Dialectical Behaviour Therapy
Routledge – 2009 – 168 pages
Series: CBT Distinctive Features
Dialectical Behaviour Therapy (DBT) is a psychotherapeutic approach designed particularly to treat the problems of chronically suicidal individuals with borderline personality disorder (BPD). The therapy articulates a series of principles that effectively guide clinicians in responding to suicidal and other behaviours that challenge them when treating this population.
Dialectical Behaviour Therapy highlights 30 distinctive features of the treatment and uses extensive clinical examples to demonstrate how the theory translates into practice. In part I: The Distinctive Theoretical Features of DBT, the authors introduce us to the three foundations on which the treatment rests – behaviourism, Zen and dialectics – and how these integrate. In part II: The Distinctive Practical Features of DBT, Swales and Heard describe both how the therapy applies these principles to the treatment of clients with borderline personality disorder and elucidate the distinctive conceptual twists in the application of cognitive and behavioural procedures within the treatment.
This book provides a clear and structured overview of a complex treatment. It is written for both practicing clinicians and students wishing to learn more about DBT and how it differs from the other cognitive behaviour therapies.
PART I: The Distinctive Theoretical Features of DBT. Principle-Driven Treatment. Integrative Treatment. Dialectical Principles. Emphasis on the Primary of Affect. Transactional Theory of Capability and Motivational Deficits. Learning Theory I: Classical Conditioning. Learning Theory II: Operant Conditioning. A Behavioural Approach to Diagnosis. Zen Principles. PART II: The Distinctive Practical Features of DBT. Developing Modalities to Fulfil Specific Functions. Coaching on the Phone. Consulting in a Team. Treating the System. Structuring the Treatment in Stages. Strengthening Commitment in Pre-Treatment. Targeting Behaviours According to a Hierarchy. Validating in the Current Context or Clients’ Inherent Capabilities. Analysing Behaviours, With a Twist or Two. Integrating Multiple CBT Procedures in a Solution Analysis. Using Skilful Means. Exposing to a Variety of Affects. Managing Contingencies in the Therapeutic Context. Changing Cognitive Behaviours. Being Dialectical. Using Self-Disclosure. Confronting and Being Irreverent. Consulting to the Client. Treating the Client’s Therapy-Interfering Behaviour. Treating the Therapist. Evidence for Efficacy and Effectiveness.
Michaela A. Swales is a lecturer-practitioner in clinical psychology at Bangor University and a consultant clinical psychologist at the North Wales Adolescent Service, North Wales NHS Trust. She is the Director of the British Isles DBT Training Team.
Heidi L. Heard is a senior trainer for BehavioralTech, USA and an international consultant and supervisor in Dialectical Behaviour Therapy. She has written extensively about DBT and borderline personality disorder.