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Marsha M. Linehan (born May 5, 1943) is an American psychologist and author. She is the creator of dialectical behavior therapy (DBT), a type of psychotherapy that combines cognitive restructuring with acceptance , mindfulness , and shaping .
Dialectical behavior therapy (DBT) is an evidence-based [1] psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. [1] Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation as well as for changing behavioral patterns such as self-harm and substance use . [ 2 ]
University of Washington psychology professor Marsha Linehan is credited with developing the first empirically supported standard treatment for BPD, termed dialectical behavioral therapy (DBT). DBT grew dramatically in popularity among mental health professionals following the publication of Linehan's treatment manuals for DBT in 1993.
Dialectical behavior therapy (DBT), on the other hand, focuses on developing skills in four main areas: interpersonal communication, distress tolerance, emotional regulation, and mindfulness, aiming to equip individuals with BPD with tools to manage intense emotions and improve interpersonal relationships. [171] [172] [169]
Marsha M. Linehan incorporates mindfulness techniques (particularly Zen practices) in her Dialectical Behavioral Therapy (DBT) which has been found to be particularly effective with Cluster-B personality disorders. [6] Jon Kabat-Zinn incorporates Buddhist mindfulness techniques in his Mindfulness Based Stress Reduction (MBSR) program. [7]
Dialectical behavior therapy includes a form of decisional balance sheet called a pros and cons grid. [ 24 ] Kickstarter co-founder Yancey Strickler created a four-cell matrix similar in appearance to a decisional balance sheet that he compared to a bento box , with cells for self and others, present and future.
DBT requires therapists to directly address TIBs as a way to prevent early termination from therapy, to improve the relationship between therapist and client, and to model effective communication. [3] TIBs are the second most important dysfunctional behavior to address according to DBT, just below life-threatening behaviors. [4]
Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions, [1] such as all-or-nothing thinking (splitting), magical thinking, overgeneralization, magnification, [1] and emotional reasoning, which are commonly associated with many mental health disorders. [2]