Dialectical Behavior Therapy:
Original Design Dialectical Behavior Therapy (DBT) was first developed by Marsha Linehan for the treatment of individuals suffering from Borderline Personality Disorder (BPD) and suicidal or self-injurious behavior (Swales, 2009). In her work with these individuals, Marsha noticed that many of them were not engaged in or collaborating with a therapeutic process based on change. She hypothesized that many of these individuals did not believe they had the ability to change, so a therapeutic method based on change was not going to work. She then began to develop a method focused on acceptance and a “dialectical philosophy” (Swales, 2009). DBT also incorporates a biosocial theory and behavioral theory of practice …show more content…
First, team collaboration with other DBT therapists is an integral part of this model. This collaboration and support from other therapists not only allows for feedback and support, but it also provides a way for therapists to avoid burnout. Another great strength of DBT is the stages of therapy within individual therapy. These stages provide a structure for both the client and the therapist to address major concerns and progress through the DBT process. These stages help to orient the client to the process. DBT then addresses the most critical life-threatening behaviors of the client before moving into therapeutic-interfering behaviors (Swales, 2009). Using this hierarchical process is advantageous to preventing treatment resistance and keeping the client safe. While DBT was originally introduced as a method to treat BPD, it now has the possibility of treating a number of different disorder including substance abuse, eating disorders, depression, and ADHD (Rizvi, …show more content…
There is a greater abundance of research on DBT and its effectiveness with BPD. However, research on DBT has only been done including the entire DBT process of individual, group, team consultation and phone consultations. While DBT has been shown to be effective with all the therapeutic modes being used, little is known if all these modes are not available. For example, if a private practitioner wanted to use DBT while practicing in a rural area it may not be possible to find other DBT therapist to consult with. This may limit the uses of DBT depending on resources available. Another limitation of DBT is the lack of research available for DBT used with clients of other cultures. The effectiveness of DBT may be limited to a certain culture or only to urban areas. This affects the generalizability of Dialectical Behavioral Therapy. With a lack of research, it is difficult to show if DBT is generalizable across various cultures, ethnicities and genders. DBT was originally developed to work with middle-aged women suffering from BPD, but research has shown DBT to be effective in varying ages and disorders. There is promising evidence of efficacy using DBT with adolescents and older adults with certain disorders (Swales,
Original Design Dialectical Behavior Therapy (DBT) was first developed by Marsha Linehan for the treatment of individuals suffering from Borderline Personality Disorder (BPD) and suicidal or self-injurious behavior (Swales, 2009). In her work with these individuals, Marsha noticed that many of them were not engaged in or collaborating with a therapeutic process based on change. She hypothesized that many of these individuals did not believe they had the ability to change, so a therapeutic method based on change was not going to work. She then began to develop a method focused on acceptance and a “dialectical philosophy” (Swales, 2009). DBT also incorporates a biosocial theory and behavioral theory of practice …show more content…
First, team collaboration with other DBT therapists is an integral part of this model. This collaboration and support from other therapists not only allows for feedback and support, but it also provides a way for therapists to avoid burnout. Another great strength of DBT is the stages of therapy within individual therapy. These stages provide a structure for both the client and the therapist to address major concerns and progress through the DBT process. These stages help to orient the client to the process. DBT then addresses the most critical life-threatening behaviors of the client before moving into therapeutic-interfering behaviors (Swales, 2009). Using this hierarchical process is advantageous to preventing treatment resistance and keeping the client safe. While DBT was originally introduced as a method to treat BPD, it now has the possibility of treating a number of different disorder including substance abuse, eating disorders, depression, and ADHD (Rizvi, …show more content…
There is a greater abundance of research on DBT and its effectiveness with BPD. However, research on DBT has only been done including the entire DBT process of individual, group, team consultation and phone consultations. While DBT has been shown to be effective with all the therapeutic modes being used, little is known if all these modes are not available. For example, if a private practitioner wanted to use DBT while practicing in a rural area it may not be possible to find other DBT therapist to consult with. This may limit the uses of DBT depending on resources available. Another limitation of DBT is the lack of research available for DBT used with clients of other cultures. The effectiveness of DBT may be limited to a certain culture or only to urban areas. This affects the generalizability of Dialectical Behavioral Therapy. With a lack of research, it is difficult to show if DBT is generalizable across various cultures, ethnicities and genders. DBT was originally developed to work with middle-aged women suffering from BPD, but research has shown DBT to be effective in varying ages and disorders. There is promising evidence of efficacy using DBT with adolescents and older adults with certain disorders (Swales,