Dialectics
The fundamental dialectic in DBT
What is Acceptance and Change
Used when the client does not have the necessary skills in their repertoir
The gradual shaping of the client's committment
What is shaping
To not serve as a go-between for clients but coach the client how to interact with others
What is consult-to-the-client
Lemons out of lemonade
What is turning something problematic into an asset
Dialectical progress
What is synthesis
The 24-hour rule is an example of this
What is contingency management
Arguing for the status quo
Devil's Advocate
Holding responsibility for all DBT clients
What is a community of therapist treating a community of clients
Like a gardner learning to love dandelions
Stylistic communication strategies
What is reciprocal and irreverent
How to understand a specific problem behaviour
Begins with ambivalence
What is Pros and Cons
All team members must have some clinical responsibility in order to maximize this
What is vulnerability
Like walking through a room full of furniture with the lights on
What is observe
The other side of the validation on the dialectic "teeter totter"
What is problem solving
Used when cues that trigger problematic emotional responses are identified and result in avoidance or escape behaviour
What is exposure
The therapist must be genuinely open and respectful of the client's autonomy to choose without judgement
Consult team role focused on maintaing the culture of the team
What is the observer
A tulip trying to be a rose just because it was planted in a rose garden
What is trying to be what others want you to be
A dialectical dilemma related to help seeking
What is active passivity and apparent competence
A conversation in which the therapist highlights the inconsistencies among the client's own actions, beliefs and values
Noticing past successes at change and linking to capabilities to make another change.
What is linking prior committment to current commitments
Fixing the damage caused by missing consult
What is making a repair
What is a life lived willingly