Dialectical behavior therapy for comorbid personality disorders.
Dialectical behavior therapy (DBT) was originally designed as a treatment of emotionally dysregulated, impulsive, and dramatic disorders (e.g., borderline personality disorder) and populations (e.g., parasuicidal women). However, a number of complex disorders represent the dialectical opposite of BPD and related disorders; these disorders are characterized by being overcontrolled, emotionally constricted, perfectionistic, and highly risk-averse. In this article, the authors introduce a recent adaptation of DBT that targets cognitive-behavioral rigidity and emotional constriction and illustrates its application through the case of a man suffering from both paranoid personality disorder and obsessive-compulsive personality disorder.
Lynch
Thomas R
TR
Duke University, USA. lynch001@mc.duke.edu
Cheavens
Jennifer S
JS
D001521:Behavior Therapy / Q000379:methods*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D015897:Comorbidity; D003193:Compulsive Personality Disorder / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D003220:Conflict, Psychological; D006801:Humans; D007171:Implosive Therapy / Q000379:methods; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D010260:Paranoid Personality Disorder / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D011369:Professional-Patient Relations; D011379:Prognosis; D013811:Psychotherapeutic Processes; D016896:Treatment Outcome