Born This Way
The "bio" in the Biosocial Theory
Biological vulnerabilities
The states of mind
Emotion mind, reasonable mind, wise mind
Two of the crisis survival skills
STOP, Pros/Cons, TIP, Wise Mind ACCEPTS, self-soothing, body scan, IMPROVE the moment
ABC
Accumulate positive experiences, Build mastery, Cope ahead
Three types of goals in interpersonal situations
Objectives, relationship, self-respect
The "social" in the Biosocial Theory
Invalidating environment
The "what" skills
Observe, describe, participate
Two of the basic reality acceptance skills
Acceptance, radical acceptance, turning the mind, willingness, half-smile, willing hands, mindfulness of current thoughts
PLEASE
(treat) PhysicaL illness, (balance) Eating, Avoid mood-altering substances, (balance) Sleep, Exercise
DEAR MAN
Describe, Express, Assert, Reinforce
(be) Mindful, Appear confident, Negotiate
Complete this DBT assumption:
Therapists treating borderline patients need _____.
Support
The "how" skills
Non-judgmentally, one-mindfully, effectively
IMPROVE the Moment
Imagery, Meaning, Prayer, Relaxation, One thing in the moment, Vacation, Encouragement
The three functions of emotions
1. Motivate us into action
2. Communicate to others
3. Communicate to ourselves
GIVE
Gently, (act) Interested, Validate, Easy manner
Complete this DBT assumption:
Patients may not have caused all of their own problems, but _____.
They have to solve them anyway
The mindfulness skill that means to be savvy about people and "play by the rules"
Effectively
Wise Mind ACCEPTS
Activities, Contributing, Comparisons, Emotions, Pushing away, Thoughts, Sensations
The skill to use when your emotion (or its intensity/duration) does not fit the facts
Opposite action
FAST
(be) Fair, (no) Apologies, Stick to values, (be) Truthful
The four characteristics of emotional vulnerability
1. Negative affect at baseline
2. Emotional sensitivity
3. Emotional intensity
4. Slow return to baseline
A strategy for replacing judgmental thoughts and statements
1. Describe the facts of the situation
2. Describe the consequences of the situation
3. Describe your own feelings about the facts
Primary behavioral targets in DBT
1. Suicidal behaviors
2. Therapy-interfering behaviors
3. Behaviors that interfere with quality of life
4. Skills
5. PTSD
6. Self-respect
Justifying events for shame
You will be rejected by a very important person or group if characteristics of yourself or of your behavior are made public.
The skill that involves asking, saying no, or expressing your opinion over and over again
Broken record