ABSTRACT

Validation is a skill identified and developed within DBT for use by therapists and clients. Whilst DBT was developed for people with a specific disorder who self-harm and attempt suicide, the skills are being researched for wider application and definitely relevant for anyone who is considering ending their life. The purpose of validation by clinicians or practitioners is to: increase therapist-client rapport and strengthen the therapeutic alliance; model and strengthen self-validation; facilitate change by using validation as a reinforcer for shaping skilful behaviour in the desired direction of change. The clinician highlights what is understandable or legitimate. Of course, judgments, misappraisals, and problematic thinking can be validated, but it is trickier, and these must be validated in quite different ways. Linehan identified six levels of validation. The most effective validation is the level that fits the situation and the therapeutic goals.