Linehan M M
Department of Psychology, University of Washington, Seattle 98195, USA.
NIDA Res Monogr. 1995;150:129-42.
DBT is a comprehensive, behaviorally oriented treatment designed for highly dysfunctional individuals meeting criteria for BPD. Many of these criteria are characteristic of drug abusers, and some of the problems encountered in treatment of drug abusers, especially when various treatments are combined, are similar. The basic armamentarium of the DBT therapist is the balancing of validation and acceptance treatment strategies with problem-solving procedures, including contingency management, exposure-based procedures, cognitive modification, and skills training. In addition, a number of specific strategies have been woven together to enhance compliance and to reduce the staff splitting that is so frequent with this population. Those described in this chapter include orienting and commitment strategies and the focus in DBT on reducing therapy-interfering behavior and on consultation with the client rather than with the client's network.
辩证行为疗法（DBT）是一种全面的、以行为为导向的治疗方法，专为符合边缘型人格障碍（BPD）标准的功能严重失调个体设计。这些标准中的许多都是药物滥用者的特征，并且在药物滥用者的治疗中遇到的一些问题，尤其是当各种治疗方法结合使用时，是相似的。DBT治疗师的基本手段是将验证和接受治疗策略与解决问题的程序相平衡，包括应急管理、基于暴露的程序、认知修正和技能培训。此外，还将一些特定策略结合在一起，以提高依从性并减少在这类人群中经常出现的工作人员分裂现象。本章所述的策略包括定向和承诺策略，以及DBT中对减少治疗干扰行为和与来访者而非来访者社交网络进行咨询的关注。
