Chain Analysis In Dialectical Behavior Therapy Routledge – Shireen L Rizvi

I was so mad and angry that she was criticizing me and also not looking at me and talking to me directly. I just picked up the vase from the center of the table and threw it against the opposite wall. It shattered and the glass, water, and flowers just went everywhere.

Therapist: That’s really helpful. I think I can picture that. Do you remember what time this was on Tuesday, so that we can anchor it in time a bit? Isaac: It was probably just a few minutes after I got home, it all happened so fast, maybe around 6:15?

Therapist: And if you were to rate your anger on a scale of 1 to 10 at that moment you threw the vase, what would you say? Isaac: A definite 10. Identifying Consequences Therapist: And what happened immediately after you threw the vase? [assessing consequences] Isaac: My wife screamed at me, “What the hell are you doing?,” and then said how she couldn’t take it anymore, got her bag, and left. Therapist: What happened within you immediately after you threw the vase? Isaac: What do you mean?

Therapist: I mean, what were you thinking and feeling? Do you remem- ber? Isaac: I think I was feeling incredibly frustrated and out of control. I just completely lost it. And when she stormed out, at first I felt good and empowered, but then as time went on I started to just hate myself. Therapist: What do you mean by that? Sounds really painful.

Isaac: Like, what kind of person am I that I can’t control myself at all. This is not who I want to be. Therapist: It sounds to me that your behavior didn’t match your values. That’s good for me to know and will definitely help us figure out how to change it. What happened to your anger? Did it go down when you threw the vase or hang around longer? Getting to Know the Target Behavior Isaac: It seemed like it went down but I’m not sure if that was because I threw the vase or because my wife left.

Therapist: OK, that’s fair. We might not know what caused it to go down but we know that it did. In general, when you’ve thrown objects in the past, did your anger go down right away? Isaac: Hmm, I don’t think so. At other times, it’s stayed pretty high. Hard to say for sure. Therapist: OK, so let’s go back to Tuesday. The therapist has now assessed the problem behavior and its conse- quences. In terms of the problem behavior, note that although Isaac said that his problem is “anger,” the therapist looked for a problem behavior associated with anger.

Guilford DBT® Practice Series Alan E. Fruzzetti, Series Editor This series presents accessible, step-by-step guides to essential components of dialectical behavior therapy (DBT) practice. Delving deeply into different aspects of DBT implementation—phone coaching, validation, chain analy- sis, family interventions, and more—series volumes distill the latest clinical innovations and provide practical help based on sound DBT principles and good science.

Phone Coaching in Dialectical Behavior Therapy Alexander L. Chapman Chain Analysis in Dialectical Behavior Therapy Shireen L. Rizvi DBT® Teams: Development and Practice Jennifer H. R. Sayrs and Marsha M. Linehan Chain Analysis in Dialectical Behavior Therapy Shireen L. Rizvi Series Editor’s Note by Alan E. Fruzzetti THE GUILFORD PRESS New York London Copyright © 2019 The Guilford Press A Division of Guilford Publications, Inc. 370 Seventh Avenue, Suite 1200, New York, NY 10001 www.guilford.com All rights reserved No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the publisher.

Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 9 8 7 6 5 4 3 2 1 The author has checked with sources believed to be reliable in her efforts to provide information that is complete and generally in accord with the standards of practice that are accepted at the time of publication. However, in view of the possibility of human error or changes in behavioral, mental health, or medical sciences, neither the author, nor the editor and publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or the results obtained from the use of such information.

Readers are encouraged to confirm the information contained in this book with other sources. Library of Congress Cataloging-in-Publication Data Names: Rizvi, Shireen L., author. Title: Chain analysis in dialectical behavior therapy / Shireen L. Rizvi. Other titles: Guilford DBT practice series. Description: New York : The Guilford Press, 2019. | Series: Guilford DBT practice series | Includes bibliographical references and index. Identifiers: LCCN 2018053815 | ISBN 9781462538904 (paperback) | ISBN 9781462538911 (hardcover) Subjects: | MESH: Behavior Therapy—methods Classification: LCC RC489.B4 | NLM WM 425 | DDC 616.89/142—dc23 LC record available at https://lccn.loc.gov/2018053815 DBT is a registered trademark of Marsha M. Linehan.

Marsha M. Linehan has not participated in the preparation of this book. v Shireen L. Rizvi, PhD, ABPP, is Associate Professor of Clinical Psy- chology in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey.

This is a short excerpt from the opening of “” by Unknown, quoted for review and introduction purposes. All rights belong to the copyright holders.

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