DBT LBC COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔Change procedures:: Skills Strengthening procedures checklist: T uses behavioral
rehearsal - ✔✔T roles plays with P, T guides p in session, in imaginal practice, in vivo
practice
✔✔Change procedures:: Skills Strengthening procedures checklist: T reinforces skilled
behaviors - ✔✔
✔✔Change procedures:: Skills Strengthening procedures checklist: T gives P
behaviorally specific feedback - ✔✔
✔✔Change procedures:: Skills Strengthening procedures checklist: T coaches P - ✔✔
✔✔Change procedures:: Skills Generalization procedures checklist: T programs
generalization of skills - ✔✔T reaches a variety of skilled responses to each situation
T varies training situation that P practices skills in
T duplicates within the therapeutic important characteristics of interpersonal
relationships P has outside therapy
✔✔There are 2 programs of generalization - ✔✔response generalization and stimulus
generalization
✔✔What is response generalization - ✔✔T is concerned that skills learned with be
general and flexible so that in most settings the patient will have a number of behavioral
solutions to turn too. T can generate Mutiple options P can turn too
✔✔what is stimulus generalization - ✔✔T is concerned that skills learned in 1 setting will
generalize to other settings. Get P to try out skills in a variety of situations
,✔✔Change procedures:: Skills Generalization procedures checklist: T consults with P
between sessions to help P apply skills in vivo - ✔✔T assists P in applying skills to
problem situations via phone calls
✔✔Change procedures:: Skills Generalization procedures checklist: T gives P an
audiotape of session to listen to between sessions - ✔✔compensates for dissociative
behaviors or lack of concentration, give important insights , listening at home can help p
integrate lessons into natural environment, helps with times of feeling overwhelmed
✔✔Change procedures:: Skills Generalization procedures checklist: T gives P en vivo
Behavorial rehearsal assignments - ✔✔in standard dbt, t gives p tasks to practice with
skills training leaders, skills training leaders give P tasks to practice with T
T tailors assignments to needs and capabilities of P; T uses principles of shaping
✔✔Change procedures:: Skills Generalization procedures checklist: T helps P create an
environment that reinforces skills behaviors - ✔✔T teaches P how to recruit
reinforcement from the natural community
T teaches behaviors that fit in the natural contingencies in Ps environment
T teaches P self management skills, especially within the environment
T is explicit and firm regarding necessity of P's reinforcing or arranging for
environmental reinforcement of desirable responding if P's life is to change
In family and couples sessions, T highlights necessity of social reinforcement for
adaptive behaviors and reductions of punishment for adaptive behaviors
T fades reinforcement to an intermittent schedule, such that T's reinforcement is less
frequent than environmental reinforcement
✔✔In DBT Skills training manual, what are the behavioral targets in order of importance
- ✔✔stopping behaviors that are likely to destroy therapy
skills acquisition, skills strengthening skills generalization,
reducing therapy interfering behaviors
✔✔In DBT Skills training manual, the therapy destroying behavior strategies checklist is
as follows: - ✔✔Skills trainer behaviorally defines what client is doing to destroy
behavior
Skills trainer completes a brief analysis of destructive behavior
Skills trainer make clear contingencies for continued behaviors
Skills trainer adopts a problem solving plan with client
When client refuses too modify behavior: skills trainer discusses goals with client and
avoids power struggle
If client has individual provider, skill trainer refers to primary provide for in depth
analysis
If client does not have an ind provider, trainer considers if client obtains a primary
provider or put them on a vacation until evidence of behavior being under control
, ✔✔In DBT Skills training manual, when clients exhibit TIBs in class skills trainers should
- ✔✔1) ignore the behavior; if brief
2) in matter of fact voice, ask them to stop
3) urge client to use a skill
✔✔In DBT Skills training manual, once T is sure P has the skills in their repertoire (skills
acquisition), T focuses on skill strengthening and generalization through the use of -
✔✔contingency management, exposure, and/or cognitive modification
✔✔In DBT Skills training manual, it is important to look for patterns of situational
responding in dbt skills training homework review. this is known as a - ✔✔insight
strategy
✔✔In DBT Skills training manual, what questions should T ask when P does not do any
HW - ✔✔1) Did doing HW enter your awareness? or "were you aware of the
assignment? If no look for solutions to find out what assignment to do is important. If
yes then ask
2) Were you willing to do the needed or expected effective behavior? if no exploring
willfulness . if yes then ask
3) Did the thought of doing your HW ever come into your mind? If no work on
developing how to get the thought into your mind. if yes then ask
4 What got in the way of doing the HW once you though of it?
✔✔In DBT Skills training manual, core strategies refer to - ✔✔problem solving (change)
and validation (acceptance)
✔✔In DBT Skills training manual, communication styles refer to. - ✔✔irreverence
(change) and reciprocal (acceptance)
✔✔In DBT Skills training manual, case management strategies refer to -
✔✔consultation to the patient (change) and environmental intervention (acceptance)
✔✔In DBT Skills training manual, problem solving strategies include - ✔✔behavioral
analysis (BCA, insight interpretations, didactic, orienting and commitment strategies,
solution analysis), contingency management (contingency procedures and observing
limits), skills training, cognitive modification, exposure techniques,
✔✔In DBT Skills training manual, validation procedures include - ✔✔V1 paying
attention, fully awake
V2 reflecting back
V3 knowing the client "mind reading"
V4 validating historical context/ understanding the causes
V5 validating present experiences- validate what is inherently valid
V6 believing in the client wholeheartedly. authentic
QUESTIONS SET A+
✔✔Change procedures:: Skills Strengthening procedures checklist: T uses behavioral
rehearsal - ✔✔T roles plays with P, T guides p in session, in imaginal practice, in vivo
practice
✔✔Change procedures:: Skills Strengthening procedures checklist: T reinforces skilled
behaviors - ✔✔
✔✔Change procedures:: Skills Strengthening procedures checklist: T gives P
behaviorally specific feedback - ✔✔
✔✔Change procedures:: Skills Strengthening procedures checklist: T coaches P - ✔✔
✔✔Change procedures:: Skills Generalization procedures checklist: T programs
generalization of skills - ✔✔T reaches a variety of skilled responses to each situation
T varies training situation that P practices skills in
T duplicates within the therapeutic important characteristics of interpersonal
relationships P has outside therapy
✔✔There are 2 programs of generalization - ✔✔response generalization and stimulus
generalization
✔✔What is response generalization - ✔✔T is concerned that skills learned with be
general and flexible so that in most settings the patient will have a number of behavioral
solutions to turn too. T can generate Mutiple options P can turn too
✔✔what is stimulus generalization - ✔✔T is concerned that skills learned in 1 setting will
generalize to other settings. Get P to try out skills in a variety of situations
,✔✔Change procedures:: Skills Generalization procedures checklist: T consults with P
between sessions to help P apply skills in vivo - ✔✔T assists P in applying skills to
problem situations via phone calls
✔✔Change procedures:: Skills Generalization procedures checklist: T gives P an
audiotape of session to listen to between sessions - ✔✔compensates for dissociative
behaviors or lack of concentration, give important insights , listening at home can help p
integrate lessons into natural environment, helps with times of feeling overwhelmed
✔✔Change procedures:: Skills Generalization procedures checklist: T gives P en vivo
Behavorial rehearsal assignments - ✔✔in standard dbt, t gives p tasks to practice with
skills training leaders, skills training leaders give P tasks to practice with T
T tailors assignments to needs and capabilities of P; T uses principles of shaping
✔✔Change procedures:: Skills Generalization procedures checklist: T helps P create an
environment that reinforces skills behaviors - ✔✔T teaches P how to recruit
reinforcement from the natural community
T teaches behaviors that fit in the natural contingencies in Ps environment
T teaches P self management skills, especially within the environment
T is explicit and firm regarding necessity of P's reinforcing or arranging for
environmental reinforcement of desirable responding if P's life is to change
In family and couples sessions, T highlights necessity of social reinforcement for
adaptive behaviors and reductions of punishment for adaptive behaviors
T fades reinforcement to an intermittent schedule, such that T's reinforcement is less
frequent than environmental reinforcement
✔✔In DBT Skills training manual, what are the behavioral targets in order of importance
- ✔✔stopping behaviors that are likely to destroy therapy
skills acquisition, skills strengthening skills generalization,
reducing therapy interfering behaviors
✔✔In DBT Skills training manual, the therapy destroying behavior strategies checklist is
as follows: - ✔✔Skills trainer behaviorally defines what client is doing to destroy
behavior
Skills trainer completes a brief analysis of destructive behavior
Skills trainer make clear contingencies for continued behaviors
Skills trainer adopts a problem solving plan with client
When client refuses too modify behavior: skills trainer discusses goals with client and
avoids power struggle
If client has individual provider, skill trainer refers to primary provide for in depth
analysis
If client does not have an ind provider, trainer considers if client obtains a primary
provider or put them on a vacation until evidence of behavior being under control
, ✔✔In DBT Skills training manual, when clients exhibit TIBs in class skills trainers should
- ✔✔1) ignore the behavior; if brief
2) in matter of fact voice, ask them to stop
3) urge client to use a skill
✔✔In DBT Skills training manual, once T is sure P has the skills in their repertoire (skills
acquisition), T focuses on skill strengthening and generalization through the use of -
✔✔contingency management, exposure, and/or cognitive modification
✔✔In DBT Skills training manual, it is important to look for patterns of situational
responding in dbt skills training homework review. this is known as a - ✔✔insight
strategy
✔✔In DBT Skills training manual, what questions should T ask when P does not do any
HW - ✔✔1) Did doing HW enter your awareness? or "were you aware of the
assignment? If no look for solutions to find out what assignment to do is important. If
yes then ask
2) Were you willing to do the needed or expected effective behavior? if no exploring
willfulness . if yes then ask
3) Did the thought of doing your HW ever come into your mind? If no work on
developing how to get the thought into your mind. if yes then ask
4 What got in the way of doing the HW once you though of it?
✔✔In DBT Skills training manual, core strategies refer to - ✔✔problem solving (change)
and validation (acceptance)
✔✔In DBT Skills training manual, communication styles refer to. - ✔✔irreverence
(change) and reciprocal (acceptance)
✔✔In DBT Skills training manual, case management strategies refer to -
✔✔consultation to the patient (change) and environmental intervention (acceptance)
✔✔In DBT Skills training manual, problem solving strategies include - ✔✔behavioral
analysis (BCA, insight interpretations, didactic, orienting and commitment strategies,
solution analysis), contingency management (contingency procedures and observing
limits), skills training, cognitive modification, exposure techniques,
✔✔In DBT Skills training manual, validation procedures include - ✔✔V1 paying
attention, fully awake
V2 reflecting back
V3 knowing the client "mind reading"
V4 validating historical context/ understanding the causes
V5 validating present experiences- validate what is inherently valid
V6 believing in the client wholeheartedly. authentic
