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20 Cards in this Set

  • Front
  • Back
What is the overall goal in DBT

Increasing Dialectical Behavior patterns
Universalistic thinking vs relativistic thinking

Two poles of a dialectic:

assumption of fixed, universal truths and order vs

no universal truth and order depends on who is doing the ordering

Problematic thinking patterns in dbt

1. conclusions based on insufficient info

2. overgeneralizations.

3. inappropriate attirubtion of blame and responsibility for negative events to others.

4. or to self

5. exaggerating the significance of events.

6. name calling

7. catastophizing

8. hopeless expectancies

Suicide Crisis behavior

Stage 1 Target

behaviors that convince the therapist the client is at high risk for suicide.

Parasuicidal (NSSIB) acts

Stage 1 Target

if have nssib 2x more likely to suicide

is a bx that is incompatible with every goal of every treatment

insisting on stopping communicates therapist cares.

Suicidal Ideation and Communication

a Stage1 Target

goal is to dec frequency and intensity

only targeted when it is new or unexpected, is intense or aversive

target when associated with nssib, suicide criss bx or interferes with skillful problem solving

Suicide related Expectancies and Beliefs

a Stage 1 target

the client's expectations about long term, not short term consequences are addressed only if they connect to nssib, suicide crisis bx or interfere with skillful problem solving

Suicide Related Affect

a Stage 1 target

as with others, only target if connects to nssib, suicide crisis bx or interferes with skillful problem solving.

watch for conditioned release that is paired with stage 1 targets

Second Target in DBT...

Decreasing therapy interfering behaviors

Categories of Therapy interfering bx

1) any bx that get in the way of tx being offered.

2) bx that interfere with pt.s benefitting from tx.

3) bx that burns out the therapist.

Behaviors that interfere with receiving therapy


categories include:

Nonattentive behaviors

non collaborative behaviors

non compliant behaviors

Categories of behaviors that burn out therapists

pushing the therapists personal limits

bx that push the organizations limit

bx that decrease the therapist's motivation

bx that reduces other member's motivation

Therapy Enhancing behaviors of pt

1) make progress in treatment

2) interact with therapist in a way that makes therapist want to continue working together

Categories of TIB of therapist

1) balance within the therapy delivery

2) respect for the pt.

TIB that create therapeutic Imbalance

1) imbalance of change vs. acceptance

2) imbalance of flexibility vs stability

3) imbalance of nurturing vs demanding change

4) imbalance of reciprocal vs irreverent communication

Distress Tolerance change skills


Self Soothe


pros cons

Distress Tolerance Accept skills

Radical acceptance

turning the mind

willingness vs willfulnes

Steps to emtion regulation

1. ID and label affect -- what is that emotions?

2. ID obstacle to change - what reinforces this emotion?

3. reduce your vulnerability to emotion mind

4. increase positive emotional events.

5. increase mindfulness to current emotion

6. take opposite action

7. apply distress tolerance when needed

self management skills

what is needed to learn, maintain and genearlzie new behaviors and to inhibit/ extinguish undesirable bx.

categories of self management skills

1. understanding principles of bx change.

2. realistic goal setting

3. environmental / behavioral analysis skills

4. contingency management skills

5. environmental control techniques

6. relapse prevention plans

7. ability to tolerate limited progress