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Radically Open Dialectical Behavior Therapy: Theory and Practice for Treating Disorders of Overcontrol
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Review
“Radically open dialectical behavior therapy (RO DBT) is a truly innovative treatment, developed through translation of neuroscience into clinical practice, integrating various influences from dialectical behavior therapy (DBT), mindfulness-based approaches, emotion, personality and developmental theory, evolutionary theory, and Malamati Sufism. RO DBT is applicable to a spectrum of disorders characterized by excessive inhibitory control or overcontrol (OC). This is the first treatment that directly targets social signaling and nonverbal aspects of communication not only in clients but also in therapists. ... This book on the theory and practice of RO DBT, together with the skills training manual that describes the content of skills classes, are excellent guides for clinicians who want to embark in delivering transdiagnostic treatments based on science and clinical practice.”—Mima Simic, MD, MRCPsych, joint head of the child and adolescent eating disorder service, and consultant child and adolescent psychiatrist at the Maudsley Hospital in London, UK (Mima Simic, MD, MRCPsych)“A new and comprehensive statement from one of the more creative minds in evidence-based clinical intervention today, RO DBT brings together a contemporary focus on a limited set of key transdiagnostic processes, with new assessment and intervention techniques for moving them in a positive direction. Emphasizing flexibility, openness, connection, and attention to social signaling, RO DBT specifies the details that can matter, from how you arrange your consulting room furniture to how nonverbal cues signal social information. RO DBT seems destined to make an impact on evidence-based care in many corners of clinical work. Highly recommended.”—Steven C. Hayes, PhD, codeveloper of acceptance and commitment therapy (ACT); Foundation Professor of psychology at the University of Nevada, Reno; and author of Get Out of Your Mind and Into Your Life (Steven C. Hayes, PhD)“RO DBT offers an intriguing reconceptualization of traditional views of internalizing and externalizing disorders, and provides the clinician with valuable new tools to address a number of problems that have been particularly resistant to standard CBT approaches. I will definitely include RO DBT theory and techniques in my graduate-level intervention class. I know beginning clinicians in particular will be grateful to have a systematic way to approach these slow-to-warm-up clients who are difficult to establish rapport with. Their early termination from therapy and failure to respond to traditional approaches often leaves clinicians befuddled and critical of their own skills. RO DBT provides a compassionate way for clinicians to view this type of resistant client, as well as to work on some areas that are likely to benefit them. A very welcome addition to any clinician’s toolbox.” —Linda W. Craighead, PhD, professor of psychology and director of clinical training at Emory University, and author of The Appetite Awareness Workbook (Linda W. Craighead, PhD)
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About the Author
Thomas R. Lynch, PhD, FBPsS, is professor emeritus of clinical psychology at the University of Southampton school of psychology. Previously, he was director of the Duke Cognitive-Behavioral Research and Treatment Program at Duke University from 1998-2007. He relocated to Exeter University in the UK in 2007. Lynch’s primary research interests include understanding and developing novel treatments for mood and personality disorders using a translational line of inquiry that combines basic neurobiobehavioral science with the most recent technological advances in intervention research. He is founder of radically open dialectical behavior therapy (RO DBT). Lynch has received numerous awards and special recognitions from organizations such as the National Institutes of Health-US (NIMH, NIDA), Medical Research Council-UK (MRC-EME), and the National Alliance for Research on Schizophrenia and Depression (NARSAD). His research has been recognized in the Science and Advances Section of the National Institutes of Health Congressional Justification Report; and he is a recipient of the John M. Rhoades Psychotherapy Research Endowment, and a Beck Institute Scholar.
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Product details
Hardcover: 520 pages
Publisher: Context Press; Com edition (February 15, 2018)
Language: English
ISBN-10: 1626259283
ISBN-13: 978-1626259287
Product Dimensions:
7.2 x 1.5 x 10 inches
Shipping Weight: 2.8 pounds (View shipping rates and policies)
Average Customer Review:
4.8 out of 5 stars
28 customer reviews
Amazon Best Sellers Rank:
#105,017 in Books (See Top 100 in Books)
Radically Open Dialectical Behavior Therapy addresses the needs of many who suffer tremendously, yet often get overlooked because they tend not to signal the distress they experience internally to others. These are our clients who grapple with conditions of excessive self control, such as restrictive eating disorders, treatment resistant anxiety, chronic depression and OCPD.With a keen questioning mind, scientific rigor and deep regard for this population, Dr. Lynch has developed a groundbreaking model that effectively targets the emotional loneliness typically underlying these conditions, emphasizing social signaling as the primary mechanism of change.Having been intensively trained in this approach, I have witnessed remarkable changes in clients for whom this treatment proved to be invaluable. Shifts toward increased openness, flexibility, joy and relationship connectedness being among some of the most impactful changes.Based on 20+ years of research, this evidence based, transdiagnostic treatmentis clearly laid out in this comprehensive therapist guide. A broad range of relevant science is seamlessly woven together with principles for clinical practice. This in addition to the case examples and engaging writing style make this a fascinating, useful read for anyone in the field and a must have for those of us seeing clients with conditions of emotional overcontrol.
RO DBT is an innovative, ground-breaking,transdiagnostic, evidenced-based treatment that offers hope and relief to a large group of people who have not responded well or at all to existing treatments: those who suffer from problems of overcontrol. RO DBT is indicated for those diagnosed with chronic depression, obsessive compulsive personality disorder, and anorexia in particular.RO DBT also addresses one of the most serious and overlooked areas of maladaptive functioning of our time: loneliness and alienation. Loneliness is a worldwide problem. Dr. Vivek H. Murthy, a former US surgeon general recently wrote "The world is suffering from an epidemic of loneliness. If we cannot rebuild strong, authentic social connections, we will continue to splinter apart — in the workplace and in society." The consequences of loneliness on both physical and mental health are serious. Loneliness and alienation has also caused problems for society, such as the shy, overcontrolled, withdrawn individual who, seemingly out of the blue, acts out in violence.Researchers have recommended that mental health clinicians treat loneliness directly and on its own, not as a component of treatment for other disorders (e.g. Heinrich and Guilone, 2006). RO DBT (described in this book and in the companion book on skills training) focuses on connections with others as a key mechanism of change.RO DBT is an effective and needed treatment that advances the field of psychotherapy. Written by the treatment developer, this book is a comprehensive overview of RO DBT that is easy to read, delineates the research behind the concepts, and is the place to start if you want to offer RO DBT to the clients you see. I highly recommend the book and training in RO DBT. Training opportunities to learn RO DBT are listed at radicallyopen.net.
This manual describes the theory and practice of Radically Open dialectical behavior therapy (RO DBT), a transdiagnostic, empirically-based therapy for overcontrol (OC). Through extensive translational research, the author and treatment developer, Dr. Thomas Lynch, has managed to integrate a biosocial approach with polyvagal theory that addresses difficult-to-treat disorders in a novel, bottom-up fashion that circumvents pitfalls of traditional cognitive-behavioural therapies. This intervention fills a critical gap by effectively and creatively targeting significantly-impairing problems such as Anorexia Nervosa, chronic depression, and Cluster C personality disorders in a way that has been lacking in the literature to date. Dr. Lynch presents this model, which challenges some core misconceptions about psychotherapy with the OC population –e.g., “one size does not fit all†(because emotional loneliness rather than dysregulation is the primary problem) - in a comprehensive yet accessible manner that that makes intuitive sense and will appeal to most clinicians. Though the material is heavily influenced by neurophysiological science, Lynch’s writing remains engaging and reader-friendly throughout. Indeed, this manual will be accessible to a broad audience, including patients, those with an interest in therapy processes, graduate trainees, and mental health practitioners. I cannot recommend this book enough, and have already bought copies to share with my peers and supervisors. This is a treatment that will change lives.
Radically Open Dialectical Behavior Therapy by Dr. Thomas Lynch provides a clear approach to working with the challenges of clients who over control their emotions. Based on Malamati Sufism, Radically Open Dialectical Behavior Therapy, RO-DBT, assists clients by presenting a discrete set of cognitive and behavioral skills to effect change which increases openness, flexibility, and social inclusion. Targeting social signaling in both the clinician and client, RO-DBT assists clients partially by engaging them socially while they concurrently learn to evaluate internal and external information differently through self-enquiry. Dr. Lynch provides clear examples of how to work with this trans-diagnostic group including celebrations of successes for letting-go, how to arrange your clinical room, and social signaling. In combination with the handouts, worksheets, and skills manual, this book is an excellent primer on a deeply effective and ground-breaking therapy.
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