs, Henry Schmidt III and Joan Russo
8. Running an effective Consultation Team: Principles & Challenges, Jennifer Sayrs
9. Skills Training in DBT: Principles & Practicalities, Colleen Cowperthwait, Kristin Wyatt, Caitlin Fang, and Andre Neasciu
10. Generalisation modalities: Taking the treatment out of the consulting room - using telephone, text and email, Shireen L. Rizvi and Kristen M. Roman
11. Structuring the wider environment: Skills for DBT Team Leader, Michaela A. Swales and Christine Dunkley
Section: IV Clinical Applications of DBT
12. Case Formulation in DBT: Developing a behavioural formulation, Shari Manning
13. Conducting effective behavioural and solution analyses, Sara Landes
14. Conceptual and practical issues in the application of emotion regulation in DBT, Christine Dunkley
15. DBT as a Suicide and Self-harm Treatment: Assessing & Treating suicidal behaviours, Lars Mehlum
16. Conceptual and practical issues in the application of Validation in DBT, Alan Fruzzetti and Allison K. Ruork
17. Treating In-Session Clinical Behaviours, Heidi Heard
18. Teaching Mindfulness Skills in DBT, Maggie Stanton and Christine Dunkley
19. Dialectical Behaviour Therapy with Parents, Couples and Families to Augment Stage 1 Outcomes, Alan Fruzzetti
Section: V Evidence for DBT
20. Dialectical Behavior Therapy from 1991-2015: What do we know about clinical efficacy and research quality?, Erin Miga, Andrada D. Neacsiu, Anita Lungu, Heidi Heard & Linda Dimeff
21. Effectiveness of DBT in routine clinical practice, Carla Walton and Katherine Anne Comtois
22. Financial cost-effectiveness of dialectical behavior therapy (DBT) for borderline personality disorder (BPD), Roy Krawitz & Erin Miga
23. Why does DBT work? Understanding processes of change in a complex treatment, Tali Boritz, Richard J. Zeifman, and Shelley F. McMain
24. A service user perspective on DBT, Louise Brinton Clarke
Section VI: Adapting the treatment for new clinical populations
25. DBT with adolescents, Jill Rathus, Alec Miller, and Lauren Bonavitacola
26. DBT for Eating Disorders: Adapting Programmatically and Strategically, Kelly Bhatnagar, Lucene Wisniewski and Caitlin Martin-Wagar
27. DBT for substance dependence, Seth R. Axelrod
28. DBT in Forensic settings, Andre Ivanoff and Phillip Marotta
29. DBT in in-patient and residential settings, Emily Fox
30. DBT in College Counselling Centres, Amanda Uliaszek, Carla Chugani, and Greg Williams
31. DBT for pre-adolescent children, Francheska Perepletchikova
32. DBT in Schools, Elizabeth Dexter-Mazza, and James Mazz
33. DBT for employment -related difficulties, Janet Feigenbaum
34. DBT for individuals with an intellectual disability, Julie Brown
35. DBT for PTSD - an integrative approach, Melanie Harned and Sara C. Schmidt
36. DBT for PTSD - A treatment program for complex PTSD after childhood abuse, Martin Bohus and Kathlen Priebe
Section: VII Implementation of DBT
37. Implementing DBT: An implementation science perspective, Katherine Anne Comtois and Sara J. Landes
38. Implementation in public healthcare systems, Helen Best and Jim Lyngs
39. Implementation in private practice, Sarah Reynolds and Colleen Lang
40. Implementation in National Systems: The Case of Ireland, Daniel Flynn, Mary Kells, and Mary Joyce
41. International Implementation of dialectical behavior therapy: The challenge of training therapists across cultures, Anthony P. DuBose, Yevgeny Botanov, and Andre Ivanoff
Section VIII: Training in DBT
42. Evidence-based training: The Intensive Training ModelTM, Anthony P. DuBose, Yevgeny Botanov, Maria V. Navarro Haro, and Marsha Linehan
43. Supervision in DBT: Shaping therapists towards adherence, Amy Gaglia
Section VIII: In Conclusion
44. 1. Future Directions for Dialectical Behaviour Therapy: Theory, Development & Implementation, Michaela A. Swales

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