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The Dialectical Behavior Therapy Primer: How DBT Can Inform Clinical Practice

The Dialectical Behavior Therapy Primer: How DBT Can Inform Clinical Practice

Beth S. Brodsky, Barbara Stanley

ISBN: 978-1-118-55660-3

May 2013

264 pages


Dialectical Behavior Therapy (DBT) has quickly become a treatment of choice for individuals with borderline personality disorder and other complicated psychiatric conditions. Becoming proficient in standard DBT requires intensive training and extensive supervised experience. However, there are many DBT principles and procedures that can be readily adapted for therapists conducting supportive, psychodynamic, and even other forms of cognitive behavioral treatments.Despite this, there is a dearth of easily accessible reading material for the busy clinician or novice.

This new book provides a clinically oriented, user-friendly guide to understanding and utilizing the principles and techniques of DBT for non-DBT-trained mental health practitioners and is an ideal guide to DBT for clinicians at all levels of experience.

Written by internationally recognized experts in suicide, self injury and borderline personality disorder, it features clinical vignettes, following patients through a series of chapters, clearly illustrating both the therapeutic principles and interventions.

About the Authors ix

Foreword xi

Acknowledgments xiii

1 Introduction 3

Part I Theoretical, research, and clinical foundations 13

2 When DBT is indicated: The patients, the clinicians, and the evidence 15

3 BPD: Treatable or untreatable? 27

4 BPD: Diagnosis, stigma, and phenomenology 33

5 Understanding and treating self-harm behaviors in BPD 45

6 The ABC’s of DBT – the theoretical perspective 63

7 The ABC’s of DBT – overview of the treatment 75

Part II Using DBT in clinical practice 83

8 Commitment and goal setting 85

9 The DBT tool kit: The essential DBT strategies and what happens in the individual session 101

10 Skills training: The rationale and structure 125

11 Skills training: The four skill modules 135

12 Between-session contact and observing limits 153

13 Management of suicidal behavior 177

14 The Safety Planning Intervention 185

15 The three C’s of consultation 193

16 DBT case formulation 205

17 Beyond Target 1 – Therapy and “quality of life” interfering behaviors 221

18 The end of treatment 239

Index 245

“As the authors state at the outset, it is likely most useful for clinicians wondering what DBT is and what it includes, as well as for non-clinicians wondering what DBT is about. Some of the concepts are good therapy (e.g., the emphasis on validation), whereas some are unique to DBT (e.g., the consult team). Because some of the elements of DBT are good practice and can be incorporated into other treatment modalities, the authors succeed in finding a middle path between ignorance of DBT and trained practice of allelements.”  (British Journal of Psychology, 6 January 2014)