DBT LBC Certification Study Guide Questions and
Correct Answers| Latest Update
According to Linehan, BPD clients possess 6 behavioral patterns. These are:
emotional vulnerability, self invalidation, unrelenting crisis, inhibited grieving,
active passivity, and apparent competence
Linehan's criteria for BPD is most similar to
Millon
What % of BPD client's engage in self-injurious behaviors?
70-75%
Kreitman introduced this term meaning nonfatal, intentional self injurious
behavior resulting in actual tissue damage, illness, or risk of death; or 2)
ingestion of any drugs or substance not prescribed or in excess to the
prescription with intent to cause harm or death. This term includes both SI
gestures and self injurious behaviors with little or not intent to cause death.
parasuicide
4 differences between CBT and DBT:
1) Emphasis on acceptance and validation of behavior as it is in the moment
2) Emphasis on TIBs
3) Emphasis on the therapeutic relationship
4) Focus on dialectical processes
,The term "dialectics" as applied to behavioral therapy has come to imply 2
contexts of usage:
1) fundamental nature of reality and persuasive dialogue and relationship.
2) Treatment approach or strategies used by the therapist to effect change.
Dialectics as a worldview has 3 traits:
1) interrelatedness and wholeness
2) Principles of Polarity (within dysfunction there is function, wise mind, finding
value in one's pt of view, looking for the function within the present moment)
3) Thesis, Antithesis, Synthesis: Principles of Continuous Change
Borderline splitting is defined as
tendency to get stuck in either the thesis or the antithesis, unable to move to a
synthesis. Either/or thinking
The environment- person system is comprised of the:
environmental sub-system (social support, life change, suicidal, suicidal
consequences) demographic factors (age, sex, and race), and behavioral
subsystem ( cognitive, over motor, and physiological affective system)
Grotstein proposed bpd is a disorder of
self regulation
,characteristics of emotional vulnerability includes :
high sensitivity to emotional stimuli, emotional intensity, slow return to emotional
baseline.
emotional regulation requires 2 paradoxical strategies
1) the individual must learn to experience and label the discreet emotions
2) the individual must learn to reduce emotionally relevant stimuli that serve
either to reactivate and augment ongoing negative emotions or to set off
secondary dysfunctional emotional responses.
inhibition of emotions can lead to
1) neglect of the problem situation causing the emotions
2) increase in emotional avoidance (emotion phobic)
3) research is unknown on the outcome of emotion inhibition over the long term
Poorness of fit results (Chess and Thomas)
when there is discrepancies and dissonances between environmental
opportunities and demands and the capacities and characteristics of the child. In
these instances , distorted environment and maladaptive functions results.
Per Linehan, an invalidating environment:
is one in which communication of private experiences is met by erratic,
inappropriate, and extreme responses.
Invalidation has 2 primary traits
, 1) it tells the person that they are wrong 2) it attributes her experiences to socially
unacceptable characteristics or personality traits
consequences of invalidating environments
1) emotional labeling is not learned, 2) distress intolerance and unrealistic goals/
expectations are instilled, 3) extreme behavioral displays are used to get needs
met, 4) lack of trust of one's own emotional and cognitive interpretations are
instilled
what are the 3 types of invalidating family systems
1) perfect family
2) chaotic family
3) typical family
This family type struggles with multiple issues within the family system, needs
of the child are ignored and invalidated, there is volatile responses, etc
Chaotic Family
This family type cannot tolerate the negative emotions of the child. This can be
due to high work demands, self-centeredness, intolerance of negative emotions,
and naive fears of spoiling the child. This family system has sympathy for their
child but unknowingly can invalidate by offering over simplified solutions to
their child, ie pray about it
perfect family
Correct Answers| Latest Update
According to Linehan, BPD clients possess 6 behavioral patterns. These are:
emotional vulnerability, self invalidation, unrelenting crisis, inhibited grieving,
active passivity, and apparent competence
Linehan's criteria for BPD is most similar to
Millon
What % of BPD client's engage in self-injurious behaviors?
70-75%
Kreitman introduced this term meaning nonfatal, intentional self injurious
behavior resulting in actual tissue damage, illness, or risk of death; or 2)
ingestion of any drugs or substance not prescribed or in excess to the
prescription with intent to cause harm or death. This term includes both SI
gestures and self injurious behaviors with little or not intent to cause death.
parasuicide
4 differences between CBT and DBT:
1) Emphasis on acceptance and validation of behavior as it is in the moment
2) Emphasis on TIBs
3) Emphasis on the therapeutic relationship
4) Focus on dialectical processes
,The term "dialectics" as applied to behavioral therapy has come to imply 2
contexts of usage:
1) fundamental nature of reality and persuasive dialogue and relationship.
2) Treatment approach or strategies used by the therapist to effect change.
Dialectics as a worldview has 3 traits:
1) interrelatedness and wholeness
2) Principles of Polarity (within dysfunction there is function, wise mind, finding
value in one's pt of view, looking for the function within the present moment)
3) Thesis, Antithesis, Synthesis: Principles of Continuous Change
Borderline splitting is defined as
tendency to get stuck in either the thesis or the antithesis, unable to move to a
synthesis. Either/or thinking
The environment- person system is comprised of the:
environmental sub-system (social support, life change, suicidal, suicidal
consequences) demographic factors (age, sex, and race), and behavioral
subsystem ( cognitive, over motor, and physiological affective system)
Grotstein proposed bpd is a disorder of
self regulation
,characteristics of emotional vulnerability includes :
high sensitivity to emotional stimuli, emotional intensity, slow return to emotional
baseline.
emotional regulation requires 2 paradoxical strategies
1) the individual must learn to experience and label the discreet emotions
2) the individual must learn to reduce emotionally relevant stimuli that serve
either to reactivate and augment ongoing negative emotions or to set off
secondary dysfunctional emotional responses.
inhibition of emotions can lead to
1) neglect of the problem situation causing the emotions
2) increase in emotional avoidance (emotion phobic)
3) research is unknown on the outcome of emotion inhibition over the long term
Poorness of fit results (Chess and Thomas)
when there is discrepancies and dissonances between environmental
opportunities and demands and the capacities and characteristics of the child. In
these instances , distorted environment and maladaptive functions results.
Per Linehan, an invalidating environment:
is one in which communication of private experiences is met by erratic,
inappropriate, and extreme responses.
Invalidation has 2 primary traits
, 1) it tells the person that they are wrong 2) it attributes her experiences to socially
unacceptable characteristics or personality traits
consequences of invalidating environments
1) emotional labeling is not learned, 2) distress intolerance and unrealistic goals/
expectations are instilled, 3) extreme behavioral displays are used to get needs
met, 4) lack of trust of one's own emotional and cognitive interpretations are
instilled
what are the 3 types of invalidating family systems
1) perfect family
2) chaotic family
3) typical family
This family type struggles with multiple issues within the family system, needs
of the child are ignored and invalidated, there is volatile responses, etc
Chaotic Family
This family type cannot tolerate the negative emotions of the child. This can be
due to high work demands, self-centeredness, intolerance of negative emotions,
and naive fears of spoiling the child. This family system has sympathy for their
child but unknowingly can invalidate by offering over simplified solutions to
their child, ie pray about it
perfect family
