Description of Dialectical Behavior Therapy
Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions involved in comprehensive DBT treatment. The first function DBT serves is enhancing behavioral capabilities. Secondly, it improves motivation to change by modifying inhibitions and reinforcement. Third, it assures that new capabilities can be generalize to the natural environment. Fourth, DBT structures the treatment environment in the ways essential to support client and therapist capabilities. Finally, DBT enhances therapist capabilities and motivation to treat clients effectively. In standard DBT, these functions are divided into modes for treatment (Dimeff & Linehan, Dialectical behavior therapy in a nutshell, 2001).
Historical Development/Current use of groups
Linehan addressed the need for effective and empirically supported psychotherapeutic treatment for borderline personality disorder. She discovered important shortcomings in standard cognitive and behavioral (CBT) treatments (Chapman & Robins, 2004). DBT was developed to address difficulties faced when implementing standard CBT to ...
... middle of paper ...
...f dialectical behavior therapy for patients with borderline personality disorder on inpatient units . Psychiatric Quarterly .
Kliem, S., Kosfelder, J., & Kroger, C. (2010). Dialectical behavior therapy for borderline personality disorder: a meta analysis using mixed effect modeling . Journal of Consulting and Clinical Psychology .
Koerner, K., Swenson, C. R., & Torrey, W. C. (2002). Implementing Dialectical Behavior Therapy. Psychiatry Services.
Koerner, K., Swenson, C. R., & Torrey, W. C. (2002). Implementing dialectical behavior therapy . Psychiatric Services .
Korman, L. M., & McMain, S. (2001). Dialectical behavior therapy and the treatment of emotion dysregulation. Psychotherapy in Practice, 183-196.
Scheel, K. R. (2000). The empirical basis of dialectical behavior therapy: summary, critique, and implications . Clinical Psychology: Science and Practice .
... Behavioral Therapy of Depression: Theory, treatment, and empirical status. American Journal of Psychotherapy, 54(2), 257-62. Retrieved from http://search.proquest.com.library.capella.edu/docview/213172059?accountid=27965
People with Borderline Personality Disorder tend to view the world as simple as possible. People who view the world like this, confuse the actions of others. (Hoermann et al, 2005) Recurrent thoughts about their relationships with others, lead them to experience extreme emotional reactions, great agony which they have a hard time controlling, which would result in engaging in self-destructive behaviors. Diagnosing a patient with this disorder can be challenging which is why is it is labeled as one of the difficult ones to diagnose. (Hoermann et al, 2005)
The prognosis of Borderline Personality Disorder can vary from case to case. As we learned in class the rates of comorbidity are fairly high with BPD: 20% of people have a major depressive disorder, 40% have bipolar disorder, 67% struggle with substance abuse disorders and 25% of those with Bulimia also have Borderline Personality Disorder. With effective treatment most individuals with borderline personality disorder can improve and even sometimes emit their symptoms. Sadly emotional dysfunction can be the best predictor for suicide and 6% of people with Borderline Personality Order result in that. Symptoms of Borderline Personality Disorder are known improve in a person’s 30-40 year age range but sometimes they also can struggle with the disorder for the rest of their
Stern, Richard. "Behavioural-Cognitive Psychotherapy Training for Psychiatrists." Pb.rcpsych.org. The Royal College of Psychiatrists, 1993. Web. 24 Feb. 2014.
This paper looks at a person that exhibits the symptoms of Borderline Personality Disorder (BPD). In the paper, examples are given of symptoms that the person exhibits. These symptoms are then evaluated using the DSM-V criteria for BPD. The six-different psychological theoretical models are discussed, and it is shown how these models have been used to explain the symptoms of BPD. Assessment of
Case conceptualization and treatment planning ultimately assist therapist in finding methods of therapy that will work in relations to the client’s needs. Behavior Therapy is one therapeutic approach; that is defined as a treatment that helps improve self-destructing behaviors; desired or undesired that is to be removed or added. It additionally is used to interchange dangerous habits with smart ones. It helps the client to deal with tough situations.
Borderline Personality Disorder (BPD) has been a disability surrounded by stigma and confusion for a long time, and the time to bring awareness and public understanding to this disability is long overdue. The disability itself often gets misdiagnosed as an other disability since the symptoms overlap with many other disabilities (NIMH, n.d, para 16), or worse case scenario, a medical professional refuses to diagnose or treat the disability due to the belief that these people are untreatable because of a negative schema about the disability and clinical controversies on whether BPD is a legitimate diagnosis (Hoffman, 2007) . However, after nearly three decades of research, it has come to light that BPD does indeed exist, does have a good prognosis for remission with treatment (BPD Overview, n.d, para 3), and that there are many treatment options available such as three different types of psychotherapy (Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Schema-focused therapy), omega-3 fatty acid supplements, and/or medications (NIMH, n.d, para 29, 30, 31, and 39, 41). Even though the disability started as a psychoanalytic colloquialism for untreatable neurotics (Gunderson, 2009), BPD is very treatable and doesn’t deserve the stigma it currently carries throughout society.
Dialectical behavior therapy (DBT) is a form of cognitive behavioral therapy, specifically developed for borderline personality disorder (BPD), in which the clinician attempts to motivate the client towards change in behavior while simultaneously validating existing thoughts and feelings. (DeVylder) The goal of dialectical behavior therapy is to minimize maladaptive behaviors related to impulse control and emotion regulation, especially those that may result in self-injury or death. (DeVylder) The desired outcome of DBT is a resolution of maladaptive behaviors related to impulse control and emotion regulation, especially those behaviors that may result in self-injury or death. (DeVylder)
Kluft and Foote. Borderline Personality Disorder. American Journal of Psycotherapy, Vol. 53, No. 3, Summer 1999.
Cognitive behavioral therapy earliest inventors were behaviorist, such as Skinner, Watson, and Pavlov. They’re the ones who led to the advancement for behavioral treatment of mental disorders. Behavioral modification is a technique that uses positive and negative reinforcements to change a particular behavior and reaction to a stimulus. Behavioral therapist only focused on an individual’s behavior not their thoughts. During this era, psychologists applied B.F. Skinner’s radical behaviorism to clinical work. Much of these studies focused on chronic psychiatric disorders, such as autism and psychotic behavior. His methods also focus...
Borderline Personality Disorder (BPD) hinders people’s security, makes interpersonal and interpersonal relationships difficult, worsens the person suffering from the disorder’s life and those around them, effects their affect and self-image, and generally makes a person even more unstable (Davidon et al., 2007). This disorder is a personality disorder which effects the people’s emotions, personality, and daily living including relationships with other and job stability. People with BPD may experience a variation of symptoms including but not limited to: intense contradictory emotions involving sadness, anger, and anxiety, feelings of emptiness, loneliness, and isolations (Biskin & Paris, 2012). This disorder makes it hard for the person with the disorder to maintain relationships since they have tendentious believe that people are either strictly good or bad. Also, they are sensitive to other people’s actions and words and are all over the place with their emotions so those in their life never know which side to expect. (Biskin & Paris, 2012)
Lappalainen, R., Lehtonen, T., Skarp, E., Taubert, E., Ojanen, M., & Hayes, S. C. (2007). The impact of CBT and ACT models using psychology trainee therapists: A preliminary controlled effectiveness trial. Behavior Modification, 31, pp. 488-511.
Leichsenring, F., & Leibing, E. (2003). The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders: a meta-analysis. American Journal Of Psychiatry, 160(7), 1223--1232.
According to the therapists, the condition is applicable in many areas, including psychological and emotional fields.... ... middle of paper ... ... Within these factors, the therapy is essential in ensuring that different problems are addressed using personalized ideas. Works Cited Bandura, A 1999, Principles of behavior modification, Rinehart & Winston, New York.
“Cognitive-behavior therapy refers to those approaches inspired by the work of Albert Ellis (1962) and Aaron Beck (1976) that emphasize the need for attitude change to promote and maintain behavior modification” (Nichols, 2013, p.185). A fictitious case study will next be presented in order to describe ways in which cognitive behavioral therapy can be used to treat the family members given their presenting problems.