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Essay on Dialectical Behavioural Therapy (DBT)
Dialectical behavioral therapy term paper
Dialectical behavioral therapy term paper
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As a psychology major I have learned a lot about different types of theories, and how each of them look at the presenting problem differently, and use variety of interventions to help the clients through their journey. Although I have been interested to several of these theories, I was shocked how Dialectic Behavioral Therapy can change the clients’ behavior through teaching them skills such as mindfulness, Distress tolerance, interpersonal effectiveness, and Emotional regulation. As my last assignment in DBT class, I was asked to practice, observe an emotional regulation, and write about my experience, which I did and will explain in this paper. However, I could have done the emotional regulation observation with one of my clients, I decided to do this exercise with my uncle, who I have lived with since 4 years …show more content…
It was interesting how he was willing to do the exercise at the beginning; he got so frustrated by end of the practice. Although I explained to him about the diagram, which I drew it for him, and how thoughts, feelings, and sensations interact in response to specific events, he had difficulty connecting all three of them together. He told me he has made all his decisions, and choices on his entire life based on his logic, which is not related to his feelings, or sensations. Then I asked him about his recent experience in which he got into the fight with his oldest sister. His sister is 92-years-old and she has been in rehab since 3 months ago. I asked him to go over the diagram together step by step. We talked about what had happened before he went to visit his sister. He described to me that he was feeling good, especially excited to see his sister. After that, he went to visit his sister, who told her that she missed her late husband. He got so mad at his sister that even in this
In B. L. Duncan, S. D. Miller, B.E. Wampold, & M.A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 143-166). Washington, DC: American Psychological Association.
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackle a client’s needs. Therefore, I draw upon concepts from various theories to assist clients in achieving their goals. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this in the sense that one must examine and establish their cognitive misconceptions; however, I prefer to extract this concept from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them (Corey, 2013). This Person-Centered therapy concept has overlap with CBT as
Although, this session ended with amazing results, I feel as though I need more practice with this type of therapy. I have to continue to practice on allowing the patient to come up with their own solutions. I found it hard not giving advice to my client, because I already knew the situation. However, in the end I found myself very proud, because even though this was not a real therapy session, but the client was able to find a real solution to her problem. This experience is one that teaches the therapist restraint, it allows one to step back and listen. It also gives the client the opportunity to reach a solution themselves without someone giving them the answer to their
Some of the most common actions or responses for individuals with borderline personality disorder are suicidal. Incorporating the teaching of problem-solving skills will hopefully, again, reduce the number of suicidal thoughts or behaviors an individual has that could result in serious self-injury (Van Goethem, A., et al.). Lastly, arguably the most important component of the dialectical behavior therapy is allowing those who have undergone the treatment to test what they have learned. The final stage of this therapy involves having the patients visualize themselves in certain scenarios and creating a response to what they are envisioning. The most important part of this process is having patients trust their responses without utilizing the help and opinions of other individuals (Van Goethem, A., et al.). Though there are several different components that make up the dialectical behavioral therapy, they are each crucial to the treatment for individuals with, not only borderline personality disorder, but many other psychological disorders as well. Some of the effects of how this treatment has worked can be observed in a couple of different
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)
Ever since entering the field of Social Work, I have been exposed to many disorders, therapies, frameworks, and strategies in my studies. My worldview for much of my life had been that I would never need to use any of the treatments or skills, because I was not “broken”, or “too underprivileged” to have gained the education to “know better”. But, as I progressed through my education, I have come to realize that everybody is constantly learning and using acquired skills to function better in everyday life. For myself, I found the skills within Dialectical Behaviour Therapy (DBT) treatment to best addressed the areas I was lacking.
Scheel, K. R. (2000). The empirical basis of dialectical behavior therapy: summary, critique, and implications . Clinical Psychology: Science and Practice .
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
Behaviorism, or learning theory is one of three “grand theories” of human development. The focus of behaviorism is observable behavior, with no reference to mental processes. As a learning theory behaviorism, assumes that learning occurs via interactions with the environment, through the process of conditioning.
These types encompass Cognitive Therapy, Rational Emotive Behavior Therapy (REBT), and Multimodal Therapy. For instance, an individual anguish from a quiet confidence that activates negative thoughts about his or her capacity or display. As a result of these patterns of negative thinking, the person might start averting social issues or passing up opportunities for advancement (Wedding & Corsini, 2014). Cognitive behavior therapy frequently adapted for clients who are comfortable with contemplation. For CBT to be efficient, the Client must be eager to evaluate his or her logic and feelings. Such rumination may be difficult, but it is an excellent way to acquire how internal states impact outward behavior. Cognitive behavior therapy is also appropriate for people looking for an interim alternative treatment that does not inevitably contain pharmacological medication. One of the assets of CBT that aid clients was developing coping strategies that may be beneficial both now and in the
Behavior modification is based on the principles of operant conditioning, which were developed by American behaviorist B.F. Skinner. In his research, he put a rat in a cage later known as the Skinner Box, in which the rat could receive a food pellet by pressing on a bar. The food reward acted as a reinforcement by strengthening the rat's bar-pressing behavior. Skinner studied how the rat's behavior changed in response to differing patterns of reinforcement. By studying the way the rats operated on their environment, Skinner formulated the concept of operant conditioning, through which behavior could be shaped by reinforcement or lack of it. Skinner considered his discovery applicable to a wide range of both human and animal behaviors(“Behavior,” 2001).
In today's society, individual counseling is becoming more main-stream with increased usage within the school system, family unit and even the military. The role that a counselor can have on any individual varies according to the chosen theory to practice and the approach taken. However, it must be stated that the approach and success of therapy is dependent on the relationship established by the therapist (clinician) with the client. In 2010 Seligman proposed the BETA treatment system, which stands for background, emotions, thoughts, and actions. According to Seligman, all theories are either focused on a person’s background, emotions, thoughts or their actions. For this reason, we will discuss three prominent forms of individual counseling therapy used today. The three types of therapy are Adlerian Theory, Cognitive Behavioral Therapy and Solution Focused Brief Therapy. The following paper will seek to introduce the key concepts, therapeutic approach, and application of various techniques, or procedures for each of these practices.
However, CBT relies heavily on therapeutic relationship for the success of the treatment. Many may decide that CBT feels cold and too mechanical due to the heavy focus on cognitions and the structure. In Beck’s earliest manuscripts, however, he stresses the importance of developing a strong therapeutic relationship with the client (Beck, 2011). Throughout the counseling process, the counselor works to build trust and rapport with the client through collaboration and encouraging optimism (Seligman & Reichenberg, 2014). The therapeutic relationship remains collaborative, empathetic, active, flexible, nonjudgmental, and goal-oriented (Seligman & Reichenberg, 2014). Due to the collaborative nature of the therapeutic relationship, the counselor encourages the client to provided feedback throughout the process. Anytime problems arise within the relationship, the counselor and client explore them together (Beck,
This integrative approach focuses mainly on four approaches: psychoanalytic, Adlerian, cognitive behavioral therapy (CBT), and the postmodern approaches. The main focus is on CBT and how psychoanalytic, Adlerian and the postmodern approaches build on this integrative approach. In this integrative approach, the problem at hand is a client dealing with depression. I chose CBT as the main approach because the cognitive thought pattern is an important key for a client and CBT can branch out to other approaches, without interfering with the key concepts.
One of the qualities of REBT is that it helps clients see how their musings, sentiments and practices are connected by utilizing the ABC framework (Psychology.jrank.org, 2014.) "A" being the Activating event and/or objective situation, "B" being Beliefs and "C" being the Consequence (McLeod, 2014.) The beliefs (B) of the activating event (A) completely affects the consequence (C) and thus influences the client's feelings, practices and different contemplations. Subsequently if one circumstance happens to both individual A and individual B, they most likely would not respond the same with respect to the same circumstance (Basic-counseling-skills.com, 2014.) It likewise empowers an individual to break down their objectives and difficulties while spurring them to focus on, I quote “ The irrational belief system and principles they were following to try to achieve their goals” and “ The rational belief system and principles they could follow to increase the likelihood of achieving their goals” (Thestrengthsfoundation.org, 2014.) REBT permits the client's goals and issues to be surveyed immediately and is very active directive. Clients are taught to work towards adapting new aptitudes so they can understand that they are in charge of their emotional, behavioural and thinking responses to scenes in their lives. Clients are taught to recognize and face their convictions, and the therapist energizes a