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Dialectical Behaviour Therapy: Distinctive Features

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Dialectical Behaviour Therapy: Distinctive Features

THE DISTINCTIVE THEORETICAL FEATURES OF DBT Principle-driven treatment Integrative treatment Dialectical principles Interrelatedness Opposition Change Emphasis on the primacy of affect Emotion as a total system response Emotional vulnerability Inability to moderate affect Transactional biosocial theory Learning theory i: classical conditioning Classical conditioning Learning theory ii: operant conditioning A behavioural approach to diagnosis Zen principles THE DISTINCTIVE PRACTICAL FEATURES OF DBT implementing treatment modalities to fulfil programme functions Enhancing capabilities Enhancing motivation Ensuring generalization Structuring the environment Enhancing therapist capabilities and motivation to treat effectively Coaching on the phone Consulting in a team Treating the system Organizational pre-treatment Structuring the treatment in stages Strengthening commitment in pre-treatment Targeting behaviours according to a hierarchy Organizing primary targets Structuring the session agenda Targets in other modalities Validating in the current context or clients' inherent capabilities Analyzing behaviours, with a twist or two Integrating multiple CBT procedures in a solution analysis Generating solutions Evaluating solutions Implementing solutions Clinical vignette Using skilful means Exposing to a variety of affects Managing contingencies in the therapeutic context Changing cognitive behaviours Being dialectical BEING DIALECTICAL Using self-disclosure Distinctive types of self-disclosure Functions of self-disclosure Confronting and being irreverent Consulting to the client Treating the client's therapy-interfering behaviour Treating the therapist Evidence for efficacy and effectiveness Efficacy of DBT Effectiveness of DBT

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