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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...
