Dialectical Behavior Therapy and Skill Training: Areas of Use and Importance in Preventive Mental Health

Abstract

Dialectical Behavioral Therapy®, is one of the evidence based therapies and known as one of the third way behavior therapies. It is based on dialectical philosophy and within this notion treatment involves both change and acceptance. Therapy offers skills training as well as individual therapy. Dialectical behavioral therapy skill training involves four different modules: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. One of the aims of this review is while providing general information regarding dialectical behavioral therapy and its skills set, review the research on modified application of the therapy and its skills training. This review also draws attention to the recent interest in using dialectical behavioral therapy skills training in preventive mental health.

Keywords

• Dialectical Behavior Therapy,DDT Skills Training

Diyalektik Davranış Terapisi ve Beceri Eğitimi: Kullanım Alanları ve Koruyucu Ruh Sağlığındaki Önemi

Abstract

Diyalektik Davranış Terapisi® üçüncü dalga terapilerin içinde yer alan ve kanıta dayalı önemli yaklaşımlardan biridir. Diyalektik felsefe odağında kabul kavramı üzerinde duran bu yaklaşım, bireysel terapinin yanı sıra temel beceri eğitimleri yoluyla danışanın kabul ve değişim sürecine yardımcı olmayı amaçlar. Beceri eğitimleri mindfulness (bilinçli farkındalık), kişilerarası etkililik, duygu düzenleme ve sıkıntıya toleransı artırma olmak üzere dört modülden oluşur. Bu yazının temel amacı diyalektik davranış terapisini tanıtmak ve bu kanıta dayalı terapi modelinin öne çıkan araştırma bulgularını özetlerken bu yaklaşımın sunduğu beceri eğitiminin etkin bir müdahale yöntemi olarak kullanımının yanı sıra koruyucu ruh sağlığındaki kullanımına da dikkat çekmektir. 

Keywords

• Diyalektik Davranış Terapisi,DDT Beceri Eğitimi,Koruyucu Ruh Sağlığı

References

1. American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Arlington, VA, American Psychiatric Association.
2. Andreasson K, Krogh J, Wenneberg C, Jessen HKL, Krakauer K, Gluud C et al. (2016). Effectiveness of dialectical behavior therapy versus collaborative assessment and management of suicidality treatment for reduction of self-harm in adults with borderline personality traits and disorder—a randomized observer-blinded clinical trial. J Depress Anxiety, 33:520–530.
3. Bostanci M, Ozdel O, Oğuzhanoğlu NK, Ozdel L, Ergin A, Ergin N, Karadag F (2005) Depressive symptomatology among university students in Denizli, Turkey: prevalence and sociodemographic correlates. Croat Med J, 46:96-100.
4. Chapman AL (2006) Dialectical behavior therapy: Current indications and unique elements. Psychiatry (Edgmont), 3(9):62-68.
5. Chugani CD, Ghali MN, Brunner J (2013) Effectiveness of short term Dialectical Behavior Therapy skills training in college students with cluster B personality disorders. J College Stud Psychother, 27:323-336.
6. Courbasson C, Nishikawa Y, Dixon L (2012) Outcome of dialectical behaviour therapy for concurrent eating and substance use disorders. Clin Psychol Psychother, 19:434-449.
7. Dexter-Mazza E, Sayrs J, Ivanoff A (2015) Comprehensive training for independent practitioners. Diactical Behaviour Therapy Intensive Training Unpublished Manual, 14-18 September 2015, İstanbul, Türkiye.
8. Engle E, Gadischkie S, Roy N, Nunziato D (2013) Dialectical behavior therapy for a college population: Applications at Sarah Lawrence College and beyond. J College Stud Psychother, 27:11–30.

9. Fleming AP, McMahon RJ, Moran LR, Peterson AP, Dreessen A (2015) Pilot randomized controlled trial of Dialectical Behavior Therapy group skills training for ADHD among college students. J Atten Disord, 19:260-271.
10. Geddes K, Dziurawiec S, Lee CW (2013) Dialectical behaviour therapy for the treatment of emotion dysregulation and trauma symptoms in self-injurious and suicidal adolescent females: a pilot programme within a community-based child and adolescent mental health service. Psychiatry J. 2013:145219.
11. Gülgez Ö, Gündüz B (2015) Diyalektik davranış terapisi temelli duygu düzenleme programının üniversite öğrencilerinin duygu düzenleme güçlüklerini azaltmadaki etkisi. Çukurova Üniversitesi Eğitim Bilimleri Dergisi, 44:191-208.
12. Harned MS, Korslund KE, Linehan, MM (2014) A pilot randomized controlled trial of dialectical behavior therapy with and without the dialectical behavior therapy prolonged exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD. Behav Res Ther, 55:7-17.
13. Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C (2013) A systematic review of studies of depression prevalence in university students. J Psychiatr Res, 47:391-400.
14. Koons CR, Robins CJ, Tweed JL, Lynch TR, Gonzalez AM, Morse JQ et al. (2001) Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behav Ther, 32:371–390.
15. Korkut Owen F, Demirbaş Çelik N (2018) Yaşam boyu sağlıklı yaşam ve iyilik hali. Psikiyatride Güncel Yaklaşımlar, 10:430-443.
16. Leichmant S, Phillips E, Reen, J (2008) How teaching DBT skills to at risk high school students can promote healthy coping techniques and can allow for greater academic engagement. Available from : URL: http://middlesexpartnershipsforyouth.com/pdf/LS_Powerpoint.pdf. (01 Ocak 2017’de ulaşıldı).
17. Lieb K, Zanarini MC, Schmahl C, Linehan MM, Bohus M (2004) Borderline personality disorder. Lancet, 364:453–461.
18. Linehan MM., Armstrong HE, Suarez A, Allmon D, Heard, HL (1991) Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Arch Gen Psychiatry, 48:1060-1064.
19. Linehan MM (1993) Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York, Guilford Press.
20. Linehan MM, Schmidt H, Dimeff LA, Craft JC, Kanter J, Comtois KA (1999) Dialectical behavior therapy for patients with borderline personality disorder and drug dependence. Am J Addict, 8:279-292.
21. Linehan MM (2015a) DBT Skills Training Manual. New York, Guilford Press.
22. Linehan MM (2015b) DBT Skills Training: Handouts and Worksheets. New York, Guilford Press.
23. Meaney-Tavares R, Hasking P (2013) Coping and regulating emotions: A pilot study of a modified dialectical behavior therapy group delivered in a college counseling service. J Am Coll Health, 61:303–309.
24. Miller AL, Rathus JH, Linehan MM, Wetzler S, Leigh E (1997) Dialectical behavior therapy adapted for suicidal adolescents. J Psychiatr Pract, 3:78–86.
25. Nelson-Gray RO, Keane SP, Hurst RM, Mitchell JM, Warburton JB, Chok JT et al. (2006) A modified DBT skills training program for oppositional defiant adolescents: promising preliminary findings. Behav Res Ther, 44:1811–1820.
26. Özeke-Kocabaş E, Üstündağ-Budak AM (2017) Validation skills in counselling and psychotherapy. International Journal of Scientific Study, 5:319-322.
27. Özgüven İE (1992) Üniversite öğrencilerinin sorunları ve baş etme yolları. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi, 7:5-13.
28. Özkan S, Yılmaz E (2010) Üniversite öğrencilerinin üniversite yaşamına uyum durumları (Bandırma örneği). Fırat Sağlık Hizmetleri Dergisi, 5:153- 171.
29. Üstündağ-Budak AM, Özeke-Kocabaş E, Alcan DF, Ivanoff AM (2016) Diyalektik Davranış Terapisi Beceri Eğitimi ve İyilik Hali. I. Avrasya Pozitif Psikoloji Kongresi. 28-30 Nisan 2016, Üsküdar Üniversitesi, İstanbul, Türkiye. Kongre Özet Kitabı sayfa:69.
30. Üstündağ-Budak AM, Özeke-Kocabaş E (2017) A prevention application: Dialectical Behavior Therapy skills training for university students. 47. Avrupa Davranışçı ve Bilişsel Terapiler Birliği Kongresi (EABCT'17), 13-16 Eylül 2017 Ljubljana, Slovenya. Kongre Özet Kitabı sayfa: 248.
31. Panepinto AR, Uschold CC, Olandese M, Linn BK (2015) Beyond borderline personality disorder: Dialectical behavior therapy in a college counseling center. J College Stud Psychother, 29:211-226.
32. Pistorello J, Fruzzetti AE, MacLane C, Gallop R, Iverson KM (2012) Dialectical behavior therapy applied to college students: A randomized clinical trial. J Consult Clin Psychol, 80:982–994.
33. Rizvi SL, Steffel LM (2014) A pilot study of 2 brief forms of Dialectical Behavior Therapy skills training for emotion dysregulation in college students. J Am Coll Health, 62:434-439.
34. Stanley B, Brotsky B, Nelson JD, Dulit R (2007) Brief Dialectical Behavior Therapy (DBT-B) for suicidal behavior and non-suicidal self injury. Arch Suicide Res, 11:337-341.
35. Turner RM (2000) Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder. Cogn Behav Pract, 7:413-419.
36. Woodberry KA, Popenoe EJ (2008) Implementing dialectical behavior therapy with adolescents and their families in a community outpatient clinic. Cogn Behav Pract, 15:277-286.
37. Yavuzer H, Demir İ, Meşeci F, Sertelin Ç (2005) Günümüz gençliğinin gelecek beklentileri. Hasan Ali Yücel Eğitim Fakültesi Dergisi, 2:93-103.