MARSHA LINEHAN

..Psychosocial interventions appear to be most effective with the more high-risk individuals...

..The SASII was found to have very good interrater reliability and adequate validity...

..This double-blind study examined whether olanzapine augments the efficacy of dialectical behavior therapy (DBT) in reducing anger and hostility in borderline personality disorder patients...

..Dialectical behavior therapy (DBT) is a treatment for suicidal behavior and borderline personality disorder with well-documented efficacy...

..A noteworthy secondary finding was that DBT participants were significantly more accurate in their self-report of opiate use than were those assigned to CVT + 12S...

..DBT has been shown to be more effective than treatment-as-usual in treating drug abuse in this study, providing more support for DBT as an effective treatment for severely dysfunctional BPD patients across a range of presenting problems...

..This study is the first to clearly support the skills deficit model for BPD by indicating that increasing skills use is a mechanism of change for suicidal behavior, depression, and anger control...

..Moderators of skills use are also discussed. The DBT-WCCL appears to be a promising new measure of DBT skills use...

..DBT and CTBE did not significantly differ in the reduction of anxiety disorders, eating disorders, or major depressive disorder...

..The treatment also may be helpful for patients who have other severe disorders co-occurring with SUDs or who have not responded to other evidence-based SUD therapies...

..Borderline personality disorder clients with PTSD who began treatment with a greater number of recent suicide attempts and more severe PTSD were significantly less likely to become eligible for PTSD treatment...

..The authors examined the impact of co-occurring posttraumatic stress disorder (PTSD) on women with borderline personality disorder who had attempted suicide in the preceding year...

..These vulnerabilities are potentiated across development by environmental risk factors that give rise to more extreme emotional, behavioral, and cognitive dysregulation. (PsycINFO Database Record (c) 2009 APA, all rights reserved)...

..Parasuicide was significantly more likely to be linked to interpersonal problems, whereas drug use was more likely to be preceded by addiction cues (i.e., being near drugs or people who use drugs)...

..Support for the model was not found for SAs. Possible implications of patterns that demonstrate decreases in negative emotion during accidental death imagery are discussed...

..These are critical steps for clinical psychology and psychotherapists to take in their role in suicide prevention...

..Almost all participants reported that both types of parasuicide were intended to relieve negative emotions. It is likely that suicidal and nonsuicidal parasuicide have multiple intents and functions...

..However, the BPD group did not display heightened reactivity, as their physiological and self-reported changes from baseline to the emotion inductions tasks were not greater than the other 2 groups...

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..Physiological arousal (heart rate) was related to distress in both groups. Our empirical findings emphasize training in labeling emotions and distress tolerance interventions in treatment for BPD...

..This review provides a brief introduction to DBT, followed by a critical appraisal of empirical support for the treatment and a discussion of current research trends...

..16 which is p=0.03), with prostitution alone making a significant contribution to this relationship (z=-2.49, p=0.01)...

..Within a relatively short time frame, improvement was found across a broad range of psychopathological features. Stability of the recovery after one month following discharge, however, was not evaluated and requires further study...

..Current strategies are focusing on the neurobiological underpinnings of the disorder and the development and dissemination of better and more cost-effective treatments to clinicians...

..Overall, our findings indicate that research with highly suicidal individuals can be done safely with the use of well-trained assessors and an appropriate crisis management protocol...

..M., 1993. Cognitive-Behavioral Treatment of Borderline Personality Disorder. The Guildford Press, New York.] and suggest the potential utility for evaluating treatment outcome...

..Ultimately, our goal was to provide guidance for theoretically and empirically grounded research on the mechanisms of change in DBT...

..A traditional questionnaire approach does not distinguish between symptoms of the disorder and recall bias, although the pathological mechanisms underlying them as well as the appropriate treatment strategies may be different...

..Furthermore, the pattern of instability that characterizes BPD has not yet been identified...

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..This will be accomplished with a systematic training and mentoring program for graduate students and visiting scientists at the University of Washington. ..

..Additional daily patient ratings and weekly patient and therapist ratings for subjects in the DBT condition will be obtained. ..

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..The proposed study will collect pilot data and feasibility information in preparation for a future large-scale study. ..

..Results will be analyzed using HLM and other regression-based procedures. ..

..As in our previous studies, clinical assessments will occur at four-month intervals over the two years. ..