Includes bibliographical references and index.

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A definitive new text for understanding and applying Dialectical Behavior Therapy (DBT).-Offers evidence-based yet flexible approaches to integrating DBT into practice -Goes beyond adherence to standard DBT and diagnosis-based treatment of individuals -Emphasizes positivity and the importance of the client's own voice in assessing change -Discusses methods of monitoring outcomes in practice and making them clinically relevant -Lane Pederson is a leader in the drive to integrate DBT with other therapeutic approaches.

Cover; Epigraph; Titlepage; Copyright; Acknowledgments; To the Reader; Definitions; 1 Why Learn DBT?; 2 Introduction to DBT; Notes; 3 The Contextual Model and DBT; Comparisons of DBT with Other Therapies; Therapeutic Factors that Most Affect Outcomes; Adopting versus Adapting Standard DBT: The Question of Treatment Fidelity; The Answer to Fidelity: EBP; Notes; 4 DBT: An Eclectic yet Distinctive Approach; Note; 5 Is It DBT?; Note; 6 Dialectical Philosophy; Dialectics in Practice; Validation versus Change; Acceptance of Experience versus Distraction from or Changing Experience.

Doing One's Best versus Needing to Do BetterNoting the Adaptive in What Seems Maladaptive; Nurturance versus Accountability; Freedom versus Structure; Active Client versus Active Therapist; Consultation to the Client versus Doing for the Client; Dialectics and Evidence-Based Practice; When Not to Be Dialectic: Dialectical Abstinence; Dialectics with Clients; Note; 7 The Biosocial Theory; The Role of Invalidation; How the Biosocial Theory Guides Practice; Being Flexible to the Client's Theory of Change; Notes; 8 Client, Therapist, and Treatment Assumptions; Client Assumptions.

Therapist AssumptionsTreatment Assumptions; 9 The Five Functions of Comprehensive DBT; Motivate Clients; Teach Skills; Generalize the Skills with Specificity; Motivate Therapists and Maximize Effective Therapist Responses; Structure the Environment; Note; 10 Treatment Structure; How Much Structure? Level-of-Care Considerations; Program Treatment Models; Individual Therapy Treatment Structure; Group Skills-Training Session Structure; Additional Treatments and Services; Expectations, Rules, and Agreements; 11 DBT Treatment Stages and Hierarchies; Pretreatment Preparation.

Pretreatment and the "Butterfly" ClientStage One: Stability and Behavioral Control; Stage Two: Treating PTSD, Significant Stress Reactions, and Experiencing Emotions More Fully; Stage Three: Solving Routine Problems of Living; Stage Four: Finding Freedom, Joy, and Spirituality; Notes; 12 The DBT Therapeutic Factors Hierarchy; 1. Develop and Maintain the Therapy Alliance; 2. Develop Mutual Goals and Collaboration on Methods; 3. Identify and Engage Client Strengths and Resources to Maximize Helpful Extratherapeutic Factors; 4. Establish and Maintain the Treatment Structure.

13 Self-Monitoring with the Diary CardDiary card; 14 Validation; Levels of Validation; Validation versus Normalization; 15 Commitment Strategies; Note; 16 Educating, Socializing, and Orienting; Example 1; Example 2; 17 Communication Styles; Reciprocal Communication; Irreverent Communication; Notes; 18 Mindfulness; Note; 19 Skills Training; 20 Changing Behaviors; Behavioral Contingencies; Behaviorism and the Therapist; The Most Effective Methods of Changing Behaviors; Notes; 21 Behavioral Analysis; Behavioral Analysis Example; Note; 22 Dialectical Strategies; Note; 23 Cognitive Interventions.