Telephone coaching is a mode of treatment in Dialectical Behavior Therapy (DBT) that is thought to help clients generalize skills, prevent suicidal behaviors, and offer an avenue to repair the therapeutic relationship. To date, phone coaching has received scant empirical investigation and little is known about the type and frequency of contact that DBT therapists receive from clients with Borderline Personality Disorder (BPD). In addition, no studies have investigated predictors of phone coaching use. The present study as three aims: 1) describe patterns in frequency of telephone calls and text messaging between clients and their individual therapists; 2) investigate whether baseline severity and suicidal behaviors are predictive of phone coaching frequency; 3) investigate whether the strength of the therapeutic alliance is associated with phone coaching frequency. Study participants were 51 adults (35 treatment completers) with a primary diagnosis of BPD who attended a six-month comprehensive DBT treatment program. The average number of contacts for phone coaching per month was 2.55 (SD=4.49) with a range of 0-18 contacts. Four of the 35 treatment completers comprised 56% of the contacts in this study. The most frequent reason clients used phone coaching was for help with skills generalization followed by check-ins, suicidal behaviors, and issues related to the therapy relationship. Having a recent history of suicidal behaviors, degree of severity at baseline, or the strength of the therapeutic alliance were not predictive of phone coaching use at post-treatment. Lower income was significantly associated with a higher frequency of phone coaching use. These results can help clinicians and administrators to make decisions on how to better provide phone coaching and clarify the effort that is involved in providing this service to clients with BPD.
Subject (authority = RUETD)
Topic
Clinical Psychology
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_8245
PhysicalDescription
Form (authority = gmd)
electronic resource
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application/pdf
InternetMediaType
text/xml
Extent
1 online resource (vii, 43 p.)
Note (type = degree)
Psy.D.
Note (type = bibliography)
Includes bibliographical references
Subject (authority = ETD-LCSH)
Topic
Dialectical behavior therapy
Note (type = statement of responsibility)
by Pedro Vieira de Oliveira
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TitleInfo
Title
Graduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Identifier (type = local)
rucore10001800001
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PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
Rutgers University. Graduate School of Applied and Professional Psychology
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License
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Author Agreement License
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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.