Theory and practice of dialectical behavioral therapy
Abstract
Dialectical behavioral therapy (DBT) is an empiricallyproven method of helping patients with borderlinedisorders and suicidal tendencies. Dialectical-behavioraltherapy is aimed at orienting a person in personalchanges, increasing behavioral standards, workingwith acceptance. At the same time, the therapist playsthe role of a guide who helps to calm down, encourageand help the patient to survive this experience.The purpose of the study is the theoretical-practicalanalysis of dialectical-behavioral therapy and classicaltechniques of this psychotherapeutic direction.Research methods: theoretical, in particular analysisand synthesis, generalization, systematizationand explanation. The results. The clinical utility associatedwith the use of DBT in an inpatient setting abroadhas been substantiated. The specificity of treatmentis effective and contributes to the reduction of symptomsof borderline personality disorder and improvementof global functioning when standard practicesand principles are incorporated with reliability intodefined treatment models. It is noted that research isnecessary for the standardization of DBT in the hospital and the results of measurements in Ukrainian realities,which will help to determine the critical mechanismsof symptoms and behavior, change and evaluatethe effectiveness of further outpatient treatment. DBTis the treatment model with the most published scientificarticles showing effectiveness. Some techniquesof the dialectical-behavioral direction are analyzed.Conclusions. In general, each strategy used in DBTrequires a dialectical approach that combines changeand acceptance. Separated techniques of the dialectic-behavioral direction allow the individual to becomemore persistent and effective in interpersonal communication,contribute to the formation of the ability toexpress one’s needs and at the same time the ability tosay “no”, while the individual is focused on the positiveand constructive. The development of tolerance skillswhen overcoming stress in dialectic-behavioral therapyis not a little important.
Downloads
References
Beck, А. Т., Steer, A. R., Kovacs, M., & Garrison, B. (1985). Hopelessness and Eventual Suicide: A 10-Year Prospective Study of Patients Hospitalized with Suicidal Ideation. American Journal of Psychotherapy, 142(5), 559-563. https://doi.org/10.1176/ajp.142.5
Bloom, J. M., Woodward, E. N., Susmaras, T, & Pantalone, D. W. (2012). Use of Dialectical Behavior Therapy in Inpatient Treatment of Borderline Personality Disorder: A Systematic Review. Psychiatric Services, 63(9), 881-888. https://doi.org/10.1176/appi.ps.201100311
Bruell, H. (2022). TAYA: A Case for the Diagnosis of Borderline Personality Disorder in Children. Columbia, SC. Independently Published. Foreword by Blaise Aguirre, MD and Afterword by Alec L. Miller, PsyD.
Clark, M. S. (2016). DBT-Informed Art Therapy: Mindfulness, Cognitive Behavior Therapy, and the Creative Process. London; Philadephia: Jessica Kingsley Publishers.
Gutteling, B.M., Montagne, B., Nijs, M., et al. (2012) Dialectical behavior therapy: is outpatient group psychotherapy an effective alternative to individual psychotherapy? Preliminary conclusions. Comprehensive Psychiatry, 53(8), 1161-1168. https://doi.org/10.1016/j.comppsych.2012.03.017
Freud, S. (1920). A General Introduction to Psychoanalysis. Horace Liveright Publisher, New York.
Huntjens, A., Wies van den Bosch, LMC, Sizoo, B., Kerkhof A. Huibers, MJH, & van der Gaag, M. (2020). Effects of dialectical behavior therapy in autistic spectrum patients with suicidal and/or destructive behavior (DIASS): study protocol for a multicenter randomized controlled trial. BMC Psychiatry, 20(1),1-11. https://doi.org/10.1186/s12888-020-02531-1
Linehan, M., & Wilks, R. Ch. (2015). The Course and Evolution of Dialectical Behavior Therapy. American Journal of Psychotherapy, 69(2), 97-110. https://doi.org/10.1176/appi.psychotherapy.2015.69.2.97
Louisa, M. C. van den Bosch, Roland, Sinnaeve, Leona, Hakkaart-van Roijen, & Eric F van Furth. (2014). Efficacy and cost-effectiveness of an experimental short-term inpatient Dialectical Behavior Therapy (DBT) program: study protocol for a randomized controlled trial. Trials 15, 1-9. https://doi.org/10.1186/1745-6215-15-152.
Manicas, P. T., & Secord, P. F. (1983). Implications for psychology of the new philosophy of science. American Psychologist, 38(4), 399-413. https://doi.org/10.1037/0003-066X.38.4.399
McMain, S., Korman, Lorne M., & Dimeff, L. (2001). Dialectical Behavior Therapy and the Treatment of Emotion Dysregulation. Journal of Clinical Psychology, 183-196. https://doi.org/10.1002/1097-4 6 7 9 ( 2 0 0 1 0 2 ) 5 7 : 2 % 3 C 1 8 3 : : A I D - JCLP5%3E3.0.CO;2-Y
Manning, S. Y., & Linehan, M. M. (2011). Loving Someone with Borderline Personality Disorder. Guilford Press.
Neacsiu, A. D., Bohus, M., & Linehan, M. M. (2015). (in press). Dialectical Behavior Therapy Skills:An Intervention for Emotion Dysregulation. In J. J. Gross (Ed.). Handbook of Emotion Regulation, Volume 2. Guilford Press, New York.
Pederson, L. (2017). The Expanded Dialectical Behavior Therapy Skills Training Manual, 2nd Edition: Dbt for Self-Help and Individual & Group Treatment Settings. United State of America, Pesi Pub & Media.
Authors who publish with scientific journal agree to the following terms:
• All scientific papers may be freely copied and distributed on any medium and in any format, provided that the references to the initial data of the scientific work are indicated.
• Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed Creative Commons Attribution License .
• Authors are able to enter into separate, additional contractual arrangements for the non- exclusive distribution of the journal’s published version of the work (institutional repository, your website, monograph), with an acknowledgement of its initial publication in this journal.