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Radically Open Dialectical Behavior Therapy : Theory and Practice for Treating Disorders of Overcontrol by Thomas R. Lynch (2018, Hardcover)

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Indeed, people with OC are often considered highly successful by others, even as they suffer silently and alone.

About this product

Product Identifiers

PublisherContext Press

ISBN-101626259283

ISBN-139781626259287

eBay Product ID (ePID)236649750

Product Key Features

Number of Pages520 Pages

LanguageEnglish

Publication NameRadically Open Dialectical Behavior Therapy : Theory and Practice for Treating Disorders of Overcontrol

SubjectPersonality, Clinical Psychology, Psychiatry / General, Movements / Behaviorism, Self-Management / General

Publication Year2018

TypeTextbook

AuthorThomas R. Lynch

Subject AreaSelf-Help, Psychology, Medical

FormatHardcover

Dimensions

Item Height1.5 in

Item Weight43.7 Oz

Item Length10 in

Item Width7 in

Additional Product Features

Intended AudienceScholarly & Professional

LCCN2017-040500

Reviews"RO DBT offers an intriguing reconceptualization of traditional views of internalizing and externalizing disorders, and provides the clinician with valuable new tools to address a number of problems that have been particularly resistant to standard CBT approaches. I will definitely include RO DBT theory and techniques in my graduate-level intervention class. I know beginning clinicians in particular will be grateful to have a systematic way to approach these slow-to-warm-up clients who are difficult to establish rapport with. Their early termination from therapy and failure to respond to traditional approaches often leaves clinicians befuddled and critical of their own skills. RO DBT provides a compassionate way for clinicians to view this type of resistant client, as well as to work on some areas that are likely to benefit them. A very welcome addition to any clinician's toolbox." -- Linda W. Craighead, PhD , professor of psychology and director of clinical training at Emory University, and author of The Appetite Awareness Workbook, "A new and comprehensive statement from one of the more creative minds in evidence-based clinical intervention today, RO DBT brings together a contemporary focus on a limited set of key transdiagnostic processes, with new assessment and intervention techniques for moving them in a positive direction. Emphasizing flexibility, openness, connection, and attention to social signaling, RO DBT specifies the details that can matter, from how you arrange your consulting room furniture to how nonverbal cues signal social information. RO DBT seems destined to make an impact on evidence-based care in many corners of clinical work. Highly recommended." --Steven C. Hayes, PhD , codeveloper of acceptance and commitment therapy (ACT); Foundation Professor of psychology at the University of Nevada, Reno; and author of Get Out of Your Mind and Into Your Life, "Radically open dialectical behavior therapy (RO DBT) is a truly innovative treatment, developed through translation of neuroscience into clinical practice, integrating various influences from dialectical behavior therapy (DBT), mindfulness-based approaches, emotion, personality and developmental theory, evolutionary theory, and Malamati Sufism. RO DBT is applicable to a spectrum of disorders characterized by excessive inhibitory control or overcontrol (OC). This is the first treatment that directly targets social signaling and nonverbal aspects of communication not only in clients but also in therapists. ... This book on the theory and practice of RO DBT, together with the skills training manual that describes the content of skills classes, are excellent guides for clinicians who want to embark in delivering transdiagnostic treatments based on science and clinical practice." -- Mima Simic, MD, MRCPsych , joint head of the child and adolescent eating disorder service, and consultant child and adolescent psychiatrist at the Maudsley Hospital in London, UK, "A new and comprehensive statement from one of the more creative minds in evidence-based clinical intervention today, RO DBT brings together a contemporary focus on a limited set of key transdiagnostic processes, with new assessment and intervention techniques for moving them in a positive direction. Emphasizing flexibility, openness, connection, and attention to social signaling, RO DBT specifies the details that can matter, from how you arrange your consulting room furniture to hownonverbal cues signal social information. RO DBT seems destined to make an impact on evidence-based care in many corners of clinical work. Highly recommended." --Steven C. Hayes, PhD , codeveloper of acceptance and commitment therapy (ACT); Foundation Professor of psychology at the University of Nevada, Reno; and author of Get Out of Your Mind and Into Your Life

Table Of ContentAcknowledgments vii Key Terms xi Introduction 1 Overview of Core RO DBT Tenets 1 Overview of the Book''s Contents 2 In RO DBT, Silliness Is No Laughing Matter 4 1. Radical Openness and Disorders of Overcontrol 7 Self-Control: Can You Have Too Much of a Good Thing? 7 Basic Postulates of RO DBT 11 Treatment Development and Efficacy Research 19 2. A Neurobiosocial Theory for Disorders of Overcontrol 33 A Novel Neuroregulatory Model of Socioemotional Functioning 33 A Biosocial Theory for Disorders of Overcontrol 46 Social Signaling: A Novel Mechanism of Change 66 3. Assessment Strategies 69 Assessing Overcontrol: A Conceptual Framework 69 Common Errors and Problematic Assumptions 70 The OC Diagnostic Protocol: Diagnosing Overcontrol, Step-by-Step 76 Future Directions 83 4. Overview of Therapy Assumptions, Structure, and Targets 85 RO DBT Core Assumptions 86 Overview of Treatment Structure and Targets 88 5. Maximizing Client Engagement 97 Enhancing Client Engagement via the Physical Environment 97 Enhancing Client Engagement via Orientation and Commitment 100 Commitment Problems Unique to Overcontrol 137 Enhancing Engagement Through Sequencing 140 6. Social Signaling Matters: Micromimicry, Mirror Neurons, and Social Connectedness 145 Social Bonds, Mimicry, and Mirror Neurons 146 One Size Does Not Fit All 149 Eye Contact 149 The "Deer in the Headlights" Response 151 Heat-Off Strategies 153 Heat-On Strategies 155 Therapeutic Use of Cooperative Social Signaling 156 The Therapist as Tribal Ambassador 161 Managing Maladaptive OC Social Signaling 170 Tribe Matters 175 7. Radical Openness and Self-Enquiry: Personal Practice, Therapeutic Modeling, Supervision, and Team Consultation 177 Openness Is Tribal Glue 178 Openness, Collaboration, and Compliance 180 Openness, Tribes, and Learning 181 One Secret of Healthy Living Is the Cultivation of Healthy Self-Doubt 184 What Is Radical Openness? 186 Practicing Self-Enquiry and Outing Oneself 190 RO DBT Team Consultation and Supervision 192 Using a Consultation Team to Enhance Supervision and Treatment Outcomes 198 8. The Therapeutic Alliance, Alliance Ruptures, and Repairs 209 The RO DBT Therapeutic Stance 209 The Therapeutic Alliance 211 Alliance Ruptures and Repairs 213 Prevention of Premature Treatment Dropout 223 9. Treatment Targeting and Intervention: Prioritizing Social Signaling 229 Kindness First and Foremost 230 Radically Open Living: Developing a Life Worth Sharing 232 Structuring Sessions with the RO DBT Treatment Target Hierarchy 233 Targeting In-Session Social Signaling: Basic Principles 240 Monitoring Treatment Targets with Diary Cards 257 Valued Goals, Themes, and Targets 267 From Targeting to Intervention: An Overview of Treatment Strategies 270 10. Dialectical and Behavioral Strategies 297 Why Dialectics? 297 Behavioral Principles and Strategies 327 11. Final Remarks, Practical Questions, and Treatment Adherence 371 Some Commonly Asked Questions 371 Final Remarks 373 Appendix 1: Assessing Styles of Coping: Word-Pair Checklist 377 Appendix 2: The Clinician-Rated OC Trait Rating Scale 381 Appendix 3: The Overcontrolled Global Prototype Rating Scale 385 Appendix 4: RO DBT Semistructured Suicidality Interview 401 Appendix 5: Targeting Indirect Social Signals: In-Session Protocol 405 Appendix 6: Setting the Stage for Effective RO DBT Chain Analysis: In-Session Protocol 415 Appendix 7: Using RO DBT Chain and Solution Analysis: Principles and In-Session Protocol 419 Appendix 8: RO DBT Adherence: A Self-Assessment Checklist 433 Endnotes 453 References 461 Index 493

SynopsisA Groundbreaking, Evidence-Based Treatment for Disorders of Overcontrol, Based on more than twenty years of research, radically open dialectical behavior therapy (RO DBT) is a breakthrough transdiagnostic approach for helping clients suffering from disorders characterized by excessive self-control or overcontrol (OC), such as anorexia nervosa, chronic depression, and obsessive-compulsive personality disorder (OCPD). As a clinician, you know these disorders are notoriously difficult to treat, and often linked to social isolation, loneliness, cognitive rigidity risk aversion, compulsive need for structure, inhibited emotional expression, and hyper-perfectionism. RO DBT is based on the premise that psychological well-being involves the confluence of three factors: receptivity, flexibility, and social connectedness. RO DBT addresses each of these, and is the first evidence-based treatment that directly targets social signaling and nonverbal aspects of communication as the primary mechanism of change. Written by the developer of RO DBT, Thomas Lynch, this comprehensive volume provides everything you need to understand and implement this groundbreaking treatment in individual therapy-including theory, research, specific treatment protocols, clinical examples, and future directions. An Invaluable Resource for Treating: Anorexia nervosa, Chronic depression, Treatment-resistant anxiety, Obsessive-compulsive personality disorder, Avoidant personality disorder, Paranoid personality disorder, Autism spectrum disorders, Based on over twenty years of research, radically open dialectical behavior therapy (RO DBT) is a breakthrough, transdiagnostic approach for helping people suffering from extremely difficult-to-treat emotional overcontrol (OC) disorders, such as anorexia nervosa, obsessive-compulsive disorder (OCD), and treatment-resistant depression. Written by the founder of RO DBT, Thomas Lynch, this comprehensive volume outlines the core theories of RO DBT, and provides a framework for implementing RO DBT in individual therapy. While traditional dialectical behavioral therapy (DBT) has shown tremendous success in treating people with emotion dysregulation, there have been few resources available for treating those with overcontrol disorders. OC has been linked to social isolation, aloof and distant relationships, cognitive rigidity, risk aversion, a strong need for structure, inhibited emotional expression, and hyper-perfectionism. And yet--perhaps due to the high value our society places on the capacity to delay gratification and inhibit public displays of destructive emotions and impulses--problems linked with OC have received little attention or been misunderstood. Indeed, people with OC are often considered highly successful by others, even as they suffer silently and alone. RO DBT is based on the premise that psychological well-being involves the confluence of three factors: receptivity, flexibility, and social-connectedness. RO DBT addresses each of these important factors, and is the first treatment in the world to prioritize social-signaling as the primary mechanism of change based on a transdiagnostic, neuroregulatory model linking the communicative function of human emotions to the establishment of social connectedness and well-being. As such, RO DBT is an invaluable resource for treating an array of disorders that center around overcontrol and a lack of social connectedness--such as anorexia nervosa, chronic depression, postpartum depression, treatment-resistant anxiety disorders, autism spectrum disorders, as well as personality disorders such as avoidant, dependent, obsessive-compulsive, and paranoid personality disorder. Written for mental health professionals, professors, or simply those interested in behavioral health, this seminal book--along with its companion, The Skills Training Manual for Radically Open Dialectical Behavior Therapy (available separately)--provides everything you need to understand and implement this exciting new treatment in individual therapy--including theory, history, research, ongoing studies, clinical examples, and future directions., Radically open-dialectical behavior therapy (RO-DBT) is a breakthrough, transdiagnostic approach for helping clients with extremely difficult-to-treat overcontrol (OC) disorders such as anorexia nervosa, chronic depression, and obsessive-compulsive disorder (OCD). Written by the founder of RO-DBT and never before published, this comprehensive volume outlines the core theories of RO-DBT, and provides a framework for implementing RO-DBT in individual therapy.

LC Classification NumberRC489.B4