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Chats with Trainers: Incorporating Dialectical Dilemmas into DBT Case Formulation
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In DBT we refer to conceptualizations of difficulties that arise in treatment as either dialectical dilemmas or secondary targets. Many clinicians report confusion about how to incorporate these into treatment. When referring to them as secondary targets the pressing question is how do you treat them in the context of primary targets. Another take on these as dialectical dilemmas offers the possibility of enriching case formulation by using these dialectical dilemmas as sources of hypothesis generation when patients don’t clearly articulate their experience. The discussion will focus on how to generate hypotheses and incorporate these into DBT case formulations, while keeping in mind the behavioral science principles and staying as close as possible to observable behaviors in defining problems.
As a result of this event participants will be able to incorporate hypotheses to include in DBT case formulation based on dialectical dilemmas experienced by persons with borderline personality disorder.
Virtual Meeting Details
Date: April 24th, 2020
Time: 8:30am – 9:30am Pacific / 11:30am – 12:30pm Eastern
Meeting Duration: 60 minutes
Registration Fee: $35.00
Participants will receive a Zoom meeting invite no later than 24 hours before the session. Please email email@example.com if you do not receive an invite.
About Topic-Driven Discussions with DBT Experts
This session is one of our “Topic-Driven Discussions with DBT Experts” within the Chats with Trainers series. These discussions will offer a presentation + Q&A format for small groups of 20-25 participants, ideal for those who want to engage in an in-depth, focused conversation with the guidance of the Trainer’s expertise. Please note, CE credits will not be offered.
Tony DuBose, PsyD
Seattle, WA Anthony P. DuBose, PsyD, Chief Training Executive, Behavioral Tech, LLC. Dr. DuBose's interest in DBT developed when working with hospitalized youth at high-risk for suicide and self-injurious behaviors. That initial interest, and the outcomes he observed when using DBT, resulted in a career focused on increasing the reach of DBT. Working with Behavioral Tech has provided him the opportunity to engage his passion for providing high quality training in DBT in collaboration with many like-minded people. As the head of training for Behavioral Tech, has led a team of some of the world's foremost experts in Dialectical Behavior Therapy (DBT) since 2011. He has served a key role in the development and refinement of several large-scale DBT training models that have been translated into multiple languages. He has trained and consulted with health care providers world-wide regarding the treatment of borderline personality disorder, substance use disorders, and suicidal and self-injurious behaviors in adults and adolescents and has been involved in large-scale systemwide DBT implementation projects in multiple countries and several US states. He is a member of the International Dissemination and the Training Committees of the World Association for Dialectical Behavior Therapy (WDBTA), formed in 2021, and serves on the WDBTA transitional Board of Directors as its Treasurer. He has been licensed as a psychologist in the State of Washington since 1998 and is certified by the DBT - Linehan Board of Certification (DBT-LBC). He lives in Seattle, WA in the United States. Dr. DuBose received a doctoral degree in clinical psychology from Pacific University of Oregon. He completed his predoctoral psychology internship at Western State Hospital in Lakewood, WA, and his residency requirements for psychology licensure as a postdoctoral fellow in clinical child psychology through the University of Washington's Department of Psychiatry and Behavioral Sciences. Before training as a psychologist, he completed a Master of Science degree in counseling from Loyola University of New Orleans and worked as a family therapist upon completion of that degree. His interest in suicidal and self-injurious behaviors developed when working with adolescents at high risk for suicide at the Child Study and Treatment Center, the state psychiatric hospital for children in Washington, where he served as director of the older adolescent program from 1997 to 2001. He is a Founding Member, and served as the first President & CEO, of the Evidence Based Treatment Centers of Seattle, PLLC. He held appointments on the clinical faculty in the University of Washington’s Department of Psychiatry and Behavioral Sciences and Department of Psychology from 1998 - 2012. He collaborated with Marsha Linehan, Ph.D., ABPP, and other researchers on the study of DBT, particularly related to its dissemination and implementation. He served as a member of the strategic planning group that formed the WDBTA.
I understand that I, and fellow participants, will engage in an audio–visual discussion of our clinical work, and that it is my responsibility to maintain the privacy and confidentiality of what is discussed. I agree to maintain strict confidentiality about participant, patient- or client-specific information that may be shared. I agree to not discuss this information with anyone outside of the discussion, nor say or do anything that compromises the participants’ or patients’ confidentiality.
I agree to participate in this video-based discussion with an expert DBT consultant, and I will attend this virtual discussion in a private and secure environment; ensuring that no one who is not registered for this training can see my screen nor hear the audio.
I understand that BTECH has a strict policy prohibiting audio or visual recording for all aspects of training provided by Behavioral Tech trainings. I recognize and agree that recording without permission may result in a violation of patient confidentiality and may subject me to legal action.
I acknowledge that it is an expectation for participants in BTECH events to adopt the agreements that guide DBT consultation teams. I agree to abide by these in my interactions with others involved.
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