The Oxford Handbook of Dialectical Behaviour Therapy (Oxford Library of Psychology)

This handbook examines theoretical, structural, clinical and implementation aspects of dialectical behaviour therapy (DBT) for a variety of disorders such as borderline personality disorder (BPD), suicidal behaviour in the context of BPD, substance use disorders, cognitive disabilities, eating disorders, and post-traumatic stress disorder (PTSD). The volume considers the dialectical dilemmas of implementation with respect to DBT in both national and international systems, its adaptations in routine clinical settings, and its behavioural foundations. It also discusses evidence-based training in DBT, validation principles and practices in DBT, the biosocial theory of BPD, the structure of DBT programs, and the efficacy of DBT in college counseling centers. Finally, the book reflects on the achievements of DBT since the first treatment trial and considers challenges and future directions for DBT in terms of its theoretical underpinnings, clinical outcomes, adaptations and implementation in practice. Cover Foreword Preface Acknowledgements Table of Contents List of Contributors SECTION I INTRODUCTION 1. Dialectical Behaviour Therapy: Development and Distinctive Features SECTION II THEORETICAL UNDERPINNINGS OF DBT 2. Understanding the Bio in the Biosocial Theory of BPD: Recent Developments and Implications for Treatment 3. Invalidating Environments and the Development of Borderline Personality Disorder 4. Behavioural Foundations of DBT: Applying Behavioural Principles to the Challenge of Suicidal Behaviour and Non- suicidal Self- injury 5. Modifying Behaviour Therapy to Meet the Challenge of Treating Borderline Personality Disorder: Incorporating Zen and Mindfulness 6. Modifying CBT to Meet the Challenge of Treating Emotion Dysregulation: Utilizing Dialectics SECTION III THE STRUCTURE OF TREATMENT 7. The Structure of DBT Programmes 8. Running an Effective DBT Consultation Team: Principles and Challenges 9. Skills Training in DBT: Principles and Practicalities 10. Generalization Modalities: Taking the Treatment out of the Consulting Room— Using Telephone, Text, and Email 11. Structuring the Wider Environment and the DBT Team: Skills for DBT Team Leads SECTION IV CLINICAL APPLICATIONS OF DBT 12. Case Formulation in DBT: Developing a Behavioural Formulation 13. Conducting Effective Behavioural and Solution Analyses 14. Conceptual and Practical Issues in the Application of Emotion Regulation in Dialectical Behaviour Therapy 15. DBT as a Suicide and Self- harm Treatment: Assessing and Treating Suicidal Behaviours 16. Validation Principles and Practices in Dialectical Behaviour Therapy 17. Responding to Clients’ In- session Clinical Behaviours 18. Teaching Mindfulness Skills in DBT 19. Dialectical Behaviour Therapy with Parents, Couples, and Families to Augment Stage 1 Outcomes SECTION V EVIDENCE FOR DBT 20. Dialectical Behaviour Therapy from 1991– 2015: What Do We Know About Clinical Efficacy and Research Quality? 21. Dialectical Behaviour Therapy in Routine Clinical Settings 22. Cost-effectiveness of Dialectical Behaviour Therapy for Borderline Personality Disorder 23. Mechanisms of Change in Dialectical Behaviour Therapy 24. DBT: A Client Perspective SECTION VI ADAPTING THE TREATMENT FOR NEW CLINICAL POPULATIONS 25. DBT with Adolescents 26. DBT for Eating Disorders: An Overview 27. Dialectical Behaviour Therapy for Substance Use Disorders 28. DBT in Forensic Settings 29. Delivering DBT in an Inpatient Setting 30. Dialectical Behaviour Therapy in College Counselling Centres 31. Dialectical Behaviour Therapy for Pre- adolescent Children 32. DBT Skills in Schools: Implementation of the DBT STEPS—A Social Emotional Curriculum 33. Dialectical Behavioural Therapy Skills for Employment 34. Improving Accessibility to Dialectical Behaviour Therapy for Individuals with Cognitive Challenges 35. Integrating Post- traumatic Stress Disorder Treatment into Dialectical Behaviour Therapy: Clinical Application and Implementation of the DBT Prolonged Exposure Protocol 36. DBT– PTSD: A Treatment Programme for Complex PTSD After Childhood Abuse SECTION VII IMPLEMENTATION OF DBT 37. Implementing DBT: An Implementation Science Perspective 38. The Dialectical Dilemmas of Implementation 39. DBT in Private Practice 40. Implementation in National Systems: DBT in an Irish Context 41. International Implementation of Dialectical Behaviour Therapy: The Challenge of Training Therapists Across Cultures 42. Using Novel Technology in Dialectical Behaviour Therapy SECTION VIII TRAINING IN DBT 43. Evidence- Based Training: The Intensive Model of Training in Dialectical Behaviour Therapy 44. Shaping Therapists Towards Adherence: A How- to Guide SECTION IX IN CONCLUSION 45. Future Directions for Dialectical Behaviour Therapy: Theory, Development, and Implementation Index Dialectical behavior therapy (DBT) is a specific type of cognitive-behavioral psychotherapy developed in the late 1980s by psychologist Marsha M. Linehan to help better treat borderline personality disorder. Since its development, it has also been used for the treatment of other kinds of mental health disorders. The Oxford Handbook of DBT charts the development of DBT from its early inception to the current cutting edge state of knowledge about both the theoretical underpinnings of the treatment and its clinical application across a range of disorders and adaptations to new clinical groups. Experts in the treatment address the current state of the evidence with respect to the efficacy of the treatment, its effectiveness in routine clinical practice and central issues in the clinical and programmatic implementation of the treatment. In sum this volume provides a desk reference for clinicians and academics keen to understand the origins and current state of the science, and the art, of DBT. Résumé : This handbook is currently in development, with individual articles publishing online in advance of print publication. At this time, we cannot add information about unpublished articles in this handbook, however the table of contents will continue to grow as additional articles pass through the review process and are added to the site. Please note that the online publication date for this handbook is the date that the first article in the title was published online