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The effect of therapist use of validation strategies on change in client emotion in an individual DBT treatment session

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TitleInfo
Title
The effect of therapist use of validation strategies on change in client emotion in an individual DBT treatment session
Name (type = personal)
NamePart (type = family)
Carson-Wong
NamePart (type = given)
Amanda
NamePart (type = date)
1984-
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Amanda Carson-Wong
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
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Shireen L
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Shireen L Rizvi
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Advisory Committee
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chair
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NamePart (type = family)
Selby
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Edward A
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Edward A Selby
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Advisory Committee
Role
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internal member
Name (type = personal)
NamePart (type = family)
Leyro
NamePart (type = given)
Teresa M
DisplayForm
Teresa M Leyro
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Fruzzetti
NamePart (type = given)
Alan E
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Alan E Fruzzetti
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm (authority = RULIB)
school
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Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2016
DateOther (qualifier = exact); (type = degree)
2016-10
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2016
Place
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xx
Language
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eng
Abstract (type = abstract)
Dialectical behavior therapy (DBT) is a complex psychosocial treatment that was originally developed to treat borderline personality disorder (BPD), a disorder for which emotion dysregulation is central. One of the core DBT treatment strategies designed to target emotion dysregulation is validation. While validation is implicit in many therapies, within DBT there are six explicitly defined treatment strategies called validation levels (VL) that instruct the therapist on how and what to validate in a therapy session. Despite the importance placed on validation in emotion regulation, to date, there have been no studies designed to look at therapist use or impact of specific VLs. The aim of the current study was to explore therapist use of VLs throughout treatment in a DBT training clinic and examine the relationship between specific VLs and change in a client emotion within a DBT treatment session. Video recorded sessions of individual DBT treatment sessions for 35 participants were coded for therapist us of VLs. A repeated measures ANOVA was used to assess for change in therapist use of VLs over time and hierarchical linear modeling was used to correlate therapist use of these strategies with change in client emotion within an individual treatment session. Results indicated there was not a significant change in therapist use of VLs throughout treatment. Additionally, there was not a significant relationship between overall frequency of therapist use of VLs and change in client emotion. An increase in frequency of therapist use of high VLs (i.e., VL 4 through 6) was associated with an increase in positive affect (PA) and a decrease in negative affect (NA) while an increase in frequency of low VLs (i.e., VL 1 through 3) was associated with a decrease in PA and no change in NA. An increase in frequency of VL 4 was associated with an increase in NA. VL 6 was associated with both an increase in PA and a decrease in NA. These findings suggest that specific components of validation strategies may be related to a decrease in emotion dysregulation and suggest possible mechanisms of change that may help to increase treatment efficacy for clients with significant emotional dysregulation.
Subject (authority = RUETD)
Topic
Psychology
Subject (authority = ETD-LCSH)
Topic
Dialectical behavior therapy
RelatedItem (type = host)
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
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ETD_7321
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (vii, 61 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Amanda Carson Wong
RelatedItem (type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier (type = local)
rucore19991600001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/T3MP55JQ
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Carson-Wong
GivenName
Amanda
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2016-04-25 18:37:53
AssociatedEntity
Name
Amanda Carson-Wong
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2016-10-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2017-05-02
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 2nd, 2017.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2016-06-08T19:51:13
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2016-06-08T19:51:13
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