Although the practice of family therapy in dialectical behavior therapy (DBT) with multiproblem s... more Although the practice of family therapy in dialectical behavior therapy (DBT) with multiproblem suicidal adolescents is common and generally indicated, a particular model has yet to be delineated with this age group. The purpose of this article is to propose a coherent clinical synthesis of the more individually oriented DBT strategies with a broader family-systems orientation that maintains the integrity of both theoretical approaches while addressing the treatment needs of adolescents and their families. First, the authors briefly review the literature. Second, they describe the core dialectic of DBT, balancing acceptance and change, and its relevance to family therapy. Finally, the authors propose several specific acceptance and change strategies useful when implementing DBT family therapy with multi-problem adolescents.
Dialectical Behavior Therapy (DBT) is based on a transactional model of the etiology of borderlin... more Dialectical Behavior Therapy (DBT) is based on a transactional model of the etiology of borderline personality disorder (BPD). It assumes that the associated emotional dysregulation is not simply biological or family induced but the result of a dynamic interaction between the biology and characteristics of an individual with the individual's social environment. This paper discusses the theoretical issues and empirical research relating to a synthesis of family therapy and DBT with adolescents. A review of the literature identifies support for a greater understanding and inclusion of families in treatment, attention to relational aspects of affect, and a dialectical framework for synthesizing individual-oriented and systemic-oriented theories and practice. Some implications for the development of a DBT family therapy model are discussed.
Although the practice of family therapy in dialectical behavior therapy (DBT) with multiproblem s... more Although the practice of family therapy in dialectical behavior therapy (DBT) with multiproblem suicidal adolescents is common and generally indicated, a particular model has yet to be delineated with this age group. The purpose of this article is to propose a coherent clinical synthesis of the more individually oriented DBT strategies with a broader family-systems orientation that maintains the integrity of both theoretical approaches while addressing the treatment needs of adolescents and their families. First, the authors briefly review the literature. Second, they describe the core dialectic of DBT, balancing acceptance and change, and its relevance to family therapy. Finally, the authors propose several specific acceptance and change strategies useful when implementing DBT family therapy with multi-problem adolescents.
In this article, the authors review the research on risk assessment of suicidal adolescents and d... more In this article, the authors review the research on risk assessment of suicidal adolescents and describe the small body of randomized-clinical-treatment trials for this population. Research has yielded a fairly consistent set of direct and indirect risk factors for suicidal behavior in adolescents. The authors describe a variety of measures commonly used to assess these risk factors. Treatment studies targeting suicide are sparse for all ages. In the adult literature, evidence suggests clozapine, depot flupenthixol, lithium, and dialectical behavior therapy (DBT) are significantly more effective in decreasing suicidal behavior than placebo or Treatment as Usual. For adolescents, it is difficult to draw conclusions about treatment efficacy. In general, control conditions are just as effective at reducing suicidal behavior as experimental conditions. While some novel interventions for suicidal adolescents are described, there is a desperate need for more research to be conducted in order to advance this burgeoning field.
Background: This article discusses the importance of psychological evaluation of gastric bypass (... more Background: This article discusses the importance of psychological evaluation of gastric bypass (GBP) surgery candidates and post-surgical psychological support services, using the Center for Weight Reduction Surgery at Montefiore Medical Center as a model. The study of psychological predictors of post-operative outcome is in its beginning stages, and the small body of literature on this topic is reviewed. Methods: 115 GBP surgery candidates completed a clinical interview and a self-report measure, the MMPI-2. Results and Conclusions: A high prevalence of psychopathology and personality disturbance was found in this population.The impact that psychological disturbance may have on post-operative outcome is discussed.The authors also provide a qualitative analysis of the psychological themes commonly found among this population, as well as psychosocial interventions that have been found helpful.
Although the practice of family therapy in dialectical behavior therapy (DBT) with multiproblem s... more Although the practice of family therapy in dialectical behavior therapy (DBT) with multiproblem suicidal adolescents is common and generally indicated, a particular model has yet to be delineated with this age group. The purpose of this article is to propose a coherent clinical synthesis of the more individually oriented DBT strategies with a broader family-systems orientation that maintains the integrity of both theoretical approaches while addressing the treatment needs of adolescents and their families. First, the authors briefly review the literature. Second, they describe the core dialectic of DBT, balancing acceptance and change, and its relevance to family therapy. Finally, the authors propose several specific acceptance and change strategies useful when implementing DBT family therapy with multi-problem adolescents.
Dialectical Behavior Therapy (DBT) is based on a transactional model of the etiology of borderlin... more Dialectical Behavior Therapy (DBT) is based on a transactional model of the etiology of borderline personality disorder (BPD). It assumes that the associated emotional dysregulation is not simply biological or family induced but the result of a dynamic interaction between the biology and characteristics of an individual with the individual's social environment. This paper discusses the theoretical issues and empirical research relating to a synthesis of family therapy and DBT with adolescents. A review of the literature identifies support for a greater understanding and inclusion of families in treatment, attention to relational aspects of affect, and a dialectical framework for synthesizing individual-oriented and systemic-oriented theories and practice. Some implications for the development of a DBT family therapy model are discussed.
Although the practice of family therapy in dialectical behavior therapy (DBT) with multiproblem s... more Although the practice of family therapy in dialectical behavior therapy (DBT) with multiproblem suicidal adolescents is common and generally indicated, a particular model has yet to be delineated with this age group. The purpose of this article is to propose a coherent clinical synthesis of the more individually oriented DBT strategies with a broader family-systems orientation that maintains the integrity of both theoretical approaches while addressing the treatment needs of adolescents and their families. First, the authors briefly review the literature. Second, they describe the core dialectic of DBT, balancing acceptance and change, and its relevance to family therapy. Finally, the authors propose several specific acceptance and change strategies useful when implementing DBT family therapy with multi-problem adolescents.
In this article, the authors review the research on risk assessment of suicidal adolescents and d... more In this article, the authors review the research on risk assessment of suicidal adolescents and describe the small body of randomized-clinical-treatment trials for this population. Research has yielded a fairly consistent set of direct and indirect risk factors for suicidal behavior in adolescents. The authors describe a variety of measures commonly used to assess these risk factors. Treatment studies targeting suicide are sparse for all ages. In the adult literature, evidence suggests clozapine, depot flupenthixol, lithium, and dialectical behavior therapy (DBT) are significantly more effective in decreasing suicidal behavior than placebo or Treatment as Usual. For adolescents, it is difficult to draw conclusions about treatment efficacy. In general, control conditions are just as effective at reducing suicidal behavior as experimental conditions. While some novel interventions for suicidal adolescents are described, there is a desperate need for more research to be conducted in order to advance this burgeoning field.
Background: This article discusses the importance of psychological evaluation of gastric bypass (... more Background: This article discusses the importance of psychological evaluation of gastric bypass (GBP) surgery candidates and post-surgical psychological support services, using the Center for Weight Reduction Surgery at Montefiore Medical Center as a model. The study of psychological predictors of post-operative outcome is in its beginning stages, and the small body of literature on this topic is reviewed. Methods: 115 GBP surgery candidates completed a clinical interview and a self-report measure, the MMPI-2. Results and Conclusions: A high prevalence of psychopathology and personality disturbance was found in this population.The impact that psychological disturbance may have on post-operative outcome is discussed.The authors also provide a qualitative analysis of the psychological themes commonly found among this population, as well as psychosocial interventions that have been found helpful.
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