Dissertations / Theses: 'Dialectical Behavior Therapy (DBT)'

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Stinson, Jill D. "Got DBT? Dialectical Behavior Therapy in Practice." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7992.

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Stinson, Jill D., and Valerie Gonsalves. "Got DBT? Understanding and applying Dialectical Behavior Therapy in sex offender treatment." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7907.

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Dialectical Behavior Therapy (DBT; Linehan, 1993) is an empirically supported skills-based, cognitive-behavioral therapy originally developed for use with clients with borderline personality disorder and associated self-harm behavior. Its unique combination of individual therapy, skills group, in vivo skills coaching, and support for the therapists in the form of a weekly consultation team meeting, provide a comprehensive framework for treating difficult behaviors in a client population who do not demonstrate positive outcomes when participating in traditional psychotherapy practice. Multiple randomized control trials have demonstrated its effectiveness in reducing chronic suicidality and self-harm, particularly among those with personality pathology and substance abuse problems. Since its initial use, DBT has been applied to a myriad of treatment needs, including emotion dysregulation, reactive aggression, and other mood-dependent behavior. Recent evidence indicates that self-regulatory problems are quite common among sexual offenders (Stinson, Becker, & Sales, 2008; Stinson, Robbins, & Crow, 2011; Stinson, Sales, & Becker, 2008; Ward & Hudson, 2007), including difficulties with emotion regulation, violent and sexual aggression, interpersonal skills deficits, suicidality, and problems with substance use. Sex offenders benefit from DBT’s emphasis on self-monitoring, interpersonal and emotional skills development, and the use of a hierarchical treatment structure that addresses multiple behavioral problems and life concerns. Further, some sex offenders – particularly those who present with personality pathology or pronounced self-regulatory deficits – may be unable to meaningfully engage in sex offender specific treatment until they address more acute symptomatology. DBT presents an interesting new take on addressing complex emotional and behavioral problems in adolescent and adult sex offenders. Therapists using DBT benefit from a comprehensive and empirically-supported framework, as well as techniques specifically designed to protect clinicians from the burn-out so often associated with treating challenging and high-risk clients. But admittedly, for those unfamiliar with DBT, this novel way of conceptualizing and addressing sex offender clients can be difficult. The primary objective of this workshop is to introduce sex offender therapists to the tenets of DBT and facilitate the implementation of DBT principles and techniques in sex offender treatment. A secondary goal is to familiarize practiced DBT therapists with recent updates to the DBT skills manual.

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Dupee, Justin. "Reducing self-harm| Dialectical Behavior Therapy (DBT) for transitional-age youth A grant proposal." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527920.

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The purpose of this project was to partner with a local host agency, locate a potential funding source and write a grant to obtain funding for a Dialectical Behavior Therapy (DBT) group. This DBT project will address the needs of the Transitional Age Youth (TAY) population in Orange County, California. A literature review was conducted to examine the best practices of working with the TAY population, and to examine history, policies, etc. related to DBT. This DBT TAY program will prepare/support TAYs in reducing incidents of self-harm and psychiatric hospitalizations as well as equip them with the skills to find a meaningful role in their community, successfully communicate and interact with friends and family and work toward their stated goals. The actual submission or funding of this grant was not a requirement for the successful completion of the project.

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Stinson, Jill D., and Valerie Gonsalves. "Got DBT? Understanding and Applying Dialectical Behavior Therapy in Sex Offender Treatment, Parts I & II." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7899.

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Dialectical Behavior Therapy (DBT; Linehan, 1993) is an empirically supported, skills based, cognitive-behavioral therapy used to treat a myriad of symptoms including chronic suicidality and self-harm, emotion dysregulation, reactive aggression and other mood dependent behaviors. Because of its emphasis on self-regulation and a wide range of problem behaviors, DBT can be readily applied to sex offender treatment programming. In this workshop, participants will learn about DBT’s method of conceptualizing and addressing client problems, important strategies for engaging offenders in treatment using this approach, and DBT skills. Important updates from the most recent DBT skills manual will also be addressed. be discussed.

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Zsembery, Celeste Lloyd. "Rhetoric in Dialectical Behavior Therapy: Healing Minds Through Argumentation." BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3093.

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The fields of psychology and rhetoric share the goal of improving human mental health and behavior through persuasion. This thesis traces the history of rhetoric and psychology theory, focusing on the parallel theories of Nienkamp's internal rhetoric and Herman's dialogical self. Both theories model the human mind as having multiple psyches that actively interact to interpret human experience and project human behavior. I conclude with a case study of anorexic patients using ethos, pathos, and logos in dialectical behavior therapy (DBT), arguing that principles of rhetoric can help patients with mental disorders cognitively realign their thinking more effectively than drug treatments can.

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Sullivan, Deborah A. "Adaptation of Dialectical Behavior Therapy (DBT) to an outpatient adolescent group in a community mental health setting /." Available to subscribers only, 2006. http://proquest.umi.com/pqdweb?did=1324366321&sid=2&Fmt=2&clientId=1509&RQT=309&VName=PQD.

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Bentley, Eri Suzuki. "An Evaluation of Referral Patterns and Therapy Outcomes at a University Counseling Center: Analysis of a Dialectical Behavior Skills Training Group." DigitalCommons@USU, 2009. https://digitalcommons.usu.edu/etd/400.

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This study was designed to answer two research questions. First, factors associated with placement decisions to three treatment modalities in a university counseling center were examined; the skills training group for dialectical behavior therapy plus individual therapy (DBT), the interpersonal process group plus individual therapy (IP), and individual therapy only (IND). Individual therapy in all three conditions did not follow a specific theoretical orientation. Of 203 participants (55 males, 148 females), 83 were in DBT, 53 were in IP, and 67 were in IND. Client information included demographic variables (e.g., age, gender) and clinical variables (i.e., diagnosis, and scores from Global Assessment of Functioning, the Outcome Questionnaire-45; OQ-45, and the College Adjustment Scale; CAS). As predicted, the results indicated that clinical characteristics played a significant role in referral decision making, with clients in the DBT condition reporting higher clinical severity. Second, the effectiveness of the skills training group (DBT) was examined, testing the hypothesis that people in DBT start out with more clinical problems but make greater progress than those in IP and IND. Treatment outcome was measured by the OQ-45 and the CAS, each collected at multiple time points. Data from 101 people were available for the OQ-45, and 77 people for the CAS. The results did not provide support for the hypothesis. Although significant change was observed over the course of treatment, no clear patterns of superior outcomes for any of the three treatment conditions emerged.

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Allen, Desirae L. "Brief DBT Skills Training for Shame After Experiencing a Traumatic Event." Xavier University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524327249044567.

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Childs-Fegredo, Jasmine. "Client experience of receiving adapted Dialectical Behaviour Therapy (DBT) and its perceived role in the process of change." Thesis, University of East London, 2016. http://roar.uel.ac.uk/5817/.

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Research into Dialectical Behaviour Therapy (DBT) has been dominated by the neo positivist paradigm providing clinical practice with a sufficiently robust evidence base for DBT as an intervention, reporting positive outcomes with regards to reducing symptoms of Borderline Personality Disorder (BPD). However, in recent years, DBT has been adapted and replicated to different client groups, offering potential for new research into transdiagnostic applications and adapted versions of DBT to different settings. Recent literature concludes that there is less practice-based evidence on the process of change in DBT, and which components are useful. The client voice is lacking in the literature, which would provide services with evidence and unique insights into how the therapy works and for whom. This study aims to address these questions, by asking the clients how they experience DBT and its perceived role in the process of change. Furthermore, the study focusses on client experience in a private hospital setting with a transdiagnostic group of an adapted 12 week DBT programme. Interpretative Phenomenological Analysis (IPA) was applied as the methodology, incorporating descriptive, linguistic and conceptual elements in analysis of semi-structured interviews. The sample consists of five participants whom had completed a 12 week DBT programme at a private hospital. Three master themes were identified, namely ‘Pre DBT: Crisis & Desperation’; ‘In-session: Belonging’; and ‘The Real World: Living’. Each master theme was characterised by 4 sub-themes, illustrating the journey of the participants and the perceived process of change. All themes were conceptualised by the overarching theme ‘The private setting: Heterotopia’, giving voice to the role of the context of the private psychiatric setting. The research findings illustrate that this version of DBT was a helpful and positive experience for participants, where outcomes included being able to build a life worth living, feel hope and joy, build DBT skills into a lifestyle, connect with a sense of spirituality and develop reflective practice. The implications for service delivery and for Counselling Psychology are discussed, along with ideas for future research.

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Crawford, Alexandra. "Young people's experiences of being assessed and recommended for Dialectical Behaviour Therapy (DBT), by Child and Adolescent Mental Health Service (CAMHS) clinicians." Thesis, Staffordshire University, 2018. http://eprints.staffs.ac.uk/4889/.

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The aim of this thesis is to provide the field of child and adolescent mental health with an understanding, from young people’s perspectives, of being assessed and having decisions made about their interventions by clinicians within the Child and Adolescent Mental Health Service (CAMHS). In order to obtain this understanding it is important to explore how young people experience both the CAMHS assessment process and being recommended interventions. Therefore, paper one consists of a literature review in which nine studies regarding young people’s experiences of being assessed in a mental health service were critically appraised and synthesised. Common themes were discovered across the papers around the therapeutic relationship, pre-conceived views and information and communication. The literature review highlighted that young people’s experiences of being recommended interventions following a CAMHS assessment had not been considered within the literature. Furthermore, Government aims and the literature showed the importance of young people being included in decisions regarding their care. Therefore, paper two presents a qualitative study exploring young people’s experiences of being assessed and recommended Dialectical Behaviour Therapy (DBT) by CAMHS clinicians. Six young people from a CAMHS setting DBT group were interviewed. Transcripts were analysed using Interpretative Phenomenological Analysis (Smith, Flowers & Larkin, 2009) four super-ordinate themes and seven sub-themes were identified. Super-ordinate themes demonstrated the importance of the clinician in assessment and recommendation, that young people can experience anxiety before an assessment, young people value being part of decisions and being offered choice about treatment recommendations, and that the interviews reflected CAMHS experiences. Paper three provides two executive summaries of paper two, for the purposes of sharing the study’s findings with the young people who took part and for their parents/guardians. Therefore, part one of paper three will be presented in an age appropriate and user friendly format for young people.

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Kyrning, Helena, and Robert Sjölund. "Exponering för rörelser och emotioner - : En DBT-inspirerad exponeringsbehandling för människor med långvarig ländryggssmärta." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-23888.

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SammanfattningLångvarig smärta orsakar stort lidande för individen och belastar samhället ekonomiskt. Syftet med denna uppsats var att undersöka om en exponering in vivo-behandling inspirerad av Dialektisk beteendeterapi (DBT) för människor med långvarig ländryggssmärta var görbar samt om behandlingen gav effekt på smärtrelaterad problematik. Designen var en single case experimental design vilket är en beprövad design för att testa nya terapimetoder. Studien bestod av sex deltagare, alla med hög grad av smärtrelaterade katastroftankar, något som litteraturen visat predicera sämre behandlingsutfall. Behandlingen var DBT-inspirerad och indelad i tre faser; en första valideringsfas, en andra färdighetsfas och en tredje exponeringsfas. Fem av sex deltagare fick förbättringar på alla de primära utfallsmått, tre av sex deltagare fick förbättringar på samtliga primära- och sekundära utfallsmått. Framtida replikationer är motiverade.
AbstractChronic pain causes great suffering for the individual and burden society economically. The aim of this study was to examine whether an exposure in vivo treatment inspired by Dialectical Behavior Therapy (DBT) for people with chronic low back pain was feasible and whether the treatment had effect on pain-related problems. The design was a single case experimental design, which is a widely used design to test new therapy methods. The study consisted of six participants, all with high levels of pain catastrophizing, something that in the literature been linked to poor treatment outcomes. The treatment was inspired by DBT and divided into three phases: an initial validation phase, a second phase for skills training and a third exposure phase. The results were promising: five out of six participants had improved in all primary outcome measures. Three out of six participants had improvements in all primary and secondary outcome measures. Future replications are warranted.

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Berzins, R. Erin W. "The role of emotional overcontrol in the acceptance of counselor training feedback." Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1572968573171083.

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Lillard, Richard P. "Dialectical behavior therapy a meta-analysis /." Theological Research Exchange Network (TREN), access this title online, 2005. http://www.tren.com/search.cfm?p088-0127.

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Archard, Rachael. "Adolescents' evaluation of dialectical behavior therapy." Thesis, University of Liverpool, 2013. http://livrepository.liverpool.ac.uk/11393/.

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There is a large amount of research on BPD which highlights the pervasive and distressing nature of this disorder along with its resulting high financial cost to services. Previous research exploring intervention options for BPD have found DBT to beneficial in reducing parasuicidal behaviour and it is acknowledged as the intervention of choice for adults. The research evidence on ‘what works’ for adolescents with BPD is limited, although DBT is an intervention offered in clinical practice. This study aims to contribute to the research on the effectiveness of DBT by exploring adolescents’ experience of receiving this therapy. Five participants took part in the study and verbatim transcripts from their interviews were analysed using Thematic Analysis. The aim of the analysis was to develop understanding on what adolescents found to be the most and least helpful aspects of DBT and to help ascertain whether participants viewed this therapy as effective in reducing their presenting difficulties. Results identified four main themes which were constructed from the data set; ‘Clinical Picture’, ‘Deciding to start DBT’, ‘Evaluation of DBT’ and ‘Change’, with each theme containing between two and six sub-themes. The themes were seen to connect with each other to represent participants’ journey through therapy. Clinical implications of the research indicate that clinicians play an important role in the process of therapy and contribute to both positive and negative experiences. It appears there is a need for clinicians working with this client group to be appropriately trained and skilled to provide flexible care. In addition the findings from the current study suggest DBT did not target the multiple and varied problems the adolescents presented with, resulting in on-going difficulties and high levels of disengagement and drop-out rates. Whilst participants felt the intervention contained positive elements, overall they reported dissatisfaction with the outcome of therapy. Services may therefore need to consider alternative or additional intervention options to target adolescents’ presenting difficulties and help improve their quality of life.

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Bosch, Louisa Maria Clementina van den. "Borderline personality disorder, substance abuse, and dialectical behavior therapy." [Lisse : Amsterdam : Swets & Zeitlinger] ; Universiteit van Amsterdam [Host], 2003. http://dare.uva.nl/document/67403.

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Stehn, Molly. "Dialectical Behavior Therapy Skills Group as Facilitator of Relational Growth." University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1397477538.

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Bergqvist, Mirja. "Vad medveten närvaro kan betyda i dialektisk beteendeterapi : Fem patienters och fyra behandlares perspektiv." Thesis, Mälardalen University, School of Sustainable Development of Society and Technology, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-6096.

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För att undersöka vad medveten närvaro kan betyda i dialektisk beteendeterapi (DBT) meningskoncentrerades nio intervjuer. Medveten närvaro hade en positiv betydelse för samtliga deltagare. Det centrala för deltagarna var färdigheterna observera och en sak i taget. Färdigheterna hjälpte patienterna att stanna upp i ett negativt händelseförlopp. Behandlarna menade att medveten närvaro hjälpte vid stressrelaterade situationer. Samtliga deltagare underströk betydelsen av färdighetsträningen i grupp och praktiska övningar. Det fanns ett tydligt behov av att förenkla teorin kring medveten närvaro i DBT samt att medveten närvaro behövde få ett större utrymme. Om medveten närvaro kan hjälpa patienter i DBT att stanna upp i ett destruktivt händelseförlopp så är det en verkan av stor betydelse för patienterna såväl som för anhöriga och sjukvården.

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Field, Thomas A. "Implementing Dialectical Behavior Therapy for Adolescents in an Acute Inpatient Psychiatric Setting." Thesis, James Madison University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3620455.

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Although evidence-based practices (EBPs) have been identified in the literature, insufficient information exists about how to successfully implement them. As a result, implementation efforts have been met with failures. Little is currently known about what affects the success of implementation efforts for best practices such as Dialectical Behavior Therapy for adolescents (DBT-A) in an acute inpatient psychiatric setting (AIPS). A longitudinal multiphase mixed methods case study examined an implementation effort to provide DBT-A in an AIPS over a 24-month period. The process of implementation was investigated through in-depth interviews, a focus group, and field observations. Six categories were identified that affected the DBT-A implementation in an AIPS: appeal of DBT as a treatment modality, impact on patients, implementer characteristics, the implementation process, organizational dynamics and structure, and staff support. Implications for implementing EBPs within organizational environments are discussed. This study represents the first attempt to use qualitative and mixed methodology to examine the process of DBT implementation in an AIPS.

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Vaillancourt, Kate E. "Outpatient Dialectical Behavior Therapy at a Community Mental Health Center: Outcome Study." Antioch University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1339163723.

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Schmidt, Rooney Erika. "Examining Parent Pretreatment Expectancies and Preferences in Dialectical Behavior Therapy with Adolescents." Thesis, Long Island University, C. W. Post Center, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10273544.

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Dialectical Behavior Therapy for Adolescents (DBT-A) is an acceptance and change-based treatment protocol that includes parent participation, and has been shown to be effective with emotionally dysregulated, suicidal, and self-injurious adolescents (Mehlum et al., 2014, 2016) who often show high rates of treatment utilization and subsequent dropout (Groves, Backer, van den Bosch, & Miller, 2012). Despite its demonstrated effectiveness and despite parents’ active role in treatment, there is limited treatment acceptability data for DBT-A, and even less investigation into the parent perspective. Pretreatment expectancies and preferences are two common factors associated with treatment acceptability that have been shown to influence treatment participation, adherence, and outcomes that can inform methods for enhancing evidence-based treatments, yet remain underinvestigated (Nock & Kazdin, 2001; Wymbs et al., 2015). The primary goal of the current study was to assess parent pretreatment expectancies and preferences prior to entering an outpatient DBT-A program with their adolescents. Twenty-three parents completed two self-report assessment measures just prior to starting treatment: The Parent Expectancies for Treatment Scale (PETS; Nock & Kazdin, 2001), and the Parent Preferences for Treatment form developed for this study to assess preferences for eight alternative treatment delivery formats. Results showed that parents had moderately high overall expectancies for DBT-A ( M = 97.78, SD = 9.03). Subscale analyses indicated high parent expectancies for its credibility (Credibility, M = 52.09, SD = 5.44), moderately high expectancies for child improvement (Child Improvement, M = 23.43, SD = 3.49), and moderate expectancies for parent involvement (Parent Involvement, M = 22.17, SD = 2.98). Highest rated expectancies were related to the credibility of DBT-A as a valuable, worthwhile treatment and the large role of parent involvement in treatment. The four most preferred alternative format options were to add weekly skills training for individual families, weekly individual parenting skills sessions, weekly parent-only support groups, and weekly parent therapy sessions. The two least preferred format options involved partially or fully separating parent and teens in multifamily skills group. This study provides preliminary support for the use of assessing parents’ pretreatment expectancies and preferences for DBT-A as an initial step toward understanding the treatment attitudes and desires of parents with teens referred to DBT-A. Clinical implications for the utility of these findings in clinical practice and future research are discussed.

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Chugani, Carla. "Dialectical Behavior Therapy in College Counseling Centers: Practical Applications and Theoretical Considerations." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5926.

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Authors over the last two decades have discussed the myriad of challenges present in managing college students with severe mental health disorders. During the same time period, Marsha Linehan developed dialectical behavior therapy (DBT) as an empirically sound intervention for individuals with suicidal and self-injurious behaviors and this treatment grew to be an evidence-based practice for a range of challenging clinical issues. I argue that one solution to continued increases in college students who present for treatment to their college counseling centers with difficult-to-treat mental health issues, including but not limited to, borderline personality disorder (BPD), is to implement DBT programs on college campuses. As such, the purpose of this dissertation is to address both practical and theoretical issues in the implementation of DBT in college counseling centers. In chapter two, I begin by presenting an overview of DBT as a comprehensive treatment model and a review of the research to date related to DBT in college counseling centers. In chapter three, I offer a detailed account of the program development and implementation process of the DBT program housed in the college counseling center at Florida Gulf Coast University. In chapter four, I present an investigation of current trends and barriers to implementation of DBT in college counseling centers. Finally, in chapter five, I present a qualitative inquiry of the experience of BPD as told by individuals who have been successfully treated with DBT. I argue that understanding client experiences and behaviors in context is critically important if one is to be able to respond empathically and compassionately. In essence, these chapters represent my attempt to synthesize two areas that I believe are required for successful implementation of DBT programs that provide good quality care: 1) Navigating the complexities of implementing DBT in college counseling centers as practice setting and 2) Appropriate management for clinician biases and tendencies to stigmatize BPD clients, which interferes with their ability to provide care that is both effective and compassionate.

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Schmidt, Henry. "Perceptions of the therapeutic relationship and the prediction of suicidal behavior in dialectical behavior therapy /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/9067.

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Eklund, Rimsten Anders, and Mats Larsson. ""Det ger sig självt om man är en bra terapeut". En intervjustudie av hemuppgifter i familjeterapi." Thesis, Linköpings universitet, Avdelningen för kliniska vetenskaper, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-114905.

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Hemuppgiften är ett viktigt moment inom såväl Funktionell familjeterapi (FFT) som Dialektisk beteendeterapi (DBT). Målsättningen med denna uppsats var att utröna om, och i sådana fall på vilket sätt, hemuppgifter ges inom den familjeterapeutiska kontext som utgör ramen för FFT. En hypotes vid arbetets ingång var att de interaktionistiska hemuppgifterna kommit att ersättas av de mer beteendeorienterade som ingår i DBT. De personer som utgjort underlag för undersökningen arbetar alla på en öppenvårdsmottagning inom Barn- och ungdomspsykiatrin (BUP) i Uppsala, med antingen ovan nämnda Funktionella familjeterapi (n=3) eller med Dialektisk beteendeterapi (n=2). Syftet med studien var att, dels via en enkätundersökning dels via en intervju i fokusgruppform, försöka förstå mer av det psykoterapeutiska redskap som utgörs av hemuppgiften. Fokus låg på den relationella hemuppgift som familjeterapeuterna tillhörande nämnda team förväntas konstruera utifrån tillhandahållen FFT-manual. Resultatet visade på en relativt stor bredd när det gällde terapeuternas syn på och tillämpning av hemuppgiften, men det generella mönstret pekade på att terapeuterna i sitt praktiska arbete konstruerade såväl relationella som beteendeorienterade hemuppgifter. Vad som framkom är dock ett behov av och en önskan från familjeterapeuternas sida om en större tydlighet kring hur man går tillväga då man fastställer och ger en familj en relationellt orienterad hemuppgift. Det vi sluter oss till i vår uppsats är att ett sådant förtydligande inte låter sig göras med mindre än att man går till botten med och definierar vad funktionen av relationen innebär samt hur man använder sig av denna vid det som inom Funktionell familjeterapi kallas för relationsbedömningen.
The homework is an important part of both Functional Family Therapy (FFT) and Dialectical Behavior Therapy (DBT). The goal of this essay has been to determine if, and in what way, homework is used in the context of family therapy, that is the frame of FFT. One hypothesis at the beginning of this work was that the interactional home assignments have started to be replaced by the behavior oriented ones that are a part of DBT. The individuals participating in the study are all working in a psychiatric outpatient clinic (BUP) in Uppsala. They are all using either Functional Family Therapy (n=3) or Dialectical Behavior Therapy (n=2) as treatment methods. The purpose of the study has been to try to understand more of the homework as a therapeutic instrument, especially the relational homework that family therapists are expected to work out on the basis of a manual that is provided within FFT. Two methods have been used to examine this: a survey and focus group interview. The results show a relatively large width when it comes to the therapists view on and practice of homework, though the general pattern indicates that they work out both relational as well as behavior oriented assignments in their practical work. However, there is a need and a wish of the family therapists to gain more clarity on how to determine and give a family a relational oriented homework. The conclusion of this essay is that a clarification like that is not possible, unless you go to the bottom with and define what the relational function is and how to use it in what within Functional Family Therapy is called the Relational Assessment Phase.

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Heard, Heidi L. "Cost-effectiveness of dialectical behavior therapy in the treatment of borderline personality disorder /." Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/9082.

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Gundel, Friederike [Verfasser]. "Mindfulness Training in Dialectical Behavior Therapy Investigation on Brain Activity by NIRS / Friederike Gundel." Tübingen : Universitätsbibliothek Tübingen, 2021. http://d-nb.info/1234450879/34.

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Spring, Noah Z. "Effects of Dialectical Behavior Therapy Mindfulness Skills Training on Older Adults with Chronic Pain." Xavier University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1396715022.

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Rossiter, Rachel. "Exploring the experience of dialectical behaviour therapists challenging therapeutic pessimism related to borderline personality disorder /." Connect to full text, 2008. http://hdl.handle.net/2123/4092.

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Thesis (H. Sc. D.)--University of Sydney, 2008.
Title from title screen (viewed 11 March 2009). Submitted in fulfilment of the requirements for the degree of Doctor of Health Sciences to the School of Behavioural and Community Health Sciences, Faculty of Health Sciences. Includes bibliographical references. Also available in print form.

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Hill, Diana Marie m. d. "Appetite-focused dialectical behavior therapy for the treatment of binge eating with purging: A randomized controlled trial." Connect to online resource, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3315761.

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Hunnicutt, Hollenbaugh Karen Michelle. "An Examination of Characteristics of Clients who Complete and Those who Drop Out of Dialectical Behavior Therapy." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1306858915.

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Nunley, Robyn Suzanne. "Mental Health Clinicians' Perceptions, Knowledge, Level of Training, and Utilization of Evidence Based Practices with a Specific Focus on Dialectical Behavior Therapy." Diss., Virginia Tech, 2010. http://hdl.handle.net/10919/27699.

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In the past decade the push for utilization of evidence-based practice (EBP) in mental health has increased dramatically. Due to managed healthcare, lowered spending on state and federal mental health budgets, and requirements by funding agencies such as Medicaid, it is imperative that mental health clinicians (MHCs) be trained in and utilize EBPs to improve funding and ensure continuity of best practice in clinical interventions with clients. Minimal research exists on MHCs and their knowledge and use of EBPs. The present study examined MHCs' perceptions, knowledge, training, and utilization of EBPs, with a specific focus on Dialectical Behavior Therapy (DBT). To date, it is the most prominent and effective EBP for treating Borderline Personality Disorder (BPD) and associated parasuicidal and suicidal behaviors. Current research supports its effectiveness in treating a myriad of other commonly treated disorders. The exploratory study provides insight into MHCs level of interest in receiving more EBP awareness and DBT training. Results indicate that though clinicians have received training in EBP and DBT, most of that training has been encouraged through career settings. Age of the clinician, years in practice, and type of training background are predictors of level of education, knowledge and training. Results show the majority of clinicians are interested in EBP, aware of the impact EBP can have on treatment effects, and report desire to have more training in EBPs and DBT specifically. These results could provide a necessary bridge between disciplines to allow clinicians, irrespective of training, to provide the most clinically effective treatments to clients.
Ph. D.

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Perseius, Kent-Inge. "Borderline personality disorder : studies of suffering, quality of life and dialectical behavioural therapy." Doctoral thesis, Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-508-9/.

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Kinsey, Kathleen Marie. "A Critical Ethnography of the Compatibility of a Culturally Modified Dialectical Behavior Therapy with Native American Culture and Context." Diss., The University of Arizona, 2014. http://hdl.handle.net/10150/321004.

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Purpose: Describe the Suquamish cultural influences on defining living a life worthwhile and to describe the compatibility of a culturally modified Dialectical Behavior Therapy (DBT) with a Native American community's culture and context. Background: Native Americans experience serious psychological distress, suicide, and substance abuse at higher rates than other racial groups. Studies using DBT found a significant decrease in parasuicidal risk behavior and substance abuse. However, research has not demonstrated that DBT is efficacious or compatible within the Native American culture. Specific Aims: 1) Describe the Native American cultural influences on defining living a life worthwhile. 2) Describe the compatibility between Healthy and Whole, a culturally modified DBT intervention with Native American culture. Methodology: Critical ethnographic study with in-depth interviews (13) and participant observations (10 months) was conducted. Sample was tribal members and clinicians exposed to the Healthy and Whole and tribal members who are identified as knowledgeable regarding tribal tradition. Analyses included semantic domain, taxonomic, and theme analysis for aim1 and compared DBT curriculum to results of aim 1 to accomplish aim 2.Findings: An intergenerational cycle of relational trauma was initiated by structural cultural genocide with systematic abuse and neglect of Native Americans especially children. Relational trauma of abuse and neglect is the source of a variety of maladaptive behaviors. These maladaptive behaviors lead to relational trauma in the next generation. A dual process of maintaining and revitalizing Suquamish cultural values coupled with skills taught in a culturally modified DBT intervention, Healthy and Whole, help Suquamish members live more worthwhile lives and recover from intrapersonal trauma. Implications: Healthy and Whole is a community approach to healing from relational trauma. Healthy and Whole approach to DBT may help other indigenous people live more worthwhile lives and recover from relational trauma and break the cycle because Suquamish cultural values are collectivist and many indigenous peoples share similar values and histories of historical trauma.

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Wupperman, Peggilee. "Are Deficits in Mindfulness Core Features of Borderline Personality Disorder?" Thesis, University of North Texas, 2006. https://digital.library.unt.edu/ark:/67531/metadc5332/.

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Mindfulness is a core component of dialectical behavior therapy (DBT), a widely utilized treatment for borderline personality disorder (BPD); however, the import of mindfulness in treating BPD has yet to be demonstrated, and the relationship of mindfulness to BPD constructs is unclear. The current study utilized structural equation modeling to examine the relations of mindfulness with BPD features and the underlying constructs of interpersonal problem-solving effectiveness, impulsivity, emotion regulation strategies, and neuroticism in 342 young adults. Mindfulness was significantly related to effectiveness in interpersonal problem-solving, impulsivity and passivity in emotion regulation, and borderline features. Furthermore, mindfulness continued to predict borderline features when controlling for interpersonal problem-solving and impulsive/passive emotion-regulation strategies, as well as when controlling for neuroticism. It is concluded that difficulties with mindfulness may represent a core feature of BPD and that improvement in mindfulness may be a key component of treatment efficacy with BPD. It is recommended that the unique contribution of mindfulness be investigated in future treatment-outcome research.

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Schwan-Rosenwald, Lili. "Drawing the line an exploration of Otto Kernberg and Marsha Linehan's understanding of borderline personality disorder : a project based upon an independent investigation /." Click here for text online. Smith College School for Social Work website, 2007. http://hdl.handle.net/10090/1010.

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Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007
Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 102-108).

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Wagner, Till. "Krankheitskosten der Borderline Persönlichkeitsstörung aus gesellschaftlicher Perspektive sowie Effektivität und Effizienz der ambulanten Dialektisch-Behavioralen Therapie unter Versorgungsbedingungen." Doctoral thesis, Humboldt-Universität zu Berlin, Lebenswissenschaftliche Fakultät, 2016. http://dx.doi.org/10.18452/17509.

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Die vorliegende kumulative Promotion umfasst drei veröffentlichte Publikationen, die im Rahmen der Berliner Borderline Versorgungsstudie (BBV-Studie) durchgeführt wurden. In Studie 1 wurde die effectiveness der ambulanten Dialektisch-Behavioralen Therapie (DBT) an N = 47 Patienten mit einer Borderline Persönlichkeitsstörung (BPS), die das DBT-Behandlungsjahr vollständig durchlaufen haben, untersucht. Im Prä-Post-Vergleich zeigten sich für die untersuchten Symptombereiche signifikante Veränderungen und die Effektstärken lagen überwiegend im mittleren Bereich. 77% der Patienten erfüllten nach einem Jahr DBT nicht mehr die diagnostischen Kriterien für eine BPS. In Studie 2 wurden die Krankheitskosten von N = 55 BPS-Patienten in dem Jahr vor der ambulanten DBT umfassend aus einer gesellschaftlichen Perspektive erhoben. Die durchschnittlichen Kosten lagen bei €26.882 (SD = €32.275). Davon gingen mit €17.976 (SD = €23.867) etwa 66% auf die direkten, mit €8.906 (SD = €15.518) knapp 34% auf die indirekten Kosten zurück. In Studie 3 wurden für die N = 47 DBT- compleater die Krankheitskosten im Jahr vor der Therapie mit denen während des DBT-Behandlungsjahres und mit denen während des ersten Katamnesejahres (N = 33) verglichen. Die durchschnittlichen Krankheitskosten lagen im Jahr vor der DBT bei €28.026 (SD = €33.081), während des DBT-Jahres bei €18.758 (SD = €19.450) und sanken innerhalb des Katamnesejahres weiter auf €14.750 (SD = €18.592). Die deutlichsten Kostenreduktionen zeigten sich im stationären Bereich. Hingegen konnten die indirekten Kosten kaum gesenkt werden. Insgesamt weist die vorliegende Promotion darauf hin, dass die ambulante DBT auch unter Versorgungsbedingungen in Berlin wirksam ist. Zudem besitzt die BPS auch in Deutschland eine hohe gesellschaftliche Relevanz. Die Krankheitskosten können deutlich gesenkt werden, wenn BPS-Patienten in einem DBT-Netzwerk behandelt werden. Hieraus ergeben sich erste Hinweise auf die Effizienz der ambulanten DBT.
This thesis includes three publications that were conducted as part of a Berlin wide treatment study (“Berliner Borderline Versorgungsstudie“). In study 1, we examined the effectiveness of dialectical behavior therapy (DBT) for borderline personality disorder (BPD) under the routine health care situation in Berlin. N = 47 patients completed the one-year treatment and provided data. Our findings demonstrate significant improvements on all measures with medium effect sizes. Moreover, at the end of the first treatment year, 77% of the patients no longer met the criteria for a BPD diagnosis. In Study 2, BPD-related cost-of-illness 12 months prior to outpatient DBT was assessed in a sample of N = 55 BPD-patients from a societal perspective. Total cost-of-illness was €26882 (SD = €32275) per patient. €17976 (SD = €23867; 66%) were direct costs and €8906 (SD = €15518; 34%) were calculated as indirect costs. In study 3, societal cost-of-illness of the N = 47 DBT completers was calculated for 12 months prior to DBT and further investigated during DBT-treatment year and during the following year. Total mean annual cost-of-illness was €28026 (SD = €33081) during pre-treatment, €18758 (SD = €19450) during the DBT treatment year and €14750 (SD = €18592) during the follow-up year for the N = 33 patients who participated in the final assessment. Cost savings were mainly due to marked reductions of inpatient treatment costs, while indirect costs barely decreased. In sum, the present thesis shows that outpatient DBT under routine mental health care conditions in Berlin leads to positive results. Furthermore, mean annual cost-of-illness of German BPD-patients exceed those of many other mental disorders meaning that BPD poses a high economic burden. Importantly, treatment of BPD patients with an outpatient DBT program is associated with substantial overall cost savings. Correspondingly, outpatient DBT has the potential to be an efficient treatment.

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Priebe, Kathlen. "Evaluation der Dialektisch-Behavioralen Therapie der Posttraumatischen Belastungsstörung nach sexueller Gewalt in Kindheit und Jugend." Doctoral thesis, Humboldt-Universität zu Berlin, 2019. http://dx.doi.org/10.18452/20581.

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Die Posttraumatische Belastungsstörung (PTBS) nach sexueller Gewalt in der Kindheit geht häufig mit komorbiden Symptomen einher. Kognitiv-behaviorale Therapien haben sich als effektiv in der Behandlung der PTBS erwiesen. Die Datenlage zur PTBS nach sexueller Gewalt in der Kindheit ist jedoch gering. In der vorliegenden Dissertation wurden Fragestellungen zur Diagnostik und Therapie der PTBS nach sexueller Gewalt verfolgt. In Schrift 1 werden die Ergebnisse einer ambulanten Assessmentstudie präsentiert, in der 28 Patientinnen wiederholt zum intrusiven Wiederleben befragt wurden. Mit durchschnittlich 75 Intrusionen und 24 Flashbacks pro Woche fand sich eine hohe Symptombelastung. Die Schriften 2, 3 und 4 beziehen sich auf eine randomisiert-kontrollierte Studie. Patientinnen (N=74) wurden randomsiert einer 12-wöchigen stationären DBT-PTBS oder einer treatment-as-usual Warteliste zugewiesen. Die Ergebnisse, die in Schrift 2 beschrieben sind, zeigen eine signifikante Reduktion der posttraumatischen Symptomatik mit einer großen Zwischengruppen-Effektstärke (g=1.35). In Schrift 3 wird dargestellt, dass die Effekte auf die posttraumatische Symptomatik in Bezug auf mehrere traumatische Ereignisse geringer sind als die Effekte in Bezug auf das am stärksten belastende Ereignis. Schrift 4 beinhaltet Ergebnisse zu der Inanspruchnahme psychiatrisch-psychotherapeutischer Behandlung und den assoziierten Kosten. Im Jahr vor der DBT-PTBS fanden sich im Mittel jährliche Pro-Kopf-Kosten von 18100 € und 57 stationäre Tage. Im Jahr nach der DBT-PTBS waren die Inanspruchnahme mit durchschnittlich 14 Tagen und die mittleren Kosten von 7233 € deutlich geringer. Zusammengefasst sprechen die Ergebnisse für eine hohe Effektivität der DBT-PTBS. Zudem scheint die DBT-PTBS mit einer Reduktion stationärer Tage und entsprechender Kosten einherzugehen. Die Ergebnisse zur Diagnostik deuten darauf hin, dass ein Teil der Symptomatik mit dem üblichen diagnostischen Vorgehen nicht erfasst wird.
Posttraumatic stress disorder (PTSD) with co-occurring severe psychopathology is a frequent sequel of childhood sexual abuse (CSA). Cognitive-behavioral therapy has been shown to be efficacious in treating PTSD, but there is only limited data regarding patients with PTSD related to CSA. This dissertation focused on both the assessment and the treatment of PTSD related to CSA. Paper 1 presents data from an ambulatory assessment study. Patients (N=28) were provided with electronic diaries for repeated real-time assessment of intrusions and flashbacks. They reported an average of 75 intrusions and 24 flashbacks during the week of assessment. Papers 2, 3, and 4 present data from a randomized controlled trial. Patients (N=74) were randomized to either a 12-week residential DBT-PTSD program or a treatment-as-usual wait list. The results for primary and secondary outcomes are shown in Paper 2. Data revealed a significant reduction of posttraumatic symptoms with a large between-group effect size (g=1.35). Paper 3 provides results on the impact of the definition of the index trauma. When the index trauma included multiple traumas, PTSD severity scores were significantly higher, and improvements from pre- to post-treatment were significantly lower, compared to when the index trauma was defined as the worst trauma. Paper 4 presents data on the utilization of mental health care. The mean total costs were 18000 € per patient during the year before and 7233 € during the year after DBT-PTSD. The significant cost reduction was due to large reductions in inpatient treatment days (on average 57 days before and 14 days after DBT-PTSD). To sum up, the findings show clear evidence for the efficacy of the DBT-PTSD program. Data further indicate that DBT-PTSD might contribute to reducing the mental health care costs. Also, the results suggest that the currently applied methods of assessing PTSD in patients with severe symptoms might miss aspects of clinically relevant symptomatology.

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Lynch, David Alexis. "In-session Predictors of Self-Harm Behavior in Dialectical Behavior Therapy." Thesis, 2019. https://doi.org/10.7916/d8-t1e0-xa21.

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Purpose: Therapists are often charged with the seemingly impossible task of predicting their client’s future behavior, particularly behavior that may result in harm or death. Adverse events (AE) refer to a constellation of behaviors or events that interfere with treatment and exhibit a risk to the safety of the patient, which include suicide attempts, non-suicidal self injury (NSSI) and suicidal ideation. This is the first study that seeks to identify and associate in-session markers in DBT prior to AEs. Method: The proposed study sought to identify whether ruptures in therapeutic alliance (3RS; Eubanks-Carter, Muran & Safran, 2015), the frequency and intensity of negative-self referential speech (LIWC2015; Pennebaker, Booth, Boyd & Francis, 2015) and periods of psychomotor agitation are associated with AEs within a course of Dialectical Behavior Therapy (DBT). By coding videotaped psychotherapy sessions (n = 98) across 21 patients diagnosed with Borderline Personality Disorder (BPD), the researchers prospectively examined the association between in-session phenomena during the session prior to an AE. Exploratory logistic multilevel modeling, mean comparison and latent profile analysis (LPA) techniques were used to identified in-session markers associated with adverse events across the course of DBT treatment. Results: Using a multilevel model building approach to account for the nested structure, increases in content/affect split was associated with increased likelihood (36% increase in log-odds) of NSSI occurrence reported in the subsequent session when controlling for frequency of past NSSI episodes. When controlling for prior suicide attempts, withdrawal and confrontation ruptures did not predict the occurrence of suicide attempts in the subsequent session. To further examine the heterogeneity of the Level 1 variables (i.e., in-session markers), the LPA fitted afive-profile solution that captured relative differences in mean frequencies of coded markers.The latent “session types” were named based on their in-session characteristics, with AEs identified post-hoc within the identified profiles. While AEs were distributed across multiple profiles, visual inspection aligned with the findings in the multilevel model. Sessions characterized by elevations in content/affect split and behaviors that distance from the therapist preceded NSSI during treatment. The majority of the sessions prior to suicide attempts (70%) during the study period were assigned to the profile with the lowest mean frequency of in-session markers. Clinical implications: The strength of the therapeutic alliance in DBT is an essential component of effective treatment. Therapeutic ruptures, particularly withdrawal ruptures, occur frequently in DBT treatment. Attending to these ruptures, especially occasions when a patient’s affect and verbal content are not congruent, may signal to the therapist that the patient requires additional support. In-session content/affect split may represent a vulnerability factor that puts the patient at increased risk of NSSI behavior due difficulty attuning to their internal experiences and limitations in their emotional flexibility. Limitations: Similar to other studies that examine self-harm, the low base-rate of suicide attempts and NSSI behavior complicates empirical study. Since the study utilized strict inclusion criteria for only individuals diagnosed with BPD, findings cannot be generalized to patients with other psychiatric diagnoses. While some therapist effects are controlled for in the study since one therapist treated all the patient included in the study, the study does not account for therapist factors that may influence the therapy dyad. Given the limited sample size, there was not adequate power to fit more complicated models (e.g., inter-level and intra-level interactions, random effect predictor variables, etc.).

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Jones, Delray Cyndon. "The effective use of dialectical behavioural therapy skills by patients post discharge." Thesis, 2014. http://hdl.handle.net/10539/15278.

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Borderline Personality Disorder (BPD) is a disorder characterized by morbid impulsivity, lack of emotional control, disturbed interpersonal relationship and frequent self injurious suicidal behaviours. It is associated with high socioeconomic burden and high morbidity and mortality. An etiological factor believed to be responsible for development of BPD is childhood maltreatment (Perroud, 2013). BPD is a complex disorder that is difficult to treat. However dialectical behavioural therapy (DBT) developed by Dr Marsha Linehan in early 1990s has emerged as a promising treatment option for those diagnosed with BPD. DBT is a multi-pronged approach delivered originally in outpatient setting over 12 months and requires highly skilled trained therapist. Many trials have provided evidence to support use of DBT in the treatment of BPD (O’Connell, 2013). The purpose of this study was to determine whether discharged patients are able to use the skills learned in a modified in-patient DBT programme after discharge at a academic psychiatric hospital in South Africa and whether they consider these effective in managing their thoughts, feelings, behaviour and interpersonal relationships. The study also aims to assess the relationship between demographic factors in the study and the use of DBT skills. A prospective, quantitative, descriptive approach was used. A Likert style questionnaire, the dialectical ways of coping checklist, was distributed to ex in-patients who have participated in the modified DBT programme to elicit their rating of the effective use of DBT skills post discharge. A total sample number of 46 participants responded to the questionnaires. The prevalence of the DBT skills among the discharged patients was 33% of the sample regularly used the DBT skills post discharge effectively and 17% did not engage with the DBT skills. Fifty percentage of the sample population had mixed responses to the questionnaire. The study also highlighted that females used substance more than males. Females also attended more support groups than males. DBT skills were used more by those who did not attend follow up. Female population made more use of the dysfunctional coping skills than males.

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Collins, Amanda L. "Dialectical behavior therapy in state hospitals does it work and what moderates the outcomes? /." 2010. http://proquest.umi.com/pqdweb?did=2013876091&sid=7&Fmt=2&clientId=14215&RQT=309&VName=PQD.

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Thesis (Ph.D.)--University of Nebraska-Lincoln, 2010.
Title from title screen (site viewed July 6, 2010). PDF text: ca. 125 p. ; Mb. UMI publication number: AAT 3397968. Includes bibliographical references. Also available in microfilm and microfiche formats.

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Brister, Heather Anne. "Increasing emotion regulation skills for the reduction of heavy drinking." 2012. http://hdl.handle.net/2152/19476.

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Heavy drinking puts college students at risk for academic failure, alcohol use disorders, and even death. Although several interventions have proven moderately successful, overall rates of collegiate heavy drinking and consequences have significantly increased since 1998, as interventions may not adequately address underlying reasons for drinking. Research has consistently shown that college students who drink primarily to regulate emotions (i.e., internal drinking motives) are heavier drinkers, experience more consequences, and are likely to continue drinking heavily after college. Further, internal drinking motives are indicative of emotion dysregulation and associated personality traits. Dialectical Behavior Therapy (DBT) is empirically supported and includes a group-based component designed to teach concrete behavioral emotion regulation, mindfulness, and distress tolerance skills. DBT skills training alone has been shown to reduce substance abuse and binge eating and is a promising, but untested, strategy for reducing collegiate alcohol abuse. The aims of the current study were threefold: (a) examine the efficacy of a DBT-based emotion regulation skills training (ERST) as an intervention for college student drinking, (b) examine theoretically-informed mechanisms of change (i.e., changes in mindfulness, emotion regulation, and distress tolerance), and (c) examine intervention moderators (i.e., gender, readiness to change, and internal drinking motives). After completing pre-test measures, college students reporting two or more heavy drinking episodes during the past month were randomly assigned to an ERST or assessment-only control (AO) condition. ERST participants completed a single 3-hour group session of ERST within 7 days of completing pre-intervention measures and all participants completed two additional assessments. The current study found that ERST participants showed significantly greater reductions in heavy drinking and alcohol-related consequences relative to AO control participants. Contrary to hypotheses, intervention participation did not increase hypothesized mechanisms of change (i.e., mindfulness, emotion regulation, or distress tolerance) although emotion regulation and distress tolerance moderated intervention efficacy. Finally, ERST participation appeared to serve as a protective factor against heavy drinking and consequences for internally motivated drinkers. Overall findings provide preliminary support for the feasibility of ERST as a new intervention for reducing problematic drinking by college students and suggest future directions for mechanisms of change and moderation hypotheses.
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Reid, Tamar. "The Implications of autobiographical memory style for the deficits associated with borderline personality disorder." 2008. http://hdl.handle.net/1959.13/29793.

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Research Doctorate - Doctor of Philosophy (Clinical Psychology)
Overgeneral autobiographical memory is thought to be a clinically meaningful phenomenon which is related to affect regulation, problem solving ability, and treatment outcome in clinical populations (see J. M. G. Williams et al., 2007, for review). Individuals with Borderline Personality Disorder (BPD) are thought to be particularly prone to developing an overgeneral style of memory due to their temperamental difficulties in controlling affect (J. M. G. Williams, 1996). However, research in this population has so far yielded inconsistent findings. In a series of three studies, this thesis addresses the question whether overgeneral memory is associated with BPD, as well as exploring the relationship between memory specificity, affect regulation, problem solving ability, and response to treatment in this population. Findings indicate that individuals with BPD display reduced autobiographical specificity relative to controls, however, this appears to be a reflection of differences in cognitive ability as IQ and education mediated the association between specificity and diagnosis. Reduced specificity was not associated with Borderline traits in a non-clinical sample. Results failed to confirm the hypothesis that autobiographical memory specificity would be related to affect regulation in individuals with BPD, although there was some indication that memory specificity is associated with reduced rates of deliberate self-harm. Specificity was related to problem solving performance in individuals with BPD, although this relationship did not extend to self-reported problem solving ability. Memory specificity also appeared to change significantly over the course of treatment in a year-long Dialectical Behavior Therapy program, however, there was little indication that change in memory specificity was associated with the observed improvement in symptomatology, affect regulation or problem solving ability. Lastly, an experimental study with university students found no relationship between memory specificity and affect dysregulation, although low specific students reported greater reductions in positive affect following a negative event than individuals with a specific style of autobiographical recall. The assimilation model is considered as a framework for conceptualising these results.

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Dissertations / Theses on the topic 'Dialectical Behavior Therapy (DBT)'

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