ERIC Number: EJ803814
Record Type: Journal
Publication Date: 2005
Abstractor: As Provided
Reference Count: 0
Telephone Coaching in Dialectical Behavior Therapy: A Decision-Tree Model for Managing Inter-Session Contact with Clients
Ben-Porath, Denise D.; Koons, Cedar R.
Cognitive and Behavioral Practice, v12 n4 p448-460 Aut 2005
Several studies have indicated that telephone coaching can play an important role in psychological intervention (Beebe, 2001; Burgess & Chalder, 2001; Meyersberg, 1985). Less well understood, however, is the role of telephone coaching with severe, complex, multiproblem clients, such as those diagnosed with borderline personality disorder. Dialectical behavior therapy (DBT), a comprehensive, cognitive-behavioral treatment, provides structure and guidance in this area by describing a target hierarchy relevant to telephone coaching. In order of importance, the targets to be addressed in DBT telephone coaching are: (1) decreasing suicidal/nonsuicidal self-injurious behaviors, (2) increasing generalization of behavioral skills, and (3) decreasing the sense of conflict, alienation, and/or distance from the therapist (Linehan, 1993a). This article introduces a decision-tree model for telephone contacts based upon the DBT target hierarchy for telephone coaching. The decision tree model is designed to: (a) assist therapists in identifying the type of phone call received from clients (e.g., calls related to suicide attempts/nonsuicidal self-injurious behaviors, skills generalization calls, relationship repair calls, or inappropriate calls); (b) outline a priority course of action; and (c) suggest which skills and principles of DBT apply in which circumstances.
Descriptors: Personality Problems, Behavior Modification, Suicide, Adolescents, Telecommunications, Classification, Therapy, Mental Disorders, Intervention, Allied Health Personnel, Decision Making, Models, Counseling Techniques, Planning
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Publication Type: Journal Articles; Reports - Descriptive
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