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Changing Behavior in DBT: Problem Solving in Action de Heidi L. Heard

Changing Behavior in DBT: Problem Solving in Action

Autor Heidi L. Heard, Michaela A. Swales
en Limba Engleză Hardback – 22 dec 2015

În practica terapiei dialectic-comportamentale, succesul intervenției depinde de precizia cu care este aplicat algoritmul de analiză a lanțului comportamental (behavioral chain analysis). Changing Behavior in DBT propune un protocol riguros pentru descompunerea comportamentelor disfuncționale în verigi vulnerabile, oferind terapeuților instrumentele necesare pentru a trece de la simpla observare la modificarea activă a tiparelor de răspuns. Ne-a atras atenția modul în care Heidi L. Heard și Michaela A. Swales reușesc să transforme teoria abstractă în pași clinici concreți, punând accent pe selecția și definirea corectă a comportamentelor țintă, un aspect critic unde mulți clinicieni întâmpină dificultăți.

Structura manualului reflectă o progresie logică de la fundamentul teoretic al schimbării către strategii specifice de intervenție. După stabilirea bazelor în analiza soluțiilor, volumul explorează detaliat antrenamentul abilităților, controlul stimulilor și expunerea, culminând cu tehnici de restructurare cognitivă și managementul contingentelor. Apreciem în mod deosebit secțiunile dedicate „capcanelor” terapeutice, care analizează de ce anumite soluții eșuează în cazul comportamentelor de autovătămare sau al tulburărilor de alimentație. Pe linia clinică a lucrării Chain Analysis in Dialectical Behavior Therapy de Shireen L. Rizvi, dar cu un accent extins pe implementarea practică a întregului spectru de strategii de rezolvare a problemelor, această carte devine o extensie operațională a manualelor fundamentale.

Poziționată ca o lucrare esențială în bibliografia Michaela A. Swales, aceasta completează volumul său anterior, Dialectical Behaviour Therapy, oferind o privire mult mai aplicată, „în acțiune”, asupra procesului terapeutic. Este o resursă indispensabilă pentru cei care doresc să rafineze precizia intervențiilor lor în cazurile complexe de dereglară emoțională.

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Specificații

ISBN-13: 9781462522644
ISBN-10: 1462522645
Pagini: 266
Dimensiuni: 152 x 229 x 27 mm
Greutate: 0.5 kg
Ediția:1
Editura: Guilford Publications
Colecția Guilford Press

Public țintă

Professional and Professional Practice & Development

De ce să citești această carte

Această lucrare se adresează psihoterapeuților care doresc să treacă dincolo de conceptele teoretice ale DBT și să stăpânească arta rezolvării problemelor clinice. Cititorul câștigă claritate în identificarea funcției comportamentelor problematice și învață să aplice strategii de schimbare adaptate fiecărui caz. Este manualul ideal pentru a evita blocajele în tratarea pacienților cu patologii severe, oferind soluții concrete acolo unde progresul pare să stagneze.

Despre autor

Heidi L. Heard și Michaela A. Swales sunt figuri proeminente în comunitatea internațională DBT, fiind recunoscute ca formatori de elită asociați cu metodele fundamentate de Marsha M. Linehan. Dr. Michaela A. Swales este profesor de psihologie clinică și a jucat un rol crucial în implementarea și diseminarea DBT în Marea Britanie, fiind autoarea mai multor texte de referință în domeniu. Expertiza lor combinată se reflectă în abordarea pragmatică și structurată a acestui manual, ambele autoare fiind implicate direct în formarea a mii de terapeuți la nivel global.

Descriere scurtă

This book delves into problem solving, one of the core components of dialectical behavior therapy (DBT). The authors are leading DBT trainers who elucidate the therapy's principles of behavior change and use case examples to illustrate their effective application. Particular attention is given to common pitfalls that therapists encounter in analyzing target behaviors--for example, a suicide attempt or an episode of bingeing and purging--and selecting and implementing appropriate solutions. Guidelines are provided for successfully implementing the full range of DBT problem-solving strategies, including skills training, stimulus control and exposure, cognitive restructuring, and contingency management.

Cuprins

Foreword, Marsha M. Linehan
1. Changing Behavior in DBT: An Overview
2. Targeting: Selecting and Defining Problem Behaviors
3. Behavioral Chain Analysis
4. Solution Analysis
5. Skills Training
6. Stimulus Control and Exposure
7. Cognitive Modification
8. Contingency Management
Epilogue: Problem-Solving Therapists’ Behaviors: An Illustration
References
Index

Recenzii

"Readers are lucky to get a book by these two fabulous DBT therapists and trainers. This is particularly true when the topic is problem solving. We all know that this is often the significant challenge facing our clients: they cannot solve the major problems of their lives. But helping a client solve life problems isn't easy. This book by two therapists who know what they are doing is going to help you immensely."--from the Foreword by Marsha M. Linehan, PhD, ABPP, Professor and Director Emeritus, Behavioral Research and Therapy Clinics, University of Washington; developer of DBT

"If you really want to increase your adherence to DBT, this is a 'must read,' written by true experts. This book will instantly help DBT clinicians--novices and veterans alike--improve the application of all key DBT problem-solving strategies and develop more precise behavioral formulations. I will recommend it to all of my colleagues and trainees."--Alec L. Miller, PsyD, Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center of the Albert Einstein College of Medicine

"With elegance and clarity, Heard and Swales elucidate the cognitive-behavioral principles and problem-solving techniques at the core of DBT. Every chapter is grounded in clinical examples. For beginning students of psychotherapy, the book will effectively introduce evidence-based behavioral change methods, seamlessly blending the theoretical and practical. For experienced DBT clinicians, the book will sharpen the use of problem-solving tools, as it did for me. Each chapter takes up a core DBT practice, details the underlying principles and the use of strategies, and ends with a remarkably helpful troubleshooting guide for noticing and solving typical problems in application."--Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts Medical School

"This book holds a microscope to the precise moments in DBT when the goal is to change an unwanted behavior, describing with remarkable clarity what the therapist must do to bring that change about. All distractions and distortions are stripped away--here is the nitty-gritty of targeting, chain/solution analysis, exposure, contingency management, and skills training, with sharp-focus clinical examples. The chapters are worth reading for the ‘common problems’ sections alone. Students and practitioners should read this book and keep it close at hand."--Christine Dunkley, DClinP, Department of Psychology, University of Bangor, United Kingdom

"An instant classic. The authors are pioneers in DBT who draw on extensive clinical experience to outline key principles and strategies of problem solving, highlight challenges that clinicians frequently encounter, and offer excellent explanations and practical advice for tackling and overcoming them. This is an essential addition to the bookshelf of any clinician interested in, or practicing, DBT. It will certainly be prominent on mine for many years to come."--Maggie Stanton, DClinPsych, Consultant Clinical Psychologist and Clinical Lead, Southern Health NHS Foundation Trust, United Kingdom
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Notă biografică

Heidi L. Heard, PhD, has published numerous articles and chapters related to borderline personality disorder and DBT and is coauthor (with Michaela A. Swales) of Dialectical Behaviour Therapy: Distinctive Features. She collaborated with Marsha Linehan on the initial outcome trials for standard DBT and the adaptation for substance abuse and dependence, particularly focusing on the cost-effectiveness of DBT. Now retired, Dr. Heard was the founder of British Isles DBT Training and was a senior trainer for Behavioral Tech, which provides advanced training in DBT internationally. She provided consultation in the United States and Europe to DBT teams working in adult and adolescent outpatient programs and in adult secure inpatient programs, and to individual clinicians in adult outpatient, secure hospital, and prison settings.

Michaela A. Swales, PhD, is Consultant Clinical Psychologist and Professor in Clinical Psychology on the North Wales Clinical Psychology Programme, Bangor University. She trained in DBT with Marsha Linehan and for 20 years ran a clinical program for suicidal young people in an inpatient service. Dr. Swales is Director of the British Isles DBT Training Team, an international affiliate of the Linehan Institute. She has trained more than a thousand professionals in DBT, seeding over 400 programs globally. She coauthored Dialectical Behaviour Therapy: Distinctive Features (with Heidi L. Heard) and is editor of the Oxford Handbook of Dialectical Behaviour Therapy. Her primary research interest is the effective implementation of evidence-based psychological therapies in routine clinical practice. Dr. Swales was a member of the Working Group on Classification of Personality Disorders reporting to the World Health Organization's International Advisory Group for the Revision of the ICD-10 Mental and Behavioural Disorders.