Yaşam Boyu Bakış Açısından Diyalektik Davranış Terapisi

Öz

Bu derlemede diyalektik davranış terapisi ve terapinin araştırma bulguları yaşam boyu yaklaşımı üzerinden ele alınmaktadır. Diyalektik davranış terapisi ilk olarak intihar ve kendine zarar verme riski taşıyan borderline kişilik bozuluğuna sahip bireyler için geliştirilmiş, kanıta dayalı yaklaşımlardan biridir. Bununla birlikte, son yıllarda daha geniş bir popülasyon için kapsamlı bir tedavi modeli sunmaktadır. Örneğin, standart diyalektik davranış terapisi çocuklar ve ergenler için adapte edilerek hem önleme hem de müdahale amaçlı olarak başarıyla uygulanmaktadır. Bunun yanısıra, transdiyagnostik bir yaklaşımla kanıta dayalı tedavilerin kullanımındaki son gelişmeler diyalektik davranış terapisinin yaygınlaştırılmasını ve uygulanmasını daha önemli hale getirmiştir. Diyalektik davranışçı terapinin yaşam boyu yaklaşımından güncel araştırma ve uygulamalarına odaklanmak ve diyalektik davranışçı terapinin girişimsel veya önleyici amaçlar için kullanılması, ilgilenen araştırmacılara ve uygulayıcılara gelişimsel aşamalardaki etkileri konusunda katkıda bulunacaktır.

Anahtar Kelimeler

• Dialectical Behavioral Therapy (DBT),Lifespan Perspective

Dialectical Behavioral Therapy from the Lifespan Perspective

Abstract

This overview outlines dialectical behavioral therapy and its research findings from a lifespan perspective. Dialectical behavioral therapy is an evidence-based therapy initially developed for adults with severe pathologies including borderline personlity disorder, self harm, and suicidality. However, it has since become a more comprehensive treatment model across wider populations. For example, standard dialectical behavioral therapy treatment has been successfully adapted for children and adolescents, and been used as a successful prevention programme as well for intervention. Furthermore, recent advances in the use of empirically-supported treatments through a transdiagnostic approach have made dialectical behavioral therapy dissemination and implementation practices more important. Focusing on current research and implementations of dialectical behavioral therapy from a lifespan perspective and use of dialectical behavioral therapy for interventional or preventional purposes will contribute to the interested researchers and practitioners on its implications across developmental stages.

Keywords

• Dialectical Behavioral Therapy (DBT),Lifespan Perspective

Kaynakça

1. Andreasson K, Krogh J, Wenneberg 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. Depress Anxiety, 33:520–530.
2. Berger K (2011) The developing person through the lifespan. USA, Worth Publishers.
3. Berk LE (2010) Exploring lifespan development. Boston, Allyn & Bacon.
4. Bianchini V, Cofini V, Curto M, et al. (2019) Dialectical behaviour therapy (DBT) for forensic psychiatric patients: An Italian pilot study. Crim Behav and Ment Health, 29:122-130.
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. Chugani CD (2015) Dialectical behavior therapy in college counseling centers: Current literature and implications for practice. J College Stud Psychother, 29:120-131.
7. Chwalek CM, McKinney CH (2015) The use of dialectical behavior therapy (DBT) in music therapy: A sequential explanatory study. J Music Ther, 52:282-318.
8. Clark SM. (2017) DBT-informed art therapy: Mindfulness, cognitive behavior therapy, and the creative process. London: Jessica Kingsley Publishers.

9. Courbasson C, Nishikawa Y, Dixon L (2012) Outcome of dialectical behaviour therapy for concurrent eating and substance use disorders. Clin Psychol Psychother, 9:434-449.
10. Crowell SE, Beauchaine TP, Linehan MM (2009) A biosocial developmental model of borderline personality: Elaborating and extending linehan’s theory. Psychol Bull, 135:495-510.
11. Decker SE, Adams L, Watkins LE, et al. (2019) Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot. Behav Cogn Psychother, 1-6.
12. 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.
13. Farrés CC, Pascual JC, Elices M, et al. (2018) Factors predicting early dropout from dialectical behaviour therapy in individuals with borderline personality disorder. Actas Esp Psiquiatr, 46:226-233.
14. Fischer S, Peterson C (2015) Dialectical Behavior Therapy for Adolescent Binge Eating, Purging, Suicidal Behavior, and Non-Suicidal Self-injury: A Pilot Study. Psychother, 52:78-92.
15. Fleischhaker C, Böhme R, Sixt B (2011) Dialectical Behavioral Therapy for Adolescents (DBT-A): Clinical Trial for Patients with suicidal and self-injurious Behavior and Borderline Symptoms with a one-year Follow-up. Child Adolesc Psychiatry Ment Health, 5. doi:10.1186/1753-2000-5-3
16. 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.
17. Foa E, Hembree E, Rothbaum BO (2007) Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences therapist guide. Oxford University Press.
18. Goldstein TR, Fersch-Podrat RK, Rivera M, et al. (2015) Dialectical behavior therapy for adolescents with bipolar disorder: Results from a pilot randomized trial. J Child Adolesc Psychopharmacol; 25:140-149.
19. Goodman M, Carpenter D, Tang CY, et al. (2014) Dialectical behavior therapy alters emotion regulation and amygdala activity in patients with borderline personality disorder. J Psychiatr Res, 1:108-116.
20. Heckwolf JI, Bergland MC, Mouratidis M (2014) Coordinating principles of art therapy and DBT. Arts Psychother, 41:329-335.
21. Kerr PL, Muehlenkamp JJ, Larsen MA (2009)Implementation of DBT-informed therapy at a rural university training clinic: a case study. Cogn Behav Pract, 16:92-100.
22. 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, 32:71–390.
23. Lenz AS, Conte GD, Hollenbaugh KM, Callendar K (2017) Emotional Regulation and Interpersonal Effectiveness as Mechanism of Change for Treatment Outcomes Within a DBT Program for Adolescents. Counseling Outcome Research and Evaluation, 7:73-85.
24. Linehan MM (1993) Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York, Guilford Press.
25. Linehan MM (2015) DBT Skills Training Manual. New York, Guilford Press.
26. 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.
27. Linehan MM, Dimeff LA, Reynolds SK, et al. (2002) Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug Alcohol Depend, 67:13-26.
28. 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.
29. Lynch, TR (2018) Radically Open Dialectical Therapy: Theory and Practice for Treating Disorders of Overcontrol. Context Press. New Harbinger Publications.
30. MacPherson HA, Cheavens JS, Fristad MA (2013) Dialectical Behavior Therapy for Adolescents: Theory, Treatment Adaptations, and Emprical Outcomes. Clin Child Fam Psychol, 16:59-80.
31. McCauley E, Berk MS, Asarnow JR, et al. (2018) Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical Trial. JAMA Psychiatry. doi:10.1001/jamapsychiatry.2018.1109
32. McCredie MN, Quinn CA, Covington M (2017) Dialectical Behavior Therapy in Adolescent Residential Treatment: Outcomes and Effectiveness. Resid Treat Child Youth, 34:84-106.
33. Mehlum L, Ramberg M, Tørmoen AJ, et al. (2016) Dialectical behavior therapy compared with enhanced usual care for adolescents with repeated suicidal and self-harming behavior: outcomes over a one-year follow-up. J Am Acad Child Adolesc Psychiatry, 55:295-300.
34. Miller AL, Rathus JH, DuBose AP, Dexter-Mazza ET, Goldklang AR (2007) Dialectical Behavior Therapy in Practice. In Dialectical Behavior Therapy for Adolescents. Eds A Linda, D Koerner & K Koerner): 245-363. New York, The Guilford Press.
35. Muhomba M, Chugani CD, Uliaszek AA, Kannan D (2017) Distress tolerance skills for college students: A pilot investigation of a brief DBT group skills training program. J College Stud Psychother, 31:247-256.
36. Navarro-Haro MV, Modrego-Alarcón M, Hoffman HG, et al (2019) Evaluation of a Mindfulness-Based Intervention with and without Virtual Reality Dialectical Behavior Therapy R Mindfulness Skills training for the Treatment of Generalized Anxiety Disorder in Primary Care: A Pilot Study. Front Psychol, 10(55). doi: 10.3389/fpsyg.2019.00055.
37. Neece C, Berk MS, Combs-Ronto LA (2013) Dialectical Behavior Therapy and Suicidal Behavior in Adolescence: Linking Developmental Theory and Practice. Prof Psychol Res Pr, 44:257-25.
38. Perepletchikova F, Axelrod SR, Kaufman J, et al. (2011) Adapting Dialectical Behaviour Therapy for Children: Towards a New Research Agenda for Paediatric Suicidal and Non-Suicidal Self-Injurious Behaviors. J Child Adolesc Ment Health,16:116-121.
39. Rathus J, Campbell B, Miller A, Smith H (2015) Treatment Acceptability Study of Walking The Middle Path, a New DBT Skills Module for Adolescents and their Families. Am J Psychother, 69:163-178.
40. Rathus JH, Miller AL (2000) DBT for Adolescents: Dialectical Dilemmas and Secondary Treatment Targets. Cogn Behav Pract, 7:425-434.
41. Ritschel LA, Lim NE, Stewart LM (2015) Transdiagnostic applications of DBT for adolescents and adults. Am Psychother, 69:111-128.
42. Sauer-Zavala S, Gutner CA, Farchione TJ, et al. (2017) Current definitions of “Transdiagnostic” in treatment development: A search for consensus. Behav Ther, 48:128-138.
43. Telch CF, Agras WS, Linehan MM (2000) Group dialectical behavior therapy for binge-eating disorder: A preliminary, uncontrolled trial. Behav Ther, 31:569-582.
44. Thomas A, Chess S (1977) Temperament and development. Oxford, England, Brunner/Mazel.
45. Üstündag-Budak AM, Özeke-Kocabaş E (2019) Dialectical Behavior Therapy and Skill Training: Areas of Use and Importance in Preventive Mental Health. Current Approaches in Psychiatry, 11:192-204.
46. Üstündağ-Budak AM, Özeke-Kocabaş E, Ivanoff A (2019) Dialectical Behaviour Therapy Skills Training to Improve Turkish College Students’ Psychological Well-Being: A Pilot Feasibility Study. International Journal for the Advancement of Counselling, 1-8. doi.org/10.1007/s10447-019-09379-5
47. Valentine SE, Bankoff SM, Poulin RM, Reidler EB, Pantalone DW (2015) The use of dialectical behavior therapy skills training as stand‐alone treatment: A systematic review of the treatment outcome literature. J Clin Psychol, 71:1-20.
48. Wetterborg D, Dehlbom P, Långström N, et al. (2018) Dialectical Behavior Therapy for Men With Borderline Personality Disorder and Antisocial Behavior: A Clinical Trial. J Pers Disord, 1-18. doi.org/10.1521/pedi_2018_32_379