Dialectical Behavior Therapy

Author(s):  
Eunice Y. Chen ◽  
Debra Safer

This chapter provides a description and reviews the research evidence for the adaptation of Dialectical Behavior Therapy (DBT) for eating disorders (EDs). First, the chapter briefly describes the standard DBT program as originally developed for women with borderline personality disorder (BPD). Second, the rationale for the adaptation of DBT for EDs is reviewed. Third, the DBT model of maintenance and etiology of EDs is discussed. Fourth, the randomized controlled trial evidence for DBT for BPD is reviewed as well as that for DBT for EDs. Finally, the DBT program for EDs is outlined. It is concluded that DBT is a promising treatment for EDs, worthy of further investigation with this population.

2019 ◽  
Vol 83 (4) ◽  
pp. 399-431
Author(s):  
Angela Neal-Barnett ◽  
Douglas W. Woods ◽  
Flint M. Espil ◽  
Martale Davis ◽  
Jennifer R. Alexander ◽  
...  

Trichotillomania (TTM) involves the chronic pulling out of hair to the point of hair loss or thinning, which continues despite repeated attempts to stop. Behavior therapy is a promising treatment for the condition, but studies have been limited by the lack of a credible control condition, small sample sizes, follow-up periods of short duration, and low participation by underrepresented populations. In the current article, the authors describe the theoretical rationale for an acceptance-enhanced form of behavior therapy for TTM in adults and describe the methodology used to test the efficacy of this intervention against a psychoeducation and supportive control condition. In addition, the authors discuss the importance of and difficulties encountered with enrolling minority participants into TTM research, as well as strategies used to enhance minority recruitment. Finally, the authors discuss the instruments, procedures, and related outcomes of the fidelity measures used in the randomized controlled trial.


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