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Doing Dialectical Behavior Therapy: A Practical Guide (Guides to Individualized Evidence-Based Treatment) [Kindle Edition]

Kelly Koerner , Marsha M. Linehan
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"A beautifully written, engaging description of emotional dysregulation and its treatment through DBT. The book is richly illustrated with case material and extensive client-therapist dialogues that truly demonstrate DBT in action." - Andrew Christensen, University of California, USA "Koerner, an expert DBT therapist, has written a hands-on, clinically rich work that provides guidelines for when and how to apply DBT strategies for complex cases. The material is accessible to both experienced clinicians and therapists in training. This book is an invaluable guide and a handy tool kit for working with patients with pervasive emotion dysregulation." - Stefan G. Hofmann, Boston University, Massachusetts, USA "An incredibly useful book showing you how to work with difficult-to-treat clients. The presentation of DBT is crystal clear and highly practical, including systematic guidelines and concrete examples of actual interactions. I recommend this book to students and to new and advanced mental health practitioners, who will all encounter emotionally dysregulated clients at some point in their careers." - Leslie S. Greenberg, York University, Ontario, Canada "This superb book finds the true dialectic between sophisticated writing and a 'how-to' approach. It is a 'must' for the shelves of every DBT therapist and those interested in the approach. Koerner is to be commended for this major contribution to the field." - Perry D. Hoffman, National Education Alliance for Borderline Personality Disorder, USA


Filled with vivid clinical vignettes and step-by-step descriptions, this book demonstrates the nuts and bolts of dialectical behavior therapy (DBT). DBT is expressly designed for--and shown to be effective with--clients with serious, multiple problems and a history of treatment failure. The book provides an accessible introduction to DBT while enabling therapists of any orientation to integrate elements of this evidence-based approach into their work with emotionally dysregulated clients. Experienced DBT clinician and trainer Kelly Koerner clearly explains how to formulate individual cases; prioritize treatment goals; and implement a skillfully orchestrated blend of behavioral change strategies, validation strategies, and dialectical strategies.

See also Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings, edited by Linda A. Dimeff and Kelly Koerner, which presents exemplary DBT programs for specific clinical problems and populations.


  • Format: Kindle Edition
  • Dateigröße: 3212 KB
  • Seitenzahl der Print-Ausgabe: 219 Seiten
  • Verlag: The Guilford Press; Auflage: 1 (13. Februar 2012)
  • Verkauf durch: Amazon Media EU S.à r.l.
  • Sprache: Englisch
  • ASIN: B0078XGR5Y
  • Text-to-Speech (Vorlesemodus): Aktiviert
  • X-Ray:
  • Word Wise: Nicht aktiviert
  • : Nicht aktiviert
  • Durchschnittliche Kundenbewertung: 4.0 von 5 Sternen  Alle Rezensionen anzeigen (1 Kundenrezension)
  • Amazon Bestseller-Rang: #522.990 Bezahlt in Kindle-Shop (Siehe Top 100 Bezahlt in Kindle-Shop)

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Die hilfreichsten Kundenrezensionen
2 von 3 Kunden fanden die folgende Rezension hilfreich
Von maf
Format:Kindle Edition|Verifizierter Kauf
Sicherlich sollte man nicht erwarten, nach Lektüre des Buches direkt DBT anwenden zu können - der richtige Weg ist schon die komplette DBT Ausbildung. Auch ohne DBT Ausbildung oder Ausbildung in Verhaltenstherapie bietet mir das Buch jedoch sehr wichtige Anregungen für die Psychotherapie.Vor allem die Grundhaltung der Akzeptanz und der Wertschätzung des Klienten und seiner momentanen Perspektive, die Haltung, Hindernisse und Widerstände in der Therapie konsequent von der Seite des Therapeuten her zu lösen sind für mich eine Erlösung.
Jede Therapie, jeder Therapeut und jeder Klient (der bisher gefühlt Patient sein musste) kann davon nur profitieren.

As I have no degree in behavioural therapy I can support strongly that every therapy/therapist/client can make good use of the main principles of DBT. Most striking for me were the radical acceptance and the way to attribute obstacles and resistance in therapie not to the client but to the way the therapist has chosen in therapie. The therapist is the expert for ressources (who is also supported by a team of collegue therapists) and therefore when there is resistance, she has the means to offer new and different approaches and solutions to the client which might be more effective in his current situation.
And this is only one of the interesting ideas which were relly eye-openers for me.
I would guess that also behavioural therapists, who are not familiar with M. Linehans approaches can gain valuable new insights from this book.
War diese Rezension für Sie hilfreich?
Die hilfreichsten Kundenrezensionen auf (beta) 4.8 von 5 Sternen  47 Rezensionen
84 von 87 Kunden fanden die folgende Rezension hilfreich
5.0 von 5 Sternen Hits the mark! Up there with the best! 2. März 2012
Von Roy Krawitz (DBT therapist, psychiatrist) - Veröffentlicht auf
Format:Gebundene Ausgabe|Verifizierter Kauf
Koerner has absolutely hit the mark! In my opinion, this book is right up there along with the best that have stood the test of time. I am a DBT therapist, trainer of DBT therapists and borderline personality disorder author and have never before written a review on Amazon, however could not hold back on my urge to share my excitement with colleagues. I expect that most clinicians, who practice DBT or integrate aspects of DBT into their practice, will cherish this book.

Koerner's humanity permeates the book in her deep respect and compassion for client and therapist alike and in her efforts to alleviate suffering by supporting clients and therapists towards their goals. The book compassionately validates the considerable challenges we face as therapists and is also hopeful and empowering of therapists by the rare gift of giving precise examples of what we can do at any one moment.

Koerner describes case conceptualization and treatment planning that underpins successful future micro-interventions; then describes the core principles of DBT practice (behavioral therapy, validation/acceptance, dialectics) and finishes with a chapter on team. In covering these topics, Koerner integrates realistic complex scripted therapy dialogue with clients to illustrate what she, a consummate expert DBT therapist, might be thinking and doing moment to moment that weaves in the core principles.

Every surfer searches for the perfect wave and every skier searches for the perfect snow conditions; and every decade or so the perfect wave or snow conditions exist in a brief moment of perfection and joy. Koerner has created, for me, the perfect 20 page chapter that I believe will bring joy to many therapists for a long time. In the chapter, "Getting the most from each interaction", Koerner leads the reader through a single 50 minute session integrating theory and practice including via a scripted dialogue with a client. In this short chapter Koerner generously gifts us the rare privilege of allowing us into her mind as she experiences, thinks, makes multiple frequent micro-assessments and takes frequent micro-actions; all coherently aligned with her case conceptualization of the client and the DBT principles previously outlined. This chapter illuminates Koerner's use of DBT principles to inform the moment to moment agility (movement, speed and flow) of a DBT therapist; the `jazz' or dance of DBT. Koerner is certainly an immensely agile and sure-footed dancer, and it is no surprise that she is an Aikido martial arts black belt.

Throughout the book, complex topics are made simple but never over-simplified. Koerner provides mountain-loads of really helpful clinical material and DBT teaching and training points. The book is exceptionally well written and set out, making reading seamless. Koerner is an expert at the use of metaphor, analogy, storytelling and illustrative clinical examples that deepens intellectual and experiential understanding, providing even greater clarity to her conceptualizations.

This is the slowest I have read any book (page for page), because I did not want to miss any single delightful morsel in any sentence. The book is packed full of wisdom and highly usable clinical material and one that I predict will be treasured by DBT therapists, therapists using DBT interventions and the DBT community. Totally inspiring!! This book will save lives!
32 von 33 Kunden fanden die folgende Rezension hilfreich
5.0 von 5 Sternen Get this book! 13. Februar 2012
Von Mbb - Veröffentlicht auf
Format:Gebundene Ausgabe|Verifizierter Kauf
This is a great DBT book - it describes all the necessary DBT components and theoretical framework, and it does it in a very easy to read, engaging manner. Think of it as a practice-oriented, condensed version of Marsha's book, with examples. These great examples made many of the difficult DBT concepts very clear to me. Now, this is my favorite DBT book, and it is always near me, in case I need to brush up on my skills as a DBT therapist.
25 von 26 Kunden fanden die folgende Rezension hilfreich
5.0 von 5 Sternen Brilliant book on implementing DBT individual therapy 11. Januar 2012
Von Beverly Long - Veröffentlicht auf
Format:Gebundene Ausgabe
Dr. Koerner has taken very complex topics and has made them quite understandable, using case examples and metaphors to clarify each concept. She has done a fabulous job of bringing these concepts to life, in a very readable style that captures and keeps the reader's interest. This is a book that will be invaluable for all students of DBT - from those of us with much experience in DBT to the students we teach about DBT. Well done, Kelly! Thank you!
14 von 14 Kunden fanden die folgende Rezension hilfreich
5.0 von 5 Sternen Implementing DBT 10. April 2012
Von Heather K. - Veröffentlicht auf
Format:Gebundene Ausgabe|Verifizierter Kauf
I am a therapist working with highly disordered adolescents & their families and over the past several years I have been focused on bringing DBT into my practice. I ordered this book a couple of weeks ago and since it arrived, I have been highlighting, writing in the margins, and busily flagging sections (there are A LOT of flags). I love how this book sets out clear steps for assessing, conceptualizing and treating clients within a DBT framework and concretizes complex interventions. This book--with its clear overview of DBT treatment and lovely tables--is what I've been looking for to help me more fully integrate the theory & practice of DBT in my work. In my opinion, it is a must-have for every clinician learning DBT.
12 von 12 Kunden fanden die folgende Rezension hilfreich
5.0 von 5 Sternen So far (I have not yet finished reading it), it is a great book. 8. Juni 2013
Von JEAN DAVID BEYER - Veröffentlicht auf
Format:Kindle Edition|Verifizierter Kauf
I have not finished reading this book, so this is tentative, but I am not likely to change what I will write here.

I have read other books about DBT, and other books about treatment of borderline personality disorder. The reason for my interest (and it requires a lot of interest to read through these technical books as I am not a trained psychotherapist) is that I have a friend eho was 15 when I met her, who suffers from BPD. Really suffers! And she is an orphan, often homeless, and suffers from multiple diagnoses. I was the first to recognize she suffers from BPD after about six months, and it has taken social service agencies almost seven years to realize this is one of her problems. So almost seven years have been wasted with pharmacotherapy that is ineffective, and sort-term palliative therapy that is also pretty much ineffective. Hence my interest in helping her, even without professional qualifications.

For example, I have read Marsha Linehan's book, Cognitive Behavioral Treatment of Borderline Personality Disorder. I consider it a bible for this kind of thing. Also her Skills Training book. I have not been able to do much with skills training, because I would need more training myself to actually do it. I have also watched a lot of the DVDs and listened to some of the CDs offered by Behavioral Tech. All these have been very helpful to me and, I hope, to my friend.

I have also read John Gunderson's Borderline Personality Disorder -- A Clinical guide, first edition and am part way through the second edition. This book studies DBT and several other ways of treating BPD. It has a broader perspective than Marsha Linehan's book, but less depth. It helps fill in the gaps for me.

There are many other books about DBT that I found less helpful and will not bother with here.

To the present book by Kelly Koerner. I am finding this very useful as it provides a different perspective of DBT, filling in gaps from my other reading. While not quite like looking through the one-way window into a room where Marsha Linehan is treating a patient, it works in a similar way. (You can actually get DVDs that do that in a semi-staged way, from Behavioral Tech, but they are quite expensive: one 4 DVD set is around $250). This is really quite important for me. I mean I would actually sign up for her courses and workshops, but to do that seems to require my being a practicing therapist, and am not. Also the costs are high enough that I could not really justify that since I have no intention to get a license and practice this. Even if I could get a license, just knowing one BPD sufferer is so difficult, I could not bear to have more than one in my life.

Another treatment is known as Mentalization Based Treatment (MBT), propounded by Anthony Batemen and Peter Fonagy, and is described in their books. This is less well known than DBT. This method has also been subjected to randomized controlled studies and found to be effective. But not as many as has DBT. This is a fascinating field of study, but it requires much more study and work than I would ever have imagined.
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