Thanks Steve.
I did do an internet search myself.
My question was prompted by yet another talk on the radio about Cognitive
Behavioral therapy, that morning, and it struck me that with the widespread
displacement of Jungian and Freudian etc ideas by this Cognitive therapy,
that I should look into it, and that there was surely some synergy between
CHAT and an approach to psychiatry which presupposes that (generally
speaking) feelings are formed on the basis of cognitive structures and
learned coping mechanisms.
Consequently, I guess I was hoping that one of the members of this list
would actually be able to give some kind of critical assessment of the school.
Andy
At 12:23 PM 17/09/2003 -0700, you wrote:
>>Andy asks:
>>
>>* What is "Dialectical Cognitive Behavioural Therapy"?
><<<<
>
>Its Dialectical Behavioural Therapy (DBT). A Google search on Marsha
>Linehan will yield her website and lots of info at
><http://faculty.washington.edu/linehan/index2.html>http://faculty.washington.edu/linehan/index2.html
>
>
>More info below.
>
>- Steve
>
>
>from
><http://www.palace.net/~llama/psych/dbt.html>http://www.palace.net/~llama/psych/dbt.html
>
>
>Dialectical Behavioral Therapy
>Marsha Linehan (1991) pioneered this treatment, based on the idea that
>psychosocial treatment of those with Borderline Personality Disorder was
>as important in controlling the condition as traditional psycho- and
>pharmacotherapy were. Concomitant with this belief was a hierarchical
>structure of treatment goals. Paramount among these was reducing
>parasuicidal (self-injuring) and life-threatening behaviors. Next came
>reducing behaviors that interfered the the therapy/treatment process, and
>finally reducing behaviors that reduced the client's quality of life. In
>1991, Linehan published results of a study that seems to do remarkably
>well at achieving these goals.
>
>The Theory
>Basically, DBT maintains that some people, due to invalidating
>environments during upbringing and due to biological factors as yet
>unknown, react abnormally to emotional stimulation. Their level of arousal
>goes up much more quickly, peaks at a higher level, and takes more time to
>return to baseline. This explains why borderlines are known for
>crisis-strewn lives and extreme emotional lability (emotions that shift
>rapidly). Because of their past invalidation, they don't have any methods
>for coping with these sudden, intense surges of emotion. DBT is a method
>for teaching skills that will help in this task.
>
>How it works
>Dialectical Behavioral Therapy (DBT) consists of two parts:
>Once-weekly psychotherapy sessions in which a particular problematic
>behavior or event from the past week is explored in detail, beginning with
>the chain of events leading up to it, going through alternative solutions
>that might have been used, and examining what kept the client from using
>more adaptive solutions to the problem:
>
>Both between and during sessions, the therapist actively teaches and
>reinforces adaptive behaviors, especially as they occur within the
>therapeutic relationship. . . the emphasis is on teaching patients how to
>manage emotional trauma rather than reducing or taking them out of crises.
>. . . Telephone contact with the individual therapist between sessions is
>part of DBT procedures.
>(Linehan, 1991)
>DBT targets behaviors in a descending hierarchy:
>decreasing high-risk suicidal behaviors
>decreasing responses or behaviors (by either therapist or patient) that
>interfere with therapy
>decreasing behaviors that interfere with/reduce quality of life
>decreasing and dealing with post-traumatic stress responses
>enhancing respect for self
>acquisition of the behavioral skills taught in group
>additional goals set by patient
>Weekly 2.5-hour group therapy sessions in which interpersonal
>effectiveness, distress tolerance/reality acceptance skills, emotion
>regulation, and mindfulness skills are taught (see summaries of sample
>worksheets). Group therapists are not available over the phone between
>sessions; they refer patients in crisis to the individual therapist.
>Followup studies
>Since the 1991 paper, Linehan has been involved in several replication
>studies and has written a book and a skills training manual about DBT. Her
>results consistently show that DBT does seem to reduce the amount of
>self-injury and crisis among clients. (See references.
>Linehan's group works out of the University of Washington in Seattle, but
>there are DBT-trained therapists in other parts of the U.S. For
>information, try contacting the University of Washington Department of
>Psychology or go to DBT Seattle.
>
>There is also a DBT skills discussion list, also at UW. To subscribe, send
>mail to the listowner (Kieu) at busserv@u.washington.edu explaining your
>background and why you'd like to be on the list. It's intended to be a
>place to share experiences and get support while using dbt skills.
>
>For a comprehensive, scientific review of DBT, see Dialectical Behavioral
>Therapy by Barry Kiehn and Michaela Swales of Gwynfa Adolescent Service in
>North Wales.
>
>
>
>
></blockquote></x-html>
This archive was generated by hypermail 2b29 : Wed Oct 01 2003 - 01:00:07 PDT