Lane D. Pederson

Dialectical Behavior Therapy

A Contemporary Guide for Practitioners

• Gebundenes Buch

Produktbeschreibung

A definitive new text for understanding and applying Dialectical Behavior Therapy (DBT).

Offers evidence-based yet flexible approaches to integrating DBT into practice

Goes beyond adherence to standard DBT and diagnosis-based treatment of individuals

Emphasizes positivity and the importance of the client's own voice in assessing change
Discusses methods of monitoring outcomes in practice and making them clinically relevant

Lane Pederson is a leader in the drive to integrate DBT with other therapeutic approaches

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Produktdetails

• Verlag: Wiley & Sons
• 1. Auflage
• Seitenzahl: 264
• Erscheinungstermin: 30. März 2015
• Englisch
• Abmessung: 244mm x 170mm x 18mm
• Gewicht: 540g
• ISBN-13: 9781118957929
• ISBN-10: 111895792X
• Artikelnr.: 41887026

Autorenporträt

Lane Pederson is the owner of Mental Health Systems (MHS), one of the largest DBT-specialized practices in the USA, and is the founder of the Dialectical Behavior Therapy National Certification and Accreditation Association (DBTNCAA). As a DBT speaker, Dr. Pederson has trained over 7,000 therapists across the US, Canada, and Australia. An outspoken advocate of flexible and evidence-based applications of DBT, his books include The Expanded Dialectical Behavior Therapy Skills Training Manual and Dialectical Behavior Therapy in Integrated Dual Disorder Treatment Settings.

Inhaltsangabe

Acknowledgments ix To the Reader xi Definitions xiii 1 Why Learn DBT? 1 2
Introduction to DBT: Brief Background and Current Controversies 4 3 The
Contextual Model and DBT 9 Comparisons of DBT with Other Therapies 10
Therapeutic Factors that Most Affect Outcomes 13 Adopting versus Adapting
Standard DBT: The Question of Treatment Fidelity 15 The Answer to Fidelity:
EBP 21 4 DBT: An Eclectic yet Distinctive Approach 23 5 Is It DBT? A Guide
for DBT-Identified Therapists and Programs 27 6 Dialectical Philosophy 31
Dialectics in Practice 32 Validation versus Change 32 Acceptance of
Experience versus Distraction from or Changing Experience 33 Doing One's
Best versus Needing to Do Better 34 Noting the Adaptive in What Seems
Maladaptive 34 Nurturance versus Accountability 35 Freedom versus Structure
36 Active Client versus Active Therapist 37 Consultation to the Client
versus Doing for the Client 37 Dialectics and Evidence-Based Practice 38
When Not to Be Dialectic: Dialectical Abstinence 38 Dialectics with Clients
39 7 The Biosocial Theory: Emotional Vulnerability, Invalidating
Environments, and Skills Deficits 41 The Role of Invalidation 44 How the
Biosocial Theory Guides Practice 45 Being Flexible to the Client's Theory
of Change 47 8 Client, Therapist, and Treatment Assumptions 49 Client
Assumptions 49 Therapist Assumptions 51 Treatment Assumptions 53 9 The Five
Functions of Comprehensive DBT 55 Motivate Clients 55 Teach Skills 56
Generalize the Skills with Specificity 56 Motivate Therapists and Maximize
Effective Therapist Responses 57 Structure the Environment 57 10 Treatment
Structure 58 How Much Structure? Level-of-Care Considerations 59 Program
Treatment Models 61 Individual Therapy Treatment Structure 70 Group
Skills-Training Session Structure 72 Additional Treatments and Services 73
Expectations, Rules, and Agreements 73 11 DBT Treatment Stages and
Hierarchies 79 Pretreatment Preparation 80 Pretreatment and the "Butterfly"
Client 81 Stage One: Stability and Behavioral Control 82 Stage Two:
Treating PTSD, Significant Stress Reactions, and Experiencing Emotions More
Fully 85 Stage Three: Solving Routine Problems of Living 85 Stage Four:
Finding Freedom, Joy, and Spirituality 85 12 The DBT Therapeutic Factors
Hierarchy 87 1. Develop and Maintain the Therapy Alliance 87 2. Develop
Mutual Goals and Collaboration on Methods 88 3. Identify and Engage Client
Strengths and Resources to Maximize Helpful Extratherapeutic Factors 89 4.
Establish and Maintain the Treatment Structure 89 13 Self-Monitoring with
the Diary Card 90 14 Validation: The Cornerstone of the Alliance 96 Levels
of Validation 97 Validation versus Normalization 99 15 Commitment
Strategies 101 16 Educating, Socializing, and Orienting 107 17
Communication Styles 110 Reciprocal Communication 110 Irreverent
Communication 114 18 Mindfulness 118 19 Skills Training 125 20 Changing
Behaviors 133 Behavioral Contingencies 139 Behaviorism and the Therapist
142 The Most Effective Methods of Changing Behaviors 143 21 Behavioral
Analysis 150 Behavioral Analysis Example 152 22 Dialectical Strategies 160
23 Cognitive Interventions 168 24 Telephone Coaching 177 25 Dealing with
Safety Issues 180 Essential Practices 180 Suicide Risk Factors 183
Protective Factors 183 Suicide Assessment 184 Self-Injury Assessment 187
Creating the Safety Plan 190 Safety or No-Harm Contracts 193 From a Safety
Plan to a Safety Commitment 194 26 Use of the Hospital 197 27 Consultation
200 28 Evaluation of Clinical Outcomes 209 Appendix A Mindfulness Exercises
216 Appendix B Plans for Safety and Skills Implementation 218 Appendix C
Professional Growth in DBT 227 References 229 Index 241