Dialectical Behavior Therapy : A Contemporary Guide for Practitioners.

Intro -- Dialectical Behavior Therapy: A Contemporary Guide for Practitioners -- Contents -- Acknowledgments -- To the Reader -- Definitions -- 1 Why Learn DBT? -- 2 Introduction to DBT -- 3 The Contextual Model and DBT -- Comparisons of DBT with Other Therapies -- Therapeutic Factors that Most Affect Outcomes -- Adopting versus Adapting Standard DBT: The Question of Treatment Fidelity -- The Answer to Fidelity: EBP -- 4 DBT: An Eclectic yet Distinctive Approach -- 5 Is It DBT? -- 6 Dialectical Philosophy -- Dialectics in Practice -- Validation versus Change -- Acceptance of Experience versus Distraction from or Changing Experience -- Doing Ones Best versus Needing to Do Better -- Noting the Adaptive in What Seems Maladaptive -- Nurturance versus Accountability -- Freedom versus Structure -- Active Client versus Active Therapist -- Consultation to the Client versus Doing for the Client -- Dialectics and Evidence-Based Practice -- When Not to Be Dialectic: Dialectical Abstinence -- Dialectics with Clients -- 7 The Biosocial Theory -- The Role of Invalidation -- How the Biosocial Theory Guides Practice -- Being Flexible to the Clients Theory of Change -- 8 Client, Therapist, and Treatment Assumptions -- Client Assumptions -- Clients are responsible for solving their own problems, regardless of who may have caused them -- Clients are doing their best in the moment and need to do better -- Clients cannot fail in DBT, but DBT can fail them -- Clients want to improve yet need skills to do so -- Skills need to be generalized to all relevant areas of life -- Therapist Assumptions -- Therapists practice empathy, respect, genuineness, and validation in therapeutic interactions -- Therapists assume a nonjudgmental approach to clients -- Therapists must be unrelentingly yet genuinely and appropriately strengths-based.

Therapists require consultation to stay motivated and effective -- Therapists, like clients, need to practice skills -- Therapists should favor consulting to the client over intervening for the client -- Treatment Assumptions -- The treatment milieu needs to be nonjudgmental and accountable -- Treatment must emphasize and reinforce behaviors that "work in life" while not allowing clients to practice behaviors in treatment that do not work in life -- 9 The Five Functions of Comprehensive DBT -- Motivate Clients -- Teach Skills -- Generalize the Skills with Specificity -- Motivate Therapists and Maximize Effective Therapist Responses -- Structure the Environment -- 10 Treatment Structure -- How Much Structure? Level-of-Care Considerations -- Program Treatment Models -- The standard model -- Group-format DBT -- Treatment models: Practical guidance -- Individual Therapy Treatment Structure -- Incorporating skills into individual sessions -- Group Skills-Training Session Structure -- Additional Treatments and Services -- Friends-and-family meetings -- Expectations, Rules, and Agreements -- 11 DBT Treatment Stages and Hierarchies -- Pretreatment Preparation -- Pretreatment and the "Butterfly" Client -- Stage One: Stability and Behavioral Control -- 1. Suicidal urges and behavior (suicide ideation, SI) -- 2. Self-injurious behavior (SIB) -- 3. Therapy-interfering behavior (TIB) -- 4. Quality-of-life-interfering behavior (LIB) -- Stage Two: Treating PTSD, Significant Stress Reactions, and Experiencing Emotions More Fully -- Stage Three: Solving Routine Problems of Living -- Stage Four: Finding Freedom, Joy, and Spirituality -- 12 The DBT Therapeutic Factors Hierarchy -- 1. Develop and Maintain the Therapy Alliance -- 2. Develop Mutual Goals and Collaboration on Methods.

3. Identify and Engage Client Strengths and Resources to Maximize Helpful Extratherapeutic Factors -- 4. Establish and Maintain the Treatment Structure -- 13 Self-Monitoring with the Diary Card -- Diary card -- 14 Validation -- Levels of Validation -- Validation versus Normalization -- Example 1 -- Example 2 -- 15 Commitment Strategies -- 16 Educating, Socializing, and Orienting -- Example 1 -- Example 2 -- 17 Communication Styles -- Reciprocal Communication -- Irreverent Communication -- 18 Mindfulness -- 19 Skills Training -- 20 Changing Behaviors -- Behavioral Contingencies -- Behaviorism and the Therapist -- The Most Effective Methods of Changing Behaviors -- Provide noncontingent reinforcement -- Model effective behavior -- Reinforce nonproblem behaviors -- Train skills to reinforce -- Make a high-probability behavior contingent on a low-probability behavior -- Lower vulnerability and meet organismic needs proactively -- Harness higher motivations to leverage change -- 21 Behavioral Analysis -- Behavioral Analysis Example -- 22 Dialectical Strategies -- 23 Cognitive Interventions -- 24 Telephone Coaching -- 25 Dealing with Safety Issues -- Essential Practices -- Suicide Risk Factors -- Protective Factors -- Suicide Assessment -- Self-Injury Assessment -- Creating the Safety Plan -- Safety or No-Harm Contracts -- From a Safety Plan to a Safety Commitment -- 26 Use of the Hospital -- 27 Consultation -- 28 Evaluation of Clinical Outcomes -- Appendix A Mindfulness Exercises -- Appendix B Plans for Safety and Skills Implementation -- Appendix C Professional Growth in DBT -- References -- Index -- EULA.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.