Dialectical Behaviour Therapy (DBT) is a psychotherapeutic approach designed particularly to treat the problems of chronically suicidal individuals with borderline personality disorder (BPD). The therapy articulates a series of principles that effectively guide clinicians in responding to suicidal and other behaviours that challenge them when treating this population.
Dialectical Behaviour Therapy highlights 30 distinctive features of the treatment and uses extensive clinical examples to demonstrate how the theory translates into practice. In part I: theory, the authors introduce us to the three foundations on which the treatment rests - behaviourism, Zen and dialectics - and how these integrate. In part II: practice, Swales and Heard describe both how the therapy applies these principles to the treatment of clients with borderline personality disorder and elucidate the distinctive conceptual twists in the application of cognitive and behavioural procedures within the treatment.
This book provides a clear and structured overview of a complex treatment. It is written for both practicing clinicians and students wishing to learn more about DBT and how it differs from the other cognitive behaviour therapies.

Contents:

Part I: Theory. Principle Driven Treatment. Integrative Therapy. Dialectical Philosophy. Primacy of Affect. Transactional Theory of Capability and Motivational Deficits. Learning Theory I: Classical Conditioning. Learning Theory II: Operant Conditioning. Behavioural Approach to Diagnosis. Zen Philosophy. Part II: Practice. Developing Modalities to Fulfil Specific Functions. Coaching on the Phone. Consulting in a Team. Treating the System. Structuring the Treatment in Stages. Strengthening Commitment in Pre-treatment. Targeting Behaviours According to a Hierarchy. Validating in the Current Context or Clients’ Inherent Capabilities. Analysing Behaviours with a Contextual Twist. Integrating Multiple CBT Procedures in a Solution Analysis. Using Skilful Means. Exposing to a Variety of Affects. Managing Contingencies in the Therapeutic Context. Restructuring Cognitions. Being Dialectical. Using Self-disclosure. Confronting and Being Irreverent. Consulting to the Client. Treating the Client’s Therapy-interfering Behaviour. Treating the Therapist. Evidence for Efficacy and Effectiveness.

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