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Skills Training Manual for Treating Borderline Personality Disorder First Edition, (Lay-Flat Paperback)
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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.
- ISBN-100898620341
- ISBN-13978-0898620344
- EditionFirst Edition, (Lay-Flat Paperback)
- PublisherThe Guilford Press
- Publication dateMay 21, 1993
- LanguageEnglish
- Dimensions8.5 x 0.5 x 11 inches
- Print length180 pages
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Editorial Reviews
Review
"Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results."--Mark Ciocca, PhD, Central New Hampshire Community Mental Health Center
"...user-friendly manual well grounded in principle, detailed in its strategies, and exportable to a wide range of treatment settings."--Charles R. Swenson, MD, New York Hospital, Westchester Division
About the Author
Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior.
She is a Zen master and teaches mindfulness and contemplative practices via workshops and retreats for health care providers.
Product details
- Publisher : The Guilford Press; First Edition, (Lay-Flat Paperback) (May 21, 1993)
- Language : English
- Paperback : 180 pages
- ISBN-10 : 0898620341
- ISBN-13 : 978-0898620344
- Item Weight : 1.05 pounds
- Dimensions : 8.5 x 0.5 x 11 inches
- Best Sellers Rank: #195,483 in Books (See Top 100 in Books)
- #192 in Personality Disorders (Books)
- #214 in Social Work (Books)
- #220 in Medical Clinical Psychology
- Customer Reviews:
About the authors

Marsha Linehan is a Professor of Psychology and adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington and is Director of the Behavioral Research and Therapy Clinics, a consortium of research projects developing new treatments and evaluating their efficacy for severely disordered and multi-diagnostic and suicidal populations. Her primary research is in the application of behavioral models to suicidal behaviors, drug abuse, and borderline personality disorder. She is also working to develop effective models for transferring science-based treatments to the clinical community.
She has received several awards recognizing her clinical and research contributions to the study and treatment of suicidal behaviors, including the Louis I. Dublin Award for Lifetime Achievement in the Field of Suicide, the Distinguished Research in Suicide Award (American Foundation of Suicide Prevention), and the creation of the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior established by the American Association of Suicidology. She has also been recognized for her clinical research including the Distinguished Scientist Award from the Society for a Science of Clinical Psychology, the award for Distinguished Scientific Contributions to Clinical Psychology (Society of Clinical Psychology,) and awards for Distinguished Contributions to the Practice of Psychology (American Association of Applied and Preventive Psychology) and for Distinguished Contributions for Clinical Activities, (Association for the Advancement of Behavior Therapy).
She is the past-president of both the Association for the Advancement of Behavior Therapy and of the Society of Clinical Psychology, Division 12, American Psychological Association. She is a fellow of the American Psychological Association and the American Psychopathological Association and is a diplomat of the American Board of Behavioral Psychology.
She is the developer of Dialectical Behavior Therapy (DBT) a treatment originally developed for the treatment of suicidal behaviors and since expanded to treatment of borderline personality disorder and other severe and complex mental disorders, particularly those that involve serious emotion dysregulation. In comparison to all other clinical interventions for suicidal behaviors, DBT is the only treatment that has been shown effective in multiple trials across several independent research sites. It has been shown both effective in reducing suicidal behavior and cost-effective in comparison to both standard treatment and community treatments delivered by expert therapists. It is currently the gold-standard treatment for borderline personality disorder, a disorder with a 8-10 suicide rate that afflicts between 4-6% of the population.
Linehan is the founder and the convener of both the Suicide Strategic Planning Group and the DBT Strategic Planning Group. Both groups meet annually or bi-annually at the University of Washington. The goal of the suicide group is to jump start the building of a field of suicide treatment research. The further goal of both groups is to bring together both expert, new and potential treatment researchers to collaboratively evaluate the state of current research in the respective areas, chart necessary studies to advance the development of more effective treatments and build a rigorous and cohesive next generation of young clinical-scientists.
She has written four books, including two treatment manuals: Cognitive-Behavioral Treatment for Borderline Personality Disorder and Skills Training Manual for Treating Borderline Personality Disorder. She serves on a number of editorial boards and has published extensively in scientific journals.
She is the founder of Behavioral Tech Research, Inc., a company that develops innovative on-line and mobile technologies to disseminate science-based behavioral treatments for mental disorders.
Linehan was trained in spiritual directions under Gerald May and Tilden Edwards and is an associate Zen teacher in both the Sanbo-Kyodan-School under Willigis Jaeger Roshi (Germany) as well as in the Diamond Sangha (USA). She teaches mindfulness via workshops and retreats for health care providers.

Marsha M. Linehan, PhD, is a professor of psychology and an adjunct professor of psychiatry and behavioral sciences at the University of Washington. She is also Principal Investigator and Director of the Suicidal Behaviors Research Clinic, a federally financed research program for evaluating treatments of suicidal behaviors. She has an on-going clinical practice and is active in clinical consultation, supervision, and training of mental health professionals in the United States and Europe.
Customer reviews
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Customers find the book value to be excellent. They say it introduces many coping skills and is informative. Readers also mention the book is clear to understand, concise, and provides a step-by-step guide to the delivery of therapy. Overall, they describe it as an excellent product that is worth the effort.
AI-generated from the text of customer reviews
Customers find the book value to be excellent. They say it's clearly written and introduces many coping skills. Readers also mention it's informative, helpful for going over things themselves, and fantastic for therapists dealing with many psychiatric disorders. They appreciate that the directions for skills training are usable.
"...have Borderline Personality Disorder and this workbook has been helping me to learn, understand, and work through a lot of the issues it has been..." Read more
"...It does provide clear lessons and concepts to conquer and is very helpful with handouts and homework pages that can be copied and used...." Read more
"...other BPD books, and I believe that this is the most comprehensive and helpful ofall of the books that I have read." Read more
"This is a fantastic book for therapists dealing with many psychiatric disorders...." Read more
Customers find the book easy to understand. They say it provides clear and concise training for Dialectic Behavioral treatments. Readers also mention that the manual is awesome and provides a step-by-step guide to the delivery of therapy.
"...Personality Disorder and this workbook has been helping me to learn, understand, and work through a lot of the issues it has been causing me...." Read more
"...other BPD books, and I believe that this is the most comprehensive and helpful ofall of the books that I have read." Read more
"...It is clearly written and introduces many coping skills...." Read more
"...I found the book very hard to read and stay with. Wow Technical...." Read more
Customers find the book excellent, highly recommended, and worth the effort. They say it's a classic and in nice condition for the money.
"...The book is good. It is hard at times to apply it, particularly if you are trying to use it in individual therapy rather than in a group setting...." Read more
"...It is essentially a how to do it book for the practitioner. Well worth the price and a valuable book for any clinicians library" Read more
"A great book. It is directed more toward women as some reviews have indicated. However the disorder tends toward worn as well...." Read more
"...The narrative portion of the book is a bit thick, but worth the effort." Read more
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This book was used. Pages are written on and I can’t read the content!
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Top reviews
Top reviews from the United States
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if this person is a relative. Marsha Linehan is probably one of the foremost experts
on this subject. She presents a wealth of relevant information. I have not completely
and carefully read the entire manual yet, but I intend to shortly. Note that I have read
other BPD books, and I believe that this is the most comprehensive and helpful of
all of the books that I have read.
Top reviews from other countries
This book is not meant to be an easy read, but rather a well-constructed guide to how one should approach skill-training. The concept of skill-training requires discipline from the therapist and the client, but I find yields excellent results rather fast. This is a must in a world where there is increasingly only access to short-term therapy for clients.
The book starts with 100 pages of detailed explanations, from theory to how to approach practice with multiple examples seamlessly strewn to illustrate each step of the process of skill-training. Another aspect I love is the focus on mindfulness. As many already know, mindfulness is a very popular 3rd-wave CBT philosophy that has demonstrated excellent results in terms of improving quality of life with persons dealing with mental health issues. The way mindfulness is approached in this manual is very down to earth and practical (step by step approach), which I find easier to teach clients.
BPD coping mechanisms and responses are typically as described by the main character in:
The Eighth Circle of Hell







