PSYCH 127A Lecture Notes - Lecture 5: Dialectical Behavior Therapy, Borderline Personality Disorder, Cognitive Restructuring
Document Summary
Cbt used includes relaxation, self monitoring, habit reversal training (hrt), reinforcement/punishment, contingencies, thought monitoring and cognitive restructuring. Client showed 72% decrease after hrt alone and complete elimination after cognitive restructuring. Successful treatment models include: hrt, comprehensive behavioral model for ttm (comb), and dialectical behavior therapy (dbt: dbt initially developed for borderline personality disorder but can improve outcomes for ttm. Cbt can be tailored to specific client needs. Hrt encourages clients to develop awareness of when the problem behavior occurs then use alternative/competing responses as a way to prevent that behavior from occurring: awareness training, competing response (cr) practice, habit control motivation, generalization training. Prominent unpleasant sense of tension before pulling or when attempting to resist pulling. Photographic documentation of problem area of scalp. Self monitoring of hair pulling frequency and severity. Help her become aware of hair pulling and figure out triggers/feelings associated. Date/time/physical setting, how much time spent, perceived consequences.
