Lecture 8 DBT pt B Flashcards Preview

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Flashcards in Lecture 8 DBT pt B Deck (10):

Borderline Personality Disorder is diagnosed if you have 5 of the following..

-Affective Instability
-Chronic emptiness
-Unstable and intense relationships
-Identity disturbance
-Frantic efforts to avoid abandonment
-Possibly self-damaging impulsivity
-Suicidal behaviour
-inappropriate/uncontrolled intense anger
-transient paranoia or dissociation


3 different DBT strategies

1) Dialectical strategies
2) Core strategies
3) Stylistic strategies


What do dialectical strategies focus on?

- teaching dialectical patterns like 'both-and' as oppose to 'either-or'
-using metaphors
-playing the devils advocate
-finding the middle path


What do core strategies focus on?

-They focus on validation: acknowledging the patients perspective and finding the kernel of truth
-also on cheerleading: expressing encouragement, hope, praise


Chain Analysis

a core strategy: 'an exhaustive blow-by-blow description of the chain of events leading up to and following the behaviour.


Stylistic Strategies 2 main focuses?

1) Reciprocal Communication
2) Irreverent Communication


3 parts of Emotion Regulation

1) Understanding and naming emotions
2) Changing unwanted emotions
3) Reducing Vulnerability to emotion mind


DEAR MAN (technique for getting what we want or saying no)

D: describe the situation
E: express clearly (your feelings)
A: assert wishes
R: reinforce (other person)

M: (stay) mindful (of objectives)
A: appear confident
N: negotiate


DBT> Treatment as usual (TAU) for what?

-suicidal behaviour
-drop out rates
-inpatient psychiatric days


DBT = TAU for what?

-Global social functioning
-Functioning in follow up period