Profoundly invalidating environments

They have to do with the ability to accept, in a non-evaluative and nonjudgmental fashion, both oneself and the current situation.

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An individual may be able to describe effective behavioral sequences when discussing another person encountering a problematic situation, but may be completely incapable of generating or carrying out a similar behavioral sequence when analyzing his or her own situation.

The interpersonal effectiveness module focuses on situations where the objective is to change something (e.g., requesting that someone do something) or to resist changes someone else is trying to make (e.g., saying no).

Dialectical behavior therapy (DBT) is a system of therapy originally developed by Marsha M.

Linehan, a psychology researcher at the University of Washington, to treat people with borderline personality disorder (BPD) .

DBT combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice.

DBT may be the first therapy that has been experimentally demonstrated to be generally effective in treating BPD.

Individuals with borderline personality disorder and suicidal individuals are frequently emotionally intense and labile.

They can be angry, intensely frustrated, depressed, or anxious.

Her second insight involved the need for a commensurate commitment from patients, who needed to be willing to accept their dire level of emotional dysfunction.

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