Fostering Validating Responses in Families
Abstract
SUMMARY Families and family interactions can play a role in the development (vs. prevention), maintenance (or remediation), and treatment of borderline personality disorder (BPD); and, having a family member with BPD can have a significant impact on family functioning. This paper reviews a transactional model for the development and maintenance of BPD, with implications for treatment, particularly from the perspective of dialectical behavior therapy (DBT). The paper also describes a subset of DBT interventions specifically developed for work with couples and families to turn the destructive “inaccurate expression/invalidation cycle” into the constructive “accurate expression/validation cycle,” which is illustrated by a case example.
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When validation follows disclosure of pain-related thoughts or feelings, such disclosure probably increases.
“Alternatively, if validation occurs after someone discloses thoughts or feelings related to pain, this type of disclosure is likely to increase.”
From Validating pain communication: current state of the science (2015) · cites this paper as [5]
The operant conditioning model emphasizes how social reinforcement shapes the development and maintenance of adaptive and maladaptive responses to ongoing pain.
“The operant conditioning model[5] focuses on the role that social reinforcement plays in the development and maintenance of maladaptive and adaptive responses to persistent pain.”
From Validating pain communication: current state of the science (2015) · cites this paper as [5]
In the operant conditioning model, validation is a form of social reinforcement that raises the probability of the behavior it follows.
“This model views validation as a type of social reinforcement and predicts that validation increases the likelihood of whatever behavior it follows.”
From Validating pain communication: current state of the science (2015) · cites this paper as [5]
When validation follows someone talking about pain or displaying other pain behaviors, those pain behaviors become more likely.
“Thus, if validation occurs after someone talks about their pain or shows other pain behaviors (see Figure 1, Panel A), then the likelihood of pain behaviors will increase.”
From Validating pain communication: current state of the science (2015) · cites this paper as [5]
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- Authors
- Fruzzetti, A. E., & Shenk, C.
- Affiliations
- University of Nevada, Reno (US)
- Venue
- Social Work in Mental Health
- Publisher
- Informa UK Limited
- Published
- 2008-01-23
- Volume
- 6
- Issue
- 1-2
- Pages
- 215-227
- ISSN
- 1533-2985 (ISSN-L)
- 1533-2993
- OpenAlex
- W2082904379
- Cited by
- 40
- References
- 23
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Work in Mental Health (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- borderline personality disorder, family functioning, family interaction, transactional model, dialectical behavior therapy, invalidation, validation, couple therapy, family therapy
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