Chain Analysis in Dialectical Behavior Therapy
HardcoverPaperbacke-bookprint + e-book
March 21, 2019
ISBN 9781462538911 Price:
Size: 6" x 9"
March 21, 2019
ISBN 9781462538904 Price:
Size: 6" x 9"
March 21, 2019 Price:
print + e-book pre-order Price:
Paperback + e-Book (ePub and PDF) ?
illed with detailed clinical examples, this book expertly breaks down the process of behavioral chain analysis—the critical foundation for assessment and problem solving in dialectical behavior therapy (DBT). Experienced DBT clinician and trainer Shireen L. Rizvi provides knowledge and skills for conducting chains effectively and overcoming obstacles. She presents guiding principles, questions to ask, strategies for engaging clients and addressing difficult-to-assess problems, and ways to avoid common mistakes. The book describes how to incorporate other essential DBT strategies (such as validation) into chain analysis, as well as how to conduct chains in the context of individual therapy, group skills training, phone coaching, and the consultation team.
This title is part of the Guilford DBT® Practice Series, edited by Alan E. Fruzzetti.
“Chain analysis is the cornerstone of DBT, as successful treatment depends on accurate assessment of the problem. Through extensive clinical examples, this book richly illustrates the importance of chains as well as strategies for making them effective and engaging. Rizvi’s expert tips will be invaluable to both new and seasoned DBT clinicians seeking to master this crucial DBT strategy.”—Melanie Harned, PhD, ABPP, VA Puget Sound Health Care System and Department of Psychiatry and Behavioral Sciences, University of Washington
“Rizvi discusses an often overlooked but crucial ingredient of any effective intervention—assessment. This is not categorical diagnosis in the DSM tradition, but a thoroughgoing functional analysis of the controlling variables of the patient's problems. Rizvi’s substantial clinical and research experience and her compelling, personal writing style make this book an essential source for graduate students, academics, clinical supervisors, and practitioners. The kind of functional analysis intrinsic to DBT is relevant to any cognitive-behavioral intervention.”—Gerald C. Davison, PhD, Department of Psychology, University of Southern California
“This masterful book tells us why and how to use chain analysis in optimal and suboptimal clinical conditions. Rizvi's incisive instructions are beautifully illustrated with vivid, realistic dialogues from therapy sessions. While chains are typically used to assess overt dysfunctional behaviors, Rizvi makes it perfectly clear how to apply them to covert behaviors such as problematic thoughts and action urges. The book offers a sophisticated explanation of how to pivot back and forth between chain analysis and other DBT strategies. Simply put, this book provides the most comprehensive and practical handling of chain analysis available, and should be standard reading for DBT therapists.”—Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts Medical School
“Rizvi's cogent clinical examples not only vividly teach DBT's key assessment concepts, but also, importantly, model the clinical decision making essential to helping clients with complex problems. This book facilitates the kind of learning that is typically only available through expert supervision. A 'must have' for training clinics.”—Kelly Koerner, PhD, Evidence-Based Practice Institute, Seattle, Washington
Table of Contents
1. The Basics of the Chain Analysis
2. Guidelines for Client Orientation and Collaboration for Chain Analyses
3. Getting to Know the Target Behavior: Assessing a Problem the First Time
4. Keeping the Client Engaged (and You Too!)
5. Incorporating Solutions into Chains
6. When a Behavior Isn’t Changing
7. Chains on Thoughts, Urges, and Missing Behaviors
8. Chain Analyses in Consultation Teams, Skills Training, and Phone Coaching
About the AuthorShireen L. Rizvi
, PhD, ABPP, is Associate Professor of Clinical Psychology at the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey. At Rutgers, she holds affiliate appointments in the Department of Psychology, School of Arts and Sciences, and the Department of Psychiatry, Robert Wood Johnson Medical School. Her research interests include improving outcomes, training, and dissemination of dialectical behavior therapy (DBT) for the treatment of complex and severe problems. Dr. Rizvi is board certified in Behavioral and Cognitive Psychology and in Dialectical Behavior Therapy. She is President of the International Society for the Improvement and Teaching of DBT and was the Society's Conference Program Chair for 2 years. She has trained hundreds of practitioners from around the world in DBT. Dr. Rizvi is a recipient of the Spotlight on a Mentor Award from the Association of Behavioral and Cognitive Therapies and the Presidential Fellowship for Teaching Excellence from Rutgers University.
Clinical psychologists, psychiatrists, clinical social workers, mental health counselors, and psychiatric nurses.
May serve as a supplemental text in graduate-level courses.