7. Dialectical Behavior Therapy

  1. James D. Herbert and
  2. Evan M. Forman
  1. Clive J. Robins and
  2. M. Zachary Rosenthal

Published Online: 16 MAR 2012

DOI: 10.1002/9781118001851.ch7

Acceptance and Mindfulness in Cognitive Behavior Therapy: Understanding and Applying the New Therapies

Acceptance and Mindfulness in Cognitive Behavior Therapy: Understanding and Applying the New Therapies

How to Cite

Robins, C. J. and Rosenthal, M. Z. (2011) Dialectical Behavior Therapy, in Acceptance and Mindfulness in Cognitive Behavior Therapy: Understanding and Applying the New Therapies (eds J. D. Herbert and E. M. Forman), John Wiley & Sons, Inc., Hoboken, NJ, USA. doi: 10.1002/9781118001851.ch7

Publication History

  1. Published Online: 16 MAR 2012
  2. Published Print: 2 FEB 2011

ISBN Information

Print ISBN: 9780470474419

Online ISBN: 9781118001851

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Keywords:

  • dialectical behavior therapy;
  • acceptance;
  • mindfulness;
  • borderline personality disorder

Summary

Dialectical behavior therapy (DBT) is an approach to behavior therapy that is distinctive in its attention to, and intentional use of, dialectical processes of polarization, tension, and synthesis in its understanding of client and therapist behavioral patterns within the therapeutic relationship, in therapists' moment-to-moment choice of treatment strategies, and in case consultation and all other aspects of treatment. In all of these areas, the dialectical tension and synthesis most central in DBT is that between acceptance and change. DBT expands from standard behavioral and cognitive therapy change strategies to emphasize strategies that promote acceptance of clients by therapists and acceptance by clients of reality as it is. Methods for practicing increased mindfulness (meaning intentional nonjudgmental awareness) are viewed as a primary means for developing greater reality acceptance. This chapter describes the development and fundamental principles of DBT, its model of psychopathology, and its treatment structure and strategies, with emphases on the roles of mindfulness and acceptance strategies and on theoretical and technical similarities and differences from other CBT approaches. The chapter concludes with a summary of treatment outcomes reported in ten randomized controlled trials and discussion of possible mechanisms of action and directions for research.