Dialectical Behaviour Therapy: Distinctive Features by Michaela A. Swales, Heidi L. Heard PDF

By Michaela A. Swales, Heidi L. Heard

Dialectical Behaviour treatment (DBT) is a psychotherapeutic technique designed really to regard the issues of chronically suicidal people with borderline character disease (BPD). The remedy articulates a chain of rules that successfully consultant clinicians in responding to suicidal and different behaviours that problem them while treating this inhabitants.

Dialectical Behaviour Therapy highlights 30 special positive aspects of the remedy and makes use of huge scientific examples to illustrate how the idea interprets into perform. In part I: The specific Theoretical positive factors of DBT, the authors introduce us to the 3 foundations on which the therapy rests – behaviourism, Zen and dialectics – and the way those combine. In part II: The designated sensible good points of DBT, Swales and Heard describe either how the remedy applies those rules to the remedy of consumers with borderline character disease and elucidate the specific conceptual twists within the software of cognitive and behavioural techniques in the therapy.

This publication offers a transparent and based assessment of a posh therapy. it really is written for either training clinicians and scholars wishing to benefit extra approximately DBT and the way it differs from the opposite cognitive behaviour therapies.

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Extra info for Dialectical Behaviour Therapy: Distinctive Features

Sample text

In assessing contingent relationships, there are two principles to which therapists must attend. First, the consequences that act to reinforce or punish behaviour may remain outside an individual's awareness and may bear little relationship to the stated intent of the behaviour. Second, both reinforcing and punitive consequences are often in play following any given behaviour. For example, a client takes a serious overdose with the stated intent of killing himself and escaping unbearable torment.

Therapists in DBT utilize these principles to assist clients to modify cognitions as well as emotions and overt behaviours. This Point, which focuses on classical conditioning, and the one that follows, on operant conditioning, discuss the application of learning theory in DBT. Classical conditioning Pavlov (1928/1995) ®rst demonstrated the principles of classical conditioning in his now familiar experiments with salivating dogs. Pavlov showed that by pairing the sound of a bell (the conditioned stimulus) with the presence of food (unconditioned 31 DIALECTICAL BEHAVIOUR THERAPY stimulus) over a number of repeated presentations, the bell alone could elicit salivation in the dogs (unconditioned response).

G. facial movement, verbal behaviour and overt actions) and cognitions. g. g. judgements, interpretations) in others. At different times, DBT therapists 23 DIALECTICAL BEHAVIOUR THERAPY attend to all aspects of the emotional response and to modifying affect, regardless of the level of automaticity of the response. DBT identi®es two particular problems with the affective system for clients with BPD: emotional vulnerability and an inability to modulate affect. Emotional vulnerability Linehan (1993a) hypothesized that clients who meet criteria for BPD have a biological predisposition to emotional dysregulation.

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