Dialectical Dilemmas
What is a dialectical dilemma?
When a client alternates between behavioral extremes that either under-regulate or over-regulate emotions
Name this specific dialectical strategy: When the therapist presents a statement that is an extreme version of one of the client' own dysfunctional beliefs
Playing Devil's Advocate
How many levels of validation are there
Six
What does the second P in TIPP stand for
Paired muscle relaxation
Finish this DBT commitment strategy: foot in the door and....
Door in the face
Name the other side of this dialectical dilemma: Active Passivity
Apparent Competence
Name this Specific dialectical strategy: When the therapist takes the severity or gravity of what the client is saying with more seriousness than the client intends
Extending
What are the four sets of change procedures in DBT problem solving
1. Skills training 2. Contingency procedures 3. Exposure 4. Cognitive Modification
What are the three interpersonal effectiveness goals/priorities
Objective (getting what you want/need/saying no)
Relationship
Self-respect
What are the four "modes" of DBT
Skills training, individual, phone coaching, and consult
Name the other side of this Adolescent dialectical dilemma: Forcing Autonomy
Fostering independence
What is the following dialectical strategy: when a therapist takes something the client does understand and compares it to something the client does not understand.
Using metaphor
Name one of the two Stylistic strategies
Irreverent or reciprocal
What does DEAR MAN stand for ready GO!
Ya'll know
Finish this DBT assumption: People may not have caused all of their own problems
and yet they have to solve them anyway
A standard DBT dialectical dilemma that occurs when an intense emotional pain is evoked which the client escapes through impulsive action because of an inability either to tolerate or diminish the pain
Unrelenting crisis Vs Inhibited Grieving
Which specific dialectical strategy is this an example of : Telling a client that they are free to choose their own behavior, but cant stay in therapy if they do not work at changing their behavior
Entering the paradox
Name one of the three case management strategies
Environmental intervention, Consultation to the patient, therapist supervision/consultation
Name three strategies/skills for accepting reality
Radical acceptance, turning the mind, willingness, half smile, willing hands, allowing the mind/mindfulness of current thoughts
What is the 4th Target of Stage One
Increasing Behavioral Skills
What is the other side of this Adolescent dialectical dilemma: Pathologizing Normative Behaviors
Normalizing pathological behaviors
Name two of the five DBT treatment strategies
What does PLEASE stand for
Physical Illness, Balance eating, Avoid Mood altering substances , Balance Sleep , Get Exercise
The skills training process incorporates 3 types of procedures. The first is "skill acquisition" What are the other two?
Skill strengthening and Skill Generalization