Friday, May 16, 2008

Linehan

From p.207 of Cognitive-Behavioral Treatment of Borderline Personality Disorder:

"...it takes infinitely more care and patience for the therapist to help the patient save herself than for the therapist to rescue the patient."

She doesn't claim to be very original, she says DBT is a collection of best practices, regardless of theoretical orientation--which is a kind of interesting proposition. But it's a recognition that she's observing what works and that others says that she's describing what they do.

Then there are some chestnuts like the above. At times I don't think she credits enough of the psychoanalytic literature, but perhaps she just doesn't know it, which is hard to imagine, because she seems to know just about everything else. She has a far ranging and inclusive mind, as I read in the book.

On the one hand it seems very specific and grounds in the nitty gritty here and now. On the other hand DBT is very abstract, dialectical is complex, and every other chapter is another presentation of a balancing act, another set of priorities.

I don't think she's a Buddhist, she admits in a CD that she's a Christian, but she has learned so much about it, she might as well be one. You could simply overlay Buddhism over anything, in a way, if you're open to it.

So for, it's reading for me, and superficial applications. I hope to be working soon on the ITU using DBT.

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