ABSTRACT
The solution analysis aims to change those variables that currently control problematic behaviour. Perhaps the most distinctive feature of this analysis in DBT is the way in which multiple CBT procedures are interwoven throughout the solution analysis. DBT particularly employs skills training, exposure, contingency management and cognitive restructuring. Critical to the success of integrating these interventions is the use of the behavioural theory to match speci®c solutions to speci®c problems. If the client does not have the requisite skills to solve the problem, the client's individual therapist would teach the necessary skills. Alternatively if skilful behaviour in the client's repertoire is inhibited by unwarranted emotions, then the therapist would apply exposure therapy. If the skilful behaviour has been either punished or not reinforced in the client's environment or problematic behaviour has been reinforced, the therapist would apply contingency management. Finally, if maladaptive cognitions interfere with skilful behaviour, then the therapist would use cognitive modi®cation. Of course, a skills trainer might view one solution as a skill, while a cognitive therapist would view the same solution as cognitive restructuring. Similarly, one behaviourist might argue that an intervention works because it changes the contingencies, whereas another behaviourist could argue that the intervention works because of exposure. Though DBT emphasizes using theory to guide the selection of solutions, it focuses on the effectiveness of the respective positions rather than endorsing any position as right.
