2022
DOI: 10.1186/s40479-022-00179-9
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Individuals who report having benefitted from dialectical behaviour therapy (DBT): a qualitative exploration of processes and experiences at long-term follow-up

Abstract: Background Qualitative research in the area of DBT is limited, particularly at follow-up. The current study explored the follow-up experiences of individuals who previously received a diagnosis of borderline personality disorder and self-report having benefitted from DBT at the time of treatment. Methods Individuals who completed 12 months of standard DBT and were a minimum of two years post-completion were recruited. Individual semi-structured int… Show more

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Cited by 11 publications
(6 citation statements)
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References 32 publications
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“…During moments of heightened emotional arousal (boiling points), women reported being unable to engage in rational thinking and found themselves engaged in automatic stress responses and defense mechanisms. Similar to other qualitative studies of DBT (Gillespie et al, 2022; Little et al, 2018), MI‐DBT participants described improvements in emotional literacy, or the ability to recognize and communicate their emotions, subsequently allowing them to pause, accept their emotions and maintain control during these “boiling points.” Not surprisingly though, for some, when their infant demands were triggering their emotional dysregulation, it was difficult to find equanimity even with new skills learned in MI‐DBT which focus particularly on dealing “in the moment” with their infant, for example, acting opposite by singing to their infant instead of yelling or paced breathing which is practiced in rhythm with a children's lullaby whilst holding her infant. Gillespie's follow‐up study highlights the ongoing need of many DBT participants for further therapy, even without the tensions of parenting and quantitative findings of MI‐DBT (Sved Williams et al, 2021) have also highlighted the need for ongoing mother‐infant therapy for some families.…”
Section: Discussionsupporting
confidence: 61%
“…During moments of heightened emotional arousal (boiling points), women reported being unable to engage in rational thinking and found themselves engaged in automatic stress responses and defense mechanisms. Similar to other qualitative studies of DBT (Gillespie et al, 2022; Little et al, 2018), MI‐DBT participants described improvements in emotional literacy, or the ability to recognize and communicate their emotions, subsequently allowing them to pause, accept their emotions and maintain control during these “boiling points.” Not surprisingly though, for some, when their infant demands were triggering their emotional dysregulation, it was difficult to find equanimity even with new skills learned in MI‐DBT which focus particularly on dealing “in the moment” with their infant, for example, acting opposite by singing to their infant instead of yelling or paced breathing which is practiced in rhythm with a children's lullaby whilst holding her infant. Gillespie's follow‐up study highlights the ongoing need of many DBT participants for further therapy, even without the tensions of parenting and quantitative findings of MI‐DBT (Sved Williams et al, 2021) have also highlighted the need for ongoing mother‐infant therapy for some families.…”
Section: Discussionsupporting
confidence: 61%
“…Many participants in this study described the DBT programme as a starting point in their therapeutic journey and a 'life-changing experience from which to build on'. [23] Thus, DBT is seen as the doorway to change, providing participants with skills to engage in therapeutic change. [6] Whereas other ED treatments place signi cant focus on changing unhelpful cognitions and behaviours, [6,15,[22][23][24] the MED-DBT programme focuses on emotions and behaviour, teaching vital skills of emotion regulation and distress tolerance.…”
Section: Discussionmentioning
confidence: 99%
“…[23] Thus, DBT is seen as the doorway to change, providing participants with skills to engage in therapeutic change. [6] Whereas other ED treatments place signi cant focus on changing unhelpful cognitions and behaviours, [6,15,[22][23][24] the MED-DBT programme focuses on emotions and behaviour, teaching vital skills of emotion regulation and distress tolerance. All participants in this study described having longstanding di culties with emotions that triggered impulses to engage in binging, purging, or food restriction.…”
Section: Discussionmentioning
confidence: 99%
“…Para los resultados observados en la escala GHQ12, los cuales sugieren una mejoría en la calidad de vida y el bienestar psicológico (al reportarse puntuaciones menores), algunos estudios previos (Gillespie et al 2022;) describen que los participantes asignados a una intervención de TDC reportaron mejoría en cuanto a su salud mental y calidad de vida relacionada con la salud, lo cual se observó también en el reporte cualitativo de dicho estudio donde los participantes consideraron la TDC como un factor que cambió sus vidas.…”
Section: Discussionunclassified