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Dialectical Behavior Therapy with Suicidal Adolescents
     

Dialectical Behavior Therapy with Suicidal Adolescents

3.3 3
by Alec L. Miller, Jill H. Rathus, Marsha M. Linehan, Charles R. Swenson
 

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Filling a tremendous need, this highly practical book adapts the proven techniques of dialectical behavior therapy (DBT) to treatment of multiproblem adolescents at highest risk for suicidal behavior and self-injury. The authors are master clinicians who take the reader step by step through understanding and assessing severe emotional dysregulation in teens and

Overview

Filling a tremendous need, this highly practical book adapts the proven techniques of dialectical behavior therapy (DBT) to treatment of multiproblem adolescents at highest risk for suicidal behavior and self-injury. The authors are master clinicians who take the reader step by step through understanding and assessing severe emotional dysregulation in teens and implementing individual, family, and group-based interventions. Insightful guidance on everything from orientation to termination is enlivened by case illustrations and sample dialogues. Appendices feature 30 mindfulness exercises as well as lecture notes and 12 reproducible handouts for "Walking the Middle Path," a completely new DBT skills training module for adolescents and their families.

Editorial Reviews

Doody's Review Service
Reviewer: Gary B Kaniuk, PsyD (Cermak Health Services)
Description: This book applies the principles of dialectical behavior therapy to suicidal adolescents. It is a pragmatic approach to a high-risk population and the appendixes are full of exercises, handouts, and lecture points.
Purpose: According to the authors, "this book focuses on treating those suicidal adolescents who exhibit multiple problem behaviors. The book definitely meets the authors' objectives."
Audience: The authors target "the thousands of mental health professionals who, on a daily basis, are confronted with the challenging task of attempting to provide effective treatment for suicidal multiproblem adolescents." They continue, "this book belongs on the desks of a wide range of mental health practitioners, including clinical psychologists, psychiatrists, and clinical social workers. It may serve as a text in graduate-level courses and clinical practica." Dr. Miller, an associate professor at Montefiore Medical Center/Albert Einstein College of Medicine, has numerous publications and has conducted over 200 lectures and workshops on DBT. Dr. Rathus, an associate professor at Long Island University/C.W. Post Campus, has published numerous peer-reviewed articles and chapters on DBT, adolescent suicide, and other topics. Dr. Linehan, professor of psychology and adjunct professor of psychiatry and behavioral sciences at the University of Washington, developed DBT from CBT (cognitive behavioral therapy) while she was treating individuals with suicidal and self-injurious behaviors.
Features: The first of the book's 12 splendid chapters introduces the problem of suicidal behavior in adolescents and provides a brief description of DBT. The other chapters then provide the framework and specifics of how to intervene. Chapter 8 on individual therapy is exemplifies the wonderful features of this book. It walks readers through a session, with illustrative figures and tables, as well as interesting case material. It is useful to both the novice and veteran therapist. I felt like I was receiving supervision on the application of DBT in the way the book is organized and written. Three appendixes are filled with exercises, lecture and discussion points, and handouts. This is a very readable and practical book, in the long tradition of therapeutic intervention volumes from Guilford Publications.
Assessment: This is must reading for those working with an adolescent population. DBT is an effective strategy in attempting to address suicidal and parasuicidal behavior. The authors make it clear that the clients they are trying to help often have multiple problem behaviors. The book does not pretend that there are easy answers, but it does walk readers through this difficult process and provides hope, evident in the final statement of the last chapter: "Together, the efforts of the clinical and research communities will increase this treatment's ability to help suicidal, multiproblem adolescents build lives worth living."
Journal of the American Academy of Child and Adolescent Psychiatry

"Clinicians with and without expertise in dialectical behavior therapy (DBT) will find this book useful because it covers topics ranging from basic principles to details of session content, to treatment protocol modifications for this specialized population....The attention given to the role of families in this book is a feature that is not available in general DBT books....This book's greatest strength is the practical format in which information is presented. The chapters that outline treatment protocols provide detailed information about session process and content. Many practical figures, tables, and checklists are included. The addition of reproducible handouts and checklists that can actually be used in therapy is an added bonus. There is also an appendix of mindfulness exercises that most clinicians will find helpful....A comprehensive and practical book....This book will certainly help to facilitate future research because it provides the comprehensive structure necessary for those who will go on to conduct clinical trials."
Bulletin of the Menninger Clinic

"This is an excellent manual covering how to apply DBT to multiproblem suicidal adolescents."
Child & Family Behavior Therapy

"This is an exciting and very important book that fills a need in the behavioral literature....The book is clearly written, full of examples and may represent the most comprehensive explanation of dialectical behavior therapy yet written. This book would be a valued addition to any advanced graduate level psychology or social work course in behavior therapy targeting adolescence or where suicidality is part of the curriculum. This book will also be a valued addition to any psychiatry residency or fellowship aligned with an adolescent treatment program. Given the importance of this book, its potential contribution and the high level of need of this targeted population, the price is a bargain!"
Cognitive Behavioral Therapy Book Reviews

"A remarkably well-written, comprehensive, theoretically-grounded, integrated treatment manual. It is excellent for researchers and clinicians alike—as the most comprehensive and empirically-informed approach to treating suicidal adolescents developed by experts with this population....Notable throughout this manual is the compassionate stance taken by the authors in describing the symptoms and behaviors of the multi-problem adolescents and families served by dialectical behavior therapy (DBT) treatment....I highly recommend this treatment manual for all those working with adolescents."
PsycCRITIQUES

"This book is a creative synthesis of the new and old that offers a useful treatment manual to be applied and further tested with the taxing population of suicidal adolescents....An excellent work....The ideas and tools are well explained, inviting application, skill building, and ultimately analysis of the effectiveness of this approach. This work goes a long way toward moving us forward in treating this most taxing dilemma of treating suicidal adolescents. This is a nice synthesis. Well done."

Product Details

ISBN-13:
9781606237892
Publisher:
Guilford Publications, Inc.
Publication date:
11/16/2006
Sold by:
Barnes & Noble
Format:
NOOK Book
Pages:
346
File size:
4 MB

Meet the Author

Alec L. Miller, PsyD, is Associate Professor of Psychiatry and Behavioral Sciences, Chief of Child and Adolescent Psychology, Director of the Adolescent Depression and Suicide Program, and Associate Director of the Psychology Internship Training Program at Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York. Dr. Miller has published widely on topics including DBT, adolescent suicide, childhood maltreatment, and borderline personality disorder, and has trained thousands of mental health professionals in DBT. He is Associate Editor of Cognitive and Behavioral Practice.
 
Jill H. Rathus, PhD, is Professor of Psychology at Long Island University Post, where she directs the DBT scientist-practitioner training program within the clinical psychology doctoral program. She is also Co-Director and Co-Founder of Cognitive Behavioral Associates, a group private practice in Great Neck, New York, specializing in DBT and cognitive-behavioral therapy (CBT). Her clinical and research interests include DBT, CBT, adolescent suicidality, intimate partner violence, anxiety disorders, and assessment, and she publishes widely in these areas.

Marsha M. Linehan, PhD, ABPP, the developer of dialectical behavior therapy (DBT), is Professor of Psychology and of Psychiatry and Behavioral Sciences and Director of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders. Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the 2017 University of Louisville Grawemeyer Award for Psychology and the 2016 Career/Lifetime Achievement Award from the Association for Cognitive and Behavioral Therapies. She is also a recipient of the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior. She is a Zen master and teaches mindfulness and contemplative practices via workshops and retreats for health care providers.

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