- The Oxford Handbook of Dialectical Behaviour Therapy®
- Dedication
- Foreword
- Preface
- Acknowledgements
- List of Contributors
- Dialectical Behaviour Therapy: Development and Distinctive Features
- Understanding the Bio in the Biosocial Theory of BPD: Recent Developments and Implications for Treatment
- Invalidating Environments and the Development of Borderline Personality Disorder
- Behavioural Foundations of DBT: Applying Behavioural Principles to the Challenge of Suicidal Behaviour and Non-suicidal Self-injury
- Modifying Behaviour Therapy to Meet the Challenge of Treating Borderline Personality Disorder: Incorporating Zen and Mindfulness
- Modifying CBT to Meet the Challenge of Treating Emotion Dysregulation: Utilizing Dialectics
- The Structure of DBT Programmes
- Running an Effective DBT Consultation Team: Principles and Challenges
- Skills Training in DBT: Principles and Practicalities
- Generalization Modalities: Taking the Treatment out of the Consulting Room—Using Telephone, Text, and Email
- Structuring the Wider Environment and the DBT Team: Skills for DBT Team Leads
- Case Formulation in DBT: Developing a Behavioural Formulation
- Conducting Effective Behavioural and Solution Analyses
- Conceptual and Practical Issues in the Application of Emotion Regulation in Dialectical Behaviour Therapy
- DBT as a Suicide and Self-harm Treatment: Assessing and Treating Suicidal Behaviours
- Validation Principles and Practices in Dialectical Behaviour Therapy
- Responding to Clients’ In-session Clinical Behaviours
- Teaching Mindfulness Skills in DBT
- Dialectical Behaviour Therapy with Parents, Couples, and Families to Augment Stage 1 Outcomes
- Dialectical Behaviour Therapy from 1991–2015: What Do We Know About Clinical Efficacy and Research Quality?
- Dialectical Behaviour Therapy in Routine Clinical Settings
- Cost-Effectiveness of Dialectical Behaviour Therapy for Borderline Personality Disorder
- Mechanisms of Change in Dialectical Behaviour Therapy
- DBT: A Client Perspective
- DBT with Adolescents
- DBT for Eating Disorders: An Overview
- Dialectical Behaviour Therapy for Substance Use Disorders
- DBT in Forensic Settings
- Delivering DBT in an Inpatient Setting
- Dialectical Behaviour Therapy in College Counselling Centres
- Dialectical Behaviour Therapy for Pre-adolescent Children
- DBT Skills in Schools: Implementation of the DBT STEPS—A Social Emotional Curriculum
- Dialectical Behavioural Therapy Skills for Employment
- Improving Accessibility to Dialectical Behaviour Therapy for Individuals with Cognitive Challenges
- Integrating Post-Traumatic Stress Disorder Treatment into Dialectical Behaviour Therapy: Clinical Application and Implementation of the DBT Prolonged Exposure Protocol
- DBT–PTSD: A Treatment Programme for Complex PTSD After Childhood Abuse
- Implementing DBT: An Implementation Science Perspective
- The Dialectical Dilemmas of Implementation
- DBT in Private Practice
- Implementation in National Systems: DBT in an Irish Context
- International Implementation of Dialectical Behaviour Therapy: The Challenge of Training Therapists Across Cultures
- Using Novel Technology in Dialectical Behaviour Therapy
- Evidence-based Training: The Intensive Model of Training in Dialectical Behaviour Therapy
- Shaping Therapists Towards Adherence: A How-to Guide
- Future Directions for Dialectical Behaviour Therapy: Theory, Development, and Implementation
- Index
Abstract and Keywords
During treatment sessions, clients engage in a range of clinically relevant behaviours, including therapy-interfering behaviours and secondary targets. Utilizing the term “in-session clinical behaviour” (ICB) to encompass any client behaviour that occurs during a session and adversely impacts either the treatment or another part of the client’s life, this chapter focuses on applying DBT principles and strategies to these behaviours in an array of treatment contexts. It reviews principles of behavioural definition for ICBs and discusses how to engage clients in the treatment of these behaviours. It then describes behavioural conceptualizations of the proximal factors leading to and maintaining ICBs, and attends to time and other contextual constraints that may preclude a detailed behavioural chain analysis. Finally, it describes the solution implementation of cognitive-behavioural change procedures to treat ICBs, ranging from brief, single solution interventions to comprehensive solution analyses.
Keywords: In-session clinical behaviour, therapy-interfering behaviour, behavioural definition, behavioural conceptualization, solution implementation
Heidi L. Heard, Department of Psychology, University of Washington, US, and British Isles DBT Training, UK
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- The Oxford Handbook of Dialectical Behaviour Therapy®
- Dedication
- Foreword
- Preface
- Acknowledgements
- List of Contributors
- Dialectical Behaviour Therapy: Development and Distinctive Features
- Understanding the Bio in the Biosocial Theory of BPD: Recent Developments and Implications for Treatment
- Invalidating Environments and the Development of Borderline Personality Disorder
- Behavioural Foundations of DBT: Applying Behavioural Principles to the Challenge of Suicidal Behaviour and Non-suicidal Self-injury
- Modifying Behaviour Therapy to Meet the Challenge of Treating Borderline Personality Disorder: Incorporating Zen and Mindfulness
- Modifying CBT to Meet the Challenge of Treating Emotion Dysregulation: Utilizing Dialectics
- The Structure of DBT Programmes
- Running an Effective DBT Consultation Team: Principles and Challenges
- Skills Training in DBT: Principles and Practicalities
- Generalization Modalities: Taking the Treatment out of the Consulting Room—Using Telephone, Text, and Email
- Structuring the Wider Environment and the DBT Team: Skills for DBT Team Leads
- Case Formulation in DBT: Developing a Behavioural Formulation
- Conducting Effective Behavioural and Solution Analyses
- Conceptual and Practical Issues in the Application of Emotion Regulation in Dialectical Behaviour Therapy
- DBT as a Suicide and Self-harm Treatment: Assessing and Treating Suicidal Behaviours
- Validation Principles and Practices in Dialectical Behaviour Therapy
- Responding to Clients’ In-session Clinical Behaviours
- Teaching Mindfulness Skills in DBT
- Dialectical Behaviour Therapy with Parents, Couples, and Families to Augment Stage 1 Outcomes
- Dialectical Behaviour Therapy from 1991–2015: What Do We Know About Clinical Efficacy and Research Quality?
- Dialectical Behaviour Therapy in Routine Clinical Settings
- Cost-Effectiveness of Dialectical Behaviour Therapy for Borderline Personality Disorder
- Mechanisms of Change in Dialectical Behaviour Therapy
- DBT: A Client Perspective
- DBT with Adolescents
- DBT for Eating Disorders: An Overview
- Dialectical Behaviour Therapy for Substance Use Disorders
- DBT in Forensic Settings
- Delivering DBT in an Inpatient Setting
- Dialectical Behaviour Therapy in College Counselling Centres
- Dialectical Behaviour Therapy for Pre-adolescent Children
- DBT Skills in Schools: Implementation of the DBT STEPS—A Social Emotional Curriculum
- Dialectical Behavioural Therapy Skills for Employment
- Improving Accessibility to Dialectical Behaviour Therapy for Individuals with Cognitive Challenges
- Integrating Post-Traumatic Stress Disorder Treatment into Dialectical Behaviour Therapy: Clinical Application and Implementation of the DBT Prolonged Exposure Protocol
- DBT–PTSD: A Treatment Programme for Complex PTSD After Childhood Abuse
- Implementing DBT: An Implementation Science Perspective
- The Dialectical Dilemmas of Implementation
- DBT in Private Practice
- Implementation in National Systems: DBT in an Irish Context
- International Implementation of Dialectical Behaviour Therapy: The Challenge of Training Therapists Across Cultures
- Using Novel Technology in Dialectical Behaviour Therapy
- Evidence-based Training: The Intensive Model of Training in Dialectical Behaviour Therapy
- Shaping Therapists Towards Adherence: A How-to Guide
- Future Directions for Dialectical Behaviour Therapy: Theory, Development, and Implementation
- Index
