Dialectical Behavior Therapy - A Contemporary Guide for Practitioners

Informationen zum Autor Lane D. Pederson is the owner of Mental Health Systems, one of the largest DBT-specialized practices in the USA, and is the founder of the Dialectical Behavior Therapy National Certification and Accreditation Association. As a DBT speaker, Dr. Pederson has trained over 7,000 therapists across the United States, Canada, and Australia. He is an outspoken advocate of flexible and evidence-based applications of DBT, and his books include DBT Skills Training for Integrated Dual Disorder Treatment Settings (2013) and The Expanded Dialectical Behavior Therapy Skills Training Manual (2012). Dr. Pederson can be contacted for DBT Training and other inquiries at www.drlanepederson.com. Klappentext A definitive new text for understanding and applying Dialectical Behavior Therapy (DBT).* Offers evidence-based yet flexible approaches to integrating DBT into practice* Goes beyond adherence to standard DBT and diagnosis-based treatment of individuals* Emphasizes positivity and the importance of the client's own voice in assessing change* Discusses methods of monitoring outcomes in practice and making them clinically relevant* Lane Pederson is a leader in the drive to integrate DBT with other therapeutic approaches Zusammenfassung A definitive new text for understanding and applying Dialectical Behavior Therapy (DBT). Inhaltsverzeichnis Acknowledgments ix To the Reader xi Definitions xiii 1 Why Learn DBT? 1 2 Introduction to DBT: Brief Background and Current Controversies 4 3 The Contextual Model and DBT 9 Comparisons of DBT with Other Therapies 10 Therapeutic Factors that Most Affect Outcomes 13 Adopting versus Adapting Standard DBT: The Question of Treatment Fidelity 15 The Answer to Fidelity: EBP 21 4 DBT: An Eclectic yet Distinctive Approach 23 5 Is It DBT? A Guide for DBT-Identified Therapists and Programs 27 6 Dialectical Philosophy 31 Dialectics in Practice 32 Validation versus Change 32 Acceptance of Experience versus Distraction from or Changing Experience 33 Doing One's Best versus Needing to Do Better 34 Noting the Adaptive in What Seems Maladaptive 34 Nurturance versus Accountability 35 Freedom versus Structure 36 Active Client versus Active Therapist 37 Consultation to the Client versus Doing for the Client 37 Dialectics and Evidence-Based Practice 38 When Not to Be Dialectic: Dialectical Abstinence 38 Dialectics with Clients 39 7 The Biosocial Theory: Emotional Vulnerability, Invalidating Environments, and Skills Deficits 41 The Role of Invalidation 44 How the Biosocial Theory Guides Practice 45 Being Flexible to the Client's Theory of Change 47 8 Client, Therapist, and Treatment Assumptions 49 Client Assumptions 49 Therapist Assumptions 51 Treatment Assumptions 53 9 The Five Functions of Comprehensive DBT 55 Motivate Clients 55 Teach Skills 56 Generalize the Skills with Specificity 56 Motivate Therapists and Maximize Effective Therapist Responses 57 Structure the Environment 57 10 Treatment Structure 58 How Much Structure? Level-of-Care Considerations 59 Program Treatment Models 61 Individual Therapy Treatment Structure 70 Group Skills-Training Session Structure 72 Additional Treatments and Services 73 Expectations, Rules, and Agreements 73 11 DBT Treatment Stages and Hierarchies 79 Pretreatment Preparation 80 Pretreatment and the "Butterfly" Client 81 Stage One: Stability and Behavioral Control 82 Stage Two: Treating PTSD, Significant Stress Reactions, and Experiencing Emotions More Fully 85 Stage Three: Sol...

List of contents

Acknowledgments ix
 
To the Reader xi
 
Definitions xiii
 
1 Why Learn DBT? 1
 
2 Introduction to DBT: Brief Background and Current Controversies 4
 
3 The Contextual Model and DBT 9
 
Comparisons of DBT with Other Therapies 10
 
Therapeutic Factors that Most Affect Outcomes 13
 
Adopting versus Adapting Standard DBT: The Question of Treatment Fidelity 15
 
The Answer to Fidelity: EBP 21
 
4 DBT: An Eclectic yet Distinctive Approach 23
 
5 Is It DBT? A Guide for DBT-Identified Therapists and Programs 27
 
6 Dialectical Philosophy 31
 
Dialectics in Practice 32
 
Validation versus Change 32
 
Acceptance of Experience versus Distraction from or Changing Experience 33
 
Doing One's Best versus Needing to Do Better 34
 
Noting the Adaptive in What Seems Maladaptive 34
 
Nurturance versus Accountability 35
 
Freedom versus Structure 36
 
Active Client versus Active Therapist 37
 
Consultation to the Client versus Doing for the Client 37
 
Dialectics and Evidence-Based Practice 38
 
When Not to Be Dialectic: Dialectical Abstinence 38
 
Dialectics with Clients 39
 
7 The Biosocial Theory: Emotional Vulnerability, Invalidating Environments, and Skills Deficits 41
 
The Role of Invalidation 44
 
How the Biosocial Theory Guides Practice 45
 
Being Flexible to the Client's Theory of Change 47
 
8 Client, Therapist, and Treatment Assumptions 49
 
Client Assumptions 49
 
Therapist Assumptions 51
 
Treatment Assumptions 53
 
9 The Five Functions of Comprehensive DBT 55
 
Motivate Clients 55
 
Teach Skills 56
 
Generalize the Skills with Specificity 56
 
Motivate Therapists and Maximize Effective Therapist Responses 57
 
Structure the Environment 57
 
10 Treatment Structure 58
 
How Much Structure? Level-of-Care Considerations 59
 
Program Treatment Models 61
 
Individual Therapy Treatment Structure 70
 
Group Skills-Training Session Structure 72
 
Additional Treatments and Services 73
 
Expectations, Rules, and Agreements 73
 
11 DBT Treatment Stages and Hierarchies 79
 
Pretreatment Preparation 80
 
Pretreatment and the "Butterfly" Client 81
 
Stage One: Stability and Behavioral Control 82
 
Stage Two: Treating PTSD, Significant Stress Reactions, and Experiencing Emotions More Fully 85
 
Stage Three: Solving Routine Problems of Living 85
 
Stage Four: Finding Freedom, Joy, and Spirituality 85
 
12 The DBT Therapeutic Factors Hierarchy 87
 
1. Develop and Maintain the Therapy Alliance 87
 
2. Develop Mutual Goals and Collaboration on Methods 88
 
3. Identify and Engage Client Strengths and Resources to Maximize Helpful Extratherapeutic Factors 89
 
4. Establish and Maintain the Treatment Structure 89
 
13 Self-Monitoring with the Diary Card 90
 
14 Validation: The Cornerstone of the Alliance 96
 
Levels of Validation 97
 
Validation versus Normalization 99
 
15 Commitment Strategies 101
 
16 Educating, Socializing, and Orienting 107
 
17 Communication Styles 110
 
Reciprocal Communication 110
 
Irreverent Communication 114
 
18 Mindfulness 118
 
19 Skills Training 125
 
20 Changing Behaviors 133
 
Behavioral Contingencies 139
 
Behaviorism and the Therapist 142
 
The Most Effective Methods of Changing Behaviors 143
 
21 Behavioral Analysis 150
 

Product details

• Authors: Lane D Pederson, Lane D. Pederson, LD Pederson, Pederson Lane D.
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Paperback / Softback
• Released: 20.03.2015
• EAN: 9781118957912
• ISBN: 978-1-118-95791-2
• No. of pages: 272
• Subjects: Humanities, art, music > Psychology; Natural sciences, medicine, IT, technology > Medicine > Clinical medicine; Non-fiction book > Psychology, esoterics, spirituality, anthroposophy > Applied psychology; Psychologie, Klinische Psychologie, Psychotherapie, Verhaltenstherapie, Kognitive Verhaltenstherapie, Psychology, Clinical psychology, Cognitive Behavioral Therapy (CBT)