A short-term training clinic model for dialectical behavior therapy (DBT) in treating borderline personality disorder (BPD): the case of "Jane"
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Marks, Michael Warren.
A short-term training clinic model for dialectical behavior therapy (DBT) in treating borderline personality disorder (BPD): the case of "Jane". Retrieved from
https://doi.org/doi:10.7282/t3-0fx4-rc55
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TitleA short-term training clinic model for dialectical behavior therapy (DBT) in treating borderline personality disorder (BPD): the case of "Jane"
Date Created2021
Other Date2021-10 (degree)
Extent1 online resource (viii, 121 pages)
DescriptionDialectical Behavioral Therapy (DBT) is an evidence-based, long-term psychotherapy initially developed to treat Borderline Personality Disorder (BPD) patients and/or highly suicidal patients. DBT involves four treatment modes: tailored individual therapy, phone coaching from the individual therapist, structured group skills training, and therapist supervision by participation in a “consultation team.” While manualized, DBT is a multifaceted and flexibly applied treatment that balances interventions for both acceptance and maintenance (e.g., validating the patient in the present) and change and progression (e.g., encouraging the patient to try on new, more healthy attitudes, emotions, and behaviors). The Dialectical Behavioral Therapy Clinic at Rutgers University (DBT-RU) is a research and training clinic that adapts to DBT Manual to provide short-term (6-months long), comprehensive DBT for community adults presenting with BPD and associated problems. The present project reports an example of the DBT-RU model in action, including the decision-making processes involved, by presenting the case of “Jane,” for whom I was the therapist. At the beginning of therapy Jane was a 32-year-old, heterosexual, Caucasian, single mother of a 7-year-old son who worked as a medical technician and who met full DSM criteria for BPD. Her symptoms included: (1) recurrent unstable and intense relationships that alternated between idealization and devaluation; (2) frantic efforts to avoid abandonment; (3) identity disturbance (e.g., fluctuating religious beliefs, changing conception of self in relationships); (4) impulsivity (e.g., potentially damaging sexual behavior, substance use); (5) affective instability due to marked reactivity of mood; (6) chronic feelings of emptiness, as though her “inside is missing”; and (7) inappropriate, intense anger. In addition, she reported past suicidal ideation that was “very strong.” In line with Jane’s intense, mood-dependent, and challenging presenting problems, the process of therapy was complex. Over the course of therapy she showed substantial improvement, as reflected by both quantitative measures and qualitative indicators.
NotePsy.D.
NoteIncludes bibliographical references
Genretheses
LanguageEnglish
CollectionGraduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.