PSY343H1 Lecture Notes - Dialectical Behavior Therapy, Substance Dependence, Eating Disorder
Document Summary
Because ongoing skills training proves difficult in individual therapy aimed at reducing suicidal behavior and handling crises, dbt mandates a separate psychoeducation group for skills training. The group typically meets weekly for 2 hours during the first year of therapy and explicitly teaches core mindfulness, interpersonal effectiveness, emotional regulation, and distress tolerance skills. Homework exercises for these skills are provided in published skills training manuals. Phone consultation with the individual therapist between sessions is routinely provided and even encouraged. To ameliorate some of the enormous stress encountered in treating borderline psychopathology, dbt therapists are asked to attend case consultation meetings held weekly with an experienced supervisor or with a group of fellow therapists. Therapeutic relationship: many behavior therapists prefer the operational term validation to the personcentered empathy in describing their relationship goals. Emerging approaches to counselling intervention: dbt: based on behavioral theory but also includes principles of acceptance, mindfulness, & validation.
