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Doody's Review ServiceReviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: Dialectical Behavior Therapy (DBT), a psychological treatment developed by Marsha Linehan, has received significant attention from both clinical and research perspectives during the last two decades, it. This book describes DBT principles and guides the reader in the application of this treatment.
Purpose: The purpose is to introduce DBT and provide practical suggestions for the implementation of it, ways to avoid common pitfalls, and suggestions for difficult situations.
Audience: The target audience is primarily clinicians, most of whom will probably be clinical psychologists, but may also include marriage and family therapists and social workers. The editors are students of Marsha Linehan and helped to develop DBT during their tenure at the University of Washington. Readers should be aware, however, that they also have a financial interest in two of Linehan's companies that promote DBT and some of contributing authors are either students of hers or have connections to her companies.
Features: The well organized nature of this book is immediately apparent. There are clear headings in each chapter that logically progress through the theme of the chapter. Some chapters, such as chapter 2, have subsections that are divided into a series of "tips" for the clinician and provide flowcharts, sample dialogues, and tables that summarize key skills in DBT. DBT is addressed in different settings, such as outpatient and inpatient settings, with practical advice on setting up a DBT program, selecting a team leader, integrating it into current managed care practices, building a referral base, skills training, and measuring outcomes. The book also covers specific uses of DBT in residential forensic settings that include recidivism, decreasing staff burnout, and forensic modification of DBT treatment. The latter chapters are focused on the use of DBT in particular disorders. In general, the book is filled with useful tables, charts, and other tools for implementing DBT. The references are fairly current and pertinent. The index is also rather comprehensive.
Assessment: This is well written, practical book for clinicians seeking to expand their knowledge and use of DBT. While the original book, Cognitive Behavioral Treatment of Borderline Personality Disorder, Linehan (Guilford Press, 1993) remains a good starting place, this book will help to enrich the clinician's delivery of DBT with practical advice from authors with nearly two decades of experience.