Dialectic Behavior Therapy (Marsha Linehan) – Flashcards

(1) individual: one on one therapy is necessary (2) Group/Skills Learning: also available (3) Peer Consultation (Therapist): need more therapists to support one another because it is so stressful (4) Telephone Coaching: very specified (need boundaries) ~definition of what an emergency is needs to be understood by patient (everything can be an emergency to someone who is psychologically prone)

-therapeutic humility -irreverence -biosocial model -assumptions about patients

-therapeutic humility: based on the notion that treatment may not work for everyone -not everyone needs therapy and not everyone can be treated by it -"nobody owns truth"- find the persons truth -"Wise-Mind: your personal truth" -have to acknowledge we can't treat everyone

-irreverence: treating nothing as sacred -nothing is off limits to talk about -there should be humor and nothing should be taken too seriously

-biosocial model~ transactional model -transaction between the individual and the environment -the invalidating environment: difficult fit between an artistic child and a grounded parent because the environment could invalidate the child's experience -no-fault model: by avoiding blame you can look into accountability -looks into when and how you should use your emotional responsibility ~how do you use your abilities and when -'goodness of fit'

-assumptions about patients~ DBT makes assumptions about patients -patients are doing the best they can: coming for help means they want to make an effort to get better but don't know how -people who are suicidal, through actions, are telling you that they're lives are unbearable to live right now ~goal is to make a life worth living * the therapist and therapy can fail the patient but the patient can't fail them

-link between actions ; urges (need to monitor this) -Behavioral Chain Analysis ~what are the behaviors and what gets in the way ~increase beneficial ; good behaviors -practice framework ~make sure the patient is committed to therapy -index cards everyday to see if there are treatment interfering behaviors -treatment reversive therapy- w/o homework sheet is difficult to understand the patient -quality of life interfering behaviors (relationship barrier interfering behaviors) -effective with BPD- empirically validated for women (suicidal, BPD)

-core mindfulness -interpersonal effectiveness -emotional regulation -distress tolerance