Dialectical Behavior Therapy for Binge Eating and Bulimia (59 page)

and BN, 14–15

Review of skills, 181–184

S

Sadness, Acting Opposite skill, 144

Sample Chains Focusing on Key Dysfunctional
Link(s), 87a

Secondary emotions

and emotion regulation, 124–125, 150a
homework sheet, 150a

versus primary emotions, 124–125

affect regulation model, 13

standard dialectical behavioral therapy
effectiveness, 17–18

Self-invalidation, consequences, 19–20
Self-Soothing skill, 171–172, 202

Self-validation.
See
Validation

Sensitivity. See
Emotional sensitivity
Shame, 143–144

Skills practice

in group homework review, 26–29

guidelines, 86a

structuring client’s report of, 60–61, 86a
troubleshooting, 63–65

Skills training

goals, 20–22, 71a

in group sessions, 28–29

in individual therapy, 60

orientation of client to, 34–35, 38–39
Sleep, decreasing emotional vulnerability link,

binge-eating disorder, 7–8

bulimia nervosa, 11

Solution-analysis strategy, 23–24

Steps for Reducing Painful Emotions
Homework Sheet, 138, 139f, 153a
Structural treatment strategies, 25

Structure of sessions, 22–29

orientation to, 55–56

Structuring Client’s Report of Skills Practice,
60–61, 63–65, 86a

Stylistic strategies, 24

Substance abuse/dependence

and binge-eating disorder, 3, 3t, 7

and bulimia nervosa, 3, 10

and DBT effectiveness, 18

treatment contraindication, 3–4

Suffering, as nonacceptance of pain, 164
Suicidality, 3, 17–18

contraindication for adapted DBT, 3–4
Synopsis of Ways to Describe Emotions,
125–126, 151a

T

Team consultations, strategies, 25
Termination of treatment, 180–181
Therapist Treatment Agreements, 74a
in introductory sessions, 56–57

in pretreatment interview, 31, 42
Therapists

essential “attitude” of, 22–23

in group sessions homework review, 26–28

Therapists (cont.)

skills instruction/training, 20–21, 28–29

stylistic aspects, 24

in treatment delivery, 22–25

Therapy-interfering behavior

case illustration, group format, 206–210

case illustration, individual format, 196–197

intervention top priority, 36–37

review of, 53

Thinking of Pros and Cons skill, 174–175
Treatment goals

introductory sessions review, 53–55

orientation of client to, 34–35

Treatment model, assumptions, rationale, 48–49.

See
also
Emotion Dysregulation Model of
Problem Eating

Treatment protocol, adherence, 21

Treatment team, consultation strategies, 25
Treatment termination, 180–181

Turning the Mind, 165

U

Ugly duckling story, 129

Urge Surfng Homework sheet, 118a
Urge Surging skill, 108–110

case illustration, group format, 210–211

case illustration, individual format, 197–198

experiential exercise, 109

homework sheet, 118a

review of, 182

troubleshooting, 109

Urges, as treatment target, 37, 54

Index

V

Validation, 22–23, 52, 133

Verbal commitment to abstinence, 45–47
Vulnerability factors, in chain analysis, 58

W

“Ways to Describe Emotions,” 125–126,

Weight, weight loss

abstinence from bingeing beneft, 220

policy explanation to client, 40–41

targeting, 220–221

as treatment secondary priority, 21, 40–

Weight preoccupation, 7

“What” skills. See
Mindfulness “What” skills
Willingness and Willfulness, 165–166
Wise Mind

defnition, 95

in emotion validation, 132–133

experiential exercise, 97

homework practice, 98, 113a

“How” skills access to, 104–108

practice in accessing of, 97

review of, 181

therapist’s self-disclosure example, 96

“What” skills access to, 99–102

Wise Mind Homework Sheet, 113a

Women

binge-eating disorder prevalence, 6

bulimia nervosa prevalence, 10