Dialectical Behaviour Therapy: Distinctive Features

✍ Scribed by Michaela A. Swales, Heidi L. Heard

• Publisher: Routledge
• Year: 2009
• Tongue: English
• Leaves: 184
• Series: CBT Distinctive Features
• Edition: 1
• Category: Library

✦ Synopsis

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 Therapy highlights 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

Book Cover......Page 1
Title......Page 4
Copyright......Page 5
Contents......Page 8
Introduction......Page 10
Acknowledgements......Page 14
Part 1 THE DISTINCTIVE THEORETICAL FEATURES OF DBT......Page 18
1 Principle-driven treatment......Page 20
2 Integrative treatment......Page 26
3 Dialectical principles......Page 32
4 Emphasis on the primacy of affect......Page 40
5 Transactional theory of capability and motivational deficits......Page 46
6 Learning theory I: Classical conditioning......Page 48
7 Learning theory II: Operant conditioning......Page 52
8 A behavioural approach to diagnosis......Page 56
9 Zen principles......Page 60
Part 2 THE DISTINCTIVE PRACTICAL FEATURES OF DBT......Page 64
10 Developing modalities to fulfil specific functions......Page 66
11 Coaching on the phone......Page 72
12 Consulting in a team......Page 76
13 Treating the system......Page 82
14 Structuring the treatment in stages......Page 88
15 Strengthening commitment in pre-treatment......Page 94
16 Targeting behaviours according to a hierarchy......Page 100
17 Validating in the current context or clients' inherent capabilities......Page 108
18 Analysing behaviours, with a twist or two......Page 114
19 Integrating multiple CBT procedures in a solution analysis......Page 120
20 Using skilful means......Page 128
21 Exposing to a variety of affects......Page 134
22 Managing contingencies in the therapeutic context......Page 138
23 Changing cognitive behaviours......Page 142
24 Being dialectical......Page 144
25 Using self-disclosure......Page 148
26 Confronting and being irreverent......Page 152
27 Consulting to the client......Page 156
28 Treating the client's therapy-interfering behaviour......Page 160
29 Treating the therapist......Page 164
30 Evidence for efficacy and effectiveness......Page 168
References......Page 174
Index......Page 182