This book is a step-by-step guide to teaching clients four sets of skills: interpersonal effectiveness, emotion regulation, distress tolerance, and mindfulness. A vital component in Dr. Linehan’s comprehensive treatment program, the manual details precisely how to implement DBT behavioral skills training procedures. It provides everything the clinician needs to implement the program in skills training groups or with individual clients. Included are lecture notes, discussion questions, exercises, and practical advice on dealing with frequently encountered problems. In a large-size format with lay-flat binding for easy photocopying, the book features over three dozen reproducible client handouts and homework sheets.
See also Linehan’s comprehensive presentation of DBT, Cognitive-Behavioral Treatment of Borderline Personality Disorder. Also available: instructive skills training videos for clients–Crisis Survival Skills, Part One, Crisis Survival Skills, Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.
About the Author
Marsha M. Linehan, PhD, ABPP, is Professor of Psychology and Adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington and Director of the Behavioral Research and Therapy Clinics, a consortium of research projects developing new treatments and evaluating their efficacy for persons with severe mental disorders and multiple diagnoses. Her primary research is in the application of behavioral models to suicidal behaviors, drug abuse, and borderline personality disorder. Dr. Linehan is the recipient of the 2012 American Psychological Foundation (APF) Gold Medal Award for Life Achievement in the Application of Psychology.
In tweleve-step groups they usually say something like “take what you need and leave the rest.” I would suggest that non-borderline clients and the practitioners who help them follow that advice with this book. There is no need to erase us from the title of this book so that non-BPDs will feel less shame buying or using it. And there is no need to judge the exercises and handouts as overly simplistic. They are what they are. They were designed to help us (borderlines).
If you are not borderline, and do not have experience working with borderlines, you really don’t know what we need. Marsha Linehan does. I’m not claiming that every example or every exercise in the book works for every borderline, but M.L. does not claim that either!
Many borderlines (including myself) were traumatized in early childhood and failed to learn basic skills at that age. Therefore, exercises that to the non-BPD sufferer seem designed for children, were actually designed for people who never had the chance to experience a normal childhood and learn the social skills that others learned as children.
I do agree with the reviewers who say that much of DBT is helpful for people with other diagnoses, and even people who are not mentall ill, but this manual is for US, and does not need to be changed. Those who are not a part of the target audience should use what they can, and leave the rest – without judgement.
Those practitioners who see the applicability of DBT to non-borderline patients should take the time to figure out what works and write new books with new therapies, based on DBT. That is what Marsha Linehan did. She took CBT as a framework and developed DBT for a specific population – people who suffer from Borderline Personality Disorder.
For me, the DBT program that I attend, which uses this book as a handbook, has been invaluable. I needed this training. When I started DBT 5 months ago, while I did not feel suicidal, I felt that my self-destructive behaviors were eventually going to lead to my premature death. I had a term for this. I called myself “terminally incompetent” even though I have a high IQ, an advanced degree, etc. I just meant that eventually, my inability to simply get along in the world was going to kill me. I have felt this way all of my life, and I’ve been describing myself using that term for years, even though I had 10 years of therapy before this program. Now I still have ups and downs, and I still need many more years of therapy, but I know I’m going to make it.
Thank you, Marsha Linehan, and thank you Transitional Day Treatment Program at St. Luke’s-Roosevelt Hospital (NYC).
I’m a psychology intern and we use this manual for multiple disorders, not just BPD. The skills, as others have suggested are essential to living a healthy, happy life, regardless of one’s ‘problems.’ While most modern day psychotherapeutic techniques preach change, Linehan’s work centers on centering. Acceptance balanced with change. Emotion balanced with logic. It’s a wonderful new perspective on treating psychological disorders. And as an added bonus, in the age of managed care, it’s one of the few treatments rooted in a humanistic understanding that will be readily reimbursed by HMO’s. As both a therapist and a consumer of psychological literature, this work stands as one of the most helpful available. Well worth the money. And you can make copies of the handouts WITHOUT worrying about copyright infringement because the author has graciously given permission to do so. Linehan is really an asset to the psychological community.
Product Details :
- Series: Diagnosis and Treatment of Mental Disorders
- Paperback: 180 pages
- Publisher: The Guilford Press; 1 edition (May 21, 1993)
- Language: English
- ISBN-10: 0898620341
- ISBN-13: 978-0898620344
- Product Dimensions: 0.4 x 8.6 x 10.6 inches