Foreword, Marsha M. Linehan
1. Changing Behavior in DBT: An Overview
2. Targeting: Selecting and Defining Problem Behaviors
3. Behavioral Chain Analysis
4. Solution Analysis
5. Skills Training
6. Stimulus Control and Exposure
7. Cognitive Modification
8. Contingency Management
Epilogue: Problem-Solving Therapists’ Behaviors: An
Illustration
References
Index
Heidi L. Heard, PhD, has published numerous articles and
chapters related to borderline personality disorder and DBT and is
coauthor (with Michaela A. Swales) of Dialectical Behaviour
Therapy: Distinctive Features. She collaborated with Marsha Linehan
on the initial outcome trials for standard DBT and the adaptation
for substance abuse and dependence, particularly focusing on the
cost-effectiveness of DBT. Now retired, Dr. Heard was the founder
of British Isles DBT Training and was a senior trainer for
Behavioral Tech, which provides advanced training in DBT
internationally. She provided consultation in the United States and
Europe to DBT teams working in adult and adolescent outpatient
programs and in adult secure inpatient programs, and to individual
clinicians in adult outpatient, secure hospital, and prison
settings.
Michaela A. Swales, PhD, is Consultant Clinical Psychologist and
Professor in Clinical Psychology on the North Wales Clinical
Psychology Programme, Bangor University. She trained in DBT with
Marsha Linehan and for 20 years ran a clinical program for suicidal
young people in an inpatient service. Dr. Swales is Director of the
British Isles DBT Training Team, an international affiliate of the
Linehan Institute. She has trained more than a thousand
professionals in DBT, seeding over 400 programs globally. She
coauthored Dialectical Behaviour Therapy: Distinctive Features
(with Heidi L. Heard) and is editor of the Oxford Handbook of
Dialectical Behaviour Therapy. Her primary research interest is the
effective implementation of evidence-based psychological therapies
in routine clinical practice. Dr. Swales was a member of the
Working Group on Classification of Personality Disorders reporting
to the World Health Organization's International Advisory Group for
the Revision of the ICD-10 Mental and Behavioural Disorders.
"Readers are lucky to get a book by these two fabulous DBT
therapists and trainers. This is particularly true when the topic
is problem solving. We all know that this is often the significant
challenge facing our clients: they cannot solve the major problems
of their lives. But helping a client solve life problems isn't
easy. This book by two therapists who know what they are doing is
going to help you immensely."--from the Foreword by Marsha M.
Linehan, PhD, ABPP, Professor and Director Emeritus, Behavioral
Research and Therapy Clinics, University of Washington; developer
of DBT
"If you really want to increase your adherence to DBT, this is a
'must read,' written by true experts. This book will instantly help
DBT clinicians--novices and veterans alike--improve the application
of all key DBT problem-solving strategies and develop more precise
behavioral formulations. I will recommend it to all of my
colleagues and trainees."--Alec L. Miller, PsyD, Department of
Psychiatry and Behavioral Sciences, Montefiore Medical Center of
the Albert Einstein College of Medicine
"With elegance and clarity, Heard and Swales elucidate the
cognitive-behavioral principles and problem-solving techniques at
the core of DBT. Every chapter is grounded in clinical examples.
For beginning students of psychotherapy, the book will effectively
introduce evidence-based behavioral change methods, seamlessly
blending the theoretical and practical. For experienced DBT
clinicians, the book will sharpen the use of problem-solving tools,
as it did for me. Each chapter takes up a core DBT practice,
details the underlying principles and the use of strategies, and
ends with a remarkably helpful troubleshooting guide for noticing
and solving typical problems in application."--Charles R. Swenson,
MD, Department of Psychiatry, University of Massachusetts Medical
School
"This book holds a microscope to the precise moments in DBT when
the goal is to change an unwanted behavior, describing with
remarkable clarity what the therapist must do to bring that change
about. All distractions and distortions are stripped away--here is
the nitty-gritty of targeting, chain/solution analysis, exposure,
contingency management, and skills training, with sharp-focus
clinical examples. The chapters are worth reading for the ‘common
problems’ sections alone. Students and practitioners should read
this book and keep it close at hand."--Christine Dunkley, DClinP,
Department of Psychology, University of Bangor, United Kingdom
"An instant classic. The authors are pioneers in DBT who draw on
extensive clinical experience to outline key principles and
strategies of problem solving, highlight challenges that clinicians
frequently encounter, and offer excellent explanations and
practical advice for tackling and overcoming them. This is an
essential addition to the bookshelf of any clinician interested in,
or practicing, DBT. It will certainly be prominent on mine for many
years to come."--Maggie Stanton, DClinPsych, Consultant Clinical
Psychologist and Clinical Lead, Southern Health NHS Foundation
Trust, United Kingdom -
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