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

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

Abstract

The primary purpose of this paper is to explain extreme behavioral habits that the writers have actually seen in dealing with Latina adolescents who will be suicidal and their parents in the framework of dialectical behavior therapy (DBT). These extreme habits, 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 brand new school” and “overprotecting” versus “underprotecting” and they’re described in-depth. We also identify particular treatment goals for every single corollary and discuss techniques that are therapeutic at attaining a synthesis involving the polarities that characterize each corollary. Finally, we recommend medical methods to utilize whenever practitioners reach an impasse that is therapeutic the parent-adolescent dyad (i.e., dialectical problems).

Introduction

Last year, the Youth Behavior Risk Surveillance System unearthed that 21% of Latina adolescent females seriously considered a committing committing committing suicide effort (SA) in the past year and 14% had involved with one or more committing committing suicide effort (Centers for infection Control and Prevention). These SA prices had been greater than those for African-American (8.8%) and Caucasian-American adolescent females (7.9%). The majority of patients are Latina adolescents at Montefiore Medical Center’s Adolescent Depression and Suicide Program in the Bronx, NY. Our group carried out studies with Latina adolescents, moms and dads, and dealing with clinicians with all the aim of enhancing our treatment protocol with this group that is high-riskGermán, González, & Rivera-Morales, 2013; Germán, Haaz, Haliczer, Bauman, & Miller, 2013).

A treatment that is promising Latina adolescents who’re suicidal is dialectical behavior treatment (DBT), an evidence-based therapy initially developed for adults with borderline character disorder (BPD) who had 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 had been adjusted to be used with teenagers by Rathus and Miller (2002). Studies comparing DBT to treatment-as-usual conditions demonstrate promising results in reducing deliberate self-harm behavior, psychiatric hospitalizations, suicidal ideation, despair, hopelessness, and borderline personality disorder symptomatology (Mehlum et al., 2014; Rathus & Miller, 2002).

Marsha Linehan (1993) proposed that people who participate in suicidal and nonsuicidal self-injurious behaviors (NSSI) with an analysis of BPD frequently resort to extreme behavioral habits, that are known in DBT as dialectical dilemmas. Whenever these habits happen, the shifts that are individual polarized behavioral extremes in an attempt to control his / her psychological state. Nonetheless, these habits are inadequate and sometimes function to over or under control the individual’s feelings and habits, and generally are hence deemed as “dialectical problems.” Appropriately, Linehan (1993) developed treatment goals to locate a synthesis involving the behavioral that is extreme by decreasing these maladaptive habits ( e.g., active passivity, obvious competence, self-invalidation) and increasing adaptive habits (e.g., active problem solving, effortlessly seeking assistance, and self-validation). See Linehan (1993) for a complete report about the DBT dialectical dilemmas that is original.

In working together with adolescents who possess numerous issues and BPD features, Miller, Rathus, and Linehan (2007) described additional extreme behavioral patterns that had been transactional in nature 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., extortionate leniency versus authoritarian control, normalizing pathological actions versus pathologizing normative behavior, and fostering dependence versus forcing autonomy). These dialectical issues are beneficial to conceptualize adolescents’ and their moms and dads’ problematic behavioral habits and also to further formulate appropriate therapy objectives.

Centered on our research findings and medical findings of Latina adolescents and families, the present writers increase upon the current adolescent dialectical issues by proposing supplemental dialectical corollaries usually seen in Latino families. We first review the adolescent/family that is existing dilemmas, then talk about the dialectical corollaries. Our objectives are to https://worldsbestdatingsites.com/ present extra interpretations regarding the adolescent dilemmas to foster a far better comprehension of the extreme behavioral habits that will manifest in Latino families and better inform our therapy goals and methods.

Brief Report About Adolescent Dialectical Problems 1

Extortionate Leniency versus Authoritarian Control

Parents 2 frequently waver between two extremes in this issue. Excessive leniency refers to moms and dads being extremely permissive by simply making not enough demands that are behavioral their teenagers. Authoritarian control refers into the opposite—parents being too punitive. A good example of extortionate leniency occurs when parents try not to enforce effects for his or her child skipping classes since they genuinely believe that she may take part in self-harm behaviors if she gets a result. Consequently, moms and dads can be left feeling resentful, powerless, unclear or guilty while they think that their parenting behavior is not in line along with their individual values. In this instance, over the years while the parents’ not enough enforcing appropriate effects continues, the adolescent’s emotional and behavioral sequelae often intensify (e.g., she now cuts college with greater regularity, is a deep failing most of her senior school classes, and it is violating curfew).

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