Podcast
Questions and Answers
What is one of the main purposes of the pretreatment session in skills training?
What is one of the main purposes of the pretreatment session in skills training?
What issue did a client face regarding the concept of skills training?
What issue did a client face regarding the concept of skills training?
What is considered particularly important at the start of skills training?
What is considered particularly important at the start of skills training?
How do group leaders enhance bonding among clients during skills training?
How do group leaders enhance bonding among clients during skills training?
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What should the skills trainer communicate to clients before starting treatment?
What should the skills trainer communicate to clients before starting treatment?
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What might be a significant goal during the pretreatment session?
What might be a significant goal during the pretreatment session?
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What is a benefit of writing information on the whiteboard during the session?
What is a benefit of writing information on the whiteboard during the session?
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Which aspect is crucial for group cohesion in skills training?
Which aspect is crucial for group cohesion in skills training?
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What is the primary focus of dialectical behavior therapy (DBT) according to the content?
What is the primary focus of dialectical behavior therapy (DBT) according to the content?
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What is encouraged for new members joining a DBT skills training group?
What is encouraged for new members joining a DBT skills training group?
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What role do leaders play before each group meeting?
What role do leaders play before each group meeting?
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What is the behavior of group members during their first meeting?
What is the behavior of group members during their first meeting?
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How should leaders communicate with group members during sessions?
How should leaders communicate with group members during sessions?
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What is the suggested approach when clients arrive early for a session?
What is the suggested approach when clients arrive early for a session?
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What is a critical aspect of group dynamics during DBT skills training?
What is a critical aspect of group dynamics during DBT skills training?
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What can happen if leaders' individual interactions dominate the group?
What can happen if leaders' individual interactions dominate the group?
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What is the main purpose of discussing family pressures with potential clients in DBT?
What is the main purpose of discussing family pressures with potential clients in DBT?
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Which of the following is a characteristic of skills training in standard DBT?
Which of the following is a characteristic of skills training in standard DBT?
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What is indicated as necessary for DBT to be effective?
What is indicated as necessary for DBT to be effective?
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What role does the skills trainer play if skills training is a stand-alone intervention?
What role does the skills trainer play if skills training is a stand-alone intervention?
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What might be a conflict when a client is pressured to attend skills training?
What might be a conflict when a client is pressured to attend skills training?
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Who typically conducts discussions prior to skills training in standard DBT?
Who typically conducts discussions prior to skills training in standard DBT?
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In what scenario can skills training pressure be both beneficial and detrimental?
In what scenario can skills training pressure be both beneficial and detrimental?
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What is a key difference between skills training and other types of therapy in DBT?
What is a key difference between skills training and other types of therapy in DBT?
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What is essential for breaking the vicious circle of disbelief in learning skills?
What is essential for breaking the vicious circle of disbelief in learning skills?
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In relationship enhancement strategies, what is the primary goal beyond simply establishing friendship?
In relationship enhancement strategies, what is the primary goal beyond simply establishing friendship?
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Why is establishing relationships in group skills training more complex than in individual therapy?
Why is establishing relationships in group skills training more complex than in individual therapy?
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What factor contributes to the credibility of leaders in the context of teaching skills?
What factor contributes to the credibility of leaders in the context of teaching skills?
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How can group leaders effectively communicate the usefulness of skills in training?
How can group leaders effectively communicate the usefulness of skills in training?
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What role does collaborative working relationships play in skills training?
What role does collaborative working relationships play in skills training?
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What should leaders avoid promising to maintain their credibility?
What should leaders avoid promising to maintain their credibility?
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What is a recommended action for leaders to enhance group dynamics in skills training?
What is a recommended action for leaders to enhance group dynamics in skills training?
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What is the first step for individuals entering the DBT program?
What is the first step for individuals entering the DBT program?
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Why is developing a strong collaborative relationship important in DBT skills training?
Why is developing a strong collaborative relationship important in DBT skills training?
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What is evaluated during the initial meeting with the skills leader or co-leader?
What is evaluated during the initial meeting with the skills leader or co-leader?
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What is a potential consequence of entering treatment with reluctance?
What is a potential consequence of entering treatment with reluctance?
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What occurs after the initial intake session in DBT skills training?
What occurs after the initial intake session in DBT skills training?
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What does the individual pretreatment interview with the skills trainer primarily focus on?
What does the individual pretreatment interview with the skills trainer primarily focus on?
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What might impair the development of a collaborative relationship in DBT training?
What might impair the development of a collaborative relationship in DBT training?
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Who does the individual meet with before their first skills session?
Who does the individual meet with before their first skills session?
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What is the primary reason clients are discouraged from attending skills sessions under the influence of substances?
What is the primary reason clients are discouraged from attending skills sessions under the influence of substances?
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What effect do descriptions of dysfunctional behaviors have in skills training sessions?
What effect do descriptions of dysfunctional behaviors have in skills training sessions?
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Why is it important for group leaders to assign current sexual partners to different groups?
Why is it important for group leaders to assign current sexual partners to different groups?
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What can be a potential consequence of allowing clients to come to sessions while under the influence?
What can be a potential consequence of allowing clients to come to sessions while under the influence?
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What is stated about the initiation of sexual relationships among group members?
What is stated about the initiation of sexual relationships among group members?
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What is a major challenge mentioned regarding clients with substance use disorders?
What is a major challenge mentioned regarding clients with substance use disorders?
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Why is post hoc application of rules ineffective with certain individuals?
Why is post hoc application of rules ineffective with certain individuals?
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What might happen if clients do not disclose their substance use before attending sessions?
What might happen if clients do not disclose their substance use before attending sessions?
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Study Notes
Measures for Adults (Continued)
- State-Trait Anger Expression Inventory (STAXI): Assesses anger; developed by Spielberger et al. (1983)
- Structured Clinical Interview for DSM-IV, Axis I (SCID): Diagnoses Axis I DSM-IV disorders; created by First et al. (1995)
- Structured Clinical Interview for DSM-IV, Axis II (SCID-II): Diagnoses Axis II personality disorders; created by First et al. (1996)
- UCLA Loneliness Scale: Measures loneliness; developed by Russell et al. (1978)
- University of Washington Risk Assessment Protocol (UWRAP): Assesses risky behaviors and suicide risk; created by Reynolds et al. (2006)
Measures for Adolescents
- Brief Reasons for Living Inventory for Adolescents (BRFL-A): Assesses reasons for living in adolescents; created by Osman et al. (1996)
- Schedule for Affective Disorders and Schizophrenia for School-Age Children (Kiddie-SADS): A diagnostic interview; developed by Endicott & Spitzer (1978)
- Suicidal Behaviors Interview (SBI): Semi-structured interview for suicidal behaviors in adolescents; developed by Reynolds (1990)
- Suicide Ideation Questionnaire-Junior: Measures suicide ideation; created by Siemen et al. (1994)
Orienting the Client to Skills Training
- Skills Deficit Model: A brief overview in Chapter 1 and detailed in Chapter 2; explains emotional and behavioral dysregulation.
- Pretreatment Meetings: Intake coordinator, or individual therapist covers DBT skills training, beforehand.
- Initial Skills Training Session: Leader explains group function, responsibilities, and skills training.
- Differences from Other Therapies: Emphasize the purpose of skills training is practicing specific skills, not general crisis resolution.
- Relationship Enhancements: Leaders strive to establish expertise, credibility, and efficacy.
Developing a Collaborative Commitment to Do Skills Training
- Importance of Commitment: Leaders must be committed to treat the individual.
- Family Pressures: Acknowledge family pressures, especially with adolescents. Emphasis on client's voluntary participation.
- Radical Acceptance & Opposite Action: Crucial for treatment of reluctant participants.
- DBT Guidelines: Adhere to guidelines outlined in DBT textbook on obtaining a therapy commitment.
- Relationship/Alliance: Treat establishing a therapeutic relationship as a priority and treat members with acceptance and support.
Presenting Skills Training Guidelines
- Clear Guidelines: Establish and clearly communicate rules and expectations right away.
- Attendance: Discuss attendance expectations and consequences for missed sessions
- Respecting Confidentiality: Ensure confidences are kept.
- Preventing Risky Relationships: Do not allow the formation of new risky relationships outside of the session.
- Individual Therapy: Clients with significant mental health disorders (suicidal tendencies, severe mental illness) should maintain ongoing individual therapy.
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Description
This quiz focuses on the key components and procedures of Dialectical Behavior Therapy (DBT) skills training. You'll explore the purposes of pretreatment sessions, group bonding techniques, and the importance of communication among group members. Test your understanding of best practices and goals within DBT skills training.
