Abstract:
Borderline Personality Disorder (BPD) is a devastating and stigmatizing disorder. Many therapists refuse to treat this population due to the severe pathology involved. BPD patients’ extreme emotional and behavioral dysregulation including anger directed at the therapist and impulsive, life threatening behavior can be tremendously taxing on the therapist, not to mention heighten their ethical and legal risk. Dialectical Behavioral Therapy (DBT), a psychosocial treatment that combines cognitive-behavioral theory and methods with eastern meditative principles and practices, has changed this picture significantly. Several randomized clinical trials have demonstrated DBT to be the most hopeful and helpful of any new therapy available for people with BPD. As icing on the cake, it also provides a very stimulating and rewarding experience for the therapist. As such, many therapists are clamoring to learn the treatment. Although there is a wealth of information that describes the treatment itself, very little has been written regarding the necessary steps to provide it well. In this chapter we offer guidelines on how to achieve competency in DBT and further discuss how to move from beginning to expert status. The information presented has been gleaned over the last 15 years; from both formal training in DBT as well as personal experience providing full fidelity DBT “in the trenches”.
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References
Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. American Journal of Psychiatry, 156, 1563–1569.
Bateman, A., & Fonagy, P. (2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-up. American Journal of Psychiatry, 158, 36–42.
Bohus, M., Limberger, M. F., Frank, U., Chapman, A. L., Kuhler, T., & Stieglitz, R. D. (2007). Psychometric properties of the Borderline Symptom List (BSL). Psychopathology, 40, 126–132.
Dimeff, L. A., & Koerner, K. (2007). DBT in clinical practice: Applications across disorders and settings. New York: Guilford.
First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). Structured clinical interview for DSM-IV axis II personality disorders (SCID-II). Washington, DC: American Psychiatric Press.
Fruzetti, A. E., Waltz, J. A., & Linehan, M. M. (1997). Supervision in dialectical behavior therapy. In Watkins, C. E. (Ed.), Handbook of psychotherapy supervision (pp. 84–100). New York: Wiley.
Giesen-Bloo, J., Van Dyck, R., Spinhoven, P., van Tilburg, W., Dirksen, C., van Asselt, T., et al. (2006). Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs. transference-focused psychotherapy. Archives of General Psychiatry, 63, 649–658.
Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., et al. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavioral Therapy, 32, 371–390.
Lambert, M. J., Hansen, N. B., Umphress, V., Lunnen, K., Okiishi, J., Burlingame, G., et al. (1996). Administration and scoring manual for the Outcome Questionnaire (OQ-45.2). Wilmington, DL: American Professional Credentialing Services.
Lequesne, E. R., & Hersh, R. G. (2004). Disclosure of a diagnosis of borderline personality disorder. Journal of Psychiatric Practice, 10, 170–176.
Linehan, M. M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford.
Linehan, M. M. (1993b). Skills training manual for treating borderline personality disorder. New York: Guilford.
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060–1064.
Linehan, M. M., Comtois, K. A., Brown, M. Z., Heard, H. L., & Wagner, A. (2006). Suicide Attempt Self-Injury Interview (SASII): Development, reliability, and validity of a scale to assess suicide attempts and intentional self-injury. Psychological Assessment, 18, 303–312.
Linehan, M. M., Comtois, K. A., Murray, A., Brown, M. Z., Gallop, R. J., Heard, H. L., et al. (2006). Two year randomized trial plus follow-up of dialectical behavior therapy vs. therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63, 757–766.
Linehan, M. M., & Dexter-Mazza, E. T. (2008). Dialectical behavior therapy for borderline personality disorder. In Barlow, D. H. (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (4th ed., pp. 365–420). New York: Guilford.
Linehan, M. M., Dimeff, L. A., Reynolds, S. K., Comtois, K., Shaw-Welch, S., Heagerty, P., et al. (2002). Dialectical behavior therapy versus comprehensive validation plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug and Alcohol Dependence, 67, 13–26.
Linehan, M. M., Goodstein, J. L., Nielsen, S. L., & Chiles, J. A. (1983). Reasons for staying alive when you are thinking of killing yourself: The Reasons for Living Inventory. Journal of Consulting and Clinical Psychology, 51, 276–286.
Linehan, M. M., Heard, H. L., & Armstrong, H. E. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50, 971–974.
Linehan, M. M., Schmidt, H., III, Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. American Journal of Addiction, 8, 279–292.
Linehan, M. M., Tutek, D. A., Heard, H. L., & Armstrong, H. E. (1994). Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients. American Journal of Psychiatry, 151, 1771–1776.
Marziali, E., & Munroe-Blum, H. (1994). Interpersonal group psychotherapy for borderline personality disorder. New York: Basic Books.
McClanahan, J. Z., Kim, S. A., & Bobowick, M. (2003). Personality Disorders. In Hersen, M., & Turner, S. A. (Eds.), Diagnostic interviewing (3rd ed., pp. 173–202). New York: Kluwer/Plenum.
Paris, J. (2005). Borderline personality disorder. Canadian Medical Association Journal, 172, 1579–1583.
Varheul, R., van den Bosch, L. M. C., Koeter, M. W. J., de Riddler, M. A. J., Stijnen, T., & van den Brink, W., et al. (2003). Dialectical behavior therapy for women with borderline personality disorder: 12 month, randomized clinical trial in The Netherlands. British Journal of Psychiatry, 182, 135–140.
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Norling, D.C., Kim, S. (2010). Borderline Personality Disorder. In: Thomas, J.C., Hersen, M. (eds) Handbook of Clinical Psychology Competencies. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09757-2_31
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DOI: https://doi.org/10.1007/978-0-387-09757-2_31
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