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Overview[edit]

DBT is considered part of the "third wave" of cognitive-behavioral therapy, and DBT adapts CBT to assist patients to deal with stress.[1]

This approach was developed by Marsha M. Linehan, a psychology researcher at the University of Washington; She defines dialectical as “a synthesis or integration of opposites”.[2] DBT was designed to help people increase their emotional and cognitive regulation by learning about the triggers that lead to reactive states and helping to assess which coping skills to apply in the sequence of events, thoughts, feelings, and behaviors to help avoid undesired reactions.[citation needed]

DBT grew out of a series of failed attempts to apply the standard cognitive behavioral therapy (CBT) protocols of the late 1970’s to chronically suicidal clients.[2] Research on its effectiveness in treating other conditions has been fruitful;[3] DBT has been used by practitioners to treat people with depression, drug and alcohol problems,[4] post-traumatic stress disorder (PTSD),[5] traumatic brain injuries (TBI), binge-eating disorder,[6] and mood disorders.[7][8] Research indicates DBT might help patients with symptoms and behaviors associated with spectrum mood disorders, including self-injury.[9] Recent work also suggests its effectiveness with sexual-abuse survivors[10] and chemical dependency.[11]

DBT strives to have the patient view the therapist as an ally rather than an adversary in the treatment of psychological issues. Accordingly, the therapist aims to accept and validate the client's feelings at any given time, while, nonetheless, informing the client that some feelings and behaviors are maladaptive, and showing them better alternatives.[8] DBT focuses on the client acquiring new skills and changing their behaviors,[12] with the ultimate goal of achieving a "life worth living", as defined by the patient.[5]

In DBT's biosocial theory of BPD, clients have a biological predisposition for emotional dysregulation, and their social environment validates maladaptive behavior.[13]

DBT skills training alone is being used to address treatment goals in some clinical settings,[14] and the broader goal of emotion regulation that is seen in DBT has allowed it to be used in new settings, for example, supporting parenting.[15]

  1. ^ Bass, Christopher; van Nevel, Jolene; Swart, Joan (2014). "A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents". International Journal of Behavioral Consultation and Therapy. 9 (2): 4–8. doi:10.1037/h0100991.
  2. ^ a b Linehan, Marsha M. (2001). "Dialectical Behavioral Therapy in a Nutshell" (PDF). The California Psychologist. pp. 1–3. Retrieved Feburary 17, 2022. {{cite news}}: Check date values in: |access-date= (help)
  3. ^ Linehan, Marsha M. (2014). "RESEARCH ON DIALECTICAL BEHAVIOR THERAPY:SUMMARY OF NON-RCT STUDIES" (PDF). www.guilford.com (2nd ed.). Guilford Press. Retrieved 11 December 2016.
  4. ^ Dimeff, LA; Linehan, MM (2008). "Dialectical behavior therapy for substance abusers". Addict Sci Clin Pract. 4 (2): 39–47. doi:10.1151/ascp084239. PMC 2797106. PMID 18497717.
  5. ^ a b "What is Dialectical Behavior Therapy (DBT)?". Behavioral Tech. Retrieved 30 November 2017.
  6. ^ Chapman, AL (2006). "Dialectical behavior therapy: current indications and unique elements". Psychiatry (Edgmont). 3 (9): 62–8. PMC 2963469. PMID 20975829.
  7. ^ Janowsky, David S. (1999). Psychotherapy indications and outcomes. Washington, DC: American Psychiatric Press. pp. 100. ISBN 978-0-88048-761-0.
  8. ^ a b Linehan, M. M.; Dimeff, L. (2001). "Dialectical Behavior Therapy in a nutshell" (PDF). The California Psychologist. 34: 10–13.
  9. ^ Brody, J. E. (2008, May 6). The growing wave of teenage self-harm. New York Times. Retrieved July 1, 2008.
  10. ^ Decker, S.E.; Naugle, A.E. (2008). "DBT for Sexual Abuse Survivors: Current Status and Future Directions" (PDF). Journal of Behavior Analysis of Offender and Victim: Treatment and Prevention. 1 (4): 52–69. doi:10.1037/h0100456. Archived from the original (PDF) on 2010-12-29.
  11. ^ Linehan, Marsha M.; Schmidt, Henry III; Dimeff, Linda A.; Craft, J. Christopher; Kanter, Jonathan; Comtois, Katherine A. (1999). "Dialectical Behavior Therapy for Patients with Borderline Personality Disorder and Drug-Dependence" (PDF). American Journal on Addictions. 8 (4): 279–292. doi:10.1080/105504999305686. PMID 10598211. Retrieved 2014-03-31.
  12. ^ Choi-Kain, Lois W.; Finch, Ellen F.; Masland, Sara R.; Jenkins, James A.; Unruh, Brandon T. (3 February 2017). "What Works in the Treatment of Borderline Personality Disorder". Current Behavioral Neuroscience Reports. 4 (1): 21–30. doi:10.1007/s40473-017-0103-z. PMC 5340835. PMID 28331780.
  13. ^ Little, Hannah; Tickle, Anna; das Nair, Roshan (16 October 2017). "Process and impact of dialectical behaviour therapy: A systematic review of perceptions of clients with a diagnosis of borderline personality disorder" (PDF). Psychology and Psychotherapy: Theory, Research and Practice. 91 (3): 278–301. doi:10.1111/papt.12156. PMID 29034599. S2CID 32268378.
  14. ^ Valentine, Sarah E.; Bankoff, Sarah M.; Poulin, Renée M.; Reidler, Esther B.; Pantalone, David W. (January 2015). "The Use of Dialectical Behavior Therapy Skills Training as Stand-Alone Treatment: A Systematic Review of the Treatment Outcome Literature". Journal of Clinical Psychology. 71 (1): 1–20. doi:10.1002/jclp.22114. PMID 25042066.
  15. ^ Zalewski, Maureen; Lewis, Jennifer K; Martin, Christina Gamache (June 2018). "Identifying novel applications of dialectical behavior therapy: considering emotion regulation and parenting". Current Opinion in Psychology. 21: 122–126. doi:10.1016/j.copsyc.2018.02.013. PMID 29529427.
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