Dissertations / Theses: 'Dialectical behavior'

1

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

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

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

3

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

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

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

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

6

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

7

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

8

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

10

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

11

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

13

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

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

14

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

16

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

17

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

19

Jenkins, Joseph Jacob. "Community as Metaphor: Dialectical Tensions of a Racially Diverse Organization." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4341.

Full text

Abstract:

In recent years, a sense of community has declined throughout the United States. Common Point Community Church has responded to this trend by prioritizing "community" as an organizational metaphor. The present study explores how this metaphor is co-constructed through the communication practices of current organizational leaders and members. I begin this process, first, by positioning the study within existing literature on institutional theory, institutional legitimacy, community, community of practice, social construction of race, sensemaking, organizational metaphor, tension-centered approach, and dialectic theory. Building upon more than three years of ethnographic field work, I then outline the study's context and methodology. Next, I discuss (a) specific ways in which "community" is understood by the organization's racially diverse leaders and members, (b) potential limitations that result from this metaphor, and (c) ways in which dialectical tensions are managed in order to maintain the organizational metaphor of community. I then offer three theoretical implications - collectively referred to as the diversity paradox - as well as three practical implications: (a) Common Point "Voices," (b) Congregational Videos, and (c) Creative Arts Team. I conclude by reflecting on the research process itself.

APA, Harvard, Vancouver, ISO, and other styles

20

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

21

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

23

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

25

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/.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

26

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

27

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/.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

29

Short, Leonie Marianne, and n/a. "Conflict Escalation in Response to Continued Pushy, Dominating Behaviour in the Workplace: Ideal and Everyday Response Strategies Examined." Griffith University. School of Applied Psychology, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040416.141210.

Full text

Abstract:

The aim of the current research program was to investigate the social context of escalation in response to continued pushy behaviour in the workplace. In doing so, this research program contributes to the development of communication skills by investigating the entire context of skills required for effective communication in managing everyday conflict in the workplace. The response class, Responding to continued pushy or dominating behaviour in the workplace, was selected as a vehicle for examining the context of escalation for two reasons. Firstly, this response class, by the very nature of pushy behaviour, embodies a continued interaction. In the past, assertive communication research has focused on one off responses rather than a continued interaction. Secondly, this response class has been identified in previous research as being of interest to assertiveness trainees (Cooley, 1979, Lefevre & West, 1984, Wilson & Gallios, 1993). The theoretical premise of the current research program resides in the application of Social Rules Theory to the difficult face-to-face communication situation, or response class, of responding to continued pushy behaviour in the workplace. In doing so, this approach also takes into account dialectical theory, conflict resolution theory, and the concept of response components that can be selected and/or combined in order to meet the requirements, or rules, of a specific situation. In adopting the Social Rules approach, the current research program addresses the key criticisms of the traditional approach to assertion and assertion training, namely that people behaving assertively are sometimes negatively evaluated for assertive behaviour (Wilson & Gallois, 1993); and that assertion traditionally focused on the expressiveness of a response at the unintended cost of social or contextual appropriateness (Crawford, 1988); that finding a response is assertive does not delineate which aspects of the response are producing which types of effects (Galassi, 1978; Mullinix & Galassi, 1981). Most importantly, the current research contributes to the field by examining the negative response class in terms of a response sequence of escalation, rather than a one-off response. This is new research and contributes to the field theoretically and to the conceptualisation of assertion and communication. In order to meet the goals of the current research program, the response class Responding to continued pushy behaviour in the workplace, was defined precisely in terms of the situational context. This response class implies a workplace relationship of an ongoing nature. Four other variables were involved in defining and investigating the situation. These were status, gender of message sender, gender of message receiver, and response level (initial response, first escalation or second escalation). The current program of research was carried out in a series of three related studies, and these four variables were examined in each of the three studies. The purpose of the first study was to elicit social rules and goals for interpersonally effective and appropriate escalation strategies in response to pushy dominating communication in the workplace. This study was conducted in two parts, a qualitative questionnaire completed by 20 females and 20 males, and two focus groups, one for females and one for males. Content analysis revealed a set of rules for an escalation sequence for each combination of status and gender. These rules were then operationalized, filmed and analysed in the second study. One hundred and twenty-three participants (64 females and 59 males) with work experience watched the operationalized responses and rated them on a series of seven scales. These scales were effectiveness in stopping the pushy behaviour (task effectiveness), effectiveness in maintaining the relationship (maintenance effectives), social appropriateness, interpersonal skill required, risk involved, personal difficulty in making the response, and likelihood of making the response. Analyses included descriptive statistics, which indicated that the operationalized responses were perceived to be effective and socially appropriate. Multivariate Analysis of Variance (MANOVA) were also conducted and revealed a number of significant interactions for each status level (manager, colleague, subordinate). The third and final study in this research program adopted a qualitative approach to examine continued pushy or dominating communication in the workplace. Eighty-two (45 female and 37 male) participants completed a qualitative questionnaire utilizing an open-ended approach. This questionnaire was designed for the purpose of the third study to elicit the typical behaviours, emotions and cognitions participants have in response to continued pushy behaviour in the workplace. Also, a data analysis process was designed specifically for the third study to provide an analytical procedure that was as systematically rigorous and replicable as possible. This process is explained in detail in Study 3. The results of the third study revealed differences between actual behaviour and rule based behaviour in response to continued pushy behaviour, namely that actual responses are more public and direct in nature, and more likely to promote destructive conflict escalation. This finding implies that typical responses are not as effective as rule based responses, highlighting the benefits of applying social rules to manage difficult face to face communication situations. In summary, the current research project utilized a multi-method approach in a series of three studies to reveal the nature of Social Rules based responses and typical responses. The results of this research program have implications for both the theory and practice of effective communication and effective communication training. Evaluation of both social rules based and typical responses have implications for communication trainees who wish to make informed choice based on a consideration of functionally effective behaviour and personal satisfaction. For example, social rules for escalation in response to continued pushy behaviour from a male manager may indicate that it is most effective for a female subordinate to acquiesce. However, the female subordinate may choose to violate social rules and risk being perceived as inappropriate and damaging the relationship, to achieve a super-ordinate goal or for personal satisfaction. Conversely, the social rules and responses developed in the current research program have implications for professional effectiveness in the workplace by providing guidelines for dealing with dominating behaviour.

APA, Harvard, Vancouver, ISO, and other styles

30

Luo, Yan. "Radical Architecture, Collective Mindfulness, and Information Technology: A Dialectical Analysis of Risk Control in Complex Socio-Technical Systems." online version, 2009. http://rave.ohiolink.edu/etdc/view.cgi?acc%5Fnum=case1228450166.

Full text

Abstract:

Thesis (Ph. D.)--Case Western Reserve University, 2009.
Department of Information Systems, Weatherhead School of Management. Includes bibliographical references. Available online via OhioLINK's ETD Center.

APA, Harvard, Vancouver, ISO, and other styles

31

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.

Full text

Abstract:

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).

APA, Harvard, Vancouver, ISO, and other styles

32

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

McNair, Louisa Catherine. "Dialectical behaviour therapy for adults with intellectual disabilities." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/dialectical-behaviour-therapy-for-adults-with-intellectual-disabilities(5a2821c3-824c-4cb7-be27-7cceb3cee7f9).html.

Full text

Abstract:

This thesis explores the use of adapted Dialectical Behaviour Therapy (DBT) with individuals with Intellectual and Developmental Disabilities (ID/D). DBT is a multi-modal psychological intervention that aims to increase skills in interpersonal effectiveness, distress tolerance, emotional regulation and mindfulness. It was initially developed for individuals who presented with parasuicidal behaviours, and is recommended for the treatment of Borderline Personality Disorder (BPD). This thesis is presented in five papers; a systematic literature review, three empirical papers (a, b &c), and a critical review and reflection of the research process. The systematic literature review provides a narrative review of published research regarding the adaptations and outcomes of DBT for individuals with ID/D. Seven studies were reviewed using the Evaluative Method for Determining Evidence Based Practice (EBP) (Reichow, 2011). The findings detail the adaptations, results and critical appraisal of the research to date. The empirical papers consider the outcomes of adults with ID/D who received adapted DBT in a community psychological therapies service. The papers present different methodologies, and combined produce a consilience of evidence regarding the suitability of DBT for this population. Paper 2a found significant reductions on measures of depression, anxiety and anger, and increased mindfulness skills amongst 18 participants following DBT. Paper 2b uses repertory grid technique to explore the psychological changes that occur following DBT for seven participants, and found overall changes in personal construing and improvements in self-esteem. Paper 2c considers the psychological changes that occur in further depth through the presentation of two case studies. The case studies consider the complexity and idiosyncrasy of the individuals and gives consideration to the use of repertory grids to identify implicative dilemmas as part of clinical assessments. The final paper provides a critical review with personal reflections of the thesis. The author considers the research and clinical implications of the study.

APA, Harvard, Vancouver, ISO, and other styles

34

Woo, Victoria Choi Yue. "THRIVING IN TRANSITION: COGNITIVE, SOCIAL & BEHAVIORAL RESOURCES FOR TIMES OF CHANGE." Case Western Reserve University School of Graduate Studies / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1427894465.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Lyng, James L. "Dialectical Behaviour Therapy for Borderline Personality Disorder in the community." Thesis, Bangor University, 2017. https://research.bangor.ac.uk/portal/en/theses/dialectical-behaviour-therapy-for-borderline-personality-disorder-in-the-community(fabd3e78-397d-40f3-9c9f-2b9e0887e69d).html.

Full text

Abstract:

BPD is a severe and chronic psychological disorder associated with high rates of completed suicide and enduring disability. Standard DBT is an evidence-based, multi-modal psychotherapy for BPD which includes individual psychotherapy, group skills training, between-session coaching, and therapist consultation. DBT is effective for reducing many difficulties associated with BPD and can also transfer successfully into the community, yet important practice-relevant questions remain. The work in this dissertation involves four separate studies relating to ways DBT can be delivered in the community and exploring who is likely to respond to DBT. The studies draw on treatment outcome data from a total of 140 patients with a diagnosis of BPD collected over several years by community-based DBT teams involved in a multi-site, practice-based research network (PBRN). In Chapter 2, encouraging outcomes are reported from a small evaluation of standard DBT delivered to a cohort of 18-25 year olds with a diagnosis of BPD in a new young adult only DBT programme. Chapter 3 describes an expanded investigation of this young adult only DBT programme, mainstreamed as an early intervention initiative for 18-25 year olds presenting to community services with a diagnosis of BPD. Better outcomes are reported for the young adult programme compared to similar aged young adults in general adult DBT, suggesting advantages for this age-specific mode of delivery, possibly due to group cohesion. In Chapter 4, largely similar outcomes at six months are found for a rationalised, standalone group skills training adaptation of DBT when compared to standard (i.e. all modes) DBT, with some unexpected advantages for standalone group skills on hopelessness and difficulties in emotion regulation. Treatment conditions are not equivalent due to non-random allocation and the exclusion of higher risk patients from standalone skills, but findings offer support for the usefulness of standalone skills among lower-risk patients with a diagnosis of BPD who are willing to accept a group-only intervention when delivered by experienced DBT therapists. In Chapter 5, patient variables are investigated as predictors of outcome following one year of standard DBT for BPD. Gender, employment status, post-traumatic stress disorder (PTSD), and baseline suicide ideation are reported to be associated with change or recovery on borderline symptom severity and general psychopathology. Overall limitations of the dissertation, such as measurement problems, failure to formally assess treatment fidelity, and the inclusion of only completers in the analysis, are discussed in Chapter 6. In addition, several areas for future research are identified: the benefits of PBRNs, group cohesion as a factor in outcomes for DBT, and further study of young adult DBT under randomised trial conditions with longer term and wider follow-up.

APA, Harvard, Vancouver, ISO, and other styles

36

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

37

Desperles, Danielle. "Exploring inpatient experiences of dialectical behaviour therapy for borderline personality disorder." Thesis, University of Leicester, 2010. http://hdl.handle.net/2381/8576.

Full text

Abstract:

Literature Review: A systematic review of the literature on the use of Dialectical Behaviour Therapy (DBT) in both inpatient and outpatient settings was conducted. The results demonstrated that significant treatment gains were made by individuals with BPD when treated with DBT. The review supported the use of DBT in both treatment settings. Research Report: This explored patients’ experiences of DBT in a long term secure inpatient unit. Nine participants diagnosed with BPD were interviewed. The interviews were transcribed and analysed using Interpretative Phenomenological Analysis. A total of eight superordinate themes were identified and summarised separately. The first section related to the DBT programme and two superordinate themes emerged. These were the Components of DBT and the Effects of DBT. The second section examined the journey participants described when undergoing DBT in an inpatient unit. Six superordinate themes emerged, these were: A Hopeless Beginning; the DBT Programme; Promoters of Inpatient DBT; Obstacles of inpatient DBT; A Brighter Future and Preparing for Discharge. The present study highlighted that inpatient uses of DBT are as acceptable as outpatient uses. The journey participants described highlighted the unique promoters and obstacles of inpatient DBT therapy. The clinical implications of this research supported the use of DBT in inpatient settings and provide a rationale for the development of more DBT services. Areas for future research were also discussed. Critical Appraisal: This paper provides an account of the researcher’s reflections and experience of the research process. Issues related to the decision making processes involved in the research and reflections on personal reflexivity are discussed.

APA, Harvard, Vancouver, ISO, and other styles

38

McCormack, Moninne. "Dialectical behaviour therapy : factors relating to dropout and experiences of completion." Thesis, University of Liverpool, 2015. http://livrepository.liverpool.ac.uk/2032759/.

Full text

Abstract:

This thesis focuses on non-completion of dialectical behaviour therapy (DBT) for people with some features of personality difficulties (FPD) and termination of DBT for people with borderline features (BF). It contains two distinct journal papers; a systematic literature review and an empirical paper. The findings from the systematic review are outlined in chapter one. The aim of this review is to summarise the findings from studies that explore what is known about why participants do not complete DBT programmes for FPD and their characteristics. Using a systematic strategy the databases PsycINFO, PubMed, CINAHL, Web of Science, Medline and Scopus were searched for English-language only papers but with no restrictions in relation to date of publication. Papers were selected that included data in relation to dropout of adult participants from DBT for FPD. Eleven papers were included, nine observational studies and two controlled trials. The results are separated into four broad categories; personal characteristics, co-morbidity and distress, environmental and relational factors, and motivation. The results highlight the complexity of factors involved in non-completion of DBT for FPD. Further research using qualitative methods to explore participants’ reasons for non-completion is required to fill a gap in the literature. Chapter two is an empirical study exploring participants' experiences of completing DBT. Little is known about termination experiences of DBT for individuals with borderline features from their own perspectives. This study aimed to explore participants’ experiences of ending a DBT programme and how this experience has influenced their perception of previous endings and management of future endings. Six women were interviewed and their transcripts analysed using Interpretative Phenomenological Analysis. Four key themes were found: (1) fear arising from the powerful influence of previous experiences of ending, (2) engagement with the therapeutic structure of DBT to manage the ending, (3) experiencing the ending of DBT as a reparative process and (4) personal growth during the DBT programme resulting in an awareness of enhanced resilience for the future. Clinical implications highlight the importance of services and therapists to provide an experiential reparative process of therapy termination for service users.

APA, Harvard, Vancouver, ISO, and other styles

39

Rosiek, Susan L. "Navigating the Paradoxes of Working from Home: An Investigation into the New Communication Practices of Telework." Cleveland, Ohio : Cleveland State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=csu1212984331.

Full text

Abstract:

Thesis (M.Ap.C.T. & M.)--Cleveland State University, 2008.
Abstract. Title from PDF t.p. (viewed on July 8, 2008). Includes bibliographical references (p. 79-82). Available online via the OhioLINK ETD Center. Also available in print.

APA, Harvard, Vancouver, ISO, and other styles

40

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

41

Ross, Helen. "Dialectical behaviour therapy for adolescents who repeatedly self-harm : a qualitative study." Thesis, Bangor University, 2002. https://research.bangor.ac.uk/portal/en/theses/dialectical-behaviour-therapy-for-adolescents-who-repeatedly-selfharm--a-qualitative-study(d0104182-26e3-46df-9f7b-bce986401002).html.

Full text

Abstract:

Despite the level of concern generated by adolescents who repeatedly self-harm, there is a dearth of empirically validated interventions for this client group. In the adult domain, dialectical behaviour therapy (DBT; Linehan, 1993) is the only evidence-based intervention for individuals at high risk of repetition, and preliminary research has suggested its utility with adolescents. This study employed a qualitative methodology to evaluate an existing inpatient DBT programme for adolescents with multiple presenting problems including deliberate self-harm. Four female adolescents were interviewed in depth about their experiences and the perceived impact of receiving DBT. Transcripts were analysed for significant and recurrent themes using interpretative phenomenological analysis. Overall, the results supported existing quantitative data indicating that this client group can benefit from DBT. Participants emphasised the role of applying DBT skills in gaining a sense of control over internal experiences and overt behaviours (including self-harm). However, there were marked individual differences in the degree to which such control was attained. Furthermore, for most participants, the effective use of DBT skills was at least partially dependent upon the continued receipt of therapy. Motivation to engage in and comply with therapy appeared to be significantly influenced by participants' perceptions of staff and peers within the inpatient unit. A sense of connection or identification with others emerged as an important source of learning and inspiration, as well as serving to normalise participants' difficulties. The role of social comparison was particularly salient in participants' attempts to make sense of the changes in self since entering DBT. The findings are discussed in relation to the existing literature, with particular emphasis on the extent to which therapeutic processes deemed important by DBT theory were concordant with participants' experiences. Implications for clinical practice are highlighted and directions for future research suggested.

APA, Harvard, Vancouver, ISO, and other styles

42

Wilson, Christina Ann. "Implementation and evaluation of dialectical behaviour therapy for adolescents and for eating disorders." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8540/.

Full text

Abstract:

This thesis contains two volumes. Volume one contains three chapters. The first chapter presents a systematic literature review of Dialectic Behaviour Therapy for young people diagnosed with an Eating Disorder. The second chapter presents an empirical study exploring Dialectic Behaviour Therapy implementation in services supporting young people. The third chapter presents a public dissemination document summarising the literature review and empirical study. Volume two contains five clinical practice reports (CPRs). The first CPR presents a cognitive behavioural formulation and a systemic formulation of a 15-year-old female presenting with low mood. The second CPR presents a service evaluation exploring both clinical leads and managers views of clinical supervision across one NHS Trust. The third CPR used a single-case experimental design to consider the effectiveness of a cognitive behavioural intervention for a 73-year-old female presenting with symptoms of depression and anxiety. The fourth CPR presents a case study of a 20-year-old female with a learning disability and autism, presenting with symptoms of anxiety. The final CPR is a case study abstract from an oral presentation of Cognitive Analytic Therapy, with a 35-year-old female diagnosed with Borderline Personality Disorder.

APA, Harvard, Vancouver, ISO, and other styles

43

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

44

Almario, Maria C. "THE INCLUSIVE HUMAN TRAFFICKING CHECKLIST: A DIALECTICAL METHODOLOGY OF MEASUREMENT." UKnowledge, 2015. http://uknowledge.uky.edu/edp_etds/34.

Full text

Abstract:

The identification of victims of human trafficking and consequential service provision is characterized by a significant disconnection between the estimated prevalence of this issue and the number of cases identified. The current dissertation introduces the Inclusive Human Trafficking Checklist (IHTC) as a screening measure, evaluates the appropriateness of the instrument, evaluates whether there are differences in assessment based on the participant’s profession, level of knowledge, and training, and assesses if users of the instrument perceive it as useful. A total of 201 participants were asked to rate three vignettes predetermined by experts to qualify as a either human trafficking case or not. The participants were placed in three conditions: business as usual (use of the Rescue and Restore instrument), utilization of the IHTC with and without training. The results revealed a statistically significant level of agreement between the expert’s diagnostic and the application of the IHTC. While there was an improvement in identification in the group with training, the difference was found to have a small effect size. The results also revealed an improvement on identification of cases when utilizing the IHTC. Participants who utilized the IHTC showed an increased ability to identify elements of identity-based vulnerabilities as well as elements of fraud, which according to the results, are distinctive variables in cases of human trafficking. In terms of the perceived utility, the results revealed higher mean scores for the groups utilizing the IHTC when compared to the business as usual condition. These findings suggest that the IHTC improves appropriate identification of cases and that it is perceived as a useful instrument. The application of the IHTC as a counseling and legal instrumentation utilized for conceptualization and intervention of human trafficking cases is discussed as an opportunity for enhancement of victim well-being, engagement and activism.

APA, Harvard, Vancouver, ISO, and other styles

45

Leather, Amanda. "Borderline personality disorder in adolescence : exploring gender differences and effectiveness of dialectical behaviour therapy." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5416/.

Full text

Abstract:

This thesis considers Borderline Personality Disorder (BPD), its diagnosis in adolescence and apparent gender differences in diagnosis and treatment. Although often considered within a clinical mental health context, the gap between clinical and forensic practice is rarely closer than when considering BPD and its close association with an increased risk of criminal behaviour and the forensic population. This coupled with Dialectical Behaviour Therapy (DBT) as a treatment of choice for BPD and its development in a variety of settings including the forensic population means that BPD, adolescence and DBT research is at an interesting juncture. In this controversial area fraught with complications from diagnosis to treatment, it is argued that this thesis could provide a useful collaboration between the available research to date and an exploration of future research developments, which are desperately needed.

APA, Harvard, Vancouver, ISO, and other styles

46

Rossiter, Rachel Cathrine. "Exploring the Experience of Dialectical Behaviour Therapists: Challenging Therapeutic Pessimism Related to Borderline Personality Disorder." University of Sydney, 2009. http://hdl.handle.net/2123/4092.

Full text

Abstract:

Doctor of Health Science
The public mental health setting wherein clinicians work with clients diagnosed with borderline personality disorder (BPD) provides a continual challenge for clinicians. For many decades a pervasive therapeutic pessimism has surrounded any discussions of attempts to work with clients with BPD with this population being viewed as ‘too difficult’ and ‘impossible to work with’. This pessimism and the ensuing counter therapeutic responses have been well documented in the psychiatric literature. The development of treatments such as dialectical behaviour therapy (DBT), a cognitive-behavioural therapy, for BPD has provided a basis for therapy for which there is increasing evidence of successful outcomes. Despite this evidence, the pervasive pessimism has been slow to lift. A limited literature explores attempts to positively influence clinician responses to this clientele. Within the public mental health service in which this research is based, DBT is well-established as a therapeutic modality. In the course of providing training, consultation and supervision for parts of this service, anecdotal evidence emerged suggesting that the impact of practising as a DBT therapist was greater than anticipated and DBT may provide a tool for facilitating a positive change in clinician responses. Given that this perception is not described in the literature it was appropriate to begin research in this area employing a qualitative methodology. This research explored the experience and impact upon mental health clinicians in a public mental health service undertaking training in DBT and practicing as DBT therapists. In-depth, semi structured interviews were conducted in July 2005 with clinicians practising as DBT therapists. Data analysis revealed a marked shift in perspective from ‘management to treatment’. Participants described positive professional and personal impacts of training and practising as DBT therapists. An enhanced capacity for self-awareness and ‘living life to the full’ was described by a number of participants. This initial research suggests that the practice of DBT by clinicians can generate a positive shift in both personal and professional identities that translates into a more optimistic and humanistic approach to clients diagnosed with BPD. Such a change may represent a significant challenge to the prevailing mental health discourse and practice

APA, Harvard, Vancouver, ISO, and other styles

47

Roberts, Caryl. "Working in adult mental health : burnout and the effects of dialectical behaviour therapy skills training." Thesis, Bangor University, 2018. https://research.bangor.ac.uk/portal/en/theses/working-in-adult-mental-health(98ae9d6a-8e82-42dd-a328-c1ca7ebd39c6).html.

Full text

Abstract:

This thesis aims to explore the predictors of burnout in adult community mental health services and whether DBT skills training is an effective intervention on outcomes for mental health staff. The first chapter consists of a systematic literature review, examining the predictors of burnout in community based mental health staff. In total, 24 studies met the inclusion criteria and consisted of mainly cross sectional survey designs. The review partially supported existing literature on models of burnout, whilst emphasising the importance of personal factors on the development of burnout. The findings were limited due to the lack of studies with longitudinal designs. The second chapter examines the empirical research investigating the relationship of brief DBT skills training on outcomes for mental health staff. 141 mental health staff were recruited at the beginning of the study who completed questionnaires on including burnout, wellbeing, stigma towards clients with BPD, organisational readiness for change, and attitudes towards evidence based practices pre and post training and 39 participants participated at follow up. ANOVA analysis found that the training was significant in reducing stigma towards clients with personality disorder and had a short term effect (from pre to post training) in reducing burnout. The clinical implications and the limitations of the research paper are discussed. The third chapter discusses the papers referred to above with regard to theories and models of burnout potentially providing a psychological explanation for why some factors predict burnout better than others. It also explores why DBT skills training appears to have a small effect on burnout. A reflective commentary is provided at the close of the thesis.

APA, Harvard, Vancouver, ISO, and other styles

48

Woodruff, Joseph Elias. "The Use of Dialectical Behavioral Therapy with the Native American Population in the Southwest." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7355.

Full text

Abstract:

Compared to other races, Native Americans have significantly higher rates of suicide and substance abuse. Dialectical behavioral therapy is an evidence-based program with efficacy for reducing suicidality and comorbid disorders within general populations but may not be effective for Native Americans because it is based in Western ideology. The purpose of this phenomenological study was to explore the lived experiences of Native American therapists who use DBT with Native American populations. Using biosocial theory, I investigated the perceptions and lived experiences of 8 Native American therapists through a phenomenological approach. The research questions encompassed the experiences, including the cultural appropriateness, effectiveness, and treatment barriers and challenges in using DBT. I analyzed data using the interpretive phenomenological analysis. The data displayed 3 superordinate themes from participants: cultural understanding, usefulness of dialectical behavior therapy, and challenges of dialectical behavior therapy. The findings revealed a lack of consensus on how DBT helps Native clients, but participants shared positive experiences using DBT. It was confirmed in the study that knowing the culture, being Native as a provider, understanding generational trauma, and the uniqueness of diversity with different tribes is an asset. The study may have significance for social change by identifying Native American therapists' experiences with using and modifying DBT for Native American clients and potentially providing a pathway for its future use in Native American communities, including current strengths and potential improvements.

APA, Harvard, Vancouver, ISO, and other styles

49

Westwood, Ellen Anne. "The use and outcomes of Dialectical Behaviour Therapy for forensic populations and non-forensic adolescent populations." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7646/.

Full text

Abstract:

Dialectical Behaviour Therapy (DBT) is a type of “talking therapy”, developed from cognitive behavioural therapy; it has been adapted to help people who experience emotions, often females diagnosed with Borderline Personality Disorder (BPD). With its growth in popularity, DBT has been adapted and used with other populations - not just adult females with BPD – to include forensic populations (i.e. people who are in contact with services due to criminal behaviour) and adolescent populations. This thesis contains a systematic literature review investigating the use of DBT in Forensic Services and an empirical study that utilised a qualitative design to explore adolescents and parents’ experiences of DBT.

APA, Harvard, Vancouver, ISO, and other styles

50

Syeddah, Arzoo Fatima. "A dialectical discourse on responsible business behaviour within small medium enterprises : a case study of Pakistan." Thesis, University of Plymouth, 2017. http://hdl.handle.net/10026.1/9598.

Full text

Abstract:

This thesis investigates the dialectical nature of Corporate Social Responsibility (CSR) phenomenon a common buzzword in today’s globalized economy. The emergence of CSR as a significant issue in recent years can be attributed to the expectation in developed countries for business to engage with society beyond their commercial interests. Business are now under sustained pressure to be held publicly accountable for their activities. The research shed light on two research gaps identified within business ethics- idea of business responsibility firstly in the context of the big economic players of tomorrow- emerging markets; and secondly in relation to small and medium enterprises. Adopting a phenomenological approach based on Critical Theory and Hermeneutics framework, the research attempted to uncover the link between business and ethics in relation to SMEs. This led to the construction of a theoretical model –A.R.T Model, aimed at enhancing understanding of how SMEs perceive and practice socially responsible behaviour. Contribution to knowledge was also made in applying Bourdieu’s Theory of Logic of Practice to explain actions of SME owner-managers; and carrying out a comparative analysis of Social Capital theory versus normative Stakeholder Theory to describe workings of SMEs towards their stakeholders. These contributions met the objectives of the study: creation of a ‘native’ model of social responsibility for SMEs in Pakistan (reflective of the local social reality) using a business ethics and cultural construction; and exploring the nature and evolution of CSR in emerging markets. The research also revealed that socially responsible practices by SMEs are inherently informal and voluntary in nature, driven more so by ethical than religious motivations. Furthermore, philosophical synergies were created between the A.R.T model and the normative construct consisting of Classical antiquities - Kant, Adam Smith and Machiavelli, which bridged the gap between theory and CSR driven practice.

APA, Harvard, Vancouver, ISO, and other styles

Dissertations / Theses on the topic 'Dialectical behavior'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles