It's about me solving my problems: Clients' assessments of dialectical behavior therapy

Cunningham, Kiran; Wolbert, Randall; Lillie, Becky

doi:10.1016/s1077-7229(04)80036-1

Cited by 31 publications

(95 citation statements)

References 4 publications

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“…The synthesis of findings is generated from 13 studies (Araminta, 2000; Colbert, 2002; Craigen, 2006; Crockwell & Burford, 1995; Crouch & Wright, 2004; Cunningham, Wolbert, & Lillie, 2004; Huband & Tantam, 2004; Perseius, Ojehagen, Ekdahl, Asberg, & Samuelsson, 2003; Reeves & Mintz, 2001; Reeves, Bowl, Wheeler, & Guthrie, 2004; Ross, 2000; Rubenstein, 2003; Sinclair & Green, 2005) involving 94 clients and 53 therapists/counsellors. Five of these were unpublished (Araminta, 2000; Colbert, 2002; Craigen, 2006; Ross, 2000; Rubenstein, 2003).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the literature on counselling and psychotherapy for the prevention of suicide: 2. Qualitative studies

Winter

Bradshaw

Bunn

et al. 2014

Couns and Psychother Res

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Scope of review: The paper reports a meta‐synthesis of 13 qualitative studies of counselling and psychotherapy with people at risk of suicide. Publication time span: The studies considered were reported between 1997 and 2006. Publication origin: Seven studies were conducted in the UK, four in the USA, one in Canada, and one in Sweden. Findings: Themes in clients' and therapists' accounts of the process of counselling or psychotherapy were therapist qualities; therapy components; theoretical framework; and therapy techniques. Themes in their accounts of the effectiveness of counselling and psychotherapy were decrease in self‐destructive behaviour, and quality of life. Themes in clients' views of barriers to effective counselling or psychotherapy were therapist characteristics; therapy components; secrecy; and transferring to the real‐life situation. Secrecy was also identified as a barrier by therapists, as were responsibilities of the profession; training; and the nature of suicide and self‐harm. Facilitators of successful counselling and psychotherapy as identified by clients were responsibility; support; and teaching therapy skills to family members, the latter also being identified by therapists.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the literature on counselling and psychotherapy for the prevention of suicide: 2. Qualitative studies

Winter

Bradshaw

Bunn

et al. 2014

Couns and Psychother Res

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“…Therapists who are non‐judgmental and validating and challenging in their approach are viewed positively by those with BPD who have undergone DBT (Cunningham et al . ). Moreover, feeling equal with the therapist has an empowering effect on clients undergoing DBT treatment (Cunningham et al .…”

Section: Discussionmentioning

confidence: 97%

“…Moreover, feeling equal with the therapist has an empowering effect on clients undergoing DBT treatment (Cunningham et al . ).…”

Section: Discussionmentioning

confidence: 97%

Dialectical behaviour therapy (DBT) in the treatment of borderline personality disorder

O’Connell

Dowling

2013

Psychiatric Ment Health Nurs

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Borderline personality disorder (BPD) is a complex disorder that is difficult to treat. However, dialectical behaviour therapy (DBT), developed by Dr. Marsha Linehan in the early 1990s, has emerged as a promising treatment option for those diagnosed with BPD. DBT is a multi-pronged treatment approach delivered normally in outpatient settings over 12 months and requires highly skilled and trained therapists. Many trials have provided evidence to support the use of DBT in the treatment of BPD. However, outcome measures vary and are mostly limited to measurable behavioural outcomes such as incidences of deliberate self-harm or suicidal thoughts. Two recent Cochrane reviews conclude that DBT does benefit those with BPD, but more robust evidence is needed. DBT training for health care professionals also has the potential to shift health care professionals' attitudes from one of therapeutic pessimism to one of optimism.

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“…However, evidence from three small and uncontrolled studies suggests that integrating DBT into the regular ACT programming may benefit people with BPD (Cunningham et al, 2004; Schwammle et al, unpublished; Riesen & Aubry, 2006). The only peer-reviewed study among them conducted a qualitative evaluation of Interact's DBT track (Cunningham et al, 2004). A convenience sample of 14 women with BPD who had participated in the program for a minimum of six months was interviewed by an independent research team.…”

Section: A Policy Dilemma: Should Act Be Made Available To People Witmentioning

confidence: 99%

“…Although little systematic knowledge exists about this phenomenon, it is known that ACT programs in the US and Canada have moved to incorporate Dialectical Behavior Therapy into their regular programming (Cunningham et al, 2004; Riesen & Aubry, 2006). …”

Section: Introductionmentioning

confidence: 99%

The Role of Assertive Community Treatment in the Treatment of People With Borderline Personality Disorder

Horvitz-Lennon

Reynolds

Wolbert

et al. 2009

American Journal of Psychiatric Rehabilitation

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It is known that Assertive Community Treatment (ACT) is being used to treat people with borderline personality disorder (BPD), a puzzling trend given the lack of empirical support for this practice and the consensus that reserving ACT for a carefully selected population is critical to the sustainability of this costly intervention. Little is known about the contributors to this phenomenon and the ways in which ACT programs have adapted to the influx of patients with BPD. Many ACT programs in the US and Canada have integrated Dialectical Behavioral Therapy into the regular ACT programming, a practice that also lacks rigorous evidence of effectiveness. We provide a framework for policy-makers to decide on the optimal role of ACT in the continuum of care for people with BPD, and offer policy recommendations to address this phenomenon. There is an urgent need to generate the missing evidence and to improve and expand the services available to people with BPD, particularly those who are now being treated on ACT programs.

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It's about me solving my problems: Clients' assessments of dialectical behavior therapy

Cited by 31 publications

References 4 publications

A systematic review of the literature on counselling and psychotherapy for the prevention of suicide: 2. Qualitative studies

A systematic review of the literature on counselling and psychotherapy for the prevention of suicide: 2. Qualitative studies

Dialectical behaviour therapy (DBT) in the treatment of borderline personality disorder

The Role of Assertive Community Treatment in the Treatment of People With Borderline Personality Disorder

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