Posted by alexandra_k on December 22, 2005, at 11:48:47
In reply to Re: What the hay, trigger, trigger, tigger, bigger, posted by alexandra_k on December 22, 2005, at 1:05:40
I wrote more than that but then I lost my post...
But it probably is important...
Linehan was interested in helping people who had fairly recurrent thoughts / urges of SI and suicide. The biggest client population where those things are a factor is Borderline Personality Disorder and so she developed an interest in that.
(So please don't freak about the therapy being developed for people with BPD. Point is... It is a therapy that is designed to help people with SI / suicidal urges, emotion dysregulation etc).
Here is what she has to say about BPD...
'Emotional Vulnerability: A pattern of pervasive difficulties in regulating negative emotions, including high sensitivity to negative emotional stimuli, high emotional intensity, and slow return to emotional baseline, as well as awareness and experience of emotional vulnerability. May include a tendency to blame the social environment for unrealistic expectations and demands.
[and i will add that sometimes the social environment does have unrealistic expectations and demands...]
Self-Invalidation: Tendency to invalidate or fail to recognise one's own emotional responses, thoughts, beliefs, and behaviours. Unrealistically high standards and expectations for self. May include intense shame, self-hate, and self-directed anger.
Unrelenting Crises: Pattern of frequent, stressful, negative environmental events, disruptions, and roadblocks - some caused by the individual's dysfunctional lifestyle, others by an inadequate social milieu, and many by fate or chance.
Inhibited grieving: Tendency to inhibit and overcontrol negative emotional responses especially those associated with grief and loss, including sadness, anger, guilt, shame, anxiety, and panic.
Active passivity: Tendency to passive interpersonal problem-solving style, involving failure to engage actively in solving of own life problems, often together with active attempts to solicit problem solving from others in the environment; learned helplessness, hopelessness.
Apparant competence: Tendency for the individual to appear deceptively more competent than she actually is; usually due to failure of competencies to generalise across expected moods, situations, and time, and to failure to display adequate nonverbal cues of emotional distress.
(Available from second link)
The third link was interesting to me... I started reading it (from the extract available online)... Interesting...
A lot of people think... That DBT would be helpful for anyone... Not just people with BPD.
What I found... Was that the individual therapist was important. Some therapists... Kind of try and 'tag on' the DBT stuff to the current way they do CBT therapy with clients with BPD.
That kind of misses the point...
Other therapists seem to understand *why* she altered things... And they use that to modify the way they normally practice CBT.
IMO... There is a huge difference.