dialectic strategies
This is the most fundamental dialectic in DBT treatment.
What is acceptance of the client as they are while also pushing for change?
When performing a solution analysis with a client how should the therapist approach shaping the behavior of self generated problem solving by the client?
What is the therapist starts generating more solutions with plan to fade out as treatment continues.
Skills coaching is provided by the individual therapist unless the client has taken a self harm or suicide actions and then skills coaching is provided by other member of the DBT team or non DBT adherent option is what contingency management protocol in DBT?
the 24 hour rule
Opportunities for emotional expression, coaching observing and labeling emotions, and communicating the validity if emotions are types of this focus of validation.
What are emotional validating strategies?
To figure out what the problem is, what is causing it, what interferes with resolution of the problem, and what aids are available to solve the problem are the reasons for this intervention.
What is a chain analysis?
What are 3 ways that suicidal behavior or self harm behavior without suicide intent are effective.
1) getting agreement to work on ending suicidal/self harming behavior
2) attending skills training
What is the client agreeing to do in order to participate in DBT?
Identifying, countering, and accepting the "should" with moving to disappointment are 4 of the 5 steps of this type of validaton.
What is behavioral validation?
Frequency of behavior, duration of behavior, intensity of behavior, and topography of behavior are aspects of the first step in doing a chain analysis.
What is describing problem behavior specifically include?
When a therapist takes the client more seriously than client expresses an extreme reaction to a reasonable minor change in the environment.
What is extending?
Two important strategies to keep in mind when establishing an extinction schedule.
When a behavior that was previously reinforced increases in strength, frequency, and intensity it is called ______ and the response by the therapist is ______.
What is extinction burst and coach replacement behavior, reinforce efforts to engage in replacement behaviors, and encourage enviornement to use distress tolerance behaviors to resist reinforcing maladaptive behavior.
To calm a person who is too dysregulated to engage in session, repair therapist errors, and develop skills in self validation are the reasons.
What is the function of validation as a strategy in DBT?
Connecting enviornmental events to action, identifing behavioral deficits, identifying automatic responses, and clearly established antecendents and reinforcers.
What is the goal of engaging in a chain analysis?
When the therapist is recognizing the adaptive aspect of a maladaptive or dysfunctional behavior they are looking for the "wisdom" in the client's perspective. This is called what strategy?
What is "looking for the nugget of gold in a cup of sand"?
What are skills training procedures? Examples: skills acquisiton (instruction, modeling, and bibliotherapy), skills strengthening (behavioral rehearsal, feedback, coaching), and skills generalization (homework, comparisons of situations, and audiotaping sessions).
Arbitary fixed set of rules that don't take into account client's needs is called _____. Therapist communicating willingness to serve and work with the client and limitations of the therapist is called ____ and preferred by DBT treatment.
Validating the lack of trust as a therapist response to this.
How should you respond when a client responds to cheerleading efforts with distrust of the therapists sincerity?
Focusing behaviors within the DBT hierachy, prioritizing observable public behaviors before private ones, and insights focus on the present tense before past events are the guidelines.
What are the "what" skills to interpreting links in the chain analysis?
When a therapist says something like "I know this is difficult and it is an opportunity to practice skills" they are using what strategy?
What is "Making lemonade out of lemons"?
This intervention is designed to reduce unwanted or problematic intense emotions and these are the 5 steps to that intervention.
What is exposure and:
1) introduce stimuli that match the problem situation and elicit the conditioned affective response
2) affective response is not reinforced
3) maladaptive coping is blocked
4) structure session to give the client a sense of control in the exposure work
5) exposure lasts long enough and often enough to condition new response
When you are ending thearpy for a period of time and reaching out to encourage re engagement you are using ________. Assisting a client to find a tnew therapist or transition out of therapy is _____.
What is "vacation" and "termination"?
Making statements that are genuine and reflect compassion are the two principles of this validating communication strategy.
What is irreverent communication?
Basing insights on the biopsocial theory and assumptions, use nonpejorative language,
What are the guidelines for how to interpret links in the chain analysis?