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Marsha Linehan – Dialectical Behavior Therapy

Dialectical Behavior Therapy
by Marsha Linehan
Watch Marsha Linehan, founder of Dialectical Behavior Therapy (DBT), in action in this session with a middle-aged man with a significant personality disorder struggling with suicidal depression and anger after being left by his girlfriend.

Enjoy this rare opportunity to watch a true pioneer in action. Marsha Linehan, PhD, the creator of Dialectical Behavior 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 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 behavioral 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 behaviors 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!

Note: This video is part of a series, 3 Approaches to Personality Disorders, in which two other masters—psychoanalyst Otto Kernberg and CBT expert Art Freeman—work with the same client.

WHAT THERAPISTS ARE SAYING…
“This video is informative, helping the viewer form a clear understanding of the DBT approach. This video is ideal for both novice and seasoned counselors working with clients who present with challenging issues and diagnoses and who need to establish and maintain healthy behavior modification.”
— Kristina Nelson, doctoral student, University of Central Florida, reviewed in The Professional Counselor

“Marsha Linehan’s work is searing. It leaves an indelible mark on your view of effective psychotherapy. Her irreverence wakes you up and her compassion is abundant. Keeping things rational, direct and practical is at the core of Marsha’s wisdom. This DBT training video is extraordinary.”
— Shelley McMain, PhD, Head, Borderline Personality Disorder Clinic, University of Toronto

“This video provides a concise, lucid review by Linehan of the origins and nature of DBT, making clear both its essential cognitive-behavioral 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

In Depth
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, brilliantly portrayed by Dutch actor Henk Grashuis. 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 behaviors 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 behaviors 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!

Note: This video is part of a series, Three Approaches to Personality Disorder. The other two titles feature psychoanalyst Otto Kernberg and CBT expert Art Freeman conducting sessions with the same client.

By watching this video, you will learn:

• How to conduct an initial behavioral 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

Specs

Length of video: 1:48:00

English subtitles available

Bios

Marsha Linehan, PhD, is a Professor of Psychology and adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington and is Director of the Behavioral 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 behavioral models to suicidal behaviors, 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 Behavior Therapy (DBT), a treatment originally developed for the treatment of suicidal behaviors 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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