Cited by 54

Applications of dialectical behavior therapy to the treatment of complex trauma‐related problems: When one case formulation does not fit all

Wagner, Amy W., Rizvi, Shireen L., Harned, Melanie S.·2007·Journal of Traumatic Stress

Abstract

In this article, the authors take the perspective that effective treatment of complex trauma‐related problems requires, in the absence of empirically supported treatments, a reliance on theory, idiographic assessment, and empirically supported principles of change. Dialectical behavior therapy (DBT; M. M. Linehan, 1993) is used to demonstrate the applicability of this approach to the treatment of multiproblem, heterogeneous populations in general. Two case studies are presented that highlight the utility of DBT principles to complex trauma‐related problems specifically.

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Registry

Crossref · 10.1002/jts.20268

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4 of 4 references verified0 citation errors · 0 not checkable

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  • Direct treatment of trauma is reserved for when a patient has the skills to effectively tolerate intense emotional re-experiencing.

    “Wagner, Rizvi, and Harned (2007) highlight that while trauma symptoms may initially be targeted to the extent that they contribute to life-interfering behaviors (e.g.NSSI), direct treatment of trauma is reserved for when a patient has the skills to effectively tolerate intense emotional re-experiencing.”

    From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Wagner, Rizvi, and Harned (2007)

  • Around two-thirds of individuals with BPD have experienced physical or emotional abuse in childhood.

    “Wagner, Rizvi, and Harned (2007) estimated that around two-thirds of individuals with BPD have experienced physical or emotional abuse in childhood”

    From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Wagner, Rizvi, and Harned (2007)

  • An even higher percentage of individuals with BPD report trauma in adulthood.

    “and an even higher percentage report trauma in adulthood”

    From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Wagner, Rizvi, and Harned (2007)

  • Effective treatment requires two foci: current factors that maintain the dissociative behavior with development of emotion regulation skills and exposure to current cues for negative emotion, and in vivo and imaginal exposure to the index trauma undertaken after the individual has learned skills to manage negative affect.

    “The authors note that effective treatment requires two foci: (1) current factors that maintain the dissociative behavior and the associated development of emotion regulation skills and exposure to current cues for negative emotion; and (2) in vivo and imaginal exposure to the index trauma, which is undertaken after the individual has learned skills to manage negative affect”

    From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Wagner, Rizvi, and Harned (2007)

  • PTSD, BPD, and nonsuicidal self-injury commonly co-occur in community and clinical samples.

    “PTSD, BPD, and nonsuicidal self-injury (NSSI) commonly cooccur in community and clinical samples”

    From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Wagner, Rizvi, and Harned (2007)

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Authors
Wagner, A. W., Rizvi, S. L., & Harned, M. S.
Venue
Journal of Traumatic Stress
Publisher
Wiley
Published
2007-08
Volume
20
Issue
4
Pages
391-400
ISSN
  • 0894-9867
  • 1573-6598
Cited by
54
References
4
Language
en

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