CBT has become more established as the therapy of choice in recent years, and consequently different voices in the CBT tradition have become prominent. This book brings together these voices by offering its readers a one-stop guide to the major approaches.
Each chapter offers an overview of a particular approach to CBT, covering:
Historical development of the approach; Theoretical underpinnings; Practical Applications; Case Examples; Research status
This book is essential reading for CBT trainees and practitioners as well as those training within the broader field of counseling & psychotherapy.
Chapter Five: Dialectical Behaviour Therapy
Dialectical Behaviour Therapy
Historical Development of DBT
Development of the Approach
In her seminal description of dialectical behaviour therapy (DBT), Linehan (1993a) articulates her early experiences in developing the treatment. She began with the application of behaviour therapy to chronically suicidal individuals, many of whom had a diagnosis of borderline personality disorder (BPD). She encountered several difficulties in these early treatment endeavours. First, clients frequently failed to complete homework tasks; second, the primary problems presented by the client at each session fluctuated dramatically; and third, clients frequently failed to attend sessions. Linehan conceptualised these problems as a result of the extreme challenge for clients with multiple and severe difficulties in a treatment exclusively focused on change. She hypothesised that the relentless focus on change invalidated ...