Dialectical Behavior Therapy University of Dayton辩证行为疗法戴顿大学.pptVIP

* Dialectical Behavior Therapy Borderline Personality Disorder General Overview Marsha Linehan (1993). Recommended readings. Orientation combines systemic/transactional approach, CBT, Buddhism, and principles of Dialectics. Developed for use with persons with BPD, but has also been applied to suicidal behavior in adolescents and bulimia. “Borderline individuals are the psychological equivalent of third-degree-burn patients. They simply have, so to speak, no emotional skin. Even the slightest touch or movement can create immense suffering.” --Marsha Linehan Linehan’s Theory of the Development of BPD Based on a bio-social theory of BPD. The Dialectical Dilemma of Person’s with BPD Inappropriate blame of other vs. In appropriate blame of self. Inhibited grieving vs. Unrelenting crisis. Active passivity vs. Apparent competence. Therapists’ Working Assumptions about the Client The client wants to change, and despite appearances, is trying his/her best as a particular time. His/Her behavior pattern is understandable given his/her background and present circumstances. In spite of this, he/she needs to try harder if things are to improve. Clients can not fail at DBT. Therapists’ Dialectical Style Reciprocal communication vs. Irreverent communication. Accepting of the client as he/she is, but encouraging change. Centered and firm, yet flexible when the circumstances require it. Nurturing, but benevolently demanding. Clients’ and Therapists’ Agreements To work in therapy for a specified period of time, and to attend the majority of therapy session. If suicidal or para-suicidal behaviors are present, he/she must agree to work on reducing these. To work on therapy interfering behaviors. To attend skills training. Modes of Treatment Individual therapy. Group skills training. Telephone contact. Therapist consultation. Skills Training Core mindfulness skills. Interpersonal effectiveness. Emotion modulation skills. Distress tolerance skills. /html