Foundations of DBT Flashcards
DBT is a _-based treatment that incorporates _ as needed (e.g., exposure and response prevention; behavioral activation)
Principles; Protocols
DBT assumes that borderline personality disorder is primarily a dysfunction of ________________
Emotion Regulation
DBT assumes that
Clients are doing the best they can
Clients want to improve
Clients need to do better, try harder, and be more motivated to change
Clients may not have caused all of their own problems, but they have to solve them anyway
New behaviour has to be learned in all relevant contexts
All behaviours (actions, thoughts, emotions) are caused
Figuring out and changing the causes of behaviour is a more effective way to change than judging and blaming
The most fundamental dialectic within DBT is the attempt to balance ___________ with ____________.
Acceptance and Change
The main purpose of the DBT consultation team is to:
Increase therapists’ motivation and capabilities to deliver DBT.
What are all of the functions of the observer in a DBT Consultation Team meeting?
Highlighting the dialectical tensions that arise in the team
Describing polarization when it occurs
Identifying judgmental, non-empathic statements
Describing when members are doing more than one thing in the moment
Which of the following are the ways in which behavioural science is incorporated into DBT?
The use of scientific method in treatment development
The use of scientific method in the manner in which treatment is conducted
Reliance on observation
The procedures of behaviour therapy
Reliance on evidence
Why is it important to understand the research on DBT?
To provide hope to clients and families.
To determine whether DBT will be effective for a particular client.
To be reimbursed for your services by payors like insurance companies
According to research on DBT,
DBT is effective for problems other than suicide and self-harm.
Which of the following is an acceptance principle in DBT?
All things are perfect as they are
Zen is compatible with behavioural science because both:
Rely on observation.
Emphasize describing without interpretation.
Stress that acting “as if” helps to increase capabilities.
Which of the following represents the dialectical worldview of DBT regarding traditional conceptions of “truth”?
There is no absolute truth, nor is truth relative
Truth evolves over time and in context
When polarization occurs, it is important to search for what?
Synthesis
In teaching dialectical reasoning, the therapist helps the client move from “either-or” statements or thinking to “___________________” statements, thus communicating to the client that opposite statements are possible.
both-and
In DBT the core set of change strategies are ____________. These strategies are balanced by ______________.
Problem Solving; Validation
Which of the following are goals of mindfulness in DBT?
To reduce suffering
To increase control of one’s mind
To experience reality as is
Which of the following is the most accurate statement about Wise Mind?
All people, including clients with the greatest difficulties, have inherent wisdom
The core mindfulness “What” skills include
Observe, Describe, Participate
The core mindfulness “How” skills include
Non-Judgementally, One-Mindfully, Effectively
Which of the following is INCORRECT regarding the practice of mindful observing in DBT?
Putting words on an experience
According to the DBT model, self-harm can best be conceptualized as
Maladaptive Problem Solving
The Biosocial Model posits that BPD/pervasive emotion dysregulation results from a(n) _ of _ and a(n) _.
Transaction; Emotion Vulnerability; Invalidating Environment
Which of the following characterizes high emotional vulnerability?
High sensitivity to emotions
High reactivity to emotions
A slow return to baseline
What is the best definition of an “invalidating environment?”
One that dismisses or rejects behaviour regardless of its validity
Clients with borderline personality disorder present a variety of ‘dialectical dilemmas’ for the clinician to address. What are they?
Emotional Vulnerability; Self-Invalidation
Unrelenting Crisis; Inhibited Grief
Active Passivity; Apparent Competence
What of the following are a function of emotions?
To motivate the organize for action
To communicate to and influence others
To communicate to ourselves
Opposite action can be used in which of the following situations:
When an emotion is unjustified and acting on the emotion is ineffective
When an emotion is justified and acting on the emotion is ineffective
In the DBT Emotion Regulation skills, ABC stands for
Accumulating Positives, Building Mastery, Cope Ahead
What is the primary function of the individual therapy mode of DBT in Stage 1?
Improve client motivation
What is the primary function of DBT skills training?
To enhance client capabilities
What is the primary function of telephone coaching in DBT?
To increase generalization of skills to the natural environment
Which of the following statements is accurate in regards to level of disorder and stages of treatment?
Stage of treatment is dependant upon a client’s level of disorder
What is the correct order of targets for an individual DBT session with a stage 1 client?
Decrease life-threatening behaviour, decrease therapy-interfering behaviour, decrease quality-of-life interfering behavior, increase behavioral skills
Which approach to post traumatic stress disorder (PTSD) is consistent with a DBT approach?
A DBT therapist does not focus directly on traumatic stress until previous target behaviors are under control but helps clients with skills to manage traumatic stress until PTSD can be formally targeted.
What is the highest priority target for DBT Skills Training?
Decrease behaviours that destroy therapy.
Which of the following is a Stage 2 target of treatment?
Experiential avoidance
If a client who is in both individual therapy and skills training class needs help in applying behavioral skills to everyday life, the client is directed to first call
The individual therapist
Which of the following are primary treatment targets for individual therapy in Stage 1 DBT?
Therapy Interfering Behaviour
Quality of Life Interfering Behaviour
Life Threatening Behaviour