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Dialectical behavior therapy for comorbid personality disorders.

Thomas R Lynch1, Jennifer S Cheavens

  • 1Duke University, USA. lynch001@mc.duke.edu

Journal of Clinical Psychology
|January 11, 2008
PubMed
Summary
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Dialectical behavior therapy (DBT) is adapted to treat overcontrolled personality disorders, targeting cognitive rigidity and emotional constriction. This modified DBT approach shows promise for conditions like paranoid and obsessive-compulsive personality disorders.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Therapy

Background:

  • Dialectical Behavior Therapy (DBT) was initially developed for emotionally dysregulated disorders, such as borderline personality disorder (BPD).
  • Certain complex personality disorders, including paranoid personality disorder (PPD) and obsessive-compulsive personality disorder (OCPD), are characterized by overcontrol, emotional constriction, and risk aversion, representing a dialectical opposite to BPD.
  • Existing therapeutic approaches may not adequately address the unique challenges presented by overcontrolled, emotionally constricted populations.

Observation:

  • The study introduces an adaptation of DBT specifically designed for individuals with overcontrolled and emotionally constricted personality disorders.
  • This adapted DBT focuses on addressing cognitive-behavioral rigidity and emotional constriction.
  • The application of this adapted DBT is illustrated through a clinical case example.

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Findings:

  • The adapted DBT demonstrates a potential therapeutic avenue for individuals with PPD and OCPD.
  • The case study highlights the feasibility and initial effectiveness of targeting cognitive rigidity and emotional constriction in this population.
  • This adaptation expands the utility of DBT beyond its original indications.

Implications:

  • This work suggests that DBT principles can be modified to effectively treat a broader spectrum of personality disorders.
  • The findings may inform the development of new treatment strategies for overcontrolled and emotionally constricted individuals.
  • Further research is warranted to validate the efficacy of this adapted DBT across diverse clinical samples.