Dialectical Behavior Therapy in Private Practiceby Thomas Marra |
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Detailed Personal Development Book Information
- Title:
Dialectical Behavior Therapy in Private Practice
- Reading Level: Hardcover
- Binding: Hardcover
- No. of Pages: 298
- Language:
- Publisher: New Harbinger Publications
- Pub. Date:
- ISBN: 1572244208
- Product Size (W x H x L) inches: 7 x 1 x 10.1
- Shipping Weight: 1.75
- Average Customer Review:
See Customer Reviews - Amazon Sales Rank: 243456
Dialectical Behavior Therapy in Private Practice Review
Source: Product DescriptionMore Than a Treatment Strategy-A Whole New Direction in Psychotherapy
More than just a new behavioral treatment approach, dialectical behavior therapy (DBT) marks a whole new theoretical orientation to the practice of clinical psychology-a rethinking of the causes, descriptions, and treatments of acute mental disorders. This volume offers a detailed explication of DBT in theory and practice. Designed to teach professionals how to use this method in a private-practice setting to treat a range of disorders, this book includes a clear and concise presentation of:
* DBT and its orientation within the larger context of psychotherapy * Research-based evidence for the effectiveness of DBT in clinical practice * Emotional sensitivity as the single most important factor causing mental health disorders * Dialectic conflict and its role in sustaining mental disorders * The DBT coping skill set * meaning-making, mindfulness, * emotion regulation * distress tolerance * and strategic behavior skills * Practical applications of DBT to a number of acute mental disorders * The breakdown of DBT treatment steps for the private practice setting
The book also includes a CD-ROM containing easily reproducible client worksheets and PowerPoint presentations to lead psychoeducational sessions with clients-all formatted to work on both Macintosh and Windows platforms.
Dialectical Behavior Therapy in Private Practice Customer Reviews
Number of reviews: 7 Average Rating:A Fellow Amazon Customer Reviewed this title on: 2009-07-09 and rated it
3 People found this review helpful, I Agree With "Jo" On This One, And...
...want to add that...
1) unlike Dimeff's and Koerner's =DBT in Clinical Practice=, which is a scholarly collection of professional articles from numerous specialists in specific end uses of DBT, this is (to too great an extent) the work of a single clinician who endorses a narrow point of view largely dependent upon a mere =pair= of soruces; and that...
2) Marra is clearly so rooted in the neo-Gestaltist views of Goleman, Kabat-Zin and the mindfulness meditation crowd that he devalues the cognitive-behavioral platform that is one of the bedrocks of Linehan's groundbreaking and direction-changing (if arduous, especially for less educated readers) =CBT of BPD= (1993).
The reader who is not grounded in Linehan is likely to come away with the notion that affect-processing is "everything," and that identification, examination, questioning and revision of the inaccurate beliefs, values, ideals and/or convictions that cause painful affects in response to environmental triggers is secondary.
I can tell you this after some years of using DBT with substance- and process-behavior abusers: We could process affects until we're purple. If the cognitive platforms are not examined and revised, recidivism is reliably the result.
Otherwise, there =is= a lot of excellent information in =DBT in PP=, and the book =is= likely to be valuable for clinicians. Marra's explanations of various facets of DBT are accessible and useful, and his neurobiological platform (largely based upon Bradley's work) is impressive if somewhat speculative because of Goleman's preponderant influence here.
(Truthfully, there's a lot here I wish I =could= "buy," but some of the neurobiology does not square with what I have learned from other authoritative sources.)
My sense is simply that Marra has over-weighted his thrust towards the notion that a single =component= of DBT is "everything," when in fact DBT works because of the careful combination of =all= its components. That said, the book =is= worth reading if one can knowledgeably "take the best and leave the rest."
Added later: I wonder if others will agree with me that it does not seem that Marra has a had a lot of experience working with small groups and with the interpersonal dynamics thereof that can be used to facilitate therapeutic result. I find that I do not have to consider the ego defenses and "pussyfoot" all that much -- especially in psychoeducational endeavors -- in group settings. But, I do come from a lengthy background in substance abuse work wherein "pussyfooting" is anathemic to most professionals, and where groups are the rule rather than the exception.
Marra's concerns with empathy and unconditional positive regard to prevent regressions to archaic defensive schemes =are= more germane in one-on-one settings, but seem on the verge of "professional co-dependence" to one who has worked predominantly with groups.
A Fellow Amazon Customer Reviewed this title on: 2007-12-14 and rated it
6 People found this review helpful, DBT In The Clinic
As director of an outpatient mental health clinic I found this book to be quite informative in providing a good understanding of DBT in general, particularly for those who have not worked with it before. It was easy to understand, yet scholarly. I especially appreciated the specific examples of how it is applied in the clinical setting for different diagnosis and symptoms to get a clearer picture of it's many applications. I have highly recommended this book to the therapists at my clinic and encourage them to use DBT in their therapeutic interventions, not just with personalaity disorders, but with any diagnosis that has elements of anxiety, depression. Personally, I believe DBT provides a more wholistic approach to mental health interventions i.e. working with both mind and emotions. The book Dialectical Behavior Therapy in Private Practice, helps therapists to develop better therapeutic alliances and interventions as well as helping the consumer to cooperate more effectively in their own recovery.
A Fellow Amazon Customer Reviewed this title on: 2007-03-16 and rated it
16 People found this review helpful, Very Useful
I am not a fan of this author's other book, "Depressed and Anxious..." which I found to be much too wordy and not very focused.
This book, in contrast, is very clear, concise, and dense with insights. As a participant in DBT therapy, it can be hard to grasp the "meta meaning" of the DBT modules. This text gives me a better framework for understanding the skills, and clarifies very well some of the concepts.
It's interesting that the majority of DBT participants know the acronym DBT, and most probably know that it stands for Dialectical Behavioral Therapy. However, I don't think that most of the participants know what "dialectical" means.
I knew vaguely (after attending DBT a few times) that it was a kind of tensions of opposites, but I didn't really know very well what that meant in practical terms that would help me identify them in my life. One of the nice features of this book is that it has tables that illustrate what the dialectics are for different client categories (diagnoses, problem behaviors) that helped me understand a vague topic very clearly in such a way that I can better identify the dialectics in my life and seek to "heal" them, if that would improve things (some dialectics are OK, some do not serve one well, and that may be a matter of personal choice but there is more _choice_ involved when one can identify them).
These are my initial impressions of the book which I may update as I read it in more depth.
I would look forward to another skills-based workbook from this author for the clients of DBT written in a clear, concise style such as this book (of course, in more simplified language because of the different audience).
I think this book succeeds at being "A Practical and Comprehensive Guide" (which is the subtitle).
Update:
I have had more time to read this book, and the more that I have gotten into it the more useful it has become. It's possible that I am a unique DBT client that can get a better perspective on DBT reading a book targeted towards providers. I love the conciseness, and in my opinion it's the perfect balance between economy of words and getting the ideas across.
In addition, both the slides and the worksheets are superb, have added to my understanding of the modules, and greatly exceed my expectations. They are well designed, well presented, and very useful. I haven't been this excited about a DBT book since Marsha Linehan's Skills Training Manual.
Thomas Marra: I gave a low review to one of your other books, and actually feel guilty for it even though it reflects my true feelings (hmm, is there a dialectic there?). Anyway, kudos for a job well done. I give this 6 stars (******) which should help average out my other rating :-)
A Fellow Amazon Customer Reviewed this title on: 2006-10-29 and rated it
19 People found this review helpful, Dialectical Behavior Therapy In Private Practice
As long as the reader recognizes that Marra is not writing a book about protocol DBT, his ideas are a just fine adjunct to the library. The clinician needs to be ready to recognize the differences and make informed choices.
A Fellow Amazon Customer Reviewed this title on: 2006-07-16 and rated it
23 People found this review helpful, More Practical Than Many Other Bpd Resources
this book, in my opinion, is more practical than many other resources available for treating borderline personality disorder. for the most part, it is written at a level that the majority of individuals with bpd can understand. i think that the exercises are well thought out and, based on feedback, seem to be quite helpful for patients. it is respectful to the individual yet challenging. while i didn't find everything i needed - it wasn't exhaustive - i found most everything, almost all exercises were beneficial. the modification of linehan's intensive dbt (that is, weekly individual AND lengthy group sessions) to the private practice environment regulated by managed care (that is, limited #s of sessions) is a challenging hurtle that begins to be chiseled away in this book. for any behavioral / mental health professional frustrated with the difficulties encountered in helping folks with bpd, this book is a very good resource. i recommend that professionals peruse it before buying it just to make sure they like it, as i did. it's different than most self-help books for folks with bpd, and i think that, while individuals with bpd may benefit from most of this book, it is best if augmented with individual and group therapy.
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