Linehan's Dialectical Behaviour Therapy (DBT) for borderline personality disorder: Overview and adaptation

Dialectical Behaviour Therapy (DBT) is a structured, time-limited, cognitive behavioural treatment originally developed for Borderline Personality Disorder clients who have chronic parasuicidal problems. The therapy integrates individual psychotherapy with concurrent skills training, access to skill...

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Bibliographic Details
Published inJournal of mental health (Abingdon, England) Vol. 9; no. 1; pp. 7 - 23
Main Author Swales, Heidi L. Heard, J. Mark G. Williams, Michaela
Format Journal Article
LanguageEnglish
Published London Informa UK Ltd 2000
Taylor & Francis
Informa Healthcare
Taylor & Francis Ltd
Subjects
Behavior disorders
Behavior modification
Behavior therapy. Cognitive therapy
Biological and medical sciences
Borderline personality disorder
Cognitive behaviour therapy
Dialectical models
Medical sciences
Patients
Personality
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Therapy
Treatments
United Kingdom
United States
North America
Europe
America
Short term
Social environment
Human
Crosscultural study
Cognitive therapy
Borderline
Indication
Treatment efficiency
Review
Revised drafting
Personality disorder
Suicide attempt
Treatment
Cultural environment
Behavior therapy
Suicide ideation
Comparative study
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Summary:Dialectical Behaviour Therapy (DBT) is a structured, time-limited, cognitive behavioural treatment originally developed for Borderline Personality Disorder clients who have chronic parasuicidal problems. The therapy integrates individual psychotherapy with concurrent skills training, access to skills generalisation and team consultation for therapists. Initial outcome studies by Linehan and colleagues conducted in the US suggest that the therapy successfully lowers attrition rate, parasuicidal episodes and psychiatric in-patient days. The effect on parasuicidal behaviour and psychiatric inpatient days appear to outlast the therapy by at least a year. This paper overviews the therapy and examines how it may be used in day-to-day clinical practice in other cultural settings. We suggest that any adaptation or modification to DBT should be done in the context of a theoretical model of which psychological processes underlie the treatment effects and with due attention to the advantages and disadvantages of working within the NHS structure.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0963-8237
1360-0567
DOI:10.1080/09638230016921