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Dialectical Behaviour Therapy
Abstract
Dialectical Behaviour Therapy (DBT) is a psychotherapeutic approach used to treat individuals with complex psychological disorders, particularly chronically suicidal individuals with borderline personality disorder (BPD). The therapy articulates a series of principles that effectively guide clinicians in responding to problematic behaviours. Treated problems include, among others, attempting suicide, bingeing, purging, using illegal drugs and behaviours that directly impede the treatment. Dialectical Behaviour Therapy: Distinctive Features highlights theoretical and practical features of the treatment using extensive clinical examples to demonstrate how the theory translates into practice. This updated edition reviews recent modifications to the structure of the treatment and considers more recent research evidence for both the biosocial theory underpinning the treatment and treatment efficacy. The book provides a clear overview of a complex treatment, through a unique application of strategies and a discussion of a comprehensive treatment programme that structures the therapeutic journey for the client. The book will be of interest to clinicians wanting to develop their knowledge about the treatment, prior to formal training; post-graduate students in mental health seeking to learn how to conceptualize complex problems; DBT trained clinicians who require a useful précis of the treatment with clinical examples, and clients about to embark upon this treatment. This book provides a clear and structured overview of a complex treatment. It is written for both practising clinicians and students wishing to learn more about DBT and how it differs from the other cognitive behaviour therapies.
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DBT combines principles from behaviorism, Zen, and dialectics that aim to help clients improve their emotional and cognitive regulation to overcome problems, including intense mood change, impulsivity, and loneliness.
“DBT combines principles from behaviorism, Zen, and dialectics [10] that aim to help clients improve their emotional and cognitive regulation to overcome problems, including intense mood change [11,12], impulsivity [13,14], and loneliness [15].”
From A mobile health intervention (LifeBuoy App) to help young people manage suicidal thoughts: protocol for a mixed-methods randomized controlled trial (2020) · cites this paper as [10]
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Flynn, D., Joyce, M., Gillespie, C., Kells, M., Swales, M. A., Spillane, A., Hurley, J., Hayes, A., Gallagher, E., Arensman, E., et al. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02610-3 · Cited by 25
Self-citationHan, J., McGillivray, L., Wong, Q. J., Werner-Seidler, A., Wong, I., Calear, A., Christensen, H., & Torok, M. (2020) · JMIR Research Protocols · doi:10.2196/23655 · Cited by 17
Trauma-informed education: a case for compassion-focused teaching?
Culshaw, A., & Bodfield, K. S. (2024) · Pastoral Care in Education · doi:10.1080/02643944.2024.2318776 · Cited by 10
Burke, L., Kells, M., Flynn, D., & Joyce, M. (2019) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-019-0109-0 · Cited by 10
Lawson, Z., & Farquharson, L. (2025) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12578 · Cited by 6
Improved self‐ and relational regulation: The relationship with the client changes the therapist
da Cunha, O. R., & Vandenberghe, L. (2024) · Counselling and Psychotherapy Research · doi:10.1002/capr.12745 · Cited by 2
Kennedy, F., & Pearson, D. (2020) · Routledge eBooks · doi:10.4324/9780429442926-4 · Cited by 4
Linehan’s Biosocial Model and Borderline Personality Disorders
Salavati, M., & Selby, E. A. (2024) · Springer eBooks · doi:10.1007/978-3-031-75503-3_6 · Cited by 1
Dialectical Behaviour Therapy: History and Theoretical Framework
Roman, P., Wallace, R., & Plum, S. (2025) · Springer eBooks · doi:10.1007/978-3-032-00353-9_8
Flynn, D., Joyce, M., Gillespie, C., Kells, M., Swales, M. A., Spillane, A., Hurley, J., Hayes, A., Gallagher, E., Arensman, E., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12308195
Self-citationFlynn, D., Joyce, M., Gillespie, C., Kells, M., Swales, M. A., Spillane, A., Hurley, J., Hayes, A., Gallagher, E., Arensman, E., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12308204
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Metadata
- Authors
- Swales, M. A., & Heard, H. L.
- Affiliations
- Bangor University (GB)
- ORCID
- Swales, Michaela A.
- Venue
- Routledge eBooks
- Publisher
- Routledge
- Published
- 2016-11-01
- OpenAlex
- W4250433132
- Cited by
- 13
- References
- 0
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 1 · 2020: 5 · 2019: 2
- FWCI
- 0.70
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Routledge eBooks (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- dialectical behavior therapy, borderline personality disorder, chronic suicidality, suicide attempts, substance use, biosocial theory, treatment efficacy
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