Southern Cross University, Bilinga, Queensland, Australia.
Queensland Health, Brisbane, Queensland, Australia.
Int J Ment Health Nurs. 2020 Dec;29(6):1092-1100. doi: 10.1111/inm.12749. Epub 2020 Jun 13.
Dialectical behaviour therapy (DBT) is an effective treatment for borderline personality disorder and suicidal behaviour. However, it is a complex programme involving individual therapy, participation in skills training groups, and phone coaching aimed at improving emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness. Little is known about what elements contribute to its effectiveness, or the characteristics of those who complete the programme and achieve recovery. In this study, six participants in a dialectical behaviour therapy programme for youth were interviewed at three time points over their recovery journey. The transcribed narratives were analysed using inductive methods, and the core processes related to recovery were elucidated and described: 'Becoming a cheerleader for DBT' and 'Learning the language of DBT and consolidation of skills'. Indicators of recovery included having a sound working alliance with the primary therapist and others involved in the programme and noticing meaningful improvements in problem areas which they attributed to particular skills and improved capacity to regulate emotions. The rich narrative description provided by participants might inspire some to remain engaged in a dialectical behavioural therapy programme or clinicians to consider promoting a positive view of the prognosis for borderline personality disorder.
辩证行为疗法（DBT）是一种治疗边缘型人格障碍和自杀行为的有效方法。然而，它是一个复杂的项目，包括个体治疗、参与技能培训小组以及旨在改善情绪调节、痛苦容忍、人际效能和正念的电话辅导。对于是什么因素促成了它的有效性，或者完成该项目并实现康复的人的特征，人们知之甚少。在这项研究中，6 名参加青少年辩证行为疗法项目的参与者在康复过程中的三个时间点接受了采访。转录的叙述采用归纳法进行分析，并阐明和描述了与康复相关的核心过程：“成为 DBT 的啦啦队长”和“学习 DBT 的语言和巩固技能”。康复的指标包括与主要治疗师和参与项目的其他人建立良好的工作联盟，以及注意到他们认为与特定技能和改善情绪调节能力有关的问题领域有明显改善。参与者提供的丰富叙述描述可能会激励一些人继续参与辩证行为疗法项目，或者激励临床医生考虑促进对边缘型人格障碍预后的积极看法。
