dialecticalbehaviourtherapy：辯證行為療法(完整版)
【正文】 s Necessary Intervention 1. Are the behaviours in the persons behavioural repertoire? No – Behavioural Skills Training 2. Are ineffective behaviours being reinforced? Yes – Contingency Management 3. Are effective behaviours inhibited by unwarranted fears or guilt? Is the person emotion phobic? Yes – Exposure 4. Are effective behaviours inhibited by faulty beliefs and assumptions? Yes – Cognitive Modification 3. Add Validation Levels of Validation 1. Staying awake – unbiased listening and observing 2. Accurate reflection – summarising 3. Articulate the unverbalised emotions, thoughts or behaviour patterns – take a slight leap and read beyond what they?ve said, may be safer to use a “multiplechoice approach” 4. Validation in terms of past learning or biological dysfunction 5. Validation in terms of present context or normative functioning 6. Radical genuineness – being yourself with the client as you are with others, same tone of voice, same language, not stepping into a role 4. Add Dialectics Dialectics 1 A World View 1. The Principle of Interrelatedness and Wholeness Systems perspective on reality (identity is relational) 2. The Principle of Polarity Reality is not static but is prised on internal opposing forces out of which synthesis is achieved. “Contradictory truths do not necessarily cancel each other out or dominate each other, but stand side by side, inviting participation and experimentation” Goldberg (1980) 3. The Principle of Continuous Change Change, or process, rather than structure or content, is the essential nature of life. Role of conflict
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