Talk:Dialectical behavior therapy

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Wiki Education Foundation-supported course assignment[edit]

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comment[edit]

Thank you for these comments and to the author for the original contribution.

Although I agree thats work would improve the sense of this contribution and I am lucky in being a lawyer able to sift through the sense of the sentence constructions, I do not agree that it is out of reach of our adinces. Please be careful not to assume ignorance. What is today's jargon might be tomorrow's ordinary parlance. Steve Reynolds 00:12, 6 April 2010 (UTC) —Preceding unsigned comment added by92.11.122.200 (talk)

Formatting[edit]

I read the criticisms and assumed they were in good faith. I reviewed the article and it's layout seemed confusing. Much of this topic is new definitions and skill sets so the best layout is HTML definitions and indents with proper italicizing and bold lettering. The wording still seems a bit awkward but they are almost verbatim to the workbooks. Some rephrasing is needed. I hope any newcomer can glance through and get a good idea quickly what the skill sets are.Alatari(talk) 22:33, 26 April 2010 (UTC)[reply]

Efficacy and Effectiveness[edit]

A badly needed section. Thanks. --1000Faces (talk) 14:59, 10 June 2010 (UTC)[reply]

    Seconded  — Preceding unsigned comment added by 24.124.55.21 (talk) 02:16, 19 December 2013 (UTC)[reply] 

I also agree, but I'm slightly unsure how to approach this. I would argue to only really cite what therapies are effective for what according to what is considered effective by Division 12 of the APA.[1] Then again I don't have a clinical Ph.D, and I have no idea how frequently they update that list.Dabrams13 (talk) 16:37, 14 November 2017 (UTC)[reply]

References

Readability[edit]

Besides lacking attribution, most of the Overview section is written in a style that is far to difficult for the average reader to understand. Can anyone tell me what the following sentence means?

"Arguably her signal contribution was to elide the adversarial paradigm implicit in the hierarchical modernist therapeutic alliance, using the deconstructive spirit of Hegel and buddhism to substitute a postmodern alliance based on intersubjective tough love."

I mean REALLY? I ♥ ♪♫ (talk) 23:39, 15 July 2010 (UTC)[reply]

Wow. But let's all give it a try! Now, I'm a non native speaker, so copy edit will be needed. However, the following might be easier to understand...
Possibly, her main contribution was to get rid of the opposition between client and therapist that is built in in modern therapeutic relationships, in which the therapist has a higher status than the client.
I didn't succeed with the second part of the sentence... Lova Falk talk 08:42, 16 July 2010 (UTC)[reply]
Let's work on this whole paragraph:
Linehan united commitment to the core conditions of acceptance and change through the Hegelian principle of dialectical progress, in which thesis + antithesis → synthesis, and proceeded to assemble a modular array of skills for emotional self-regulation, drawn from Western (e.g., cognitive behavioral therapy and an interpersonal variant, “assertiveness training”) and Eastern (e.g., Buddhist mindfulness meditation) psychological traditions. Arguably her signal contribution was to elide the adversarial paradigm implicit in the hierarchical modernist therapeutic alliance, using the deconstructive spirit of Hegel and buddhism to substitute a postmodern alliance based on intersubjective tough love.
Let's first eliminate the weasel words and peacock phrases from the original (not your additions)
Professor Linehan combined the concepts of acceptance and change through Hegelian dialectical progress (thesis + antithesis → synthesis) with an array of skills for emotional self-regulation based on a combination of Western therapies (cognitive behavioral therapy and the interpersonal variant, “assertiveness training”) and Eastern Buddhist mindfulness meditation. Her significant contribution was to "reduce or eliminate" the "opposition or friction or tension or ??" between client and therapist that was inherent in modern therapeutic relationships, where the therapist has a higher "status or level of importance or ??" than the client.
Does this convey the same message as the original paragraph? I think I'm starting to grasp what was being said. I ♥ ♪♫ (talk) 00:29, 17 July 2010 (UTC)[reply]
Going back and rereading the original I see that I missed the "intersubjective tough love" part. A little help here please? I ♥ ♪♫ (talk) 00:33, 17 July 2010 (UTC)[reply]
I note from the date (July 2010) that half a year has gone by and the pretentious writing that was a part of the original article is still there, so I've taken a crack at replacing it. My version lacks some of the subtlety in the attempts above, but I lack the patience to tease meaning out phrases like "postmodern alliances" and "Hegelian deconstructive spirit". By moving this editorial work out of the talk page and into the article itself, I encouraging others to make further improvements. Or perhaps I should say, "encourage an ongoing post-Wikipedian dialectical discourse of multi-editorial intermediated prosody in the combinatoric spirit of William Burroughs and Werner Heisenberg". Ross Fraser (talk) 04:36, 17 January 2011 (UTC)[reply]
"Linehan and others combined a commitment to the core conditions of acceptance and change through the Hegelian principle of dialectical progress (in which thesis + antithesis → synthesis) and assembled an array of skills for emotional self-regulation drawn from Western psychological traditions (e.g., cognitive behavioral therapy and an interpersonal variant, “assertiveness training”) and Eastern meditative traditions (e.g., Buddhist mindfulness meditation). Arguably her most significant contribution was to alter the adversarial nature of the therapist/client relationship in favour of an alliance based on intersubjective tough love."
Thanks Ross, however your edit states that there were others who had the realization stated in the paragraph. Can you suport that claim? Otherwise it should read "Professor Linehan..." all-in-all nice job. I 03:56, 18 January 2011 (UTC)
Sorry, can't help. The text "Linehan and others" was already in this section of the article before I edited it. This section needs references, on this point and others. Ross Fraser (talk) 00:47, 18 February 2011 (UTC)[reply]

My personal insight was contravorial of the thesis, without patient input, real input, the practice is self fulfilling. I do not contest any of work professionally done, but failure is not recognize as a Simple Definition of intelligentsia liberation force, where are the statistical cited? Warning signs, the number of school with mass murder of, here and internationally, leads to disconcerting feelings. Christ in biblical antiquity was the first trial of the therapy. The act to behold the supernatural. — Preceding unsigned comment added by 184.5.68.81 (talk) 18:55, 19 August 2016 (UTC)[reply]

Reads like a brochure--but not Linehan's![edit]

I just read Linehan's starter material, and it is nothing like this page. She avoids the philosophy for one, and focuses on what the therapy means. I am not saying that the philosophy is irrelevant (or overly interesting), it's not the key concept. [1] [2]--John Bessa (talk) 20:14, 8 December 2010 (UTC)[reply]

critiques[edit]

The following two criticism should be removed as wp:NOR unless the can be sourced.

  • Certain aspects of DBT are subject to debate, including the rule that states, "Any individual who misses four consecutive DBT meetings can no longer work with their preassigned DBT therapist, no matter how long they have been working together." Although this rule is intended to encourage participation, Peer Counselors and Disability Advocates like Raquel Santiago, a certified peer counselor and first responder in San Francisco, argue that this rule tends to penalize patients unfairly, since even hospitalizations for medical purposes are not exempt.[citation needed]
  • Additionally, learning and remembering the counter-intuitive acronyms used to label the modules can pose a challenge to people who suffer from cognitive processing delays caused by either medication, the symptoms of their diagnosis, or other organic functioning issues.[citation needed]

-- Cdw ♥'s(talk) 01:51, 18 January 2012 (UTC)[reply]

Nice job on the article. I have only one complaint. You removed the underlines from the characters making up the acronyms. I think they were useful and would like to restore them. -- Cdw ♥'s(talk) 02:45, 25 February 2012 (UTC)[reply]

Actus Reas personality issues with mens rea, identified by sadomasochistic modus operandi immunities (tort reform) and the secondary element "materialism" solution; Theft by proxy, Theft of service, no duty to warn. Insurance and other law coercion crime, post therapy negligence automatism substantiate, patient has to love Modus vivendi. Personal being a head injury, attacked on the job for a month, I suffer from advancing nerve damage from the coercion ( group therapy, re-educate, edification) therapy, to commit. I personally was expect to, and still expected to inchoate suicidal terror as an American dialectical solution. Medical malpractice where care immunities are supreme, I was attack and place again on the 911 terror Atta path in houston. The risk of estoppel "make to", of national social, legal, political, religion catastrophe, in other word promotes free for all in a world context. The theism theory of making occult and world satin church (making abortions complete ) immune, lose on earth is a prophecy fulfilled. All philosophies said to kill pure thought (Christ) for dialectical materialism. An the endocannibalism effective problem of the therapy does not include Folie A Deux imposee worship, death religion, Class need of a people source (), commercial tortfeasing, malfeasance, malpractice, drug use to become disordered, getting off to "it" is along term effect of experience, damage to self and public (endocannibalism insatiable need), see patient every where, The occult practice of loving persons "IT" (genius) for accessible evil genius, act the role you are the act, going after 6 degree of separation, family, friends...I have seen more negative of the practice. And the problem started as negative frequency dependent selection and dependent on illegal immigration aphasia automatic psychological defenses, the evil genius working in the innocent, biblical antiquity NOS personalities named demon, devil, satin. — Preceding unsigned comment added by 184.5.68.81 (talk) 18:36, 19 August 2016 (UTC)[reply]

I do DBT, and the "4 misses in a row" is a real rule, but it's oversimplified here. I don't think it happens as much as the critic makes it sound. DBT therapists don't just drop people as clients, there's interventions in place to prevent 4 misses in a row like using phone coaching and addressing commitment to the program. Clients start knowing the rule before starting phase 1 and agree to it, and if there's concerns, the therapist is trained to address it. I think I have too much COI to make any edits myself on this page. In Marsha Linehan's memoir, she addresses critiques herself as it was challenging to establish the treatment, so that could be a good place to start and then find independent sources that explain it.
Jennarachel107 (talk) 18:57, 23 February 2024 (UTC)[reply]

Dialectical?[edit]

Why is it dialectical? The article currently doesn't discuss etymology or the nature of whatever is dialectical in general or specifcially here. I don't think I know, hence I'm not trying to edit it. Midgley (talk) 01:11, 20 January 2015 (UTC)[reply]

"Dialectical" in the sense of dialectic not dialect. Keahapana (talk) 18:29, 20 January 2015 (UTC)[reply]

Distress tolerance[edit]

I added a hyperlink to a new wikipedia page on distress tolerance. Aaroncjl (talk) 07:19, 27 November 2016 (UTC)[reply]

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Why is the American Journal of Psychiatry tagged as a potentially unrelaible source?[edit]

Next to the intext citation for this article:

^ McMain, Shelley (1 December 2009). "A Randomized Trial of Dialectical Behavior Therapy Versus General Psychiatric Management for Borderline Personality Disorder". American Journal of Psychiatry. 166 (12): 1365–1374. doi:10.1176/appi.ajp.2009.09010039. Retrieved 16 November 2017.

Someone has added the following: "[unreliable medical source?]"

The American Journal of Psychiatry is, to put it mildly, pretty reputable. — Preceding unsigned comment added by 156.22.8.20 (talk) 23:39, 18 November 2018 (UTC)[reply]

(replying Sep 2019 to the above...) I also think it's a shame the unreliable tag is on there. It's also a shame that this article is still listed as needing more medical sources. Most of the citations as of right now are from academic medical journals. Smells, to me, of something a certain religious cult that starts with S would do.

No idea, and I've removed those tags. They looked like longstanding drive-by tagging and/or sneaky POV edits. If anyone disagrees, I suggest they make their case on the talk page, here, and/or go to WP:RSN to discuss. KillerChihuahua 18:26, 24 September 2019 (UTC)[reply]
Most of the sources used in this article are from Linehan herself, or don't comply with WP:MEDRS, which recommends not randomized trials, but review articles. --159.196.100.171 (talk) 11:53, 15 April 2021 (UTC)[reply]

Lack of criticisms[edit]

I find it hard to believe that a behaviour therapy notable enough to justify its own Wikipedia page lacks any relevant criticisms after almost 40 years of practice.


Agreed, there have been numerous discussions of the cultural cooptation and repackaging of Buddhist practices for profit, amongst others.

Lack of differentiation from CBT[edit]

The article states that DBT is a modified form of DBT, but does not outline even in passing which of its attributes are borrowed from CBT, and which are distinct. It also does not describe which failures and/or shortcomings of CBT were the impetus to develop DBT, and how well DBT purports to rectify those failures or shortcomings. This is a serious lack of context and a barrier to understanding DBT's place in the current landscape. Does attribution for this information exist?

Stages of Change are not part of DBT[edit]

"DBT has five specific states of change which the therapist will review with the patient: pre-contemplation, contemplation, preparation, action, and maintenance.[22] Precontemplation is the first stage, in which the patient is completely unaware of their problem. In the second stage, contemplation, the patient realizes the reality of their illness: this is not an action, but a realization. It is not until the third stage, preparation, that the patient is likely to take action, and prepares to move forward. This could be as simple as researching or contacting therapists. Finally, in stage 4, the patient takes action and receives treatment. In the final stage, maintenance, the patient must strengthen their change in order to prevent relapse."

Not sure the rules on deleting stuff, but this is very misleading. This describes the Stages of Change in the Transtheoretical Model and is not part of DBT. It should not appear in this article. — Preceding unsigned comment added by 172.97.190.104 (talk) 21:40, 22 April 2022 (UTC)[reply]

Unclear part of text[edit]

Quote: "This module outlines healthy coping behaviors intended to replace harmful ones, such as distractions, improving the moment, self-soothing, and practicing acceptance of what is." From the way it is written here, I don't understand which behaviors are meant to be harmful and which are meant to be healthy. I would suppose that only distractions are meant as harmful but the way the sentence is structured it allows the reading that all following behaviors are understood as harmful so I am honestly confused. 37.48.60.73 (talk) 20:04, 28 June 2022 (UTC)[reply]

 Done I added parentheses to help make the distinction. Dawnseeker2000 00:47, 29 June 2022 (UTC)[reply]

Wiki Education assignment: EDT 251 - Research Skills and Strategies[edit]

This article was the subject of a Wiki Education Foundation-supported course assignment, between 6 March 2023 and 13 May 2023. Further details are available on the course page. Student editor(s): Tgentile (article contribs).

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