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Ergenlerle Diyalektik Davranış Terapisi

Year 2019, Volume: 14 Issue: 20, 2098 - 2120, 31.12.2019
https://doi.org/10.26466/opus.604025

Abstract

Diyalektik Davranış Terapisi (DDT) üçüncü dalga terapiler içinde yer alan
ve deneysel olarak farklı gruplarla sınanmış yaklaşımlardan biridir. Marsha
Linehan tarafından 1990’ların başında sınırda kişilik bozukluğu tanısı konmuş
hastaların iyileştirilmesi amacı ile geliştirilen bu yaklaşım daha sonra farklı
problem ve davranış sorunlarıyla da baş etmek için kullanılmıştır. Son yıllarda
DDT’nin ergenlerle kullanımı ve ergenlerle çalışan uzmanlara yönelik
geliştirilen kaynaklar açısından önemli artış vardır. Biyososyal teoriye göre
ergenlerin beyni biyolojik olarak farklı çalışmaktadır; bu yüzden, geçici
duygular konusunda diğer insanlardan daha kırılgandırlar. Bu çalışma da DDT’nin
gelişiminin yanı sıra ergenlerle kullanım alanları, DDT’nin uygulanması ve terapinin
basamakları üzerinde durulmuştur. DDT’de danışmaya başlamadan önce danışanın
hangi basamakta olduğu tanılanır; bu, daha sonra uygulanacak olan teknik ve
yöntemlerin ve terapi süresinin belirlenmesi açısından önem arz etmektedir. DDT
dört farklı modül (Bireysel terapi, Beceri eğitimleri, Telefon görüşmeleri,
Konsültasyon ekibi toplantıları) halinde uygulanabilmektedir. Ergenlerle en sık
kullanılan modül beceri eğitimleri modülüdür. Bunun yanı sıra “standart DDT”
olarak adlandırılan ve bireysel terapi ve beceri eğitimlerinin aynı anda
kullanıldığı yöntem de çok yaygındır. Ayrıca bu çalışmada alanyazında son
yıllarda yapılmış çalışmaların taraması yapılmış ve DDT’nin ergenler üzerindeki
etkililiği tartışılmıştır. Çalışmanın, Türkiye’de filizlenmekte olan DDT ve DDT
yaklaşımını benimseyen alan uzmanlarına, ruh sağlığı çalışanlarına ve
yetişmekte olan öğrencilere kaynak olacağı düşünülmektedir. 

References

  • Apsche, J. A., Bass, C. K., ve Houston, M. (2006). A one year study of adolescent males with aggression and problems of conduct and personality: A comparison of MDT and DBT. International Journal of Behavioral Consultation and Therapy, 2, 544-552. doi:10.1037/h0101006
  • Arch, J. J., Eifert, G. H., Davies, C., Vilardaga, J. C. P., Rose, R. D., ve Craske, M. G. (2012). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80, 750-765. doi:10.1037/a0028310
  • Bass, C., van Nevel, J. ve Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9, 4-8. doi:10.1037/h0100991
  • Brausch, A. M., ve Girresch, S. K. (2012). A review of empirical treatment studies for adolescent nonsuicidal self-injury. Journal of Cognitive Psychotherapy, 26, 3–18. doi:10.1891/0889-8391.26.1.3
  • Brink, A. J. ve Wissing, M. P. (2012). A model for a positive youth development intervention. Journal of Child ve Adolescent Mental Health, 24, 1–13. https://doi.org/10.2989/17280583.2012.673491
  • Canadian Mental Health Association. (t.y.). What’s the difference between CBT and DBT? Xx.xx.xxxx tarihinde: https://www.heretohelp.bc.ca/q-and-a/whats-the-difference-between-cbt-and-dbt adresinden erişilmiştir.
  • Edwards, O. W., Mumford, V. E. ve Serra-Roldan, R. (2007). A positive youth development model for students considered at-risk. School Psychology International, 28, 29–45. https://doi.org/10.1177/0143034307075673
  • Goldstein, T., Axelson, D. A., Birmaher, B. ve Brent, D. (2007). Dialectical behavior therapy for adolescents with bipolar disorder: A 1-year open trial. J Am Acad Child Adolesc Psychiatry, 46, 820-830. doi:10.1097/chi.0b013e31805c1613
  • Groves, S., Backer, H. S., van den Bosch, W. ve Miller, A. (2012). Dialectical behaviour therapy with adolescents. Child and Adolescent Mental Health, 17, 65-75. doi:10.1111/j.1475-3588.2011.00611.x
  • Gülgez, Ö. ve Gündüz, B. (2015). Diyalektik davranış terapisi temelli duygu düzenleme programının üniversite öğrencilerinin duygu düzenleme güçlüklerini azaltmadaki etkisi. Çukurova Üniversitesi Eğitim Fakültesi Dergisi, 44, 191-208. doi:10.14812/cufej.2015.010
  • Harvey, P. ve Rathbone, B.H. (2013). Dialectical behavior therapy for at-risk adolescents. Oakland, CA: New Harbinger Publications, Inc.
  • Hjalmarsson, E., Kåver, A., Perseius, K., Cederberg, K. ve Ghaderi, A. (2008). Dialectical behaviour therapy for borderline personality disorder among adolescents and young adults: Pilot study, extending the research findings in new settings and cultures. Clinical Psychologist, 12, 18-29. doi:10.1080/13284200802069035
  • Hunnicutt-Hollenbaugh, M. (2018). Introduction and overview. In (M. Hunnicutt Hollenbaugh ve M.S. LewisEd.), Dialectical behavior therapy with adolescents: Settings, treatments, and diagnoses (p.1-18) içinde. New York, NY: Routlage
  • Hunnicutt Hollenbaugh, K. M. ve Lenz, A. S. (2018). Preliminary evidence for the effectiveness of dialectical behavior therapy for adolescents. Journal of Counseling & Development, 96, 119-131. https://doi.org/10.1002/jcad.12186
  • Hunnicutt Hollenbaugh, M. ve Lewis, M.S. (2018). Dialectical behavior therapy with adolescents: Settings, treatments, and diagnoses. New York, NY: Routlage
  • Johnston, J. A. Y., O'Gara, J. S. X., Koman, S. L., Baker, C. W., ve Anderson, D. A. (2015). A pilot study of Maudsley family therapy with group dialectical behavior therapy skills training in an intensive outpatient program for adolescent eating disorders: Family therapy and dialectical behavior therapy. Journal of Clinical Psychology, 71, 527-543. doi:10.1002/jclp.22176
  • Lenz, A. S. ve Del Conte, G. (2018). Efficacy of dialectical behavior therapy for adolescents in a partial hospitalization program. Journal of Counseling & Development, 96, 15-26. https://doi.org/10.1002/jcad.12174
  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
  • Linehan, M. M. (2015a). DBT skills training manual. New York, NY: Guilford Press.
  • Linehan, M. M. (2015b). DBT skills training: Handouts and worksheets. New York, NY: Guilford Press.
  • Miller, A. L., Rathus, J. H. ve Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. New York, NY: Guilford Press.
  • Rathus, H. J. ve Miller, A. L. (2015). Dialectical behavior therapy skills manual for adolescents. New York, NY: The Guilford Press
  • Ricard, R.J., Fernandez, M.A., Ratanavivan, W., Armstrong, S.N., Karaman, M.A. ve Lerma, E. (2018). Working within school sites. (M. Hunnicutt-Hollenbaugh ve M.S. Lewis Ed.), Dialectical behavior therapy with adolescents: Settings, treatments, and diagnoses (97-108) içinde. New York, NY: Routlage
  • Ricard, R. J., Lerma, E. ve Heard, C. C. C. (2013). Piloting a dialectical behavioral therapy (DBT) infused skills group in a disciplinary alternative education program (DAEP). The Journal for Specialists in Group Work, 38, 285–306. doi:10.1080/01933922.2013.834402
  • Sargın, M. ve Sargın, A.E. (2015). “Yaşamaya değer bir hayat” için: Diyalektik davranışçı terapinin gelişimi ve temel ilkeleri. Türkiye Klinikleri J Psychiatry-Special Topics, 8(2), 64-70.
  • Üstündağ Budak, A. M. ve Özeke Kocabaş, E. (2019). Dialectical behavior therapy and skill training: Areas of use and importance in preventive mental health. Current Approaches in Psychiatry, 11, 192-204. doi:10.18863/pgy.411209

Dialectical Behavior Therapy with Adolescents

Year 2019, Volume: 14 Issue: 20, 2098 - 2120, 31.12.2019
https://doi.org/10.26466/opus.604025

Abstract

Dialectic Behavior Therapy (DBT) is one of the third
wave therapies and has been experimentally tested with different groups. This
approach, which was developed by Marsha Linehan in the early 1990s to improve
patients with borderline personality disorder, was later used to deal with
different problems and behavioral issues. In recent years, there has been a
significant increase in the use of DBT with adolescents and the resources
developed for specialists working with adolescents. According to the biosocial
theory, the brain of adolescents work biologically differently; therefore, they
are more vulnerable to temporary emotions than other people. In this study, the
developments of DBT, as well as its use with adolescents, implementation of DBT
and the stages of therapy were emphasized. Before starting counseling in DBT,
it is determined which step the client is in. This is important for determining
the techniques and methods to be applied and the duration of therapy. DBT can
be implemented in four different modules (Individual therapy, Skill trainings,
Phone calls, Consultation team meetings). The most commonly used module with
adolescents is the skill training module. In addition, the so-called standard
DBT, which uses individual therapy and skills training at the same time, is
very common. In addition, recent studies in the literature were reviewed and
the effectiveness of DDT on adolescents was discussed. It is thought that the
study will be a resource for field experts, mental health workers and students
who adopt DDT approach.

References

  • Apsche, J. A., Bass, C. K., ve Houston, M. (2006). A one year study of adolescent males with aggression and problems of conduct and personality: A comparison of MDT and DBT. International Journal of Behavioral Consultation and Therapy, 2, 544-552. doi:10.1037/h0101006
  • Arch, J. J., Eifert, G. H., Davies, C., Vilardaga, J. C. P., Rose, R. D., ve Craske, M. G. (2012). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80, 750-765. doi:10.1037/a0028310
  • Bass, C., van Nevel, J. ve Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9, 4-8. doi:10.1037/h0100991
  • Brausch, A. M., ve Girresch, S. K. (2012). A review of empirical treatment studies for adolescent nonsuicidal self-injury. Journal of Cognitive Psychotherapy, 26, 3–18. doi:10.1891/0889-8391.26.1.3
  • Brink, A. J. ve Wissing, M. P. (2012). A model for a positive youth development intervention. Journal of Child ve Adolescent Mental Health, 24, 1–13. https://doi.org/10.2989/17280583.2012.673491
  • Canadian Mental Health Association. (t.y.). What’s the difference between CBT and DBT? Xx.xx.xxxx tarihinde: https://www.heretohelp.bc.ca/q-and-a/whats-the-difference-between-cbt-and-dbt adresinden erişilmiştir.
  • Edwards, O. W., Mumford, V. E. ve Serra-Roldan, R. (2007). A positive youth development model for students considered at-risk. School Psychology International, 28, 29–45. https://doi.org/10.1177/0143034307075673
  • Goldstein, T., Axelson, D. A., Birmaher, B. ve Brent, D. (2007). Dialectical behavior therapy for adolescents with bipolar disorder: A 1-year open trial. J Am Acad Child Adolesc Psychiatry, 46, 820-830. doi:10.1097/chi.0b013e31805c1613
  • Groves, S., Backer, H. S., van den Bosch, W. ve Miller, A. (2012). Dialectical behaviour therapy with adolescents. Child and Adolescent Mental Health, 17, 65-75. doi:10.1111/j.1475-3588.2011.00611.x
  • Gülgez, Ö. ve Gündüz, B. (2015). Diyalektik davranış terapisi temelli duygu düzenleme programının üniversite öğrencilerinin duygu düzenleme güçlüklerini azaltmadaki etkisi. Çukurova Üniversitesi Eğitim Fakültesi Dergisi, 44, 191-208. doi:10.14812/cufej.2015.010
  • Harvey, P. ve Rathbone, B.H. (2013). Dialectical behavior therapy for at-risk adolescents. Oakland, CA: New Harbinger Publications, Inc.
  • Hjalmarsson, E., Kåver, A., Perseius, K., Cederberg, K. ve Ghaderi, A. (2008). Dialectical behaviour therapy for borderline personality disorder among adolescents and young adults: Pilot study, extending the research findings in new settings and cultures. Clinical Psychologist, 12, 18-29. doi:10.1080/13284200802069035
  • Hunnicutt-Hollenbaugh, M. (2018). Introduction and overview. In (M. Hunnicutt Hollenbaugh ve M.S. LewisEd.), Dialectical behavior therapy with adolescents: Settings, treatments, and diagnoses (p.1-18) içinde. New York, NY: Routlage
  • Hunnicutt Hollenbaugh, K. M. ve Lenz, A. S. (2018). Preliminary evidence for the effectiveness of dialectical behavior therapy for adolescents. Journal of Counseling & Development, 96, 119-131. https://doi.org/10.1002/jcad.12186
  • Hunnicutt Hollenbaugh, M. ve Lewis, M.S. (2018). Dialectical behavior therapy with adolescents: Settings, treatments, and diagnoses. New York, NY: Routlage
  • Johnston, J. A. Y., O'Gara, J. S. X., Koman, S. L., Baker, C. W., ve Anderson, D. A. (2015). A pilot study of Maudsley family therapy with group dialectical behavior therapy skills training in an intensive outpatient program for adolescent eating disorders: Family therapy and dialectical behavior therapy. Journal of Clinical Psychology, 71, 527-543. doi:10.1002/jclp.22176
  • Lenz, A. S. ve Del Conte, G. (2018). Efficacy of dialectical behavior therapy for adolescents in a partial hospitalization program. Journal of Counseling & Development, 96, 15-26. https://doi.org/10.1002/jcad.12174
  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
  • Linehan, M. M. (2015a). DBT skills training manual. New York, NY: Guilford Press.
  • Linehan, M. M. (2015b). DBT skills training: Handouts and worksheets. New York, NY: Guilford Press.
  • Miller, A. L., Rathus, J. H. ve Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. New York, NY: Guilford Press.
  • Rathus, H. J. ve Miller, A. L. (2015). Dialectical behavior therapy skills manual for adolescents. New York, NY: The Guilford Press
  • Ricard, R.J., Fernandez, M.A., Ratanavivan, W., Armstrong, S.N., Karaman, M.A. ve Lerma, E. (2018). Working within school sites. (M. Hunnicutt-Hollenbaugh ve M.S. Lewis Ed.), Dialectical behavior therapy with adolescents: Settings, treatments, and diagnoses (97-108) içinde. New York, NY: Routlage
  • Ricard, R. J., Lerma, E. ve Heard, C. C. C. (2013). Piloting a dialectical behavioral therapy (DBT) infused skills group in a disciplinary alternative education program (DAEP). The Journal for Specialists in Group Work, 38, 285–306. doi:10.1080/01933922.2013.834402
  • Sargın, M. ve Sargın, A.E. (2015). “Yaşamaya değer bir hayat” için: Diyalektik davranışçı terapinin gelişimi ve temel ilkeleri. Türkiye Klinikleri J Psychiatry-Special Topics, 8(2), 64-70.
  • Üstündağ Budak, A. M. ve Özeke Kocabaş, E. (2019). Dialectical behavior therapy and skill training: Areas of use and importance in preventive mental health. Current Approaches in Psychiatry, 11, 192-204. doi:10.18863/pgy.411209
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Psychology
Journal Section Articles
Authors

Mehmet Akif Karaman 0000-0001-7405-5133

Publication Date December 31, 2019
Acceptance Date December 12, 2019
Published in Issue Year 2019 Volume: 14 Issue: 20

Cite

APA Karaman, M. A. (2019). Ergenlerle Diyalektik Davranış Terapisi. OPUS International Journal of Society Researches, 14(20), 2098-2120. https://doi.org/10.26466/opus.604025