RO DBT Canada, Victoria, BC, Canada.
Cognitive-Behavioral Therapy Center of Western North Carolina, Ashville, North Carolina, USA.
J Clin Psychol. 2020 Nov;76(11):2097-2108. doi: 10.1002/jclp.23062. Epub 2020 Sep 25.
We present the case of an adult male ("Jake") with chronic Anorexia Nervosa, buttressed by dysfunctional levels of perfectionism and aggravated by long-standing mood and anxiety disturbance, successfully treated with Radically Open Dialectical Behavior Therapy (RO DBT). RO DBT is an evidence-based, transdiagnostic psychotherapy designed to address perfectionistic overcontrolled coping through teaching flexibility, openness, and healthy self-doubt. We illustrate this treatment approach by means of describing its application to this case, including discussing core RO DBT treatment strategies and providing sample dialogues. Also demonstrated are the importance of case conceptualization strategies specific to overcontrolled individuals, unique challenges with attending to alliance ruptures with this population such as difficulty discriminating when they occur, and the importance of prioritizing social signaling as a treatment target. Jake's Anorexia Nervosa was in remission at the conclusion of treatment.
我们呈现了一例患有慢性神经性厌食症的成年男性（“杰克”），其特征为功能失调的完美主义水平，并伴有长期的情绪和焦虑障碍，成功地接受了 Radical Open Dialectical Behavior Therapy（RO DBT）治疗。RO DBT 是一种基于证据的、跨诊断的心理治疗方法，旨在通过教授灵活性、开放性和健康的自我怀疑来解决完美主义的过度控制应对方式。我们通过描述其在该病例中的应用来说明这种治疗方法，包括讨论核心 RO DBT 治疗策略和提供示例对话。还展示了针对过度控制个体的特定病例概念化策略的重要性、与该人群建立联盟破裂时的独特挑战，例如难以辨别何时发生破裂，以及将社交信号作为治疗目标的重要性。杰克的神经性厌食症在治疗结束时已经缓解。
