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Re: about Linehan » smokeymadison

Posted by alexandra_k on December 22, 2004, at 16:12:32

In reply to Re: about Linehan, posted by smokeymadison on December 21, 2004, at 21:13:20

> is she the one who came up with DBT? because i am starting DBT w/ my new therapist and would like to know more about the theories behind the therapy.

Yes, she's the one. Here is a link to her books (both the treatment manuel and the skills training manuel).

http://faculty.washington.edu/linehan/MML'sd%20Books.htm

They are expensive (at least the treatment manuel is). I think the best way into her theory is probably to read what she has to say. You should be able to get them from your uni library (even if you have to interloan). I would reccomend having a read of both of them if you are interested in the theory. Especially the treatment manuel.

I'll admit I haven't really read it very critically. After wading through oh so much psycho-dynamic judgemental crap I was just so wrapped to have found it that I haven't had the heart to attempt to dissect it yet (most unlike me).

Kernberg springs to mind. I do believe that his theory (and treatment) counted as the 'treatment as usual' control group that DBT was compared with. He now practices DBT would you believe!!! He hasn't recanted his theory (to the best of my knowledge) however, so I suppose he either manages to divorce his theory from her practice, and has just decided to pipe down (ha!) - or he is a convert as well.

If you have sympathy with buddhist spiritual principles you should find the mindfullness stuff easier to grasp, though this is not necessary.

I particularly like her model of emotions.

I think DBT and the theory behind it is really the very best there is for BPD at the moment. While viewing BPD as being at the borderline between psychosis and neurosis is somewhat out of date I think I like this to the extent that I think her theory (and techniques) could be adapted to use with psychotic patients. Instead of cognitive restructuring delusional beliefs one might attempt to at least build up a good rapport and working relationship by validating the 'inherent grain of wisdom in the patients utterances' ie - the EXPERIENCE that they are attempting to express.


 

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