Details

Dialectical Behavior Therapy for Wellness and Recovery

Interventions and Activities for Diverse Client Needs
1. Aufl.

von: Andrew Bein
36,99 €
Verlag:	Wiley
Format:	EPUB
Veröffentl.:	13.09.2013
ISBN/EAN:	9781118759974
Sprache:	englisch
Anzahl Seiten:	272

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Beschreibungen

Titelbeschreibung

This hands-on guide addresses the present day realities of applying dialectical behavior therapy in a mental health and substance abuse recovery context. The book presents the DBT concept, Wise Mind, as adapted by author Andrew Bein, as central to a simple, powerful, empirically supported framework that respectfully engages clients in their own efforts to enhance personal well-being. The book includes empirically supported exercises with an emphasis on collaboration and client empowerment using a recovery oriented model for client treatment and improved outcomes.

Inhaltsverzeichnis

Foreword by Alfred W. Kaszniak ix Preface xiii Chapter One Applying Dialectical Behavior Therapy: Toward Access for Diverse Client Needs 1 Gifts of Dialectical Behavior Therapy 1 Chapter Two Emotion Regulation and Resilience: Developing Wise Mind 15 Emotion Regulation Strategies and Helping Framework 17 The Skillfulness of Intention: Am I in Wise Mind? 21 The Intention of Self-Compassion 27 Mindfulness of the Moment 35 Responding to Emotions in the Moment 44 Expanding the Moment: Resilience Building and the Bigger Picture 58 Validation and Acceptance to Support Client Change 70 Chapter Three Applying DBT to Mental Health and Substance Abuse Recovery 77 Overview of Issues 77 Practicing Mental Health Recovery in DBT-WR 79 Motivational Interviewing 99 Substance Abuse Recovery 103 Chapter Four Accounting for Trauma 113 Overview 113 Trauma to Normalize Emotion Regulation Challenges 115 Neuroscience Engenders Hope and Interest 116 Acknowledgment of Trauma and Extreme Stress Validates Clients 119 Being Mindful of Trauma in the Here-and-Now 121 Resilient Zone 123 Chapter Five Clinician’s Use-of-Self: Foundation for Effective Practice 129 Strong Back, Soft Front 130 Use-of-Self Interface With Radical Acceptance 133 Intention and Mindfulness Fueling Effective Practice 136 Use-of-Self With Challenging Clients and Circumstances 139 Responding to Diversity as Opportunity, Not as Nuisance 142 Practitioner Non defensiveness 145 Language of Invitation 147 Use-of-Self Summary 148 Chapter Six Lessons and Activities: Dialectical Behavior Therapy for Wellness and Recovery 149 Principles for Using Lessons 149 Improve the Moment: Language and Meaning 151 Session Structure and Flow 153 Homework 155 Approaching the Lessons With a Light-Hearted Spirit 156 Lesson 1: Mindfulness and the Brain 157 Lesson 2: Facing Emotions and Thoughts and Improving the Moment 163 Lesson 3: Dealing With Judgments 169 Lesson 4: Expanding the Moment 173 Lesson 5: Dealing With Difficult Times 177 Lesson 6: Opposite Action 183 Lesson 7: Not Getting Stuck Doing the Usual 188 Exercise 8: Friend to Self: Willing Participation and Mindful Walking 193 Lesson 9: Primary and Secondary Emotions 198 Lesson 10: Friend to Self: Doing What Is Needed and Self-Care 201 Lesson 11: Getting Grounded: Finding Wellness Amidst Distress, Anxiety, and Worry 206 Lesson 12: Finding the Zone: Moving From Suffering to Balance 212 Lesson13: Self-Nurturance and Joy 216 Lesson14: Effective Speech and Telling the Truth 219 Lesson 15: Inspiring the World With Our Courage and Path 223 References 227 Appendix 237 Log for Daily Living 238 Wise Mind: Handout/Presentation Version 240 Acknowledgments 241 About the Author 243 Author Index 245 Subject Index 247

Autorenportrait

ANDREW BEIN, PhD, LCSW, has nearly thirty years of experience as a clinician, consultant, trainer, and researcher. He is a Full Professor with the Division of Social Work at California State University, Sacramento.

Back cover copy

Praise for Dialectical Behavior Therapy for Wellness and Recovery "This book offers a remarkable gift for the diverse clients in our agency struggling with co-occurring mental health and substance abuse disorders. The sessions are structured in an easy-to-use format that makes DBT much more accessible than any curriculum that I have seen before. Dialectical Behavior Therapy for Wellness and Recovery is a testament to Dr. Bein's dedication to improving the lives of clients and clinicians and to the far-reaching impacts of mindfulness in serving those with diverse needs." —Karen Larsen, MFT, Director of Behavioral Health, CommuniCare Health Centers, Davis, California "Finally, a book on DBT that goes beyond tradition, helping practitioners apply the unique insights and skills of the approach to a wider range of people and presenting problems. Dr. Bein shows how honoring the client's perspective can take DBT to a new level. Well written, concise, and engaging. Bravo." —Scott D. Miller, PhD, Director, International Center for Clinical Excellence; Cummings Professor, Department of Behavioral Health, Arizona State University "I highly recommend this book for its accessible, practical, and experience-based approach, which will equip practitioners with the skills to help their clients engage in treatment and find their own answers to vital questions related to their personal recovery." —Mike Slade, PhD, Clinical Psychologist; Professor, Institute of Psychiatry, King's College London; author of Personal Recovery and Mental Illness A hands-on and clinically rich approach to integrating dialectical behavior therapy with highly resistant clients Initially introduced for treating borderline personality disorder, dialectical behavior therapy (DBT) is now recognized as a successful treatment for a variety of other mental illnesses, particularly those distinguished by emotional instability. Dialectical Behavior Therapy for Wellness and Recovery presents unique and pragmatic approaches designed for the present-day realities of many mental health practitioners and their diverse clients. This unique volume presents empirically supported lessons for wellness and recovery in: <ul> <li>Mindfulness and the brain</li> <li>Facing emotions and thoughts</li> <li>Dealing with judgments</li> <li>Dealing with difficult times</li> <li>Finding wellness amidst distress, anxiety, and worry</li> <li>Moving from suffering to balance</li> </ul> Requiring no previous experience or training in DBT in order to use its techniques, Dialectical Behavior Therapy for Wellness and Recovery explores proven methods for assisting highly resistant clients with a history of treatment failure to experience lasting behavioral change.

Unpublished endorsement

"It is exciting when a book comes along in the mental health field that both changes the way we think about our work and can be immediately applied to our work in a practical way, and Andrew Bein’s book does just that! As a mindfulness-oriented therapist in a busy university counseling center, I am excited to start using this book in my work with clients, and I know it will be a resource I will turn to again and again." —Ronni Arensberg, Psy.D., LP,Licensed Psychologist,North Dakota State University Counseling Center "Dr. Bein skillfully brings DBT, essential mindfulness practices, and skills-building to the everyday world of therapists and clients. Andy presents a cohesive and comprehensive model of integrative therapy that benefits those willing to take on practices promoting growth and development from the ground up." —Edward Brown, Zen priest, Author, Tassajara Bread Book "This is a thoughtful book that dares to venture into the uncharted territory of rethinking treatment for persons diagnosed with personality disorders based on the recovery paradigm. While DBT has always been a respectful, and empowering, approach, Bein courageously challenges some of the core assumptions upon which traditional psychotherapeutic practice has been based in order to engage clients in a more collaborative relationship that enables them to assume an active, and central, role in their own recovery." —Larry Davidson, Ph.D., Professor of Psychiatry, Yale University School of Medicine "Like water on rock, Dr. Bein reshapes Dialectical Behavior Therapy with a deepened appreciation for emotion regulation through mindfulness practice. This practical and clearly presented model offers a much needed treatment model for use in diverse settings. It is filled with simple, well-constructed exercises and tools that make basic DBT principles more accessible than ever before. Dialectical Behavior Therapy for Wellness and Recovery is an invaluable contribution not only for therapy, but for quality everyday living." —Satsuki Ina, PhD., MFT, Director, Family Study Center; Producer and Director, Children of the Camps "Andrew Bein’s latest book brilliantly captures the essence of DBT and integrates self-regulatory concepts that are key to healing trauma. The practical exercises and monitoring tools are excellently designed and will be helpful tools that will enhance recovery. This book will not only be useful for clinicians but clients as well. " —Elaine Miller-Karas, LCSW, Executive Director of the Trauma Resource Institute. "This book offers a remarkable gift for the diverse clients in our agency struggling with co-occurring mental health and substance abuse disorders. The sessions are structured in an easy-to-use format that makes DBT much more accessible than any curriculum that I have seen before. Dialectical Behavior Therapy for Wellness and Recovery is a testament to Dr. Bein's dedication to improving the lives of clients and clinicians and to the far reaching impacts of mindfulness in serving those with diverse needs." —Karen Larsen, MFT, Director Behavioral Health, Communicare Health Centers, Davis, California "Finally, a book on DBT that goes beyond tradition, helping practitioners apply the unique insights and skills of the approach to a wider range of people and presenting problems. Dr. Bein shows how focusing on engagement and honoring the client's perspective can take DBT to a new level. Well-written, concise, and engaging. Bravo." —Scott D. Miller, Ph.D.; Director, International Center for Clinical Excellence Cummings Professor, Department of Behavioral Health, Arizona State University "The international transformation within mental health systems towards a recovery orientation involves changing how we understand treatment. Andy Bein directly tackles this challenge in Dialectical Behavior Therapy for Wellness and Recovery. Additionally, the book’s synthesis of approaches for emotional regulation and substance abuse has high clinical relevance. I highly recommend this book for its accessible, practical and experience-based approach, which will equip practitioners with skills to help their clients engage in treatment and find their own answers to vital questions related to their personal recovery." —Mike Slade, Ph. D., Clinical Psychologist, Professor, Institute of Psychiatry, King's College-University of London, Author of Personal Recovery and Mental Illness "Bein writes with authenticity and empathy, and, in his strong and soft voice, concepts such as intention, self-compassion, mindfulness and radical acceptance become not only of therapeutic value but a template for all of us to live with presence and integrity." —Shauna L. Smith, MSW, LMFT; Author, Making Peace With Your Adult Children: A Guide to Family Healing; Co-Founder, Therapists for Social Responsibility "Dr. Bein's thoughtful exploration of recovery reminds us that our clients bring extraordinary strengths and life experience to the healing process. The book's concepts are presented in ways that are refreshing and new, giving the clinician immediate clarity and sense of how to teach the material. I plan to use DBT-WR for my next therapy group." —Nancy White, LCSW, Private Practice, Former DBT Group Leader, Kaiser Permanente