dialecticalbehaviortherapyintroductiontothe：辩证行为疗法导论

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1、DialecticalBehaviorTherapy:AnIntroductiontothePhilosophyandSkillsJanceyWickstrom,AM,LCSWTweetusat#NASWILOverviewPhilosophybasedtreatmentOverallgoal:creatingameaningfullifeSkillsareeasilyadaptabletovarietyofsituations,abilities,andinterestsHelpsawiderangeofbehaviorsintendedtoreg

2、ulateemotionTweetusat#NASWILDialecticsMiddlegroundFromeither/ortoboth/andBlackorWhitethinkingtoBlackANDWhitethinkingEmergedfromrepeatedineffectiveinterventionsCounteractsrigidityTweetusat#NASWILDialecticofDBTAcceptanceMindfulnessDistresstoleranceChangeEmotionregulationInterpers

3、onaleffectivenessTweetusat#NASWILDBTFrameworkFourcomponents:SkillstrainingIndividualtherapyTelephoneconsultationConsultationgroupTweetusat#NASWILConsultationAgreementsDialecticalAgreementConsultationtotheClientAgreementConsistencyAgreementObservingLimitsAgreementPhenomenologica

4、lEmpathyAgreementFallibilityAgreementAssumptionsinDBTClientsaredoingthebesttheycanClientswanttoimproveClientsmustdobetter,tryharderandbemoremotivatedtochangeClientsmaynothavecausedtheirownproblemsbutmustsolvethemanywayTweetusat#NASWILAssumptionsinDBT(cont.)Clients’livesareunbea

5、rableastheycurrentlyliveClientsmustlearnnewbehaviorsinallrelevantcontextsClientscannotfailintherapyTherapistsneedsupportTweetusat#NASWILDBTPrinciplesPeoplewithproblemsregulatingemotionhave:HighsensitivityHighreactivitySlowreturntobaselineGenerallyraisedininvalidatingenvironment

6、s.Tweetusat#NASWILDBTPrinciples(cont.)“Problematic”behaviorsservedapurposeatonepoint,butarenowineffective.ClientsrewardusforreinforcingoldwaysoflivingandpunishusfordoingDBTeffectively.Onlywaytorealizemeaningfullifeisthroughpracticeandmorepractice.Tweetusat#NASWILAcceptance:Mind

7、fulnessBecomingawareofandpresentwithourthoughtsandemotionsDifferentiatingourselvesfromourthoughtsandemotions-getting“unfused”PracticingcontrollingourattentionNEVERaboutcontrollingourthoughts--underlieseverysingleaspectofDBTTweetusat#NASWILLearninghowtocontrolyourmind/attentions

8、oitdoesnotcontrolyou.MindfulnessAcceptance:DistressTol