DBT
Adam Blatner
ablatner at verizon.net
Thu Feb 26 09:45:26 CST 2009
I need to update my knowledge perhaps, but I know there's at least one guy, a drama therapist, who wrote about mixing drama and mindfulness and has a chapter in my 2007 anthology: Joel Gluck. See www.interactiveimprov.com/ for more information. Should I pass along your interest.
What pleased me about DBT is that (if I understand it correctly) it seems to be partly skills based.
That is---and this goes along with my own thinking---instead of hoping the client will absorb the therapists' unconditional acceptance via osmosis, there is an effort to help the client become his or her own inner therapist. It's more psycho-educational.
I call this the development of the meta-role; that role theory offers a foundation for re-thinking the therapeutic process: Our goal becomes that of explicitly educating and role-training the inner manager. I write about this on my website in one of the papers.
Anyway, within this, the other nice thing about DBT is that it has many components---grounding and relaxation, reality testing (closer to Cognitive therapy), identification and modification of internal "scripts" or assumption complexes, plus work on nonverbal communication, that internal cue-ing that happens with for example, a voice that has become habitually overly quiet or perhaps too screechy; or a facial expression or posture that, while aggressive or defensive, is sometimes---often---used even when fight/flight isn't needed, etc.
I don't doubt that any on-the-surface good idea can nevertheless be distored by administrative policies, etc.--- I'm wondering, Rebecca, what your reservations are that you hinted at--- but it may not be discreet to discuss them openly.
Another thing about DBT--- it is in fashion now, included as a whole chapter in a recent large psychiatry text---the same text that in 1993 had a chapter on psychodrama (for the last time)---and now hardly mentions our approach. (i.e. Kaplan & Sadock's big text)
Warmly, Adam
----- Original Message -----
From: HV Psychodrama
To: Peter Howie ; Group talk Listserv
Sent: Wednesday, February 25, 2009 9:21 PM
Subject: Re: DBT
Actually I am talking about teaching the mindfulness and distress tolerance skills to the group members, not to the practitioners although I suspect that is the ultimate goal as the regular groups for these skills are bbbbbbooooorrrrrrring to the teens with whom we work. I have begun to develop some action approaches to teaching rational mind, emotional mind and wise mind, as well as some of the mindfulness techniques that include enacting distressful situations and using the skills within the enactment. But that is as far as I have gone.
R
----- Original Message -----
From: Peter Howie
To: Group talk Listserv
Sent: Wednesday, February 25, 2009 7:54 PM
Subject: Re: DBT
Hi Rebecca,
When you refer to training I imagine that you are referring to teaching others how to do DBT. So the action methods are required for the teaching more than the enactment. Is this correct?
If this is the case then I have a working principle that most training can be taught through action methods and it is the crafting of the warm up and actions that are congruent with that warm up that are most important. As for DBT the action methods could be applied both to teaching the practitioners and could be used by the practitioners in groups with kids/children/adolescents/young adults:) What practitioner could use would need to be regulated by you I think in order that they don't get grandiose. Anxiety seems to rule for people moving away from didactic methods to more active group processes and I think it is important to frame actions methods as safer than didactic methods. Action methods of course being a euphemism for psychodrama, sociodrama and sociometry techniques.
Have a ball in St Louis and develop a curricula for teaching DBT.
Peter
Peter Howie B.Sc, TEP
Managing Director
The Moreno Collegium for Human Centred Learning, Research and Development
0411 873 851
www.morenocollegium.com.au
On 26/02/2009, at 12:16 PM, HV Psychodrama wrote:
Dear Grouptalkers,
First, thank you to all the folks who responded to me about DBT. Here is the back story. Four Winds Hopsital, has decided to use the DBT model and they have asked me to develop action methods of teaching the DBT skills. Which is a good thing, as the adolescents with whom I work are totally bored by the didactic quality of the other groups (how I feel about this shift is a whole other story!) Problem is I have not been trained in DBT so I am winging it, trying to take what I can get from the skills manual and figure out how to put it into action with out "de regulating' the group members.
I would love to meet for lunch or dinner with folks at the St Louis conference..perhaps we can brain storm ways psychodrama can be useful for DBT skills training as more and more hospitals and programs are using DBT. So let me know if you want to join me, and we will find one another and choose a time.
Hudson Valley Psychodrama Institute
68 DuBois Road
New Paltz, NY 12561
Ph: (845) 255 7502
E-mail: hvpi at hvc.rr.com
Visit us at our website: http://www.hvpi.net
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