Changing Behavior in DBT®: Problem Solving in Action PDF
Preview Changing Behavior in DBT®: Problem Solving in Action
Changing Behavior in DBT® Changing Behavior in DBT ® Problem Solving in action heidi L. heard Michaela a. Swales Foreword by Marsha M. Linehan The Guilford Press new York London © 2016 The Guilford Press A Division of Guilford Publications, Inc. 370 Seventh Avenue, Suite 1200, New York, NY 10001 www.guilford.com All rights reserved No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 9 8 7 6 5 4 3 2 1 The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards of practice that are accepted at the time of publication. However, in view of the possibility of human error or changes in behavioral, mental health, or medical sciences, neither the authors, nor the editors and publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or the results obtained from the use of such information. Readers are encouraged to confirm the information contained in this book with other sources. Library of Congress Cataloging-in-Publication Data is available from the publisher. ISBN 978-1-4625-2264-4 DBT is a registered trademark of Marsha M. Linehan. For those family and friends who provided abundant support throughout this project —H. L. H. For Richard, Thomas, and Caitlin —M. A. S. aBouT The auThorS Heidi L. Heard, PhD, is a Senior Trainer for Behavioral Tech, which provides advanced training in DBT, and Clinical Instructor at the Uni- versity of Washington in Seattle. Based in St. Louis, she is the founder and former director of British Isles DBT Training and provides consulta- tion to DBT therapists and teams in North America and Europe. After collaborating with Marsha M. Linehan on the initial outcome trials for standard DBT and the adaptation for substance abuse and dependence, Dr. Heard has focused her research on the cost-effectiveness of DBT. She has published numerous articles and chapters related to borderline personality disorder and DBT and is coauthor (with Michaela A. Swales) of Dialectical Behaviour Therapy: Distinctive Features. Michaela A. Swales, PhD, is a Consultant Clinical Psychologist with Betsi Cadwaladr University Health Board, the largest health organization in Wales, and Senior Lecturer at the North Wales Clinical Psychology Pro- gramme, School of Psychology, Bangor University. She is also Director of British Isles DBT Training. Dr. Swales has trained more than a thousand professionals in DBT, seeding over 350 programs. Her research interests are primarily in the effective implementation of evidence-based psycho- logical therapies in routine clinical practice; she is currently involved in a clinical trial of DBT for treatment-resistant depression. Dr. Swales is a participant in the Working Group on Classification of Personality Disorders that reports to the World Health Organization’s International Advisory Group for the revision of the ICD-10 classification of mental and behavioral disorders. vii ForeworD h eidi Heard and Michaela Swales first met at one of my early inten- sive trainings in Seattle in the early 1990s. Heidi was then my graduate student; having been closely involved in the first randomized controlled trial of DBT, she was developing her skills as a trainer in DBT alongside me. Michaela was part of the first U.K. team to learn DBT. Inspired by her mentor, Mark Williams, who later went on to develop mindfulness- based cognitive therapy with John Teasdale and Zindel Segal, she had come to Seattle to learn how to treat adolescents with suicidal and self- harm behaviors. Heidi and Michaela’s meeting was to prove auspicious for the dissemination of DBT outside the United States. They gave a presentation together at a conference in Dublin the following year, and during their visit there, they hatched the plan that would take Heidi to work alongside Michaela and Mark Williams in North Wales. During Heidi’s time in the United Kingdom, she used her already considerable skills and expertise to found the British Isles DBT Training Team, which Michaela would go on to lead. Together they have crossed the length and breadth of the United Kingdom and Ireland to train mental health professionals in DBT, eventually developing a national training team that delivers high-quality training in DBT throughout the British Isles, in partnership with the Linehan Institute. Their skills in mentoring trainers to achieve similar levels of precision and clarity in the conceptualization and treatment of clients’ problems have informed the development of our own U.S. mentorship program for DBT trainers. As well as being adherent and highly competent therapists them- selves, Heidi and Michaela have developed a wealth and breadth of knowledge both in training therapists and developing their skills toward ix
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