Jo and Ulland invite friend Kerrie Toole in a conversation reviewing some of the content presented at the annual DBT conference in Seattle. If you are in Massachusetts and are looking for a therapist, consider Castlebrook Counseling Services, Inc.
Jo and Ulland invite friend Kerrie Toole in a conversation reviewing some of the content presented at the annual DBT conference in Seattle. If you are in Massachusetts and are looking for a therapist, consider Castlebrook Counseling Services, Inc.
Ulland and Jo discuss how DBT is all about emotional processing while building capacity to live effectively regardless of emotional reactivity.
Ulland and Jo discuss why apologies are often not helpful enough with conflict in relationships. They review what they mean by accountability and how it is different. Examples are given. Accountability has to do with looking for how we may contribute to how we may be perceived by important people in our life.
Ulland and Jo review the concept of fragilization. They review how walking on eggshells with family members is generally not helpful, especially when both parties are walking on eggshells around each other. Individuals in active passivity are more capable than we realize and need space to activate for themselves and build confidence.
Ulland and Jo review how parents can feel defensive in family work as though they are being blamed. They review how DBT is a no blame model and how family dynamics must be addressed. The biosocial theory suggests we learned from environments of origin and behaviors are maintained within current environments. The idea of individual perception of past events may be more meaningful to relationships than focusing on the correct version "reality.” Individuals may see things differently. It is our individual perception of events, not necessarily the events themselves, that lead to our understanding of relationships and our lived history.
Ulland and Jo address judgments towards DBT they have heard more than once regarding being “too easy” with clients. They discuss how those unfamiliar with acceptance strategies are more likely to misunderstand how acceptance is used to meet clients where they are so that meaningful change can happen. They review some of the assumptions within DBT that make this possible. Please review the previous episode that reviews specific assumptions for further details. Ulland and Jo realized they had not previously covered ALL the assumptions.
Ulland and Jo finally review the therapist and client assumptions within DBT. These assumptions help clinicians adhere to the principles of DBT. Knowing these leads to understanding interventions and the philosophy of treatment. They also discuss how there are some asymmetries that are protective of the client, as well as the therapist.
Ulland and Jo review common themes in demographics found within many DBT studies. They discuss that DBT studies often include many individuals who are not heterosexual or white for example. This would be consistent when considering the biosocial model and systemic invalidation as a common experience for many clients who benefit from DBT. These studies were reviewed and shared at the 2022 ISITDBT conference in NYC.
Can minorities benefit from DBT? — All Therapists are Jerks (squarespace.com)
Ulland brings up ideas he sometimes presents in his group on the unit, albeit at a more reasonable pace than here. Jo discusses what meaning is to her and how to find it. It can be overwhelming to be young and believe that one has to have already contributed to a society before completing high school. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Ulland and Jo review ideas that came up after a Parent University this past week regarding dialects and parenting. They discuss how dialects are often seen as more contradictory rather than as acceptance and curiosity in communication. They provide several examples of “Yes and” thinking and also discuss some nuances. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Ulland and Jo wonder how can we be certain about things? Also, how is it that Tyler Durden is writing about vaccinations and can he be trusted if he posts at 1010 PM on Friday the 13th? And is it any wonder Mr. Durden supports vaccinations being dangerous? Please be aware that this episode and podcast has not been evaluated by the FDA and “is not intended to diagnose, treat, cure, or prevent any disease.” Also, this episode has been in the can sooooo long it is not suitable for anyone’s doomsday bunker. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Ulland and Jo review a formulation Ulland finds helpful as a framework for understanding which interventions might work by understanding how eating disorders develop and maintain themselves. The formulation is largely influenced by the works of Garner and Garfield, and Fairburn. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Shamefully, Ulland and Jo make good on a more than a year-old request. A fellow traveler posted a comment to discuss suicide, and to approach from the perspective of an educator. The Linehan Risk Assessment and Management Protocol (LRAMP) for suicide is reviewed as a framework to understand suicidal risk in an organized way. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com
Ulland and Jo review several common problems that Marsha Linehan. PhD had to solve after deciding to work with suicidal patients, ranging from a need to validate suffering while knowing that life was unbearable as it was being lived.
Ulland and Jo continue a discussion regarding anger. Ulland reviews the ruminative anger cycle and Jo provides more discussion of how to use skills to avoid ineffective angry responses.
Ulland and Jo review anger at the request of a listener. Ulland goes on a tangent in culture and expression of anger. Culture and expectation can lead to angry reactions. Suggestions for skills use are provided.
Ulland and Jo realize how long this has taken, unfortunately, but it is the end of the series. Are emotionally reactive people empaths, or are empaths emotionally reactive? Ulland and Jo end with more concerning questions, regarding adolescents who may have difficulties who are trying to help peers with similar issues/ behaviors. They remind listeners of active passivity and that there are difficult behavioral patterns such as the secondary targets which can lead to confusion in the relationship and burnout in loved ones.
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