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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

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


The main purpose of this paper is always to explain extreme behavioral habits that the writers have actually seen in treating Latina adolescents who will be 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) as an element of dialectical behavior therapy for suicidal adolescents with borderline personality features. The dialectical corollaries proposed are “old college versus new school” and “overprotecting” versus “underprotecting” and they’re described in-depth. We also identify certain therapy objectives for every corollary and discuss therapeutic practices aimed at attaining a synthesis between the polarities that characterize each corollary. Finally, we recommend medical techniques to make use of when practitioners reach an impasse that is therapeutic the parent-adolescent dyad (for example., dialectical problems).


Last year, the Youth Behavior Risk Surveillance System unearthed that 21% of Latina adolescent females seriously considered a committing committing suicide attempt (SA) in the past year and 14% had involved in a minumum of one committing suicide effort (Centers for infection Control and Prevention). These SA rates were greater than those for African-American (8.8%) and Caucasian-American adolescent females (7.9%). At Montefiore healthcare Center’s Adolescent anxiety and Suicide Program into the Bronx, NY, nearly all clients are Latina adolescents. Our group carried out studies with Latina adolescents, moms and dads, and dealing with clinicians because of the aim 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 who will be suicidal is dialectical behavior therapy (DBT), an evidence-based therapy initially developed for adults with borderline character disorder (BPD) have 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 ended up being adjusted to be used with teenagers by Rathus and Miller (2002). Studies comparing DBT to treatment-as-usual conditions demonstrate promising leads to 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 turn to behavioral that is extreme, that are known in DBT as dialectical dilemmas. Whenever these patterns happen, the specific changes between polarized behavioral extremes in an attempt to regulate his / her psychological state. Nonetheless, these habits are inadequate and sometimes function to over or under control the individual’s feelings and behaviors, as they are hence considered as “dialectical problems.” Appropriately, Linehan (1993) developed therapy objectives to get a synthesis involving the extreme behavioral styles by decreasing these maladaptive habits ( e.g., active passivity, obvious competence, self-invalidation) and increasing adaptive actions (e.g., active problem solving, effortlessly seeking assistance, and self-validation). See Linehan (1993) for a complete report about the original DBT dialectical dilemmas.

In using the services of adolescents that have numerous issues and BPD features, Miller, Rathus, and Linehan (2007) described additional extreme behavioral habits that had been transactional in the wild and took place amongst the adolescent along with his or her environment. They identified three dialectical issues specific to using the services of adolescents and their moms and dads (i.e., exorbitant 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 also to further formulate appropriate therapy targets.

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

Quick Article On Adolescent Dialectical Problems 1

Exorbitant Leniency versus Authoritarian Control

Moms and dads 2 usually 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 towards the opposite—parents being too punitive. A good example of exorbitant leniency occurs when moms and dads usually do not enforce effects with their 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 might be left feeling resentful, powerless, disoriented or guilty because they genuinely believe that their parenting behavior is not in line with regards to individual values. In this instance, after a while while the parents’ lack of enforcing consequences that are appropriate, the adolescent’s emotional and behavioral sequelae often intensify (e.g., she now cuts college with greater regularity, is a deep failing each of her senior high school classes, and it is violating curfew).

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