[Episode 26] In today’s podcast, I utter amongst Sabrina Heller, a social worker inwards Pittsburgh, Pennsylvania who has used Dialectical Behavior Therapy, (DBT) inwards a diversity of clinical settings, including an inpatient eating disorders clinic too an outpatient kernel abuse handling program. In today's interview nosotros spoke almost the destination of DBT, clinical techniques, the role of the customer too clinician, the skills preparation workshop, the 3 hear states: reasonable mind, emotion mind, too wise mind, too how Sabrina incorporates DBT into her piece of job amongst clients.Download MP3 [52:12]
Transcript
IntroductionIn today’s podcast, I utter amongst Sabrina Heller, a social worker inwards Pittsburgh, Pennsylvania who has used Dialectical Behavior Therapy, (DBT) inwards a diversity of clinical settings, including an inpatient eating disorders clinic too an outpatient kernel abuse handling program. In today's interview nosotros spoke almost the destination of DBT, clinical techniques, the role of the customer too clinician, the skills preparation workshop, the 3 hear states: reasonable mind, emotion mind, too wise mind, too how Sabrina incorporates DBT into her piece of job amongst clients.
DBT is an evidence-based cognitive-behavioral therapy developed past times Marsha Linehan too her colleagues at the University of Washington inwards Seattle for suicidal clients who consider criteria for BPD. When I say it is an evidence-based treatment, I hateful that every bit of 2007, DBT has to a greater extent than randomized trials demonstrating efficacy inwards the handling of BPD too suicidal behaviors than whatever other approach, including psychodynamic or fifty-fifty other cognitive-behavioral treatments.
I saw physician Linehan utter at the American Association of Suicidology conference inwards Seattle, WA inwards June of 2006. During her presentation she said that if the cite “CBT” had non already been taken, she would have got called her approach CBT. She also said that, although DBT is an evidence-based approach for treating people amongst BPD, she initially sought to develop a to a greater extent than effective handling for people amongst suicidal behaviors. During her research, she noticed that many of her clients met criteria for BPD. Because funding for question tends to favor projects that are tied to a diagnosis such every bit BPD rather than a laid of behaviors such every bit suicide attempts, Linehan constitute that she could alone instruct funding if she discussed her handling inwards relation to the diagnosis, non the behaviors. So, fifty-fifty though DBT has instruct identified every bit a handling for BPD, it was originally developed to process people amongst self-harm behaviors, such every bit self-cutting, suicide thoughts, too suicide attempts.
There are 5 functions that are addressed past times measure DBT: (1) increasing behavioral capabilities, (2) improving motivation for skillful conduct (through contingency administration too reduction of interfering emotions too cognitions), (3) assuring generalization of gains to the natural environment, (4) structuring the handling surroundings then that it reinforces functional rather than dysfunctional behaviors, too (5) enhancing therapist capabilities too motivation to process patients effectively. These functions are divided amid the next iv modes of service delivery: (1) weekly private psychotherapy (1 h/wk), (2) grouping skills preparation (2½ h/wk), (3) telephone consultation (as needed inside the therapist’s limits to ensure generalization), too (4) weekly therapist consultation squad meetings (to raise therapist motivation too skills too to render therapy for the therapists). (Linehan et al, 2006, p.759)
Since Linehan published her handling manual inwards 1993, DBT has instruct ane of the most empirically-validated approaches to treating BPD too self-harm behaviors. H5N1 2006 study compared DBT to goodness therapies too constitute that participants who received DBT had amend outcomes. Linehan reported that subjects “were one-half every bit probable to brand a suicide elbow grease (hazard ratio, 2.66; p=.005), required less hospitalization for suicide ideation (F1,92=7.3; p =.004), too had lower medical opportunity (F1,50=3.2; P=.04) across all suicide attempts too self-injurious acts combined. Subjects receiving DBT were less probable to drib out of handling (hazard ratio, 3.2; p <.001) too had fewer psychiatric hospitalizations (F1,92=6.0; p =.007) too psychiatric emergency subdivision visits (F1,92=2.9; P=.04)” (Linehan et al, 2006, p. 757).
And now, without farther ado, on to episode 26 of the Social Work Podcast. Dialectical conduct therapy: Interview amongst Sabrina Heller, LSW.
References
- Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., et al. (2006). Two-year randomized controlled lawsuit too follow-up of Dialectical Behavior Therapy vs Therapy past times Experts for suicidal behaviors too borderline personality disorder. Archives of General Psychiatry, 63, 757-766.
- Behavioral Tech, LLC: [from the website] Behavioral Tech, LLC, founded past times physician Linehan, trains mental wellness tending providers too handling teams who piece of job amongst complex too severely disordered populations to utilization compassionate, scientifically valid treatments too to implement too evaluate these treatments inwards their practise setting.
- What is DBT? http://behavioraltech.org/resources/whatisdbt.cfm
- Clinician tools: http://behavioraltech.org/resources/tools_clinicians.cfm
- Wikipedia's entry on Dialectical Behavior Therapy
- Danielson, L. (2009). Understanding borderline personality disorder. Praxis, 9, 54-60. Retrieved on Dec 9, 2009 from http://www.leadershape.luc.edu/socialwork/pdfs/Understanding_Borderline_Personality_Disorder.pdf Note: This article references the podcast.
APA (6th ed) citation for this podcast:
Singer, J. B. (Producer). (2007, Oct 15). Dialectical Behavior Therapy: Interview amongst Sabrina Heller, LSW. [Episode 26]. Social Work Podcast. Podcast retrieved from /search?q=dialectical-behavior-therapy-interview
Buat lebih berguna, kongsi:
