Dialectical Behavioral Therapy
Dialectical Behavioral Therapy (DBT) is a form of psychotherapy used mainly for the treatment of borderline personality disorder. Designed by Marsha Linehan, it is used to resolve problematic extreme emotional behavior.
Dialectical behavior therapy (DBT) is a psychotherapy particularly aimed at treating individuals who are suffering from borderline personality disorder. Although, Marsha M. Linehan had designed this psychosocial treatment to treat specific disorder of borderline personalities, it can be effectively used for subjects suffering from other disorders.
This therapy itself is based largely on the fundamentals of behavioral theory with some elements of cognitive therapy as well. It consists of two very significant parts, without the presence of any of these parts the treatment cannot be considered as the theory "following DBT norms". These two parts are known as individual therapy and group therapy.
1. Individual therapy: An individual constituent that involves the therapist and subject have a word over the issues that are targeted in the coming week. The issues and relative discussions are kept recorded in diary and follow a treatment targeting the relative chain of commands. First priority is taken by behavior which are then followed by therapy of interfering behavior. This sets course for targeting quality of life issues, ultimately results into working towards betterment of subject's life. During this individual component, the psychotherapist and subject strive hard towards skill improvement. While discussing, group of skills are taken into account to co-relate each other and obstacles to acting skillfully are addressed.
2. The group Therapy: The group component ordinarily meets once a week having a session of around three hours. This therapy is aimed at learning the use of particular skills. These skills are further classified into core skills, interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills.
To understand the principle behind this therapy, let us have a look at the Borderline Personality Disorder (BPD) for which this therapy is actually designed.
Borderline personality disorder (BPD)
Borderline personality disorder (BPD) is defined within entity of psychiatry and related psychological fields as a mental disorder characterized chiefly by losing control over emotional regulation, extreme thinking, or "splitting thinking" means believing that something is one of only two extreme possible things, and discarding any possible "in-betweens", and problematic relationships. It is used to be described as a serious mental illness characterized by persistent fluctuations in mood, self-image, interpersonal relationships, identity, and behavior, and a disturbance in the individual's sense of self.
Philosophical interpretation
In Greek philosophy, dialectic means an exchange of theses and anti theses. In other words it is a discussion engulfing propositions and counter propositions which results into analysis and molding of opposing assertions in a right direction of the dialog. As per western culture it is one of the three liberal arts or trivia besides rhetoric and grammar. While in ancient and medieval ages other liberal arts were aimed at being convincing through proper format of dialog, the dialectical method is aimed to solve disagreement or conflict of opinions through balanced discussion. There are two ways achieving it. One way is known as Socratic Method where, given hypotheses are used to get a contradicted outcome and hence compelling the hypotheses for truth. This is also a kind of passive form. Another way of doing it is by rejecting any hypotheses already existed and so moving to third synthesis.
"Biosocial theory of personality functioning" forms the fundamentals of dialectical behavioral therapy. With this fundamentals borderline personality disorder is considered as a biological disorder of emotion regulation. The subject shows typical characteristics of hypersensitivity to emotions, increase emotional intensity and a very slow return to the normal line of emotions. One of the most important element of DBT is Cognitive Behavioral Therapy. It makes use of self monitoring. The emphasis on ABC's and collaboration between subject and psychotherapists is borrowed straight away from cognitive behavioral therapy. This treatment has a manual known as "Lineman's Cognitive Behavior Treatment of Borderline Personality disorder". DBT also utilizes few Zen theory concepts to stimulate subjects to be mindful in the given movement. The Zen concepts used here includes realization without delusion, acceptance of facts.
The therapy
The theory anchors the treatment within some other perspectives that marks.
1. Asking questions ourselves "what is being left out in understanding the systematic and correlated nature of human functioning and reality.
2. Trying for synthesis by replacing extreme rigid responses which can result in dysfunction.
3. Enhancing reassurance with uncertainty and change that are viewed as foreseeable aspects of life.
DBT revolves around the four modules of skills. The basic aim of dialectical behavioral therapy is to help the subject to achieve a state of mind known as wise mind. A wise mind is an intermediate stage between rational mind and extreme emotional mind. Rational mind means considering the facts and figures and suppressing feelings. Emotional mind means get blinded by its own strong feelings and not considering the facts. Dialectical Behavioral Therapy helps patient to achieve this golden mean of two stages of mind.
Identifying and labeling emotions is the foremost step in this therapy. After identifying emotions psychotherapists has to look for and identify the presence of obstacles to change such emotions. He should act to reduce the vulnerability of his subject to intense emotions. Increasing mindfulness to present emotions will be the next step. Sometimes he can use the distress tolerance techniques. Dialectical Behavioral therapy lays a great emphasis to learn how to bear and tolerate pain skillfully. It also includes crisis survival strategies like distraction, self soothing, judging pros and corns of such situations.
Dialectical Behavioral Therapy makes a great tool in molding extreme behavioral response to intense emotions; get those victims balanced to lead a much positive healthy life.
This therapy itself is based largely on the fundamentals of behavioral theory with some elements of cognitive therapy as well. It consists of two very significant parts, without the presence of any of these parts the treatment cannot be considered as the theory "following DBT norms". These two parts are known as individual therapy and group therapy.
1. Individual therapy: An individual constituent that involves the therapist and subject have a word over the issues that are targeted in the coming week. The issues and relative discussions are kept recorded in diary and follow a treatment targeting the relative chain of commands. First priority is taken by behavior which are then followed by therapy of interfering behavior. This sets course for targeting quality of life issues, ultimately results into working towards betterment of subject's life. During this individual component, the psychotherapist and subject strive hard towards skill improvement. While discussing, group of skills are taken into account to co-relate each other and obstacles to acting skillfully are addressed.
2. The group Therapy: The group component ordinarily meets once a week having a session of around three hours. This therapy is aimed at learning the use of particular skills. These skills are further classified into core skills, interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills.
To understand the principle behind this therapy, let us have a look at the Borderline Personality Disorder (BPD) for which this therapy is actually designed.
Borderline personality disorder (BPD)
Borderline personality disorder (BPD) is defined within entity of psychiatry and related psychological fields as a mental disorder characterized chiefly by losing control over emotional regulation, extreme thinking, or "splitting thinking" means believing that something is one of only two extreme possible things, and discarding any possible "in-betweens", and problematic relationships. It is used to be described as a serious mental illness characterized by persistent fluctuations in mood, self-image, interpersonal relationships, identity, and behavior, and a disturbance in the individual's sense of self.
Philosophical interpretation
In Greek philosophy, dialectic means an exchange of theses and anti theses. In other words it is a discussion engulfing propositions and counter propositions which results into analysis and molding of opposing assertions in a right direction of the dialog. As per western culture it is one of the three liberal arts or trivia besides rhetoric and grammar. While in ancient and medieval ages other liberal arts were aimed at being convincing through proper format of dialog, the dialectical method is aimed to solve disagreement or conflict of opinions through balanced discussion. There are two ways achieving it. One way is known as Socratic Method where, given hypotheses are used to get a contradicted outcome and hence compelling the hypotheses for truth. This is also a kind of passive form. Another way of doing it is by rejecting any hypotheses already existed and so moving to third synthesis.
"Biosocial theory of personality functioning" forms the fundamentals of dialectical behavioral therapy. With this fundamentals borderline personality disorder is considered as a biological disorder of emotion regulation. The subject shows typical characteristics of hypersensitivity to emotions, increase emotional intensity and a very slow return to the normal line of emotions. One of the most important element of DBT is Cognitive Behavioral Therapy. It makes use of self monitoring. The emphasis on ABC's and collaboration between subject and psychotherapists is borrowed straight away from cognitive behavioral therapy. This treatment has a manual known as "Lineman's Cognitive Behavior Treatment of Borderline Personality disorder". DBT also utilizes few Zen theory concepts to stimulate subjects to be mindful in the given movement. The Zen concepts used here includes realization without delusion, acceptance of facts.
The therapy
The theory anchors the treatment within some other perspectives that marks.
1. Asking questions ourselves "what is being left out in understanding the systematic and correlated nature of human functioning and reality.
2. Trying for synthesis by replacing extreme rigid responses which can result in dysfunction.
3. Enhancing reassurance with uncertainty and change that are viewed as foreseeable aspects of life.
DBT revolves around the four modules of skills. The basic aim of dialectical behavioral therapy is to help the subject to achieve a state of mind known as wise mind. A wise mind is an intermediate stage between rational mind and extreme emotional mind. Rational mind means considering the facts and figures and suppressing feelings. Emotional mind means get blinded by its own strong feelings and not considering the facts. Dialectical Behavioral Therapy helps patient to achieve this golden mean of two stages of mind.
Identifying and labeling emotions is the foremost step in this therapy. After identifying emotions psychotherapists has to look for and identify the presence of obstacles to change such emotions. He should act to reduce the vulnerability of his subject to intense emotions. Increasing mindfulness to present emotions will be the next step. Sometimes he can use the distress tolerance techniques. Dialectical Behavioral therapy lays a great emphasis to learn how to bear and tolerate pain skillfully. It also includes crisis survival strategies like distraction, self soothing, judging pros and corns of such situations.
Dialectical Behavioral Therapy makes a great tool in molding extreme behavioral response to intense emotions; get those victims balanced to lead a much positive healthy life.
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