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Chain Analysis in Dialectical Behavior Therapy: Guilford Dbt Practice

Autor Shireen L. Rizvi
en Limba Engleză Paperback – 3 mai 2019

Recomandăm acest volum ca resursă tehnică esențială pentru psihologi clinicieni, psihiatri și rezidenți care utilizează terapia dialectic-comportamentală (DBT) în practica lor curentă. Chain Analysis in Dialectical Behavior Therapy reprezintă o explorare clinică riguroasă a procesului de analiză funcțională, elementul structural critic pentru orice intervenție DBT de succes. Considerăm că abordarea autoarei Shireen L. Rizvi reușește să transforme un instrument aparent procedural într-o metodă dinamică de evaluare și schimbare.

Textul este organizat logic, începând cu orientarea clientului și colaborarea, trecând prin evaluarea inițială a comportamentului țintă și ajungând la integrarea soluțiilor în lanțurile de analiză. Remarcăm precizia cu care sunt tratate obstacolele clinice, capitolul dedicat situațiilor în care comportamentul nu prezintă modificări fiind deosebit de util pentru practicienii care se confruntă cu cazuri complexe de dysreglare emoțională. Clinicienii care folosesc Doing Dialectical Behavior Therapy ca referință vor găsi aici o aprofundare tehnică necesară, deoarece Shireen L. Rizvi detaliază mecanismele fine ale analizei comportamentale pe care Kelly Koerner le prezintă într-un context mai larg.

Spre deosebire de lucrarea sa anterioară, Dialectical Behavior Therapy in Clinical Practice, Second Edition, unde accentul cade pe implementarea generală în diverse setări comunitare, volumul de față este o specializare pe micro-procesele terapeutice. Autoarea demonstrează cum analiza în lanț poate fi aplicată nu doar în terapia individuală, ci și în cadrul echipei de consultare sau în coaching-ul telefonic, oferind un grad ridicat de coerență întregului proces de tratament.

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Specificații

ISBN-13: 9781462538904
ISBN-10: 1462538908
Pagini: 186
Dimensiuni: 152 x 229 x 18 mm
Greutate: 0.3 kg
Ediția:1
Editura: Guilford Publications
Colecția Guilford Press
Seriile Guilford Dbt Practice, DBT


Public țintă

Professional Practice & Development

De ce să citești această carte

Această carte se adresează specialiștilor în sănătate mintală care doresc să stăpânească instrumentul central al DBT: analiza în lanț. Cititorul câștigă o metodologie clară pentru a identifica variabilele care mențin comportamentele problematice și strategii concrete pentru a depăși blocajele în terapie. Este un ghid practic ce oferă întrebări specifice și protocoale de intervenție pentru a asigura progresul terapeutic chiar și în cele mai dificile cazuri.


Despre autor

Shireen L. Rizvi este un clinician și formator de renume în domeniul terapiei dialectic-comportamentale, fiind profesor de psihologie clinică la Rutgers University. Expertiza sa este fundamentată pe ani de cercetare și practică directă, fiind recunoscută pentru capacitatea de a traduce conceptele complexe ale DBT în strategii aplicabile. A contribuit semnificativ la literatura de specialitate prin lucrări precum Dialectical Behavior Therapy in Clinical Practice și Real Skills for Real Life, fiind o figură centrală în dezvoltarea și diseminarea protocoalelor bazate pe dovezi pentru pacienții cu tulburări severe de personalitate și comportamente de auto-vătămare.


Cuprins

1. The Basics of the Chain Analysis
2. Guidelines for Client Orientation and Collaboration for Chain Analyses
3. Getting to Know the Target Behavior: Assessing a Problem the First Time
4. Keeping the Client Engaged (and You Too!)
5. Incorporating Solutions into Chains
6. When a Behavior Isn’t Changing
7. Chains on Thoughts, Urges, and Missing Behaviors
8. Chain Analyses in Consultation Teams, Skills Training, and Phone Coaching
References
Index

Recenzii

"In her elegantly delivered treatise, Rizvi unpacks the central structural element of DBT individual therapy. With concise, engaging writing, Rizvi highlights the behavior therapy core of DBT and the foundational nature of good assessment. With clarity and precision, she discusses essentials of targeting, illustrates how to examine the function of problem behaviors, and details solution analysis using the various DBT change strategies. She addresses such subtleties as differences between first and repeated chaining of a behavior; chaining urges or the absence of effective behaviors; and differences between micro and macro chains. Through frequent disclosure of her own case experiences and highly instructive client dialogues, and through modeling expert therapist assessment and interventions, Rizvi’s indispensable volume positions the clinician for success."--Jill H. Rathus, PhD, Department of Psychology, Long Island University Post; Cognitive Behavioral Associates, Great Neck, New York

"Rizvi's cogent clinical examples not only vividly teach DBT's key assessment concepts, but also, importantly, model the clinical decision making essential to helping clients with complex problems. This book facilitates the kind of learning that is typically available only through expert supervision. A 'must have' for training clinics."--Kelly Koerner, PhD, Evidence-Based Practice Institute, Seattle, Washington

"Rizvi discusses an often overlooked but crucial ingredient of any effective intervention--assessment. This is not categorical diagnosis in the DSM tradition, but a thoroughgoing functional analysis of the controlling variables of the patient's problems. Rizvi’s substantial clinical and research experience and her compelling, personal writing style make this book an essential source for graduate students, academics, clinical supervisors, and practitioners. The kind of functional analysis intrinsic to DBT is relevant to any cognitive-behavioral intervention."--Gerald C. Davison, PhD, Department of Psychology, University of Southern California

"Chain analysis is the cornerstone of DBT, as successful treatment depends on accurate assessment of the problem. Through extensive clinical examples, this book richly illustrates the importance of chains as well as strategies for making them effective and engaging. For clients with PTSD, chain analysis will help to identify the factors that are maintaining PTSD as well as the potential role of PTSD as a controlling variable for other problem behaviors. Rizvi’s expert tips will be invaluable to both new and seasoned DBT clinicians seeking to master this crucial DBT strategy.”--Melanie Harned, PhD, ABPP, VA Puget Sound Health Care System and Department of Psychiatry and Behavioral Sciences, University of Washington

"This masterful book tells us why and how to use chain analysis in optimal and suboptimal clinical conditions. Rizvi's incisive instructions are beautifully illustrated with vivid, realistic dialogues from therapy sessions. While chains are typically used to assess overt dysfunctional behaviors, Rizvi makes it perfectly clear how to apply them to covert behaviors such as problematic thoughts and action urges. The book offers a sophisticated explanation of how to pivot back and forth between chain analysis and other DBT strategies. Simply put, this book provides the most comprehensive and practical handling of chain analysis available, and should be standard reading for DBT therapists."--Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts Medical School
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Notă biografică

Shireen L. Rizvi, PhD, ABPP, is Professor of Psychiatry and Behavioral Sciences at Montefiore Einstein Medical Center in New York, where she serves as Director of Psychology Training and Director of DBT Services and Research. Dr. Rizvi received her doctorate under the mentorship of Marsha M. Linehan. She has received extensive grant funding and published dozens of research papers. Dr. Rizvi is board certified in cognitive and behavioral therapies and DBT. Her mission is to get DBT tools to as many people as possible. Her website is shireenrizvi.com.

Descriere

Filled with detailed clinical examples, this book expertly breaks down the process of behavioral chain analysis/m-/the critical foundation for assessment and problem solving in dialectical behavior therapy (DBT). Experienced DBT clinician and trainer Shireen L. Rizvi provides knowledge and skills for conducting chains effectively and overcoming obstacles. She presents guiding principles, questions to ask, strategies for engaging clients and addressing difficult-to-assess problems, and ways to avoid common mistakes. The book describes how to incorporate other essential DBT strategies (such as validation) into chain analysis, as well as how to conduct chains in the context of individual therapy, group skills training, phone coaching, and the consultation team.