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Review
"This superb book finds the true dialectic between sophisticated writing and a 'how-to' approach. It is a 'must' for the shelves of every DBT therapist and those interested in the approach. Koerner is to be commended for this major contribution to the field."--Perry D. Hoffman, PhD, President, National Education Alliance for Borderline Personality Disorder"An incredibly useful book showing you how to work with difficult-to-treat clients. The presentation of DBT is crystal clear and highly practical, including systematic guidelines and concrete examples of actual interactions. I recommend this book to students and to new and advanced mental health practitioners, who will all encounter emotionally dysregulated clients."--Leslie S. Greenberg, PhD, Distinguished Research Professor, Department of Psychology, York University, Canada"A beautifully written, engaging description of emotional dysregulation and its treatment through DBT. The book is richly illustrated with case material and extensive client-therapist dialogues that truly demonstrate DBT in action."--Andrew Christensen, PhD, Department of Psychology, University of California, Los Angeles"Koerner, an expert DBT therapist, has written a hands-on, clinically rich work that provides guidelines for when and how to apply DBT strategies for complex cases. The material is accessible to both experienced clinicians and therapists in training. This book is an invaluable guide and a handy tool kit for working with patients with pervasive emotion dysregulation."--Stefan G. Hofmann, PhD, Department of Psychology, Boston University"This practical book teaches how to apply DBT theory to clinical problems, providing concrete ideas regarding the therapeutic process. The numerous case vignettes are excellent and create the effect of having a mentor telling you how to proceed. When Marsha Linehan writes the foreword to a book on DBT, you know that it is a work that stays true to DBT theory and practice." (Doody's Reviews 2012-10-01)"A must read for anyone wanting to master the techniques of individual therapy in dialectical behavior therapy (DBT). It is recommended for graduate classes in DBT, beginning and experienced therapists with or without prior knowledge of DBT, and those interested in clinical applications of emotions research....More than fulfills Kelly Koerner's promise in the preface of providing a user-friendly guide to conducting nuanced, competent individual therapy, using the theory and techniques of DBT. It is full of clear, straightforward information about how to initiate DBT, motivate clients, and use effective strategies to help emotionally and behaviorally dysregulated clients reduce their vulnerability and gain mastery in their lives. This book is equally strong in providing an overview of DBT and in explaining in detail the nitty-gritty steps of executing the treatment as it unfolds moment to moment. That Koerner is a DBT master therapist is evident throughout. Graduate students in the helping professions and beginning therapists will learn much about conducting DBT and how to move seamlessly from theory to execution. Experienced practitioners, both DBT therapists and those new to DBT, will benefit from the comprehensive overview, case formulations, and applications demonstrated in clinical vignettes. Clinicians from other theoretical orientations may find value in the discussions of boundaries, use of confrontation, and working with the therapeutic alliance. Therapists who are aware of only DBT skills training may be surprised at the expertise required to execute the individual therapy of DBT. The book is part of the well-respected Guides to Individualized Evidence-Based Treatment series, edited by Jacqueline Persons....Koerner does a truly impressive job...of presenting how the theory and spirit of DBT play out in practice. In eminently readable prose, she presents the nuts and bolts of therapeutic techniques clearly and succinctly. The book packs a tidal wave of information into a relatively brief volume....A major contribution to the 'how-to' therapy literature." (PsycCRITIQUES 2012-10-31)
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From the Inside Flap
Dialectical behavior therapy (DBT) is expressly designed for - and shown to be effective with - clients with serious, multiple problems. Filled with vivid clinical illustrations, this volume provides an accessible introduction to DBT and demonstrates the nuts and bolts of implementation. Kelly Koerner is an experienced DBT clinician and trainer and longtime collaborator of the therapy's originator, Marsha M. Linehan. In straight-talking language, Koerner shows therapists of any orientation how to integrate the concepts and techniques of DBT into their work with emotionally dysregulated clients. The book presents a roadmap for understanding and treating self-destructive behavior, including suicidality, and helping clients develop the crucial capacity to regulate their emotions. Koerner explains the DBT approach to case formulation, offering guidance for prioritizing therapeutic goals and creating an individualized treatment plan. Extensive sample dialogues reveal what the core strategies of DBT -- behavior change, validation, and dialectical strategies -- look like in action. Concrete suggestions are provided for dealing with common challenges, such as how to offer validation and acceptance in the midst of emotional dysregulation. Focusing on the moment-to-moment process of therapy, Koerner identifies specific things the therapist can say and do to keep the relationship strong while moving urgently for change. The book also discusses the critical importance of DBT peer consultation teams for therapists doing this demanding work. Clear and practical, this is an essential guide for clinical psychologists, social workers, counselors, and psychiatrists, both experienced DBT therapists and those seeking new ideas for addressing tough-to-treat problems.
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Product details
Series: Guides to Individualized Evidence-Based Treatment
Hardcover: 219 pages
Publisher: The Guilford Press; 1 edition (December 2, 2011)
Language: English
ISBN-10: 9781462502325
ISBN-13: 978-1462502325
ASIN: 1462502326
Product Dimensions:
6.2 x 1 x 9 inches
Shipping Weight: 1 pounds (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
72 customer reviews
Amazon Best Sellers Rank:
#95,238 in Books (See Top 100 in Books)
Concise and clear, this book lays out DBT in a quick(er), more understandable fashion than the manual. I'm in MFT school, writing a paper on DBT, and this book is a life-saver (no pun intended) because the actual manual is a beast to get through and synthesize (impossible to do so in the amount of time I have for this paper!).While not simplistic, this book is much clearer and easier to digest than the manual. If you're in my situation (just starting out as a therapist), I highly recommend this book as a basis for understanding how DBT works and recommend using the manual as more of a deep-dive into topics of particular interest.I've also read many explanations of DBT that were chapters in evidence-based practice books, and none of those were clear about how to go about integrating the goals/priorities/targets with the strategies and techniques. This book, on the other hand, is just super clear about how to do that. I'm so grateful for this book right now! You won't regret getting it.One note, there are a number of useful charts that I'm not sure would be rendered well on a Kindle, especially on the Kindle phone app. If you're on the fence about whether to go digital or not, I would vote for the actual book so you can get a clear view of the useful charts, the session decision tree, and the examples of diary cards.
Koerner has absolutely hit the mark! In my opinion, this book is right up there along with the best that have stood the test of time. I am a DBT therapist, trainer of DBT therapists and borderline personality disorder author and have never before written a review on Amazon, however could not hold back on my urge to share my excitement with colleagues. I expect that most clinicians, who practice DBT or integrate aspects of DBT into their practice, will cherish this book.Koerner's humanity permeates the book in her deep respect and compassion for client and therapist alike and in her efforts to alleviate suffering by supporting clients and therapists towards their goals. The book compassionately validates the considerable challenges we face as therapists and is also hopeful and empowering of therapists by the rare gift of giving precise examples of what we can do at any one moment.Koerner describes case conceptualization and treatment planning that underpins successful future micro-interventions; then describes the core principles of DBT practice (behavioral therapy, validation/acceptance, dialectics) and finishes with a chapter on team. In covering these topics, Koerner integrates realistic complex scripted therapy dialogue with clients to illustrate what she, a consummate expert DBT therapist, might be thinking and doing moment to moment that weaves in the core principles.Every surfer searches for the perfect wave and every skier searches for the perfect snow conditions; and every decade or so the perfect wave or snow conditions exist in a brief moment of perfection and joy. Koerner has created, for me, the perfect 20 page chapter that I believe will bring joy to many therapists for a long time. In the chapter, "Getting the most from each interaction", Koerner leads the reader through a single 50 minute session integrating theory and practice including via a scripted dialogue with a client. In this short chapter Koerner generously gifts us the rare privilege of allowing us into her mind as she experiences, thinks, makes multiple frequent micro-assessments and takes frequent micro-actions; all coherently aligned with her case conceptualization of the client and the DBT principles previously outlined. This chapter illuminates Koerner's use of DBT principles to inform the moment to moment agility (movement, speed and flow) of a DBT therapist; the `jazz' or dance of DBT. Koerner is certainly an immensely agile and sure-footed dancer, and it is no surprise that she is an Aikido martial arts black belt.Throughout the book, complex topics are made simple but never over-simplified. Koerner provides mountain-loads of really helpful clinical material and DBT teaching and training points. The book is exceptionally well written and set out, making reading seamless. Koerner is an expert at the use of metaphor, analogy, storytelling and illustrative clinical examples that deepens intellectual and experiential understanding, providing even greater clarity to her conceptualizations.This is the slowest I have read any book (page for page), because I did not want to miss any single delightful morsel in any sentence. The book is packed full of wisdom and highly usable clinical material and one that I predict will be treasured by DBT therapists, therapists using DBT interventions and the DBT community. Totally inspiring!! This book will save lives!
I have not finished reading this book, so this is tentative, but I am not likely to change what I will write here.I have read other books about DBT, and other books about treatment of borderline personality disorder. The reason for my interest (and it requires a lot of interest to read through these technical books as I am not a trained psychotherapist) is that I have a friend eho was 15 when I met her, who suffers from BPD. Really suffers! And she is an orphan, often homeless, and suffers from multiple diagnoses. I was the first to recognize she suffers from BPD after about six months, and it has taken social service agencies almost seven years to realize this is one of her problems. So almost seven years have been wasted with pharmacotherapy that is ineffective, and sort-term palliative therapy that is also pretty much ineffective. Hence my interest in helping her, even without professional qualifications.For example, I have read Marsha Linehan's book, Cognitive Behavioral Treatment of Borderline Personality Disorder. I consider it a bible for this kind of thing. Also her Skills Training book. I have not been able to do much with skills training, because I would need more training myself to actually do it. I have also watched a lot of the DVDs and listened to some of the CDs offered by Behavioral Tech. All these have been very helpful to me and, I hope, to my friend.I have also read John Gunderson's Borderline Personality Disorder -- A Clinical guide, first edition and am part way through the second edition. This book studies DBT and several other ways of treating BPD. It has a broader perspective than Marsha Linehan's book, but less depth. It helps fill in the gaps for me.There are many other books about DBT that I found less helpful and will not bother with here.To the present book by Kelly Koerner. I am finding this very useful as it provides a different perspective of DBT, filling in gaps from my other reading. While not quite like looking through the one-way window into a room where Marsha Linehan is treating a patient, it works in a similar way. (You can actually get DVDs that do that in a semi-staged way, from Behavioral Tech, but they are quite expensive: one 4 DVD set is around $250). This is really quite important for me. I mean I would actually sign up for her courses and workshops, but to do that seems to require my being a practicing therapist, and am not. Also the costs are high enough that I could not really justify that since I have no intention to get a license and practice this. Even if I could get a license, just knowing one BPD sufferer is so difficult, I could not bear to have more than one in my life.Another treatment is known as Mentalization Based Treatment (MBT), propounded by Anthony Batemen and Peter Fonagy, and is described in their books. This is less well known than DBT. This method has also been subjected to randomized controlled studies and found to be effective. But not as many as has DBT. This is a fascinating field of study, but it requires much more study and work than I would ever have imagined.
Teaches the history, philosophy, thought processing behind the techniques, the DBT techniques, and gives examples of how to use them. The author prefers that this book and the therapists providing it have a peer consultation group. Thus there is a focus on that also. This is the updated version. There is also a workbook that can be purchased for clients. This is for the therapist only.
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