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The specific skills that will be taught will include assertiveness training (an important coping skill), how to boost levels of self-esteem, problem solving skills, anger management, identifying and expressing emotions and accepting responsibility. This skill set will make up the delivery of the dynamic process that circumvents the repetitive negative thoughts that often characterize mood disorders, such as depression. The other core aspect of DBT that will be included is behavior therapy. Within behavior therapy, Linehan has drawn upon the work of Richard J. Ryan, PhD, one of the founders of cognitive behavioral therapy, to develop the "DBT curriculum." This is the term given to the skills training provided in DBT. The curriculum has various names, but keeps its focus on the common thread of helping clients develop the skills they need to live more fulfilling, structured lives. As noted, and as Linehan emphasizes with her work, skill-based treatments are essential, yet clients struggle to build those skills because they do not believe in them.
Despite psychology's focus on the research evidence, social scientists (at least myself) struggle with the concept of evidence and why credentials are considered so valuable. To understand what credentials mean, think about an individual where you will not require lines of evidence, but more general attributes that make them the right person in a business setting. For example, a salesman who knows a client has 100% confidence in his ability to sell a product is going to generate more sales than a salesman who is not as familiar with the contact.
We are going to discuss this idea in Chapter 4 of the Skills Worksheets, where we will break down the idea of evidence. For now, we want to understand that evidence is not something that is strictly scientific and set in stone. Evidence rules and is always subject to change. It should be shaped by the process of validation. Further, to be valid, long term research studies need to be conducted and some elements of research must be replicated, retested and critiqued. d2c66b5586
