Slides on therapy interfering behaviour for DBT delegates

1. Lying
OR ANY OTHER THERAPY INTERFERING BEHAVIOUR
CHRISTINE DUNKLEY 2014

2. Behaviourally define the problem
What is the BEHAVIOUR that leads you to believe the person is lying?
How frequently does it occur and in what circumstances?
Are there other possible explanations?
What are the problematic consequences that are related to the target behaviour?
CHRISTINE DUNKLEY 2014

3. Function and factors maintaining the
behaviour
What is your hypothesis?
Are there any other possible maintaining factors?
- Therapist’s response
-Other people’s response
-Changes in the patient’s internal environment
-Changes in the person’s external environment
CHRISTINE DUNKLEY 2014

4. Solution generation
What are our response options? Be creative
Rank them from most conservative or minimal response to least conservative or maximum
response
What level of response would be appropriate to the level of the problem? (start small and work
up where possible)
Do pros and cons, add in additional strategies to problem-solve cons
What’s in it for the client to reduce the behaviour?
Can they meet the function of the behaviour some other way?
Include treating the therapist’s motivation to implement the solution
CHRISTINE DUNKLEY 2014

5. Implementing the solution
Rehearse in consult if needed
Try out with the client
Review the consequences, did the solution increase or decrease the target behaviour?
Ask the client to help solve the problem
CHRISTINE DUNKLEY 2014