Skip to main content
SpringerLink
Log in

Dialectical Behavior Therapy

  • Chapter
  • First Online:
Non-Suicidal Self-Injury in Eating Disorders

Abstract

This chapter reviews the basics of Dialectical Behavior Therapy (DBT) as applied in the treatment of co-occurring non-suicidal self-injury (NSSI) and eating disorders (ED). The four major components of DBT are discussed including individual treatment, group skills training, skills coaching between sessions, and the consultation team for treaters. Modifications to the original form of DBT are reviewed including an outpatient application for adolescents who present with suicidality and NSSI and another outpatient version for adults who present with bulimia and binge eating. A detailed case example is employed demonstrating the specific interventions of DBT for the interrelated problems of NSSI and ED.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 84.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Becker, C. B., Smith, L. M., & Ciao, A. C. (2005). Reducing eating disorder risk factors in sorority members: A randomized trial. Behavior Therapy, 36(3), 245–253.

    Article  Google Scholar 

  • Claes, L., Klonsky, E. D., Muehlenkamp, J. J., Kuppens, P., & Vandereycken, W. (2010). The affect-regulation function of non-suicidal self-injury in eating-disordered patients: Which affect states are regulated? Comprehensive Psychiatry, 51, 386–392.

    Article  PubMed  Google Scholar 

  • Claes, L., & Muehlenkamp, J. J. (2013). Non-suicidal self-injury and eating disorders: Dimensions of self-harm. In L. Claes & J. J. Muehlenkamp (Eds.), Non-suicidal self-injury in eating disorders. Heidelberg: Springer.

    Google Scholar 

  • Crandall, C. S. (1988). Social contagion of binge eating. Journal of Personality and Social Psychology, 55(4), 588–598.

    Article  PubMed  CAS  Google Scholar 

  • Germer, C. K., Siegel, R. D., & Fulton, P. R. (Eds.). (2005). Mindfulness and psychotherapy. New York, NY: Guilford.

    Google Scholar 

  • Linehan, M. M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. NewYork, NY: Guilford.

    Google Scholar 

  • Linehan, M. M. (1993b). Skills training manual for treating borderline personality disorder. New York, NY: Guilford.

    Google Scholar 

  • McMain, S., Sayrs, J. H. R., Dimeff, L. A., & Linehan, M. M. (2007). Dialectical behavior therapy for individuals with borderline personality disorder and substance dependence. In L. A. Dimeff, K. Koerner, & M. M. Linehan (Eds.), Dialectical behavior therapy in clinical settings: Applications across disorders and settings. New York, NY: Guilford.

    Google Scholar 

  • Miller, A. L., Rathaus, J. H., & Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. New York, NY: Guilford.

    Google Scholar 

  • Muehlenkamp, J. J., Claes, L., Smits, D., Peat, C. M., & Vandereycken, W. (2011). Non-suicidal self-injury in eating disordered patients: A test of a conceptual model. Psychiatry Research, 188, 102–108.

    Article  PubMed  Google Scholar 

  • Muehlenkamp, J. J., Peat, C. M., Claes, L., & Smits, D. (2012). Self-injury and disordered eating: Expressing emotion dysregulation through the body. Suicide and Life-Threatening Behavior, 42, 416–425.

    Article  PubMed  Google Scholar 

  • Robinson, A. H., & Safer, D. L. (2012). Moderators of dialectical behavior therapy for binge eating disorder: Results from a randomized clinical trial. International Journal of Eating Disorders, 45(4), 597–602.

    Article  PubMed  Google Scholar 

  • Safer, D. L. (2011). Anorexia Nervosa as a disorder of emotion dysregulation: Theory, evidence, and treatment implications. Clinical Psychology, 18(3), 203–207.

    Google Scholar 

  • Safer, D. L., Darcy, A. M., & Lock, J. (2011). Use of mirtazapine in an adult with refractory anorexia nervosa and comorbid depression: A case report. International Journal of Eating Disorders, 44(2), 178–181.

    PubMed  Google Scholar 

  • Safer, D. L., Lively, T. J., Telch, C. F., & Agras, W. S. (2002). Predictors of relapse following successful dialectical behavior therapy for binge eating disorder. International Journal of Eating Disorders, 32, 155–163.

    Article  PubMed  Google Scholar 

  • Safer, D. L., Robinson, A. H., & Jo, B. (2010). Outcome from a randomized controlled trial of group therapy for binge eating disorder: Comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy. Behavior Therapy, 41, 106–120.

    Article  PubMed  Google Scholar 

  • Safer, D. L., Telch, C. F., & Chen, E. Y. (2009). Dialectical behavior therapy for binge eating and bulimia. New York, NY: Guilford.

    Google Scholar 

  • Svirko, E., & Hawton, K. (2007). Self-injurious behavior and eating disorders: The extent and nature of the association. Suicide and Life-Threatening Behavior, 37, 409–421.

    Article  PubMed  Google Scholar 

  • Telch, C. F., Agras, W. S., & Linehan, M. M. (2001). Dialectical behavior therapy for binge eating disorder. Journal of Consulting and Clinical Psychology, 69, 1061–1065.

    Article  PubMed  CAS  Google Scholar 

  • van den Bosch, L. M., Koeter, M. W., Stijnen, T., Verheul, R., & van den Brink, W. (2005). Sustained efficacy for dialectical behavior therapy for borderline personality disorder. Behaviour Research and Therapy, 43(9), 1231–1241.

    Article  PubMed  Google Scholar 

  • Walsh, B. W. (2012). Treating self-injury: A practical guide (2nd ed.). New York, NY: Guilford.

    Google Scholar 

  • Walsh, B. W., Doerfler, L., & Millner-Hanley, A. (2012). Residential treatment for adolescents targeting self-injury and suicidal behavior. In B. W. Walsh (Ed.), Treating self-injury: A practical guide (2nd ed.). New York, NY: Guilford.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The Bridge of Central Massachusetts, Worcester, MA, USA

    Barent W. Walsh & Jennifer E. Eaton

Authors
  1. Barent W. Walsh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jennifer E. Eaton
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Barent W. Walsh .

Editor information

Editors and Affiliations

  1. Department of Psychology, KU Leuven, Leuven, Belgium

    Laurence Claes

  2. Department of Psychology, University of Wisconsin-Eau Claire, Eau Claire, Wisconsin, USA

    Jennifer J. Muehlenkamp

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Walsh, B.W., Eaton, J.E. (2014). Dialectical Behavior Therapy. In: Claes, L., Muehlenkamp, J. (eds) Non-Suicidal Self-Injury in Eating Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40107-7_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-40107-7_8

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-40106-0

  • Online ISBN: 978-3-642-40107-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation