The Handbook of Dialectical Behavior Therapy: Theory, Research, and Evaluation

401 Pages·2020·3.583 MB·English

by  Jamie Bedics (editor)

THE HANDBOOK
OF DIALECTICAL BEHAVIOR
THERAPY
THE HANDBOOK
OF DIALECTICAL
BEHAVIOR THERAPY
THEORY, RESEARCH,
AND EVALUATION
Edited by
J B
AMIE EDICS
CaliforniaLutheranUniversity,ThousandOaks,CA,UnitedStates
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Contents
List of contributors xi
Preface xv
I
OVERVIEW
1. History and overview of dialectical behavior therapy 3
ERINF.WARD-CIESIELSKI,ANNER.LIMOWSKIANDJACQUELINEK.KRYCHIW
Historyofdialecticalbehaviortherapy 3
Challengesencounteredinthedevelopmentofdialecticalbehaviortherapy 5
Overviewofthemajorphilosophicalaspectsofdialecticalbehaviortherapy 7
Dialecticalbehaviortherapytreatmentelements 11
Researchondialecticalbehaviortherapy 22
Summary 25
References 25
Furtherreading 30
2. The therapeutic alliance and therapeutic relationship in
dialectical behavior therapy 31
JAMIED.BEDICSANDHOLLYMCKINLEY
Thetherapeuticallianceandthetherapeuticrelationshipindialecticalbehavior
therapy 31
Thetherapeuticalliance:backgroundandoverview 32
Thetherapeuticallianceindialecticalbehaviortherapy 33
Thetherapyastherelationship:thetherapeuticbondindialecticalbehavior
therapy 45
Researchonthetherapeuticallianceandrelationshipindialecticalbehavior
therapy 46
Summaryandconclusion 48
References 49
3. Mechanisms of change in dialectical behavior therapy 51
ALEXANDERL.CHAPMANANDLYNNAEAOWENS
Mechanismsofchange 53
Theory 54
Skillsandskillstrainingasthekeyingredientsofdialecticalbehaviortherapy 56
v
vi
Contents
Mechanismsrelatedtotreatmentcomponents:groupskillstraining 57
Mechanismsrelatedtochangesintheclient:increasesinskilledbehavior 62
Increasedemotionregulationandmindfulnessskillsasmechanisms 63
Conclusionandfuturedirections 65
Acknowledgment 66
References 66
Furtherreading 69
4. Accreditation, adherence, and training in dialectical behavior
therapy: data review and practical applications 71
ERINM.MIGA,ELIZABETHR.LOTEMPIO,JAREDD.MICHONSKIANDDORIANA.HUNTER
DBTtraining 71
OutcomesforDBTintensivetraining 73
Clientoutcomes 75
Outcomesforself-study,computer-based,andshortinstructor(cid:1)ledtrainingsin
DBT 75
Clarifyingterminology:adherence,programfidelity,andcertification 81
AdherencemonitoringinDBT 83
Adialecticalstanceonadherenceandtraining:meritsandmisunderstandings 84
Recommendationsandfuturedirections 89
References 90
Furtherreading 93
II
CLINICAL POPULATIONS
5. Efficacy of dialectical behavior therapy in the treatment of
suicidal behavior 97
CHRISTOPHERR.DECOUANDADAMCARMEL
Treatingsuicidalbehaviorsindialecticalbehaviortherapy 98
Suicidecrisisbehaviors 99
Suicideattemptsandnonsuicidalself-injury 101
Suicidalideationandcommunications 101
Suicide-relatedexpectanciesandbeliefs 102
Suicide-relatedaffect 103
Evidenceofdialecticalbehaviortherapyefficacyforsuicide-specificoutcomes 104
Self-directedviolence 104
Nonsuicidalself-injury 105
Attemptedsuicide 106
Psychiatriccrisisservices 107
Suicidalideation 108
Settingsandadaptations 108
Conclusion 109
References 109
vii
Contents
6. Eating disorders 113
AUTUMNASKEW,ERINGALLAGHER,JESSEDZOMBAKANDANNF.HAYNOS
Reviewofstudies 114
Conclusionandfuturedirections 129
Conclusion 135
References 135
7. Dialectical behavior therapy for individuals with substance use
problems: theoretical adaptations and empirical evidence 141
NICHOLASL.SALSMAN
Whatisdialecticalbehaviortherapy-substanceusedisorder 141
Randomizedcontrolledtrialsofdialecticalbehaviortherapyforindividualswith
substanceuseproblems 143
Conclusion 169
References 171
Furtherreading 174
8. Dialectical behavior therapy for adolescents: a review of the
research 175
JILLH.RATHUS,MICHELES.BERK,ALECL.MILLERANDREBEKAHHALPERT
Introduction 175
Dialecticalbehaviortherapy 176
Dialecticalbehaviortherapyforadolescents 177
Empiricalsupportfordialecticalbehaviortherapyforadolescents 178
Randomizedcontrolledtrialsofdialecticalbehaviortherapyforadolescents 178
Futuredirectionsandconclusions 202
References 205
9. Clinical illustration of the dialectical behavior therapy for
preadolescent children: addressing primary targets 209
FRANCHESKAPEREPLETCHIKOVA
Treatmenttargets 211
Caseillustration 211
Treatmentstructure 217
Treatmenttargethierarchy 218
Illustrativetranscripts 222
Individualtherapywiththechild 228
Summary 237
References 237
viii
Contents
III
SPECIFIC SETTINGS AND POPULATIONS
10. Research of dialectical behavior therapy in schools 241
ALECL.MILLER,NORAGERARDI,JAMESJ.MAZZAANDELIZABETHDEXTER-MAZZA
Introduction 241
Researchexaminingdialecticalbehaviortherapyinschools 245
Staffoutcomesrelatedtocomprehensiveschool(cid:1)baseddialecticalbehavior
therapyimplementation:reducingburnout 247
References 253
11. Dialectical behavior therapy in college counseling centers 257
CARLAD.CHUGANI,KRISTINP.WYATTANDRACHAELK.RICHTER
Introduction 257
Comprehensivedialecticalbehaviortherapyincollegecounselingcenters 258
Dialecticalbehaviortherapyskillstraininggroupsincollegecounselingcenters 261
Futuredirectionsfordialecticalbehaviortherapywithcollegestudents 269
References 270
Furtherreading 273
12. Dialectical behavior therapy research and program evaluation
in the Department of Veterans Affairs 275
SARAJ.LANDES,SUZANNEE.DECKER,SACHAA.MCBAIN,MARIANNEGOODMAN,
BRANDYN.SMITH,SARAHR.SULLIVAN,ANGELAPAGESPEARSANDLAURAL.MEYERS
Introduction 275
DialecticalbehavioraltherapyefficacyresearchinDepartmentofVeterans
Affairs 277
Adaptationsofdialecticalbehavioraltherapyskillsgroup 279
DialecticalbehavioraltherapyforBPDandPTSD 284
Costofdialecticalbehavioraltherapy 285
EvaluationofimplementationofDBTinDepartmentofVeteransAffairs 286
FuturedirectionsfordialecticalbehavioraltherapyresearchinDepartmentof
VeteransAffairs 288
Acknowledgments 289
References 289
13. Dialectical behavior therapy stepped care for hospitals 293
KALINAN.BABEVA,OLIVIAFITZPATRICKANDJOANR.ASARNOW
Steppedcare:definitionandliteraturereview 293
Steppedcareappliedtodialecticalbehaviortherapy 297
RandomizedTrialofSteppedCareforSuicidePreventioninTeensandYoung
Adults(Step2Health) 300
Conclusion 302
References 302
ix
Contents
14. DBT(cid:1)ACES in a multicultural community mental health
setting: implications for clinical practice 307
LISAS.BOLDEN,LIZBETHGAONA,LYNNMCFARRANDKATECOMTOIS
Dialecticalbehaviortherapy(cid:1)acceptingthechallengesofexitingthesystem 307
Multiculturalismandtreatment 309
Thedialectic:DBTisculturallycompetentandmaybeculturallyenhanced 309
DBT(cid:1)ACES:stateoftheevidence 311
Multiculturalcommunitymentalhealthclinicandbarrierstocompleting
DBT(cid:1)ACEStreatment 312
Recommendationsforclinicalpractice 316
Summary 320
Conclusion 321
References 321
Furtherreading 324
15. A review of the empirical evidence for DBTskills training
as a stand-alone intervention 325
SARAHE.VALENTINE,ASHLEYM.SMITHANDKAYLEESTEWART
Method 326
Results 328
Discussion 352
References 355
IV
FUTURE DIRECTIONS
16. Recommendations and future directions for the scientific study
of dialectical behavior therapy: emphasizing replication and
reproducibility 361
JAMIED.BEDICS
Threatstotheinterpretabilityandcoherenceofdialecticalbehaviortherapy
science 363
Improvingdialecticalbehaviortherapysciencewithanemphasisonreplication
andreproducibility 366
Session-ratedadherenceindialecticalbehaviortherapy 369
Summaryandconclusionforthefutureofdialecticalbehaviortherapyscience 373
Acknowledgment 376
References 376
Index 381
List of contributors
Joan R. Asarnow Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles,
CA,UnitedStates
AutumnAskew UniversityofMinnesota,Minneapolis,MN,UnitedStates
Kalina N. Babeva Psychiatry and Behavioral Medicine, Seattle Children’s
Hospital, Seattle, WA, United States; Psychiatry and Biobehavioral Sciences,
UCLA,LosAngeles,CA,UnitedStates
Jamie D. Bedics California Lutheran University, Thousand Oaks, CA,
UnitedStates
Michele S. Berk Department of Psychiatry and Behavioral Sciences, Division
of Child and Adolescent Psychiatry, Stanford University, Stanford, CA,
UnitedStates
Lisa S. Bolden UCLA David Geffen School of Medicine Health Sciences at
HarborUCLAMedicalCenter,Torrance,CA,UnitedStates
Adam Carmel Department of Psychiatry and Behavioral Sciences, University
ofWashingtonatHarborviewMedicalCenter,Seattle,WA,UnitedStates
Alexander L. Chapman Department of Psychology, Simon Fraser University,
Vancouver,BC,Canada
Carla D. Chugani Department of Pediatrics, University of Pittsburgh,
Pittsburgh,PA,UnitedStates
Kate Comtois Department of Psychiatry and Behavioral Sciences, University
ofWashington,WA,UnitedStates
Suzanne E. Decker VA Connecticut Health Care System, West Haven, CT,
UnitedStates;YaleSchoolofMedicine,NewHaven,CT,UnitedStates
Christopher R. DeCou Department of Psychiatry and Behavioral Sciences,
University of Washington at Harborview Medical Center, Seattle, WA,
UnitedStates
ElizabethDexter-Mazza MazzaConsulting,Seattle,Washington,UnitedStates
JesseDzombak UniversityofMinnesota,Minneapolis,MN,UnitedStates
Olivia Fitzpatrick Psychology Department, Harvard University, Cambridge,
MA,UnitedStates
ErinGallagher UniversityofMinnesota,Minneapolis,MN,UnitedStates
Lizbeth Gaona California Baptist University, College of Behavioral and Social
Sciences,Riverside,CA,UnitedStates
Nora Gerardi Cognitive & Behavioral Consultants, White Plains, NY,
UnitedStates
xi