Explore chapters and articles related to this topic
Consciousness
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
Tricia L. Chandler, Tara G. Matthews, Karlene Barrett, M. A. Lawless Coker
Dialectical behavior therapy (DBT) is a multifaceted approach that has been used to treat women diagnosed with borderline personality disorder who had suicidal ideation and lack of acceptance of treatment approaches initially (Chapman, 2006; O’Connell, 2014). It was developed by Dr. Marsha Linehan in the early 1990s, with the distinct purpose of developing an evidence-based practice that would help populations with co-occurring disorders who were at high risk for suicide (Linehan, 1993). DBT proposes that reality consists of two opposing forces, and when synthesis occurs between these forces, a new reality emerges that also has two opposing forces in a continual process of change (Baer, 2003). The central dialectic in DBT is the relationship between acceptance and change.
Eating Disorders and Treatment
Published in Emily Crews Splane, Neil E. Rowland, Anaya Mitra, Psychology of Eating, 2019
Emily Crews Splane, Neil E. Rowland, Anaya Mitra
Cognitive-behavioral therapy (CBT) is the leading type of psychological therapy for eating disorders (Bulik et al., 2007; Walsh, Wheat & Freund, 2000; Yager & Powers, 2007). CBT addresses an individual’s maladaptive thoughts about food and body weight and also reinforces healthy eating behavior (Fairburn, 1995). Dialectical behavior therapy, a newer form of CBT, is used to train people to better regulate their emotions and be more mindful of their behaviors and feelings. This is particularly helpful for people who are prone to binge eating for emotional reasons (Bankoff et al., 2012; Telch, Argas & Linehan, 2001).
Accept or Change
Published in Scott A. Simpson, Anna K. McDowell, The Clinical Interview, 2019
Scott A. Simpson, Anna K. McDowell
Out of exasperation or a sense of unfairness, some patients come to the appointment venting and complaining without committing to treatment. The clinician cannot help but grow similarly frustrated—with the patient! This dynamic is a threat to the effectiveness of the therapeutic alliance. This technique helps the clinician move the clinical conversation from complaining to solution-generating. Dialectical behavior therapy, a psychotherapy designed for patients with borderline personality disorder, introduces the concept of radical acceptance.1 Radical acceptance entails the patient’s complete and total acceptance of a situation without judgment. Radical acceptance is predicated on the idea that not accepting reality perpetuates negative emotional states and keeps the patient stuck, wishing that the situation were different yet not doing anything to change their circumstances. Instead, when practicing radical acceptance, the patient accepts reality as it is and can decide what, if anything, they want to do about their current circumstances.
Dialectical behavior therapy-skills system for cognitively challenged individuals with self-harm: a Swedish pilot study
Published in International Journal of Developmental Disabilities, 2023
Alexandra Rosendahl-Santillo, Reid Lantto, Lena Nylander, Christina Thylander, Pernilla Schultz, Julie Brown, Märta Wallinius, Sofie Westling
Dialectical behavior therapy (DBT) is a treatment developed for individuals with borderline personality disorder (BPD; Linehan 1993). Individuals with BPD have a high prevalence of self-injurious as well as suicidal behaviors (90% and 75% respectively; Goodman et al.2017). A number of studies have shown beneficial effects of DBT, such as reduced self-harm and psychiatric symptoms, reduced duration of hospitalization and increased global level of functioning (Linehan et al.2006, van den Bosch et al.2002, Verheul et al.2003, Cristea et al.2017, Storebø et al.2020). DBT has also proven to be effective in treating other psychiatric disorders where difficulties in managing emotions and problem behaviors are a part of the symptomatology, such as substance abuse (Linehan et al.2002, Linehan et al.1999) and eating disorders (Safer et al.2001). Today, DBT is one of the first choices of treatment for individuals with Borderline Personality Disorder without cognitive challenges (National Institute for Health and Care Excellence 2009, American Psychiatric Association 2001).
Dispositional Mindfulness in Heterosexual and Lesbian/Bisexual Women: Associations with Sexual Prejudice and Internalized Sexual Stigma
Published in Journal of Homosexuality, 2023
When it comes to mindfulness, it is necessary to distinguish between mindfulness as an individual disposition (Baer et al., 2008; Nilsson & Kazemi, 2016), a sort of stable trait, and mindfulness as training to improve one’s mindful state, which might include either meditation sessions in a non-structured way, or clinical protocols based on mindfulness, such as the Mindfulness Based Stress Reduction (BBSR, Grossman, Niemann, Schmidt, & Walach, 2004), the Mindfulness Based Cognitive Therapy (MBCT, Chiesa & Serretti, 2011), the Acceptance and Commitment Therapy (ACT, Twohig & Levin, 2017), the Compassion Focused Therapy (CFT, Leaviss & Uttley, 2015), or the Dialectical and Behavior Therapy (DBT, Valentine, Bankoff, Poulin, Reidler, & Pantalone, 2015). The first definition of dispositional mindfulness was made by Kabat-Zinn (1982), who defined it as the skill to pay attention intentionally to the present moment in a non-judgmental manner. Following definitions included other dimensions, leading to the current five facets of dispositional mindfulness: the focus on the present moment, acting with awareness, the non-judgmental acceptance, the ability of observing, and the capacity to describe the internal and external experiences in the present moment by labeling them with words (Baer et al., 2008; Brown & Ryan, 2003; Cardaciotto, Herbert, Forman, Moitra, & Farrow, 2008).
The Interplay of Sexual Arousal and Power-Related Emotions in Men’s Alcohol-Involved Sexual Aggression Intentions
Published in The Journal of Sex Research, 2022
Kelly Cue Davis, Elizabeth C. Neilson, Mitchell Kirwan, Elizabeth R. Bird, Nolan Eldridge, William H. George, Cynthia A. Stappenbeck
Before beverage administration, participants received one of two brief (5–10 minutes), computerized, ER interventions – cognitive restructuring (CR), mindfulness, or a control. Participants in the intervention conditions were trained to use their assigned ER strategy to cope with negative emotions using an online procedure and practice session. The training for individuals in the CR intervention was based on the Antecedent, Belief, Consequences (ABC) Model of Cognitive Behavioral Therapy (Ellis, 2008), in which participants reported their initial thoughts about an interpersonal interaction, noticed their subsequent emotions, developed alternative thoughts, and noted their new emotional responses. Training for individuals in the mindfulness condition was based on Dialectical Behavioral Therapy (Linehan, 2014) and involved observing and describing their reactions to an interpersonal situation, accepting their emotional responses without judgment, and allowing those emotional reactions to fluctuate without attempting to change them. Full explanations of both of these brief, virtual interventions are published elsewhere (Davis et al., 2020). Participants in the control condition received information regarding basic nutrition of approximately the same length as the ER interventions.