DBT is unique in that it embraces the dialectics of this treatment-that is, the conflict between accepting all feelings and behaviours without judgment while still attempting to change them. These treatments focused on the importance of expressing acceptance of patient experiences rather than avoiding or condemning them. ![]() ![]() DBT is one of several forms of psychotherapy that were developed in what is known as the “third wave” of CBT programs. Linehan found that standard CBT often led patients to become hostile or to abandon therapeutic programs altogether, because the patients tended to experience the programs’ emphasis on life changes as invalidating. Historyĭialectical behaviour therapy (DBT) was developed in the 1980s by the American psychologist Marsha Linehan, who viewed standard CBT as insufficient for treating chronic self-harm and suicidal behaviours, such as those stemming from borderline personality disorder (BPD).
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