Dialectical behaviour therapy (DBT) was developed by Marsha M. Linehan, Ph.D., in the 1980s (Waltz, 2003). It is designed for use in clinical settings with women who engage in potentially life threatening behaviours, many who have a diagnosis of borderline personality disorder but has since been modified to work with other populations that are experiencing emotional dysregulation (Waltz, 2003). It works on the premise of wedding a behaviour change-orientation with an experience validation stance (Waltz, 2003).
Researchers have noted an overlap in men who are abusive and people who have borderline personality disorder (Dutton, 1995a, 1995b; Dutton & Starzomski, 1993; Gondolf & White, 2001; Waltz, Babcock, Jacobson, & Gottman, 2000, as cited in Waltz, 2003). More specifically to its application with addressing intimate partner violence, DBT holds the dialectic stance that the abusive behaviour is destructive and must change and the person who committed the act must be held responsible while also recognizing that people who commit intimate partner violence have been shaped by their lived reality and are worthy of respect (Waltz, 2003). DBT focuses on abuse as a problem to be solved, not as a moral issue (Waltz, 2003).
Assessment is a feature of DBT. Fruzzetti and Levensky (2000) note that it serves three purposes. One, to determine client appropriateness for the treatment by ensuring they have the concerns the program is designed to address and no exclusion criteria such as high suicidality, current threats, or active psychosis (Fruzzetti & Levensky, 2000). Note, I prefer to assess that the treatment is appropriate for the client rather than the client appropriate for treatment; it is a subtle distinction but reminds ...
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Although domestic violence is a significant societal problem, which continues to receive public and private sector attention, intervention and treatment programs have proven inconsistent in their success. Statistics by various organization show that many offenders continue to abuse their victims. Approximately 32% of battered women are victimized again, 47% of men who abuse their wives do so at least three times per year (MCFBW). There are many varying fact...
National data gives us an indication of the severity of this issue. When 1 in 5-woman report being victims of severe physical violence (NISVS, 2010), we must ask ourselves if enough is being done to prevent this from occurring. From a historical point, there has always almost been a distinction from men on woman violence. Based on the disparity of cases reported, male inflicted violence on females is much higher and prevalent. When the perpetrators of DV, and IPV are predominately males, we can no longer dismissed this issue as a cultural, or
Borderline Personality Disorder (BPD) has been a disability surrounded by stigma and confusion for a long time, and the time to bring awareness and public understanding to this disability is long overdue. The disability itself often gets misdiagnosed as an other disability since the symptoms overlap with many other disabilities (NIMH, n.d, para 16), or worse case scenario, a medical professional refuses to diagnose or treat the disability due to the belief that these people are untreatable because of a negative schema about the disability and clinical controversies on whether BPD is a legitimate diagnosis (Hoffman, 2007) . However, after nearly three decades of research, it has come to light that BPD does indeed exist, does have a good prognosis for remission with treatment (BPD Overview, n.d, para 3), and that there are many treatment options available such as three different types of psychotherapy (Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Schema-focused therapy), omega-3 fatty acid supplements, and/or medications (NIMH, n.d, para 29, 30, 31, and 39, 41). Even though the disability started as a psychoanalytic colloquialism for untreatable neurotics (Gunderson, 2009), BPD is very treatable and doesn’t deserve the stigma it currently carries throughout society.
Stark (2006) would suggest that thirty years of research has failed to produce a consensus as to what constitutes a case of domestic violence considering that 90% of women who report the abuse have no physical injuries. Methods of coercive control do not meet the criminological viewpoint rather, control extends to financial, emotional, and psychological aspects of subjugating the partner thus no physical violence occurs. If only violent means are reported, then the reported number of victims would perhaps change thus creating a more gender symmetrical pattern. Until operational definitions are defined throughout the disciplines with consistency then there will continue to be discrepancies and opposing views. However, integrative theories of feminist views are being explored which investigate the intersection of not only male dominance as a form of oppression but the use of race, class, national origin, age, sexual orientation, and disability and their impact on intimate partner violence as stated by McPhail and colleagues
Dialectical behavior therapy (DBT) is a form of cognitive behavioral therapy, specifically developed for borderline personality disorder (BPD), in which the clinician attempts to motivate the client towards change in behavior while simultaneously validating existing thoughts and feelings. (DeVylder) The goal of dialectical behavior therapy is to minimize maladaptive behaviors related to impulse control and emotion regulation, especially those that may result in self-injury or death. (DeVylder) The desired outcome of DBT is a resolution of maladaptive behaviors related to impulse control and emotion regulation, especially those behaviors that may result in self-injury or death. (DeVylder)
Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions involved in comprehensive DBT treatment. The first function DBT serves is enhancing behavioral capabilities. Secondly, it improves motivation to change by modifying inhibitions and reinforcement. Third, it assures that new capabilities can be generalize to the natural environment. Fourth, DBT structures the treatment environment in the ways essential to support client and therapist capabilities. Finally, DBT enhances therapist capabilities and motivation to treat clients effectively. In standard DBT, these functions are divided into modes for treatment (Dimeff & Linehan, Dialectical behavior therapy in a nutshell, 2001).
...the borderline client’s dependency and anger and challenging his or her on way of thinking. The wild attitudes of these clients can also make it difficult for therapists to establish productive working relationships. Over the past two decades, theorists have begun to use a treatment called dialectical behavior therapy (DBT). It has gained growing research and support and now considered the treatment of choice. DBT includes behavioral and cognitive techniques that are applied to other disorders reinforcing appropriate behaviors and social skills. Finally, antianxiety, antipsychotic, antidepressants and mood stabilizers have helped calm the emotional and aggressive actions of some people with borderline personality disorder. Many clinicians believe that a combination of psychotropic drug treatment and psychotherapy is more successful than with therapy or drugs alone.
Stover, C. S., Meadows, A. L., & Kaufman, J. (2009). Interventions for intimate partner violence: Review and implications for evidence-based practice. Professional Psychology: Research and Practice, 40(3), 223-233.
Kennedy, Bernice R. Domestic Violence: A.k.a. Intimate Partner Violence (ipv). New York: iUniverse, 2013. Print.
DBT is effective when working with clients experiencing anxiety disorder and depression. Individuals in DBT therapy are taught to notice, rather than react to thoughts and behaviors. DBT teaches clients to accept their emotional reactions and learn to tolerate distress while being mindful of their present experiences. DBT has four stages for therapy. In stage one the pre-commitment stage is where the therapist explains what types of treatment the client will receive. In this stage the client must agree to stop all self harm behavior and work toward developing other coping skills. In stage two the goal is to assist the client into controlling her emotions. Stage three and four involve assisting the client to gain the ability to develop self respect (Waltz, 2003).
Intimate Partner Violence (IPV) is historically referred to as domestic violence. It describes a pattern of coercive and assaultive behavior that may include psychological abuse, progressive isolation, sexual assault, physical injury, stalking, intimidation, deprivation, and reproductive coercion among partners (The Family Violence Prevention Fund (FVPF), 1999). IPV leads to lifelong consequences such as lasting physical impairment, emotional trauma, chronic health problems, and even death. It is an issue effecting individuals in every community, regardless of age, economic status, race, religion, nationality or educational background. Eighty-five percent of domestic violence victims are women (Bureau of Justice Statistics, 2003). More than one in three women in the United States have experienced rape, physical violence, or stalking by an intimate partner in their lifetime (The American College of Obstetricians and Gynecologists, 2012). Thirty to sixty percent of perpetrators tend to also abuse children in the household (Edelson, 1999). Witnessing violence between parents or caretakers is considered the strongest risk factor of transmitting violent behavior from one generation to the next (Break the Cycle, 2006).
REBT is intended to help clientsand it may reverse discharge for specific clients or if the methods are not completed appropriately. One of the deficiencies of REBT is that it has the abilities of rubbing certain clients the wrong way. To be more exact, a misinterpretation with regards to REBT is its disappointment to talk about the emotionality aspects of the emotional disturbances. It has additionally been bludgeoned for being a compassion for extreme minded clients. As to the aforementioned point, I for the most part feel that the counseling profession usually captivates feeble-minded clients, clients who are warm and responsive and caring too. REBT might likewise fail to offer the fundamental level of sympathy to productively work with specific clients which may make certain clients feel exceptionally helpless and therefore not having the capacity to trust the therapist enough to impart enough or any information to the therapist for the therapist to have the capacity to give help. Compassion towards clients is essential and thus failing to offer a certain level of it causes REBT to be imperfect in such a way and consequently turning into a simple shortcoming of it (Aaets.org, 2014.) An alternate shortcoming of REBT is that the relationship between B (Belief) causes C (Consequence) or only accompanies C because of An (Activating Event) couldn't be easily tested, and that knowing certain thoughts that are
“One woman is beaten by her husband or partner every 15 seconds in the United States” (Stewart & Croudep, 1998-2012). Domestic violence can interfere with the husband-wife relationship because one spouse is always in constant fear of the other. This violence could vary from physical abuse to ps...
Thesis: In my paper, I will be examining the different types, possible causes, and effects of Intimate Partner Violence, and what treatments or programs are available to combat this growing problem in America. Regardless of differing approaches to fight it, statistics show that women all across the world suffer from the effects of domestic violence at a similar rate independent of class, race, or religion.
McHugh, M. C., & Frieze, I. H. (2006). Intimate partner violence. Annals of the New York Academy of Sciences, 1087, 121–141. doi: 10.1196/annals.1385.011