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THERAPY
-Dr. Charanteja Koganti
-C/P Dr. Aruna
Dialectic :
a method of examining and discussing
opposing ideas in order to find the truth.
Functions:
(1) enhance patient motivation;
(2) enhance patient capabilities;
(3) ensure that new capabilities generalize
to the patients natural environment;
(4) enhance therapist capabilities and
motivation to treat patients effectively; and
(5) structure the environment in a manner
that will promote and reinforce patient and
therapist capabilities.
Function 1:
Dilemma
Emotional Vulnerability vs. SelfInvalidation
Treatment Target
Increasing emotional modulation.
Decreasing emotional reactivity.
Increasing self-validation.
Decreasing self-invalidation.
Dilemma
Active Passivity vs. Apparent Competence
Treatment Target
Increasing active problem solving.
Decreasing active passivity.
Increasing accurate communication.
Decreasing mood dependency of
behavior.
Dilemma
Unrelenting Crisis vs. Inhibited Grieving
Treatment Target
Increasing realistic decision making and
judgment.
Decreasing crisis generating behaviors.
Increasing emotional experiencing.
Decreasing inhibited grieving.
Therapists Working
Assumptions about the Client
1)
2)
3)
4)
Modes of Treatment
1.
Individual therapy,
2.
3.
Telephone contact.
4.
Therapist consultation.
Skills Training
1.
2.
Interpersonal effectiveness.
3.
4.
Individual Therapy
Stages of therapy.
Treatment strategies.
Improving self-esteem.
Treatment Strategies
1. Dialectical Strategies
Dialectical strategies are woven
throughout all treatment interactions.
The most fundamental dialectical
strategy is the balanced therapeutic
stancethe constant attention to
combining acceptance with change.
The goal is to bring out the opposites,
both in therapy and the clients life, and
to provide conditions for synthesis.
Strategies include
-extensive use of stories, metaphor, and
paradox;
- the therapeutic use of ambiguity;
-viewing therapy,
-cognitive challenging ,
-restructuring techniques; and
- reinforcement for use of intuitive,
nonrational knowledge bases.
2. Core Strategies
Core strategies consist of the balanced
application of problem-solving and
validation strategies.
Included are a wide variety of behavioral
assessment and behavioral therapy
techniques that are used to directly
target maladaptive behaviors.
Level 1 validation
It involves
1. listening to and observing what the client is
saying, feeling, and doing .
2.an active effort to understand and make
sense of what is being observed.
Level 2 validation
Level 3 validation
Level 4 validation
Level 5 validation
Level 6 validation
3. Communication Strategies
3.The consultation-to-the-therapist
strategy:
Each DBT therapist meet regularly with a
supervisor or consultation team.
The idea here is that complex, multidisordered clients should not be treated
alone.
Future research:
Thank you