Based on over twenty years of research, radically open dialectical behavior therapy (RO-DBT) is a breakthrough, transdiagnostic approach for helping people suffering from extremely difficult-to-treat emotional overcontrol (OC) disorders, such as anorexia nervosa, obsessive-compulsive disorder (OCD), and treatment-resistant depression. Written by the founder of RO-DBT, Thomas Lynch, this comprehensive volume outlines the core theories of RO-DBT, and provides a framework for implementing RO-DBT in individual therapy.While traditional dialectical behavioral therapy (DBT) has shown tremendous success in treating people emotion dysregulation, there have been few resources available for treating those with overcontrol disorders. OC has been linked to social isolation, aloof and distant relationships, cognitive rigidity, risk aversion, a strong need for structure, inhibited emotional expression, and hyper-perfectionism. And yet--perhaps due to the high value our society places on the capacity to delay gratification and inhibit public displays of destructive emotions and impulses--problems linked with OC have received little attention or been misunderstood. Indeed, people with OC are often considered highly successful by others, even as they suffer silently and alone.RO-DBT is based on the premise that psychological well-being involves the confluence of three factors: receptivity, flexibility, and social-connectedness. RO-DBT addresses each of these important factors, and is the first treatment in the world to prioritize social-signaling as the primary mechanism of change based on a transdiagnostic, neuroregulatory model linking the communicative function of human emotions to the establishment of social connectedness and well-being. As such, RO-DBT is an invaluable resource for treating an array of disorders that center around overcontrol and a lack of social connectedness--such as anorexia nervosa, chronic depression, postpartum depression, treatment-resistant anxiety disorders, autism spectrum disorders, as well as personality disorders such as avoidant, dependent, obsessive-compulsive, and paranoid personality disorder.Written for mental health professionals, professors, or simply those interested in behavioral health, this seminal book--along with its companion, Radically-Open Dialectical Behavior Therapy Skills Training Manual (available separately)--provides everything you need to understand and implement this exciting new treatment in individual therapy--including theory, history, research, ongoing studies, clinical examples, and future directions.
Show moreBased on over twenty years of research, radically open dialectical behavior therapy (RO-DBT) is a breakthrough, transdiagnostic approach for helping people suffering from extremely difficult-to-treat emotional overcontrol (OC) disorders, such as anorexia nervosa, obsessive-compulsive disorder (OCD), and treatment-resistant depression. Written by the founder of RO-DBT, Thomas Lynch, this comprehensive volume outlines the core theories of RO-DBT, and provides a framework for implementing RO-DBT in individual therapy.While traditional dialectical behavioral therapy (DBT) has shown tremendous success in treating people emotion dysregulation, there have been few resources available for treating those with overcontrol disorders. OC has been linked to social isolation, aloof and distant relationships, cognitive rigidity, risk aversion, a strong need for structure, inhibited emotional expression, and hyper-perfectionism. And yet--perhaps due to the high value our society places on the capacity to delay gratification and inhibit public displays of destructive emotions and impulses--problems linked with OC have received little attention or been misunderstood. Indeed, people with OC are often considered highly successful by others, even as they suffer silently and alone.RO-DBT is based on the premise that psychological well-being involves the confluence of three factors: receptivity, flexibility, and social-connectedness. RO-DBT addresses each of these important factors, and is the first treatment in the world to prioritize social-signaling as the primary mechanism of change based on a transdiagnostic, neuroregulatory model linking the communicative function of human emotions to the establishment of social connectedness and well-being. As such, RO-DBT is an invaluable resource for treating an array of disorders that center around overcontrol and a lack of social connectedness--such as anorexia nervosa, chronic depression, postpartum depression, treatment-resistant anxiety disorders, autism spectrum disorders, as well as personality disorders such as avoidant, dependent, obsessive-compulsive, and paranoid personality disorder.Written for mental health professionals, professors, or simply those interested in behavioral health, this seminal book--along with its companion, Radically-Open Dialectical Behavior Therapy Skills Training Manual (available separately)--provides everything you need to understand and implement this exciting new treatment in individual therapy--including theory, history, research, ongoing studies, clinical examples, and future directions.
Show moreThomas R. Lynch, PhD, is a professor of clinical psychology and the director at the Center for Innovation in Mental Health at the University of Southampton. He is the founder of radically open dialectical behavior therapy. Lynch has received numerous awards and special recognitions from organizations such as the National Institute of Mental Health (NIMH), Scientific American Mind, The American Psychological Association (APA), and many more. He was previously a professor at the University of Exeter and Duke University Medical Center.
"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
"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
"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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