Dialectical Behavior Therapy Theories of Psychotherapy Series Acceptance and Commitment Therapy Steven C. Hayes and Jason Lillis Adlerian Psychotherapy Jon Carlson and Matt Englar-Carlson The Basics of Psychotherapy: An Introduction to Theory and Practice, Second Edition Bruce E. Wampold Behavior Therapy Martin M. Antony and Lizabeth Roemer Brief Dynamic Therapy, Second Edition Hanna Levenson Career Counseling, Second Edition Mark L. Savickas Cognitive–Behavioral Therapy, Second Edition Michelle G. Craske Cognitive Therapy Keith S. Dobson Dialectical Behavior Therapy Alexander L. Chapman and Katherine L. Dixon-Gordon Emotion-Focused Therapy, Revised Edition Leslie S. Greenberg Existential–Humanistic Therapy, Second Edition Kirk J. Schneider and Orah T. Krug Family Therapy William J. Doherty and Susan H. McDaniel Feminist Therapy, Second Edition Laura S. Brown Gestalt Therapy Gordon Wheeler and Lena Axelsson Interpersonal Psychotherapy Ellen Frank and Jessica C. Levenson Narrative Therapy Stephen Madigan Person-Centered Psychotherapies David J. Cain Psychoanalysis and Psychoanalytic Therapies, Second Edition Jeremy D. Safran and Jennifer Hunter Psychotherapy Case Formulation Tracy D. Eells Psychotherapy Integration George Stricker Rational Emotive Behavior Therapy Albert Ellis and Debbie Joffe Ellis Reality Therapy Robert E. Wubbolding Relational–Cultural Therapy, Second Edition Judith V. Jordan Theories of Psychotherapy Series Matt Englar-Carlson, Series Editor Dialectical Behavior Therapy Alexander L. Chapman and Katherine L. Dixon-Gordon Copyright © 2020 by the American Psychological Association. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, including, but not limited to, the process of scanning and digitization, or stored in a database or retrieval system, without the prior written permission of the publisher. The opinions and statements published are the responsibility of the authors, and such opinions and statements do not necessarily represent the policies of the American Psychological Association. Published by American Psychological Association 750 First Street, NE Washington, DC 20002 https://www.apa.org Order Department https://www.apa.org/pubs/books [email protected] In the U.K., Europe, Africa, and the Middle East, copies may be ordered from Eurospan https://www.eurospanbookstore.com/apa [email protected] Typeset in Minion by Circle Graphics, Inc., Reisterstown, MD Printer: Sheridan Books, Chelsea, MI Cover Designer: Beth Schlenoff Design, Bethesda, MD Library of Congress Cataloging-in-Publication Data Names: Chapman, Alexander L. (Alexander Lawrence), author. | Dixon-Gordon, Katherine L., author. Title: Dialectical behavior therapy / Alexander L. Chapman and Katherine L. Dixon-Gordon. Description: Washington, DC : American Psychological Association, [2020] | Series: Theories of psychotherapy series | Includes bibliographical references and index. Identifiers: LCCN 2020000549 (print) | LCCN 2020000550 (ebook) | ISBN 9781433831454 (paperback) | ISBN 9781433831461 (ebook) Subjects: LCSH: Dialectical behavior therapy. Classification: LCC RC489.D48 C43 2020 (print) | LCC RC489.D48 (ebook) | DDC 616.89/142—dc23 LC record available at https://lccn.loc.gov/2020000549 LC ebook record available at https://lccn.loc.gov/2020000550 http://dx.doi.org/10.1037/0000188-000 Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 To all of the DBT clients who have taught me so much. —Alexander L. Chapman To my mentors and colleagues in the DBT community— thank you for building a foundation of compassionate, evidence-based care for our clients. —Katherine L. Dixon-Gordon Contents Series Preface xi How to Use This Book With APA Psychotherapy Videos xv 1. Introduction 3 2. History 13 3. Theory 35 4. Functions, Structure, and Core Interventions 65 5. Evaluation: Research on DBT 105 6. Process: Primary Change Mechanisms 137 7. Summary 159 Glossary of Key Terms 169 Suggested Readings and Resources 179 References 183 Index 209 About the Authors 221 About the Series Editor 223 ix