ABSTRACT

Dialectical Behaviour Therapy (DBT) is a psychotherapeutic approach used to treat individuals with complex psychological disorders, particularly chronically suicidal individuals with borderline personality disorder (BPD). The therapy articulates a series of principles that effectively guide clinicians in responding to problematic behaviours. Treated problems include, among others, attempting suicide, bingeing, purging, using illegal drugs and behaviours that directly impede the treatment.

Dialectical Behaviour Therapy: Distinctive Features highlights theoretical and practical features of the treatment using extensive clinical examples to demonstrate how the theory translates into practice. This updated edition reviews recent modifications to the structure of the treatment and considers more recent research evidence for both the biosocial theory underpinning the treatment and treatment efficacy. The book provides a clear overview of a complex treatment, through a unique application of strategies and a discussion of a comprehensive treatment programme that structures the therapeutic journey for the client.

The book will be of interest to clinicians wanting to develop their knowledge about the treatment, prior to formal training; post-graduate students in mental health seeking to learn how to conceptualize complex problems; DBT trained clinicians who require a useful précis of the treatment with clinical examples, and clients about to embark upon this treatment. This book provides a clear and structured overview of a complex treatment. It is written for both practising clinicians and students wishing to learn more about DBT and how it differs from the other cognitive behaviour therapies.

part |2 pages

Part 1 THE DISTINCTIVE THEORETICAL FEATURES OF DBT

chapter 1|6 pages

Principle-driven treatment

chapter 2|4 pages

Integrative treatment

chapter 3|8 pages

Dialectical principles

chapter 4|4 pages

Emphasis on the primacy of affect

chapter 5|4 pages

Transactional biosocial theory

chapter 6|4 pages

Learning theory I: classical conditioning

chapter 7|4 pages

Learning theory II: operant conditioning

chapter 8|4 pages

A behavioural approach to diagnosis

chapter 9|4 pages

Zen principles

part |2 pages

Part 2 THE DISTINCTIVEPRACTICALFEATURES OF DBT

chapter 11|4 pages

Coaching on the phone

chapter 12|4 pages

Consulting in a team

chapter 13|6 pages

Treating the system

chapter 14|4 pages

Structuring the treatment in stages

chapter 15|4 pages

Strengthening commitment in pre-treatment

chapter 18|6 pages

Analyzing behaviours, with a twist or two

chapter 20|6 pages

Using skilful means

chapter 21|4 pages

Exposing to a variety of affects

chapter 23|4 pages

Changing cognitive behaviours

chapter 24|4 pages

Being dialectical

chapter 25|4 pages

Using self-disclosure

chapter 26|4 pages

Confronting and being irreverent

chapter 27|4 pages

Consulting to the client

chapter 29|4 pages

Treating the therapist

chapter 30|4 pages

Evidence for efficacy and effectiveness