Dialectical Behaviour Therapy: Distinctive Features (CBT Distinctive Features) by Heard Heidi L. & Michaela A. Swales

Author:Heard, Heidi L. & Michaela A. Swales [Heard, Heidi L.]
Language: eng
Format: mobi
Tags: Behavioral Sciences
Publisher: Taylor and Francis
Published: 2008-12-08T05:00:00+00:00

Targets in other modalities

DBT distinctively organizes interactions between therapist and client within each modality of the treatment around a clearly specified behavioural hierarchy. The particular set and order of targets within each modality flows directly from the multifunctionality of the treatment (Point 11). For example, in skills training groups the target hierarchy prioritizes skills acquisition. Only if clients engage in behaviours likely to destroy therapy will the group skills trainers divert from teaching skills. In practice such behaviours occur only rarely. After teaching new skills, DBT skills groups target therapy-interfering behaviour (e.g. noncompletion of homework, non-participation in group discussion, dissociation). Thus, skills training groups reverse the ordering of behavioural skills enhancement and therapy-interfering behaviour compared to individual therapy. In practice, the group skills trainers mostly ignore therapy-interfering behaviours occurring in group. If these behaviours become sufficiently problematic the individual therapist may address them in the individual modality. This re-ordering of targets results in a major shift in the style of the skills group. DBT skills training groups resemble more closely an evening class or college course than a psychotherapy group, with the group skills trainer functioning more as a teacher than a therapist.

The group skills trainers do remain awake to managing the group process but they do not discuss the process of the group within the group.

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