Enjoy this rare opportunity to watch a true pioneer in action. Marsha Linehan, PhD, the creator of Dialectical Behaviour Therapy (DBT), is best known for her success with suicidal and highly complex clients. The amount of evidence-based research surrounding DBT is tremendous; not only in its application with Borderline Personality Disorder, but also with many other hard-to-treat conditions.
In this video, watch Linehan demonstrate her approach with an extremely challenging client who manifests significant Axis II issues. This middle-aged man, brilliantly portrayed by Dutch actor Henk Grashuis, is struggling with depression, suicidal ideation, anger, and a sense that he has been treated unfairly by his ex-girlfriend—all of which is hidden behind a brittle defensiveness. You’ll see Linehan conducting an initial behavioural assessment, interspersed with DBT techniques, including her use of dialectics, irreverence, “validating the valid,” and an emphasis on client choice. While the client works to keep his worst behaviours hidden from Linehan, and is reluctant to commit to any treatment, Linehan carefully, cleverly, and matter-of-factly garners necessary information about him, assesses his suicidality and history of domestic violence, helps him define and commit to his goals, and builds an appropriate initial alliance. You’ll be impressed by how much she accomplishes in a single session! Parents, step-parents, parent educators, and therapists will find this video filled with healing principles and highly practical tools. Conveniently organized segments, exercises, and slides make it easy to use for parent education classes and workshops.
"This video provides a concise, lucid review by Linehan of the origins and nature of DBT, making clear both its essential cognitive-behavioural core but also and most especially the differences. An initial assessment session illustrates a functional analysis of a patient’s problem, and Linehan’s interpolated comments about why she was doing a particular thing are especially helpful in understanding her thinking and strategizing. Overall a very useful training video by a master clinician and scientist."
- Gerald C. Davison, PhD, Professor of Psychology and Gerontology, University of Southern California
"Linehan provides the viewer with a concise yet thorough overview of the history and development of DBT as well as an update on the latest scientific advances supporting the treatment's efficacy. This discussion is nicely complemented by a clinical demonstration that allows viewers to see elements of DBT in action. The demonstration nicely highlights the importance of a behavioural assessment in DBT while also showcasing the unique interpersonal style of the DBT therapist that is active, matter-of-fact, and can have the effect of keeping the client slightly off balance throughout the session."
- Jamie Bedics, PhD, Director of DBT Training Program, California Lutheran University
Perhaps no therapist of the last several decades has so influenced current practice as Marsha Linehan. Though she does a great deal of teaching and training, opportunities to see her practicing with a client in a full-length session are few and far between. Therapists, DBT practitioners, and newcomers alike will relish this rare opportunity.
In this initial session, Linehan works with a fascinating and difficult client. He makes it clear that he is actively suicidal, has little faith in therapy, and is not necessarily committed to treatment. He bobs and weaves as Linehan works with him, concealing some of the most damaging aspects of his own past behaviours and painting himself as an angry and wounded victim. With her upfront and frank style, Linehan defines the client’s goals, makes clear to him which behaviours must change immediately, and gets him to agree to postpone suicidality in favor of further investigating her treatment. Throughout the session, Linehan gives voiced-over explanations of why she made certain choices and what compelled her towards different interventions. Prepare to be fascinated, both by the client and by Linehan!
By watching this video, you will learn:
- How to conduct an initial behavioural assessment using DBT
- How to implement elements of DBT style and strategy with your own clients
- How a DBT therapist assesses for suicidality and obtains commitment to therapy
This is an Instructor Version and can be used for groups and training purposes.
Marsha Linehan, PhD, is a Professor of Psychology and adjunct Professor of Psychiatry and Behavioural Sciences at the University of Washington and is Director of the Behavioural Research and Therapy Clinics, a consortium of research projects developing new treatments and evaluating their efficacy for severely disordered and multi-diagnostic and suicidal populations. Her primary research is in the application of behavioural models to suicidal behaviours, drug abuse, and borderline personality disorder. She is also working to develop effective models for transferring science-based treatments to the clinical community.
She is the developer of Dialectical Behaviour Therapy (DBT), a treatment originally developed for the treatment of suicidal behaviours and since expanded to treatment of borderline personality disorder and other severe and complex mental disorders, particularly those that involve serious emotion dysregulation.
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Organisational Training Pack - £99.95