Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings [Hardcover]

Linda A. Dimeff Phd (Editor), Kelly Koerner PhD (Editor), Marsha M. Linehan PhD ABPP (Foreword)

Book Description

Publication Date: August 14, 2007 | ISBN-10: 1572309741 | ISBN-13: 978-1572309746 | Edition: 1

First developed to treat suicidal individuals with borderline personality disorder, dialectical behavior therapy (DBT) has since been adapted to a range of settings and populations. This practical book--edited by close collaborators of DBT originator Marsha M. Linehan--presents applications for depression, substance dependence, eating disorders, psychosis, suicidal and assaultive behaviors, and other complex problems. Leading contributors, including Linehan herself, describe how to implement this evidence-based treatment with adults, adolescents, couples and families, and forensic clients. Issues in establishing and maintaining an effective DBT program are also addressed. Special features include over a dozen reproducible worksheets and forms, which bookbuyers can also download and print from Guilford's website.

 

(20101015)

Editorial Reviews

Review

"Learning DBT changed my life. DBT concepts and skills take my clinical work to a completely new level. I urge clinicians who are eager to learn more about DBT, and how to adapt it to their clinical setting, to read this book. Contributors are leading DBT practitioners and researchers, and their work in this volume expands and extends this amazing therapy."--Jacqueline B. Persons, PhD, Director, San Francisco Bay Area Center for Cognitive Therapy

"This book is a great resource for anyone and everyone interested in using DBT. Written by accomplished clinician-researchers, it tackles situational pragmatics and the thorny issues of program fidelity. It is well organized, lucidly written, and easily digested. Students of cognitive-behavioral therapies will learn a great deal from this text, as will seasoned clinicians, including those thinking of starting a DBT program. Like DBT itself, the volume is thoughtful, provocative, and oriented toward real-world problem solving."--Robert L. Trestman, PhD, MD, Departments of Medicine and Psychiatry and Director, Center for Correctional Mental Health Services Research, University of Connecticut Health Center

"Dimeff and Koerner have assembled an excellent group of authors to translate DBT theory into real-word practice. Each chapter details the process for using DBT with specific populations and deals with the day-to-day issues confronting practitioners. This is an excellent text for graduate instructors who want to teach evidence-based practices to their students, as well as for clinicians who have longed for practical advice on how to start and maintain a successful DBT program. It is also an excellent guidebook for payors who need to understand what a DBT program should look like and how to assess its value."--George Smart, LICSW, Vice-President of Clinical Operations, Massachusetts Behavioral Health Partnership

"When I first heard Marsha Linehan speak on DBT, I felt that she had saved me 20 years of figuring things out on my own. This book leads the next wave, bringing the accumulated practical wisdom of several 'first adopters' of DBT who have successfully adapted this principle-based, flexible approach to unique settings and populations. Those wishing to develop services for patients with multiple problems can jump-start their fledgling programs and avoid common pitfalls, all the while staying true to the empirical base of the treatment."--Elizabeth B. Simpson, MD, Director, Dialectical Behavior Therapy Program, Massachusetts Mental Health Center

"DBT is one of the most important advances in clinical practice in the last two decades. What began as a specific intervention for borderline personality disorder is in the process of evolving into a major approach that can be applied to a wide range of patients across multiple settings. This book impressively demonstrates this evolution, providing a resource that will be of value to therapists and students alike. I highly recommend it."--Steven D. Hollon, PhD, Department of Psychology, Vanderbilt University

"A pragmatic volume that discusses current advances in dialectical behavioral therapy and presents practical applications for a wide range of complex problems....An excellent resource for clinicians....It is an excellent introduction to the important advances in clinical practice."--Bulletin of the Menninger Clinic

(Bulletin of the Menninger Clinic )

About the Author

Linda A. Dimeff, PhD, is Chief Scientific Officer for Behavioral Tech Research, Inc., an organization devoted to the dissemination of evidence-based practices. She is also on the clinical faculty in the Department of Psychology at the University of Washington. She collaborated with Marsha Linehan in the development of an adaptation of DBT for substance-dependent individuals with borderline personality disorder, and they are currently coauthoring a book on this treatment. Dr. Dimeff currently has eight dissemination research grants through the National Institutes of Health. She has published widely in the areas of addictive behaviors, DBT, and dissemination, and has provided extensive training, supervision, and consultation to treatment providers affiliated with large public-sector systems in their implementation of DBT, as well as to individuals in private practice.

 

Kelly Koerner, PhD, is a clinical psychologist and an expert clinician, clinical supervisor, and trainer in DBT. She is Creative Director of the Evidence-Based Practice Institute, which provides online communities and continuing education for practitioners who strive to combine science and compassion in their work. Dr. Koerner has served as Director of Training for Marsha Linehan’s research investigating the efficacy of DBT for suicidal and drug-abusing individuals with borderline personality disorder, Creative Director for Behavioral Tech Research, Inc., and cofounder and first CEO of Behavioral Tech, LLC, a company that provides training in DBT. She is on the clinical faculty in the Department of Psychology at the University of Washington and maintains a consulting and psychotherapy practice in Seattle.

Product Details

• Hardcover: 363 pages
• Publisher: The Guilford Press; 1 edition (August 14, 2007)
• Language: English
• ISBN-10: 1572309741
• ISBN-13: 978-1572309746
• Product Dimensions: 10.1 x 7.4 x 1.2 inches
• Shipping Weight: 1.8 pounds (View shipping rates and policies)
• Average Customer Review: 4.3 out of 5 stars  See all reviews (9 customer reviews)
• Amazon Best Sellers Rank: #25,398 in Books (See Top 100 in Books)
  • #54 in Books > Health, Fitness & Dieting > Mental Health > Anxiety Disorders

Customer Reviews

Most Helpful Customer Reviews

24 of 25 people found the following review helpful:

5.0 out of 5 stars Very helpful text!, June 24, 2008

By 

Beverly Long "PsyD, Licensed Psychologist" (St. Paul, MN) - See all my reviews
(REAL NAME)   

This review is from: Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings (Hardcover)

I am a clinician with 14 years of experience successfully applying Dialectical Behavior Therapy with many, many clients in a variety of settings. This long-awaited book is very welcome, as it is written by many of the leaders in DBT who have made thoughtful, adherent modifications to standard DBT so that it can be used with a variety of clients and in a variety of clinical settings. Each of the clinicians contributing to this text outlines the specifics of their adaptations, saving the rest of us the trouble of "reinventing the wheel." Thank you so much for compiling such a wealth of information from so many accomplished clinicians! Beverly Long, PsyD, Licensed Psychologist

15 of 16 people found the following review helpful:

5.0 out of 5 stars Just what I've been waiting for!, June 25, 2008

By 

Joan Russo (Brookfield, WI) - See all my reviews
(REAL NAME)   

This review is from: Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings (Hardcover)

Any clinician working in an inpatient, outpatient, residential, or ACT team who sees adults, adolescents or families and who is looking to consider implementing a research-proven treatment that works will find something helpful to guide them in this book. Having worked in DBT since the mid-1990's, I can see how this book would have helped me immensely to look at what to consider when starting or adapting a DBT program. Thanks for a useful guide full of insights from the experts in each of these areas. I knew Linda and Kelly were working on this book for a while and couldn't wait to see what all the experts they were able to bring together could contribute to a compilation like this. They have pulled together the best. Very useful.

13 of 15 people found the following review helpful:

5.0 out of 5 stars The One you should Read -First-, May 13, 2009

By 

Rodger Garrett "SighKoBlahGrr" (Loma Linda, CA USA) - See all my reviews
(REAL NAME)   

This review is from: Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings (Hardcover)

If I had my druthers (which I rarely do, but let's say I did), I'd have the therapist on the doorstep of training for this "Cadillac" meta-therapy read Dimeff & Koerner -before- moving on to Linehan's -Cognitive-Behavioral Treatment of Borderline Personality Disorder-. That'll seem odd to the rigid linearist, of course, but here's my argument: Linehan's original text was published 16 years ago. A lot has happened since then. And a good deal of what has happened is right here in these 375 odd pages.

-DBT in CP- is not strictly a how-to, though it is that. It's a guide to the -application- of Linehan's empirically proven combination of psychodynamic, behavioral and cognitive therapies, every bit as much as it is a revelation of what has been accomplished with DBT since it hit the bricks in the early `90s.

(DBT is, after all, the "bomb" at the current moment, and unless or until the addition of data from the neuropsychological school either moves DBT "up" a few more notches or replaces it with something better - which is tough to believe, and I am -not- a certified DBT therapist, by the way -- -DBT in CP- is the state-of-the-art-as-it-is-(almost)-now.)

Okay; off my soapbox for DBT as what everyone -ought- to be doing out there in therapyland, and onto why you ought to plunk down your forty odd bucks:

Dimeff and Koerner have assembled a platoon of pretty experienced people and they have compelled them to write to a tight format just why, when, where, what and how (in pretty much that order) DBT is useful for group inpatient, incarceration, co-morbid substance abuse, eating disorder, family support, adolescent, older adult, and community mental health end usage. This makes -DBT for CP- a fine reference for employing Linehan's original "manual" across a variety of typical treatment settings.

But it does quite a bit more than that. The authors of each of the sections have very often provided pretty much all the evidence and process needed to transform the moribund TAU or even ACT program into something solidly proven to be really effective with the difficult-to-treat, borderline-organized patient.

I had read Linehan's book for school some years ago, and I found her system to be impressive, cohesive and comprehensive but overly scripted and restrictive. I wonder how many other experienced therapists have reacted similarly. Had I read D&K -first-, however, I think I would have viewed Linehan's book as something like The Grail (although I am pretty IRT-based and think there's a lot that's missing from her rather strictly defined and oddly mnemonic approach... and think I understand -why-).

That said, the experienced therapist with an open mind will pick up a lot from a cruise through -DBT in CP-, and not in the least, a very solid review of core behavior modification principles with a nice client-centered overlay. The interpersonal, psychodynamic and/or "games theory" practitioner will probably find it useful, and the CBT / REBT therapist who hasn't read it is really missing a major opportunity to hone his or her case management skills.