Chapman Alexander L
Dr. Chapman is from the Department of Psychology, Simon Fraser University, Burnaby, British Colmbia, Canada.
Psychiatry (Edgmont). 2006 Sep;3(9):62-8.
Dialectical behavior therapy (DBT) is a comprehensive, evidence-based treatment for borderline personality disorder (BPD). The patient populations for which DBT has the most empirical support include parasuicidal women with borderline personality disorder (BPD), but there have been promising findings for patients with BPD and substance use disorders (SUDs), persons who meet criteria for binge-eating disorder, and depressed elderly patients. Although DBT has many similarities with other cognitive-behavioral approaches, several critical and unique elements must be in place for the treatment to constitute DBT. Some of these elements include (a) serving the five functions of treatment, (b) the biosocial theory and focusing on emotions in treatment, (c) a consistent dialectical philosophy, and (d) mindfulness and acceptance-oriented interventions.
辩证行为疗法（DBT）是一种针对边缘型人格障碍（BPD）的全面的、基于证据的治疗方法。DBT获得最多实证支持的患者群体包括患有边缘型人格障碍的有自杀未遂行为的女性，但对于患有边缘型人格障碍和物质使用障碍（SUDs）的患者、符合暴饮暴食症标准的人以及老年抑郁症患者也有一些有前景的研究结果。尽管DBT与其他认知行为疗法有许多相似之处，但要使治疗构成DBT，必须具备几个关键且独特的要素。其中一些要素包括：（a）履行治疗的五项功能；（b）生物社会理论以及在治疗中关注情绪；（c）一致的辩证哲学；（d）正念和以接纳为导向的干预措施。
