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E-grāmata: Radically Open Dialectical Behavior Therapy: Theory and Practice for Treating Disorders of Overcontrol

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  • Formāts: PDF+DRM
  • Izdošanas datums: 15-Feb-2018
  • Izdevniecība: New Harbinger Publications
  • Valoda: eng
  • ISBN-13: 9781626259294
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  • Formāts: PDF+DRM
  • Izdošanas datums: 15-Feb-2018
  • Izdevniecība: New Harbinger Publications
  • Valoda: eng
  • ISBN-13: 9781626259294
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Based on over twenty years of research, radically open dialectical behavior therapy (RO DBT) is a breakthrough, transdiagnostic approach for helping people suffering from extremely difficult-to-treat emotional overcontrol (OC) disorders, such as anorexia nervosa, obsessive-compulsive disorder (OCD), and treatment-resistant depression. Written by the founder of RO DBT, Thomas Lynch, this comprehensive volume outlines the core theories of RO DBT, and provides a framework for implementing RO DBT in individual therapy.

While traditional dialectical behavioral therapy (DBT) has shown tremendous success in treating people with emotion dysregulation, there have been few resources available for treating those with overcontrol disorders. OC has been linked to social isolation, aloof and distant relationships, cognitive rigidity, risk aversion, a strong need for structure, inhibited emotional expression, and hyper-perfectionism. And yet—perhaps due to the high value our society places on the capacity to delay gratification and inhibit public displays of destructive emotions and impulses—problems linked with OC have received little attention or been misunderstood. Indeed, people with OC are often considered highly successful by others, even as they suffer silently and alone.

RO DBT is based on the premise that psychological well-being involves the confluence of three factors: receptivity, flexibility, and social-connectedness. RO DBT addresses each of these important factors, and is the first treatment in the world to prioritize social-signaling as the primary mechanism of change based on a transdiagnostic, neuroregulatory model linking the communicative function of human emotions to the establishment of social connectedness and well-being. As such, RO DBT is an invaluable resource for treating an array of disorders that center around overcontrol and a lack of social connectedness—such as anorexia nervosa, chronic depression, postpartum depression, treatment-resistant anxiety disorders, autism spectrum disorders, as well as personality disorders such as avoidant, dependent, obsessive-compulsive, and paranoid personality disorder.

Written for mental health professionals, professors, or simply those interested in behavioral health, this seminal book—along with its companion, The Skills Training Manual for Radically Open Dialectical Behavior Therapy (available separately)—provides everything you need to understand and implement this exciting new treatment in individual therapy—including theory, history, research, ongoing studies, clinical examples, and future directions.



Radically open-dialectical behavior therapy (RO-DBT) is a breakthrough, transdiagnostic approach for helping clients with extremely difficult-to-treat overcontrol (OC) disorders such as anorexia nervosa, chronic depression, and obsessive-compulsive disorder (OCD). Written by the founder of RO-DBT and never before published, this comprehensive volume outlines the core theories of RO-DBT, and provides a framework for implementing RO-DBT in individual therapy.
Acknowledgments vii
Key Terms xi
Introduction 1(6)
Overview of Core RO DBT Tenets
1(1)
Overview of the Book's Contents
2(2)
In RO DBT, Silliness Is No Laughing Matter
4(3)
1 Radical Openness and Disorders of Overcontrol
7(26)
Self-Control: Can You Have Too Much of a Good Thing?
7(4)
Basic Postulates of RO DBT
11(8)
Treatment Development and Efficacy Research
19(14)
2 A Neurobiosocial Theory for Disorders of Overcontrol
33(36)
A Novel Neuroculatory Model of Socioemotional Functioning
33(13)
A Biosocial Theory for Disorders of Overcontrol
46(20)
Social Signaling: A Novel Mechanism of Change
66(3)
3 Assessment Strategies
69(16)
Assessing Overcontrol: A Conceptual Framework
69(1)
Common Errors and Problematic Assumptions
70(6)
The OC Diagnostic Protocol: Diagnosing Overcontrol, Step-by-Step
76(7)
Future Directions
83(2)
4 Overview of Therapy Assumptions, Structure, and Targets
85(12)
RO DBT Core Assumptions
86(2)
Overview of Treatment Structure and Targets
88(9)
5 Maximizing Client Engagement
97(48)
Enhancing Client Engagement via the Physical Environment
97(3)
Enhancing Client Engagement via Orientation and Commitment
100(37)
Commitment Problems Unique to Overcontrol
137(3)
Enhancing Engagement Through Sequencing
140(5)
6 Social Signaling Matters: Micromimicry, Mirror Neurons, and Social Connectedness
145(32)
Social Bonds, Mimicry, and Mirror Neurons
146(3)
One Size Does Not Fit All
149(1)
Eye Contact
149(2)
The "Deer in the Headlights" Response
151(2)
Heat-Off Strategies
153(2)
Heat-On Strategies
155(1)
Therapeutic Use of Cooperative Social Signaling
156(5)
The Therapist as Tribal Ambassador
161(9)
Managing Maladaptive OC Social Signaling
170(5)
Tribe Matters
175(2)
7 Radical Openness and Self-Enquiry: Personal Practice, Therapeutic Modeling, Supervision, and Team Consultation
177(32)
Openness Is Tribal Glue
178(2)
Openness, Collaboration, and Compliance
180(1)
Openness, Tribes, and Learning
181(3)
One Secret of Healthy Living Is the Cultivation of Healthy Self-Doubt
184(2)
What Is Radical Openness?
186(4)
Practicing Self-Enquiry and Outing Oneself
190(2)
RO DBT Team Consultation and Supervision
192(6)
Using a Consultation Team to Enhance Supervision and Treatment Outcomes
198(11)
8 The Therapeutic Alliance, Alliance Ruptures, and Repairs
209(20)
The RO DBT Therapeutic Stance
209(2)
The Therapeutic Alliance
211(2)
Alliance Ruptures and Repairs
213(10)
Prevention of Premature Treatment Dropout
223(6)
9 Treatment Targeting and Intervention: Prioritizing Social Signaling
229(68)
Kindness First and Foremost
230(2)
Radically Open Living: Developing a Life Worth Sharing
232(1)
Structuring Sessions with the RO DBT Treatment Target Hierarchy
233(7)
Targeting In-Session Social Signaling: Basic Principles
240(17)
Monitoring Treatment Targets with Diary Cards
257(10)
Valued Goals, Themes, and Targets
267(3)
From Targeting to Intervention: An Overview of Treatment Strategies
270(27)
10 Dialectical and Behavioral Strategies
297(74)
Why Dialectics?
297(30)
Behavioral Principles and Strategies
327(44)
11 Final Remarks, Practical Questions, and Treatment Adherence
371(6)
Some Commonly Asked Questions
371(2)
Final Remarks
373(4)
Appendix 1 Assessing Styles of Coping: Word-Pair Checklist 377(4)
Appendix 2 The Clinician-Rated OC Trait Rating Scale 381(4)
Appendix 3 The Overcontrolled Global Prototype Rating Scale 385(16)
Appendix 4 RO DBT Semistructured Suicidality Interview 401(4)
Appendix 5 Targeting Indirect Social Signals: In-Session Protocol 405(10)
Appendix 6 Setting the Stage for Effective RO DBT Chain Analysis: In-Session Protocol 415(4)
Appendix 7 Using RO DBT Chain and Solution Analysis: Principles and In-Session Protocol 419(14)
Appendix 8 RO DBT Adherence: A Self-Assessment Checklist 433(20)
Endnotes 453(8)
References 461(32)
Index 493
Thomas R. Lynch, PhD, is a professor of clinical psychology and the director at the Center for Innovation in Mental Health at the University of Southampton. He is the founder of radically open dialectical behavior therapy. Lynch has received numerous awards and special recognitions from organizations such as the National Institute of Mental Health (NIMH), Scientific American Mind, The American Psychological Association (APA), and many more. He was previously a professor at the University of Exeter and Duke University Medical Center.