NCJ Number
240754
Date Published
March 2011
Length
14 pages
Annotation
After describing the features of Dialectical Behavior Therapy (DBT), this paper discusses its use and research on its effectiveness in correctional settings.
Abstract
DBT is used in mental health treatment. It combines the techniques of standard cognitive behavioral therapy (CBT) with elements from the behavioral sciences, dialectical philosophy, Zen, and Western contemplative practice. DBT's approach is based on the philosophical concept of "dialectic," which is a type of reasoning that recognizes there can be more than one reality and that the synthesis of these realities leads to continuous change. Dialectical thinking can enable a person to use problem solving skills in a conflict situation by considering alternatives to rigidly held beliefs. DBT consists of five basic functions: enhancing capabilities, improving motivation, ensuring generalization of skills, structuring the environment, and enhancing provider skills and motivation. DBT uses both one-on-one therapy and skills training, which is usually conducted in groups. In both adult and juvenile correctional settings, DBT is in its infancy and is only beginning to be considered as a correctional treatment possibility. Unfortunately, as with the implementation of any new treatment modality, DBT has often been partially implemented or modified for specific purposes. Berzins and Trestman (2004) reviewed DBT programs in 10 correctional settings in the United States and Canada. They were implemented to assist in the management of inmates with the most severe behavioral problems or personality disorders; however, no scientific study has been conducted to determine their effectiveness. On the other hand, McCann, Ivanoff, Schmidt, and Beach (2007) argue that evidence from two major studies that are summarized in the current paper, along with other smaller examples of DBT, suggest that DBT be used in correctional settings. Pilot projects at California correctional sites are recommended. 18 references