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 principal goal of this paper is always to explain extreme behavioral patterns 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 brand new school” and “overprotecting” versus “underprotecting” and they’re described in-depth. We also identify certain therapy goals for every corollary and discuss techniques that are therapeutic at achieving 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 (for example., dialectical failures).

Introduction

Last year, the Youth Behavior Risk Surveillance System discovered that 21% of Latina adolescent females seriously considered a committing suicide effort (SA) in the past year and 14% had involved in a minumum of one committing committing suicide effort (Centers for infection Control and Prevention). These SA prices had been more 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 because of the objective of enhancing our therapy protocol with this group that is high-riskGermán, González, & Rivera-Morales, 2013; Germán, Haaz, Haliczer, Bauman, & Miller, 2013).

A promising treatment plan for Latina adolescents that are 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; hookupdate.net/snapsext-review/ 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 take part in suicidal and nonsuicidal self-injurious behaviors (NSSI) with an analysis of BPD usually turn to behavioral that is extreme, that are described in DBT as dialectical dilemmas. Whenever these habits happen, the shifts that are individual polarized behavioral extremes in order to manage his / her psychological state. But, these habits are inadequate and frequently function to over or under control the individual’s feelings and habits, and generally are hence considered as “dialectical failures.” Properly, Linehan (1993) developed treatment goals discover a synthesis amongst the behavioral that is extreme by decreasing these maladaptive actions ( e.g., active passivity, obvious competence, self-invalidation) and increasing adaptive habits (e.g., active problem solving, efficiently requesting assistance, and self-validation). See Linehan (1993) for the full breakdown of the DBT dialectical dilemmas that is original.

In using adolescents who possess numerous issues and BPD features, Miller, Rathus, and Linehan (2007) described additional extreme behavioral habits that had been transactional in nature and took place between your adolescent along with his or her environment. They identified three dialectical problems specific to dealing with adolescents and their moms and dads (i.e., extortionate leniency versus authoritarian control, normalizing pathological actions versus pathologizing normative behavior, and fostering dependence versus forcing autonomy). These dialectical issues have already been beneficial to conceptualize adolescents’ and their moms and dads’ problematic behavioral habits and to further formulate treatment that is appropriate.

Predicated on our research findings and medical findings of Latina adolescents and families, the existing writers increase upon the current adolescent dialectical problems 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 present extra interpretations regarding the adolescent dilemmas to foster a much better comprehension of the extreme behavioral habits that can manifest in Latino families and better inform our therapy goals and methods.

Quick Writeup On Adolescent Dialectical Problems 1

Exorbitant Leniency versus Authoritarian Control

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

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