Full Course Description
The Missing Dialectic: How RO DBT differs from DBT
- Explain why undercontrolled clients will likely benefit more from DBT and overcontrolled clients will likely benefit more from RO DBT based on the core problems of the clients and primary treatment targets of each treatment.
- Apply your new knowledge of the differences between undercontrolled and overcontrolled clients and DBT and RO DBT to client assessment and treatment allocation within your clinical practice.
- Why do we need a new treatment?
- The self-control dialectic: undercontrol and overcontrol
- Similarities and differences between Dialectical Behavior Therapy (DBT) and Radically Open Dialectical Behavior Therapy (RO DBT)
- Video demonstrations of an individual RO DBT session and RO DBT skills class
Radically Open Dialectical Behavior Therapy (RO DBT): Breakthrough Treatment Techniques for Overcontrolled Personality Disorders, Eating Disorders, and Chronic Depression and Anxiety
- Why we need a new treatment for overcontrolled disorders;
- The development of RO DBT and key difference from other treatments;
- Key studies supporting RO DBT’s feasibility, acceptability and efficacy;
- Brief introduction to the RO DBT treatment structure;
- In RO DBT, silliness is no laughing matter!
- How did we survive without claws, horns or being too thick-skinned? Tribe matters!
- Self-control as a precursor for community;
- Bio-temperament as a unifying principle for understanding chronic conditions;
- Introduction to the Bio-social theory of disorders of overcontrol.
- RO DBT starts by observing what’s healthy about all of us;
- The RO DBT Bio-Social Theory for Disorders of Overcontrol:
- The Nurture component;
- The Coping component;
- Social signaling matters;
- How to teach the bio-social module to your clients
- Neuroception, or ‘scanning the world for cues’
- The five classes of emotionally relevant stimuli: Safety, Novelty, Reward, Threat, and Overwhelming threat or reward.
- Mr Bean’s adventure: applying the neuroregulatory theory
- Using skills to activate the social safety system: The Big 3+1
- Defining overcontrol
- Assessing styles of coping: overcontrol and undercontrol
- Social signaling differences between OC and UC
- Common errors and problematic assumptions
- Diagnosing overcontrol step by step
- Two OC subtypes
- RO DBT treatment structure: Orientation & Commitment
- RO DBT treatment structure: Treatment Phase
- Primary treatment targets
- Treatment hierarchy
- The key to effective treatment targeting
- Tools for treatment targeting: Valued-goals, Diary Cards, Chain Analysis
- Overview of the RO DBT skills
- Case example
- Recognize the importance of applying treatments that match individual clients’ styles of coping to improve clinical outcomes.
- Appraise the need for new treatments for clients with an overcontrolled style of coping that has remained largely unrecognized to date.
- Evaluate the efficacy of RO DBT for clients with an overcontrolled style of coping.
- Recognize the importance of feeling part of a tribe for mental and physical well-being and apply this knowledge to understanding the impact of the lack of feelings of belonginess for overcontrolled individuals.
- Compare and explain the differences between overcontrolled and undercontrolled bio-temperament and how these impact perception and emotion regulation strategies in social situations.
- Integrate the three components of the bio-social theory for disorders of overcontrol into your case formulization of clients.
- Communicate and teach the bio-social theory for disorders of overcontrol to your clients early on in treatment.
- Understand how our neural substrates are linked to social signaling and apply this knowledge to reverse the process by using body postures and facial expressions to activate neural substrates linked to social safety and reward.
- Integrate the neuroregulatory model with the bio-social theory for overcontrolled disorders to better understand why overcontrolled clients have trouble activating their social safety system.
- Apply the Big Three +1 Skill to activate social safety within yourself and teach this skill to your clients whenever tension is present
- Compare and assess the social signaling styles of overcontrolled and undercontrolled clients.
- Understand the common errors and assumptions made when assessing overcontrol and apply this knowledge to your own assessment procedures.
- Use the Assessing Styles of Coping Word-Pair List to assess your own coping style.
- Use the OC Trait Rating scale to assess the degree of ‘OC caseness’ of overcontrolled clients.
- Compare and understand the differences between the two subtypes of overcontrol.
- Describe and apply the RO DBT treatment structure to your own practice.
- Understand the importance of RO therapeutic sequencing strategies.
- Describe the RO individual treatment target hierarchy including the five OC social signaling themes.
- Apply the bio-social theory to a case example.
- Use the five social signaling themes to organise a client’s maladaptive behavior in preparation of treatment targeting.
- Understand how to use the skills manual to select appropriate treatment interventions.