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Dialectical Behavior Therapy for Suicidal Latina Adolescents: Supplemental Dialectical Corollaries and Treatment Targets

by hhjgcz on 15. März 2021 No comments

Dialectical Behavior Therapy for Suicidal Latina Adolescents: Supplemental Dialectical Corollaries and Treatment Targets


The principal goal of this paper is always to explain extreme behavioral habits that the writers have seen in dealing with Latina adolescents that are suicidal and their moms and dads in the framework of dialectical behavior therapy (DBT). These patterns that are extreme called dialectical corollaries, provide to supplement the adolescent/family dialectical dilemmas described by Rathus and Miller (2002) included in dialectical behavior therapy for suicidal adolescents with borderline personality features. The dialectical corollaries proposed are “old college versus brand new school” and “overprotecting” versus “underprotecting” and they’re described in-depth. We also identify particular treatment objectives for every single corollary and discuss therapeutic techniques aimed at attaining a synthesis involving the polarities that characterize each corollary. Finally, we recommend medical methods to make use of whenever practitioners reach a therapeutic impasse with the parent-adolescent dyad (in other words., dialectical problems).


Last year, the Youth Behavior Risk Surveillance System discovered that 21% of Latina adolescent females seriously considered a suicide attempt (SA) in the past year and 14% had involved with a minumum of one committing committing committing suicide effort (Centers for infection Control and Prevention). These SA rates had been more than those for African-American (8.8%) and Caucasian-American adolescent females (7.9%). At Montefiore health Center’s Adolescent anxiety and Suicide Program when you look at the Bronx, NY, nearly all clients are Latina adolescents. Our group carried out studies with Latina adolescents, parents, and dealing with clinicians aided by the aim of increasing our treatment protocol with this high-risk team (Germán, González, & Rivera-Morales, 2013; Germán, Haaz, Haliczer, Bauman, & Miller, 2013).

A promising treatment plan for Latina adolescents who’re suicidal is dialectical behavior treatment (DBT), an evidence-based therapy initially developed for adults with borderline character disorder (BPD) who have been chronically suicidal (Linehan, Armstrong, Suarez, Allmon, & Heard, 1991; Linehan et al., 2006; Van den Bosch & Verheul, 2007; Verheul et al., 2003). Dialectical behavior treatment ended up being adjusted to be used with teens by Rathus and Miller (2002). Studies comparing DBT to treatment-as-usual conditions have indicated promising leads to reducing deliberate behavior that is self-harm psychiatric hospitalizations, suicidal ideation, despair, hopelessness, and borderline personality disorder symptomatology (Mehlum et al., 2014; Rathus & Miller, 2002).

Marsha Linehan (1993) proposed that folks who take part in suicidal and nonsuicidal self-injurious behaviors (NSSI) with an analysis of BPD frequently turn to extreme behavioral habits, that are known in DBT as dialectical dilemmas. Whenever these habits happen, the specific changes between polarized behavioral extremes in order to control their psychological state. Nonetheless, these habits are ineffective and sometimes function to over or under control the individual’s feelings interracial match app and actions, and they are hence considered as “dialectical problems.” Consequently, Linehan (1993) developed treatment goals to locate a synthesis between your extreme behavioral styles by decreasing these maladaptive actions ( e.g., active passivity, obvious competence, self-invalidation) and increasing adaptive habits (e.g., active problem solving, effortlessly requesting assistance, and self-validation). See Linehan (1993) for the full overview of the original DBT dialectical dilemmas.

In using adolescents that have multiple dilemmas and BPD features, Miller, Rathus, and Linehan (2007) described additional extreme behavioral habits that had been transactional in the wild and took place between your adolescent along with his or her environment. They identified three dialectical issues specific to dealing with adolescents and their moms and dads (in other terms., exorbitant leniency versus authoritarian control, normalizing pathological actions versus pathologizing normative behavior, and fostering dependence versus forcing autonomy). These dialectical issues happen useful to conceptualize adolescents’ and their moms and dads’ problematic behavioral habits and also to further formulate appropriate therapy objectives.

Predicated on our research findings and medical observations of Latina adolescents and families, the present writers increase upon the current adolescent dialectical issues by proposing supplemental dialectical corollaries usually noticed in Latino families. We first review the adolescent/family that is existing dilemmas, then talk about the dialectical corollaries. Our objectives are to give additional interpretations regarding the adolescent dilemmas to foster a much better knowledge of the extreme behavioral habits that will manifest in Latino families and better inform our therapy goals and methods.

Quick Article On Adolescent Dialectical Problems 1

Extortionate Leniency versus Authoritarian Control

Moms and dads 2 frequently waver between two extremes in this problem. Excessive leniency refers to parents being extremely permissive by making too little demands that are behavioral their teenagers. Authoritarian control refers towards the opposite—parents being too punitive. A typical example of extortionate leniency occurs when moms and dads usually do not enforce effects due to their child skipping classes that she may engage in self-harm behaviors if she receives a consequence because they believe. Consequently, moms and dads can be left feeling resentful, powerless, puzzled or guilty because they genuinely believe that their parenting behavior is not in line due to their values that are personal. In this instance, after a while and the parents’ not enough enforcing appropriate effects continues, the adolescent’s emotional and behavioral sequelae often intensify (e.g., she now cuts college more often, is a deep failing most of her twelfth grade classes, and it is violating curfew).

hhjgczDialectical Behavior Therapy for Suicidal Latina Adolescents: Supplemental Dialectical Corollaries and Treatment Targets