overviewofdialecticalbehaviortherapy-mhcd…：辩证行为疗法-微空心阴极放电的概述…

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1、DBTandRecoveryMichelleRollins,MA,LPC,CACIIIJenniferLeeson,MSW,LCSWObjectivesExplainbasictenetsofDBTDiscussfundamentalcomponentsofrecoveryDiscuss4-stepprocessofhopeDiscusswhathelpsandhindersintherecoveryprocessDialecticalBehaviorTherapyWhatisDBT?DevelopedattheUniversityofWashingtonby

2、MarshaLinehan,Ph.D.Empirically-supported“modified”cognitivebehavioraltreatmentforborderlinepersonalitydisorderParticularefficacyinconsumerswithchronicsuicidalorself-harmingbehaviorsProvidestoolsandstrategiestoimprovequalityoflife,facilitatechange,managecrises,andeliminatedysfunction

3、albehaviorsResearchonDBTOriginallyvalidatedintwoRCTscomparingDBTtoTAUinBPDandBPD+SADBTpatientsvsTAUpatientsLesslikelytodropoutoftreatmentFewer/lessmedicallysevereself-harmbehaviorsFewer/shorterinpatienthospitalizationsGreaterscoresofglobalandsocialadjustmentResearchonDBTOtherempiric

4、alstudiescomparingDBTtoTAUDecreasedsuicidalideationDecreaseddepression,hopelessness,angerGreatertreatmentretentionBiosocialtheoryofBPDEmotiondysregulationBiologicaldisposition+environmentalcontextEmotionalvulnerabilityHighsensitivity/intenseresponsetostimuliSlowreturntobaselineafter

5、emotionalarousalModesofdeliveryinDBTOutpatientindividualpsychotherapyOutpatientgroupskillstrainingTelephoneconsultationCaseconsultationfortherapistsAncillarytreatmentSkillsmodulesinDBTCoreMindfulnessGoal:todevelopalifestyleofparticipatingwithawarenessIdentitydisturbance;feelingsofem

6、ptinessInterpersonalEffectivenessGoal:toapplyspecificskillsininterpersonalencounterstoobtainobjectivesbyaskingorsayingno,maintaintherelationship,maintainself-respect,analyzethesituationanddeterminegoalsUnstablerelationships;effortstoavoidlossSkillsmodulesinDBTEmotionRegulationGoal:t

7、oapplyspecificskillstoidentify,label,andregulateemotionswithinacontextofself-validationandnon-judgmentAffectiveinstability;problemswithangerDistressToleranceGoal:toapplyspecificskillstotolerateandsurvivecrisesandtoacceptoneselfandthecurrentsituationinanonjudgmentalfashionImpulsivity

8、;self-harmbehaviors