Thesis (Th. M.)--Westminster Theological Seminary, Philadelphia, 1986. / Includes bibliographical references (leaves 69-71).

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Dialectical Behavior Therapy (DBT; Linehan, 1993) is an empirically supported, skills based, cognitive-behavioral therapy used to treat a myriad of symptoms including chronic suicidality and self-harm, emotion dysregulation, reactive aggression and other mood dependent behaviors. Because of its emphasis on self-regulation and a wide range of problem behaviors, DBT can be readily applied to sex offender treatment programming. In this workshop, participants will learn about DBT’s method of conceptualizing and addressing client problems, important strategies for engaging offenders in treatment using this approach, and DBT skills. Important updates from the most recent DBT skills manual will also be addressed. be discussed.

This study examined how stigma and dialectical tensions affect information sharing by gay men. One specific area that was investigated is the use of interpersonal boundary spanning techniques in managing information related to being gay. The research used a qualitative, interpretive method to gather and analyze data from eleven in-depth interviews. An interview schedule was developed based on the critical incident technique in order to focus the interviews on specific events and direct observation. The questions in the interview covered individuals experiences with sharing their sexual orientation with someone else for the first time, times when they have specifically chosen to share or not share their orientation, boundaries that exist between the GLBT community and the larger community in which it resides, and techniques used when sharing general information about being gay. The data was analyzed for relational themes described by Owen (1984) as those that emerge through recurrence, repetition, and forcefulness. The themes that emerged were how stigma affects coming out both initially and continuously, managing stigma and dialectical tension, and techniques used in interpersonal boundary spanning. Two major contributions emerged: the relationship between stigma and intrapersonal dialectical tensions, and interpersonal boundary spanning. Stigma can change how easy it is to manage intrapersonal dialectical tensions, such as a normal-different tension. Interpersonal boundary spanning can help the stigmatized individual to demonstrate his normality, and interpersonal boundary spanning helps to reduce stereotyping and negative perception of the stigmatized group.

In the past decade the push for utilization of evidence-based practice (EBP) in mental health has increased dramatically. Due to managed healthcare, lowered spending on state and federal mental health budgets, and requirements by funding agencies such as Medicaid, it is imperative that mental health clinicians (MHCs) be trained in and utilize EBPs to improve funding and ensure continuity of best practice in clinical interventions with clients. Minimal research exists on MHCs and their knowledge and use of EBPs. The present study examined MHCs' perceptions, knowledge, training, and utilization of EBPs, with a specific focus on Dialectical Behavior Therapy (DBT). To date, it is the most prominent and effective EBP for treating Borderline Personality Disorder (BPD) and associated parasuicidal and suicidal behaviors. Current research supports its effectiveness in treating a myriad of other commonly treated disorders. The exploratory study provides insight into MHCs level of interest in receiving more EBP awareness and DBT training. Results indicate that though clinicians have received training in EBP and DBT, most of that training has been encouraged through career settings. Age of the clinician, years in practice, and type of training background are predictors of level of education, knowledge and training. Results show the majority of clinicians are interested in EBP, aware of the impact EBP can have on treatment effects, and report desire to have more training in EBPs and DBT specifically. These results could provide a necessary bridge between disciplines to allow clinicians, irrespective of training, to provide the most clinically effective treatments to clients. / Ph. D.

<p dir="ltr">Overcontrol is a coping style common to many psychiatric disorders that involves rigidity, goal persistence, and relying on a strict set of beliefs to manage aversive experiences. Overcontrol is associated with many core deficits, including disorders of internalizing and difficulties with social function. In clinical observation, it has been noted that there are two subgroups of patients with overcontrol, those who are “overly agreeable” and “overly disagreeable”. This work aimed to examine the role of agreeableness in overcontrol, investigating whether there exist important differences in psychiatric or psychosocial functioning at the poles of agreeableness. This study found evidence of this non-linear relationship for certain outcomes. For example, the relationship between internalizing distress and emotion dysregulation was non-linear in nature, meaning particularly low/high agreeableness in combination with overcontrol predicted more depression and dysregulation. Further nuance to these findings were investigated in exploratory analyses. Contrary to expectations, there was no evidence for a curvilinear role of agreeableness in social functioning, however, overcontrol was significantly related to loneliness. Further, there were many associations between agreeableness, overcontrol and interpersonal values, lending credence to clinical observation that people high in overcontrol hold certain values about their interpersonal context which may not be overtly expressed. Taken together, this paper offers support for the Radically Open Dialectical Behavioral Therapy conceptualization of behavior, providing empirical support to the agreeableness subgrouping.</p>

Background: Dialectical behavior therapy (DBT), an outpatient intervention, has shown efficacy in reducing suicidality. Less is known about its effectiveness when delivered in usual care (UC), and the resource-intensive nature of the program often results in modifications when implemented in usual care. Methods: A systematic search yielded 83 empirical evaluations of DBT that reported original data on at least one of three suicidality-related outcomes: (a) self-directed violence (SDV), (b) crisis service use (CSU), and (c) suicidal ideation (SI). Using meta-analysis, the current study (1) estimated pooled effect of DBT in UC, (2) compared effects in UC and non-UC settings, and (3) examined predictors of differential outcomes. Results: DBT demonstrated a large effect (g=.81) in reducing SDV and a medium effect in reducing SI (g=.68). The estimated effect on CSU (g=.60) was non-significant after adjusting for publication bias (g=.29). DBT was more effective than control conditions in reducing SDV (g=.50), even after adjusting for publication bias (g=1.63). No differences between UC and non-UC effects were detected. In uncontrolled studies, positive associations emerged between therapist training and SDV reduction, adherence-reporting and CSU reduction, and outpatient and SI reduction. Discussion: Results support DBT’s effectiveness in reducing suicidality-related outcomes in UC, but should be interpreted with caution given the heterogeneity among studies. Potential sources of heterogeneity and the methodological challenges of synthesizing research in UC are discussed. Recommendations for future work are offered. / Psychology

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-05-15T16:26:55Z No. of bitstreams: 1 Dílson Wrasse.pdf: 2729797 bytes, checksum: d955fe1b543bc4dabca252a587363dbc (MD5) / Made available in DSpace on 2017-05-15T16:26:55Z (GMT). No. of bitstreams: 1 Dílson Wrasse.pdf: 2729797 bytes, checksum: d955fe1b543bc4dabca252a587363dbc (MD5) Previous issue date: 2017-04-27 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The present work analyzes the concept of dialectics at Lev Semionovich Vigotski (1896-1934) with regard to the body of his work and, on the other hand, his most important theoretical influences in the field of gnoseology and the theory of knowledge, and explains the theoretical foundations for the construction of a dialectical psychology. Therefore, we subdivide our work into an introductory chapter, followed by three parts: In the first chapter, we particularly emphasize the hermeneutic method used to analyze the works of the author, since the largest part of the collection still exist only in Russian, partly in English and Spanish, and to a lesser extent in Portuguese. In the first part, "The State of Vigotski´s Hermeneutic Art", we present analyzes of the historical context, the biography, the characteristics of the work and the publicizing policy. In the second part, "The Adventures of Dialectics", we discuss the most important philosophical conversation partners of the author (Immanuel Kant, Georg W. F. Hegel, Ludwig Feuerbach, Karl Marx, Friedrich Engels and Vladimir Ilich Lênin) and the discussion about dialectic in the second half of the twentieth. The third part presents the detailed analysis of some selected works and shows how the maturation process of the dialectical logic and the historical-dialectical materialism are expressed in the field of epistemology. The dispute between the two epistemic theories of idealism and materialism qualifies the author in the consolidation of a dialectical psychology, which, together with revolutionary practice, contributes to building a new society and a new human being. In this work, we support the thesis that Lev Semionovich Vigotski, without referring to the epistemological dispute and without the foundations of historical dialectical materialism, would not have elucidated the methodological limits of contemporary psychology and thus did not create the most important methodological basis for the understanding of the human psyche / Este trabalho analisa o conceito de dialética em Lev Semionovich Vigotski (1896-1934), considerando o conjunto de sua obra e os seus fundamentos gnosiológicos e epistemológicos para a construção de uma psicologia dialética. Para isso, dividimos o trabalho em um capítulo inicial seguido de três partes: no capítulo inicial, enfatizamos especialmente o método hermenêutico a ser utilizado para análise das obras do autor, considerando que a maior parte do acervo continua na língua russa, parcialmente traduzido na língua inglesa e espanhola e uma seleção razoável na língua portuguesa. Na primeira parte, “O estado da arte da hermenêutica vigotskiana”, apresentamos análises sobre o contexto histórico, a participação intensa do autor com as questões judaicas na Rússia, a biografia, as particularidades das obras e a política de publicização. Na segunda parte, “As aventuras da Dialética”, discorremos sobre os principais interlocutores filosóficos do autor (Immanuel Kant, Georg W. F. Hegel, Ludwig Feuerbach, Karl Marx, Friedrich Engels e Vladimir Ilitch Lênin) e o debate sobre a dialética na segunda metade do século XX. Na terceira parte, apresentamos a análise aprofundada de algumas obras selecionadas e como a lógica dialética e o materialismo histórico dialético se manifestam num processo de amadurecimento especialmente no campo epistemológico. As disputas entre as gnosiologias idealismo e materialismo qualificam o autor na consolidação de uma psicologia dialética que se dispõe a colaborar com a práxis revolucionária na construção de uma nova sociedade e de um novo ser humano. Neste trabalho sustentamos a tese de que sem a referência das disputas gnosiológicas e sem os fundamentos do materialismo histórico dialético, Lev Semionovich Vigotski não teria elucidado as limitações metodológicas da psicologia de sua época e nem fundamentado as principais bases metodológicas para compreensão do psiquismo humano

This work focuses on the meaning of dialectical method in the context of preceding parts of the dialogue Philebus (discourse about One and Many, asymmetrical ethical controversy, examining of the nature of pleasure) and in the context of some following parts (examples of application of the dialectical method, remembrance from a god connected with the agreement on three features of the good, sketch of the panta-ontology). This method has from its perspective the universal scope and its task is to solve difficulties. But its principle according to which it distinguishes One and Many and also Determinacy and Indeterminacy needs to be explained. The initial One has meaning of the genus which includes species or of the henad which includes monads. Limits of the dialectical method are marked with the ethical perspective based on the insight into nature of the good and with the ontological perpective which introduces the cause. The good and the cause can be identified with the pure One in order to make from them supplements of the dialectical method. This dialectical method can be applied only to One which is Many or to One which unifies Many (the pure One). It can't be applied to One which is without any relation to Many or to Many which is in no way One. In contrast to the dialectical method the...

Mindfulness is a core component of dialectical behavior therapy (DBT), a widely utilized treatment for borderline personality disorder (BPD); however, the import of mindfulness in treating BPD has yet to be demonstrated, and the relationship of mindfulness to BPD constructs is unclear. The current study utilized structural equation modeling to examine the relations of mindfulness with BPD features and the underlying constructs of interpersonal problem-solving effectiveness, impulsivity, emotion regulation strategies, and neuroticism in 342 young adults. Mindfulness was significantly related to effectiveness in interpersonal problem-solving, impulsivity and passivity in emotion regulation, and borderline features. Furthermore, mindfulness continued to predict borderline features when controlling for interpersonal problem-solving and impulsive/passive emotion-regulation strategies, as well as when controlling for neuroticism. It is concluded that difficulties with mindfulness may represent a core feature of BPD and that improvement in mindfulness may be a key component of treatment efficacy with BPD. It is recommended that the unique contribution of mindfulness be investigated in future treatment-outcome research.