Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings » (1st Edition)

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.

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.

 

Doody Review Services

Reviewer:Christopher J. Graver, PhD(Madigan Army Medical Center)
Description:Dialectical Behavior Therapy (DBT), a psychological treatment developed by Marsha Linehan, has received significant attention from both clinical and research perspectives during the last two decades, it. This book describes DBT principles and guides the reader in the application of this treatment.
Purpose:The purpose is to introduce DBT and provide practical suggestions for the implementation of it, ways to avoid common pitfalls, and suggestions for difficult situations.
Audience:The target audience is primarily clinicians, most of whom will probably be clinical psychologists, but may also include marriage and family therapists and social workers. The editors are students of Marsha Linehan and helped to develop DBT during their tenure at the University of Washington. Readers should be aware, however, that they also have a financial interest in two of Linehan's companies that promote DBT and some of contributing authors are either students of hers or have connections to her companies.
Features:The well organized nature of this book is immediately apparent. There are clear headings in each chapter that logically progress through the theme of the chapter. Some chapters, such as chapter 2, have subsections that are divided into a series of "tips" for the clinician and provide flowcharts, sample dialogues, and tables that summarize key skills in DBT. DBT is addressed in different settings, such as outpatient and inpatient settings, with practical advice on setting up a DBT program, selecting a team leader, integrating it into current managed care practices, building a referral base, skills training, and measuring outcomes. The book also covers specific uses of DBT in residential forensic settings that include recidivism, decreasing staff burnout, and forensic modification of DBT treatment. The latter chapters are focused on the use of DBT in particular disorders. In general, the book is filled with useful tables, charts, and other tools for implementing DBT. The references are fairly current and pertinent. The index is also rather comprehensive.
Assessment:This is well written, practical book for clinicians seeking to expand their knowledge and use of DBT. While the original book, Cognitive Behavioral Treatment of Borderline Personality Disorder, Linehan (Guilford Press, 1993) remains a good starting place, this book will help to enrich the clinician's delivery of DBT with practical advice from authors with nearly two decades of experience.

Overview of Dialectical Behavior Therapy   Kelly Koerner   Linda A. Dimeff     1
Adopt or Adapt?: Fidelity Matters   Kelly Koerner   Linda A. Dimeff   Charles R. Swenson     19
Implementing Standard Dialectical Behavior Therapy in an Outpatient Setting   Katherine Anne Comtois   Cedar R. Koons   Soonie A. Kim   Sharon Y. Manning   Elisabeth Bellows   Linda A. Dimeff     37
Dialectical Behavior Therapy on Inpatient Units   Charles R. Swenson   Suzanne Witterholt   Martin Bohus     69
Implementing Dialectical Behavior Therapy in Residential Forensic Settings with Adults and Juveniles   Robin A. McCann   Andre Ivanoff   Henry Schmidt   Bradley Beach     112
Dialectical Behavior Therapy for Individuals with Borderline Personality Disorder and Substance Dependence   Shelley McMain   Jennifer H. R. Sayrs   Linda A. Dimeff   Marsha M. Linehan     145
Dialectical Behavior Therapy and Eating Disorders   Lucene Wisniewski   Debra Safer   Eunice Chen     174
Dialectical Behavior Therapy with Families   Alan E. Fruzzetti   Daniel A. Santisteban   Perry D. Hoffman     222
Dialectical Behavior Therapy for Adolescents   Alec L. Miller   Jill H. Rathus   Anthony P. DuBose   Elizabeth T. Dexter-Mazza   Arielle R. Goldklang     245
Dialectical Behavior Therapy for Depression with Comorbid Pcrsonality Disorder: An Extension of Standard Dialectical Behavior Therapy with a Special Emphasis on the Treatment of Older Adults   Thomas R. Lynch   Jennifer S. Cheavens     264
Dialectical Behavior Therapy for Assertive Community Treatment Teams   Sarah K. Reynolds   Randy Wolbert   Gwen Abney-Cunningham   Kimberly Patterson     298
Evaluating Your Dialectical Behavior Therapy Program   Shireen L. Rizvi   Maria Monroe-DeVita   Linda A. Dimeff     326
Index     351