Posted by Dinah on March 29, 2008, at 22:05:45
In reply to Re: CBT versus DBT » Sigismund, posted by Kath on March 29, 2008, at 21:12:31
I haven't looked at it for a while. But my recollection is that Linehan had discovered that the population of patients she worked with didn't do very well with cognitive behavior therapy. So she tried to incorporate the best of cognitive behavior therapy with eastern philosophy, radical acceptance, and dialectics. Which I think is the acceptance of two seemingly opposed ideas? Like "I accept you completely just as you are." and "Change is good."
There is a lot of emphasis on mindfulness and acceptance.
She also attempted to validate the therapy with outcome studies, so it was standardized a lot and used with manuals and with training and in strict settings. Since most therapists don't have the sort of setup she has, it's more often used in bits and pieces rather than in the entirety.
If it was used as she set it up to be used, the client would be in individual therapy sessions and in group training sessions. Therapists would have their own supports to try to keep countertransference and burnout at bay. And she also tries to standardize an approach using irreverence, and I'm not sure that can be standardized at all. That seems like an individual style.