Definition
Dialectical behavior therapy (DBT) is a comprehensive skills-based treatment originally developed as an outpatient treatment for women with serious emotion dysregulation and recurrent suicidal behavior, i.e., with borderline personality disorder (BPD) – see Diagnostic and Statistical Manual, Fifth Revision (DSM-5) and International Classification of Diseases, Tenth Revision (ICD-10). DBT utilizes strategies derived from behavior change principles (e.g., problem-solving, skills training, contingency management, exposure-based procedures, cognitive modification) along with strategies derived from acceptance-based practices such as Zen and contemplation practice (e.g., mindfulness). These strategies are integrated within a framework derived from dialectical philosophy, a view of reality that emphasizes wholeness and interrelatedness and is also a method of persuasive dialogue and relationship. For a more detailed description of DBT, see Linehan (1993).
Since its initial...
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References and Further Reading
Bankoff, S. M., Karpel, M. G., Forbes, H. E., & Pantalone, D. W. (2012). A systematic review of dialectical behavior therapy for the treatment of eating disorders. Eating Disorders, 20(3), 196–215.
Chen, E. Y., Segal, K., Weissman, J., Zeffiro, T. A., Gallop, R., Linehan, M. M., Bohus, M., & Lynch, T. R. (2015). Adapting dialectical behavior therapy for outpatient adult anorexia nervosa – a pilot study. International Journal of Eating Disorders, 48(1), 123–132.
Craighead, L. W. (2006). The appetite awareness workbook: How to listen to your body and overcome bingeing, overeating, and obsession with food. Oakland: New Harbinger Publications.
Federici, A., & Wisniewski, L. (2013). An intensive DBT program for patients with multidiagnostic eating disorder presentations: A case series analysis. International Journal of Eating Disorders, 46, 322–331.
Fischer, S., & Peterson, C. (2015). Dialectical behavior therapy for adolescent binge eating, purging, suicidal behavior, and non-suicidal self-injury: A pilot study. Psychotherapy, 52, 78–92.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.
Linehan, M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York: The Guilford Press.
Lynch, T. R., Gray, K. L., Hempel, R. J., Titley, M., Chen, E. Y., & O’Mahen, H. A. (2013). Radically open-dialectical behavior therapy for adult anorexia nervosa: Feasibility and outcomes from an in client program. BMC Psychiatry, 13, 293.
Miller, A. L., Rathus, J. H., & Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. New York: Guilford Press.
Safer, D. L., Telch, C. F., & Chen, E. Y. (2009). Dialectical behavior therapy for binge eating and bulimia. New York: The Guilford Press.
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Safer, D.L. (2015). Dialectical Behavior Therapy (DBT) for Eating Disorders. In: Wade, T. (eds) Encyclopedia of Feeding and Eating Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-287-087-2_77-1
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DOI: https://doi.org/10.1007/978-981-287-087-2_77-1
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