Doing Dialectical Behavior Therapy: A Practical Guide PDF
Preview Doing Dialectical Behavior Therapy: A Practical Guide
Doing Dialectical Behavior therapy guides to individualized evidence-Based treatment Jacqueline B. Persons, Series Editor Providing road maps for managing real-world cases, volumes in this series help the clinician develop treatment plans using interventions of proven effectiveness. With an emphasis on systematic yet flexible case formulation, these hands-on guides provide powerful alternatives to one-size-fits-all approaches. Each book addresses a particular disorder or presents cutting-edge intervention strategies that can be used across a range of clinical problems. Cognitive Therapy of Schizophrenia David G. Kingdon and Douglas Turkington Treating Bipolar Disorder: A Clinician’s Guide to Interpersonal and Social Rhythm Therapy Ellen Frank Modular Cognitive-Behavioral Therapy for Childhood Anxiety Disorders Bruce F. Chorpita Cognitive-Behavioral Therapy for PTSD: A Case Formulation Approach Claudia Zayfert and Carolyn Black Becker Cognitive-Behavioral Therapy for Adult Asperger Syndrome Valerie L. Gaus Cognitive-Behavioral Therapy for Anxiety Disorders: Mastering Clinical Challenges Gillian Butler, Melanie Fennell, and Ann Hackmann The Case Formulation Approach to Cognitive-Behavior Therapy Jacqueline B. Persons Mindfulness- and Acceptance-Based Behavioral Therapies in Practice Lizabeth Roemer and Susan M. Orsillo Doing Dialectical Behavior Therapy: A Practical Guide Kelly Koerner Doing Dialectical Behavior Therapy A PrActicAl Guide Kelly Koerner Series Editor’s Note by Jacqueline B. Persons Foreword by Marsha M. Linehan THE GUILFORD PRESS New York London © 2012 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved Except as indicated, 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 LIMITED PHOTOCOPY LICENSE These materials are intended for use only by qualified mental health professionals. The Publisher grants to individual purchasers of this book nonassignable permission to reproduce all materials for which photocopying permission is specifically granted in a footnote. This license is limited to you, the individual purchaser only, for use with your own clients and patients. Purchase by an institution does not constitute a site license. This license does not grant the right to reproduce these materials for resale, redistribution, or any other purposes (including but not limited to books and handouts or slides for lectures or workshops). Permission to reproduce these materials for these and any other purposes must be obtained in writing from The Guilford Press. The author has checked with sources believed to be reliable in her 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 author, nor the editor 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 978-1-4625-0232-5 In loving dedication to Claire, Tom, SB, and NB About the Author Kelly Koerner, PhD, is Founder and Creative Director of the Evidence- Based Practice Institute, where she explores how technology can be used for learning and collaboration to help practitioners get better clinical outcomes. She is an expert clinician, clinical supervisor, and trainer in dialectical behavior therapy (DBT), with specialized training in many other evidence-based treatments. She has served as Director of Training for Marsha M. Linehan’s research investigating the efficacy of DBT for suicidal and drug-abusing individuals with borderline personality disor- der; Creative Director at Behavioral Tech Research, where she developed e-learning and other technology-based methods to disseminate evidence- based practices; and Co-Founder and first CEO of Behavioral Tech, a company that provides training in DBT. Dr. Koerner is a Clinical Faculty member at the University of Washington and maintains a small clinical consulting practice in Seattle. vii Series editor’s Note Readers are in for a treat. In this book, Kelly Koerner describes in detail the skills needed by the individual therapist who is providing dialecti- cal behavior therapy (DBT) to the complex multiple-problem patient. DBT was originally developed by Marsha M. Linehan at the University of Washington for the treatment of chronic suicidal behavior, and she later extended it to provide treatment to patients who meet criteria for borderline personality disorder and suffer from life-threatening and quality-of-life-threatening behaviors, including suicidality, self-harm, impulsive self-destructive behaviors, tumultuous interpersonal relation- ships, unemployment, homelessness, and poverty. DBT, when provided in a comprehensive package that includes individual therapy, group skills training, and consultation with the therapist, has been shown in several randomized controlled trials to provide effective treatment for patients who have borderline personality disorder, and recent controlled studies have shown that DBT is also effective for treating substance abuse, buli- mia, and binge eating. When patients have suicidal and self-harm behaviors, intense emo- tions, impulsive behaviors, uncertainty about their goals and even their identity, and desperate life circumstances—and when all these occur in the context of intense and rapidly shifting emotional states and behav- iors—therapists need skilled guidance. DBT and this book can provide it. Koerner describes the conceptual framework underpinning DBT and provides rich clinical detail that shows the therapist how to use the frame- work to prioritize and intervene effectively when patients have multiple high-priority targets, as, for example, when the patient in your office at this moment is having strong urges to die, is about to be evicted, and ix
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