Doing Dialectical Behavior Therapy: A Practical Guide

✍ Scribed by Kelly Koerner

• Publisher: Guilford Press
• Year: 2012
• Tongue: English
• Leaves: 243
• Category: Library

✦ Synopsis

Filled with vivid clinical vignettes and step-by-step descriptions, this book demonstrates the nuts and bolts of dialectical behavior therapy (DBT). DBT is expressly designed for--and shown to be effective with--clients with serious, multiple problems and a history of treatment failure. The book provides an accessible introduction to DBT while enabling therapists of any orientation to integrate elements of this evidence-based approach into their work with emotionally dysregulated clients. Experienced DBT clinician and trainer Kelly Koerner clearly explains how to formulate individual cases; prioritize treatment goals; and implement a skillfully orchestrated blend of behavioral change strategies, validation strategies, and dialectical strategies. See also Dialectical Behavior Therapy in Clinical Practice, Second Edition: Applications across Disorders and Settings, edited by Linda A. Dimeff, Shireen L. Rizvi, and Kelly Koerner, which presents exemplary DBT programs for specific clinical problems and populations.

✦ Table of Contents

Cover
Halftitle page
Series Page
Title page
Copyright
Dedication
About the Author
Series Editor’s Note
Foreword
Preface
Acknowledgments
Contents
ONE
Tools for Tough Circumstances
The Core Problem of Pervasive Emotion Dysregulation
How DBT Treats Pervasive Emotion Dysregulation
TWO
Navigating to a Case Formulation and Treatment Plan
Step 1: Assess Using Stages and Treatment Targets
Step 2: Look for Patterns of Controlling Variables for Each Primary Target
Step 3: Use Task Analysis to Generate Mini‑Treatment Plans for Key Common Links
A Pretreatment Conversation: Manny
THREE
Change Strategies
Orienting and Micro‑Orienting
Didactic Strategies
Commitment Strategies
Self‑Monitoring: The DBT Diary Card
Behavioral Chain Analysis and Insight Strategies
Solution Analyses
Case Example: Michael
Four CBT Change Procedures as Used in DBT
FOUR
Validation Principles and Strategies
Understanding Invalidation’s Role in Emotion Dysregulation
The Effects of Accurate, Precise Validation
What to Validate
How to Validate
How to Use Validation to Strengthen Emotion Regulation
Case Example: Lara
FIVE
Dialectical Stance and Strategies
Dialectical Stance
Dialectically Balancing Strategies
Case Example: Yvette
SIX
Assess, Motivate, and Move
Assess: Locate Where We Are
Motivate
Move toward the Client’s Goals
Case Example: Karrie
SEVEN
The Individual Therapist and the Consultation Team
Purpose and Format of DBT Consultation Teams
How the DBT Consultation Team Treats the Therapist
How Therapists Apply DBT to Themselves
References
Index