The Use of Dialectical Behavior Therapy (DBT) in Music Therapy: A Sequential Explanatory Study

Chwalek, Carolyn Marie; McKinney, Cathy H.

doi:10.1093/jmt/thv002

Cited by 12 publications

(14 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were 11 discussion papers ( [11,12,[14][15][16][17][18][19][20][21][22]) and as these were considered the weakest form of evidence they were not included in the synthesis, but are detailed in Table 1. As seen in Table 2, nine papers collected retrospective ( [23][24][25][26][27][28][29][30][31]) and five papers ( [32][33][34][35][36]) collected prospective implementation data. There were 16 programme descriptions ( [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52]) and 19 trial process analyses ( [53][54][55][56][57][58]<...>…”

Section: Critical Literature Reviewmentioning

confidence: 99%

“…Sometimes DBT was viewed positively from the outset [36] and greater confidence in DBT effectiveness correlated with increased use of DBT [35]. However, DBT was not always seen as suitable [24,30]. DBT implementation was also weakened by competing service priorities [31].…”

Section: Goal Fit and Suitabilitymentioning

confidence: 99%

“…Evidence of clinical improvement can reinforce implementation attempts [24], although only 7% of respondents in one survey agreed that improved patient outcomes were an implementation facilitator [31]. Sometimes demonstrating good patient outcomes generated interest in DBT [37] and led to further funding [43].…”

Section: Local Knowledge and Evaluationmentioning

confidence: 99%

“…Several optimal therapist attributes were detailed including a stance of equality, an ability to synthesise validation and challenge, a good understanding of DBT skills, as well as, group management and teaching abilities [25]. Therapist confidence also seemed important [27] and this could be enhanced through DBT implementation [24,28] and training [35]. Administrators selected staff based on their seniority and motivation and recruited to ensure team diversity [36].…”

Section: Team Capacity and Commitmentmentioning

confidence: 99%

See 3 more Smart Citations

The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review

Toms

Williams

Rycroft-Malone

et al. 2019

bord personal disord emot dysregul

View full text Add to dashboard Cite

BackgroundDialectical behaviour therapy (DBT) is a third wave behaviour therapy combining behaviour based components with elements of mindfulness. Although DBT effectiveness has been explored, relatively little attention has been given to its implementation. Frameworks are often the basis for gathering information about implementation and can also direct how the implementation of an intervention is conducted. Using existing implementation frameworks, this critical literature review scoped the DBT implementation literature to develop and refine a bespoke DBT implementation framework.Method and resultsThe initial framework was developed by consolidating existing implementation frameworks and published guidance on DBT implementation. The critical literature review retrieved papers from Medline, CINAHL, PsycInfo, PubMed, and the reference lists of included papers. Framework elements were used as codes which were applied to the literature and guided the synthesis. Findings from the synthesis refined the framework.The critical literature review retrieved 60 papers but only 14 of these explicitly focused on implementation. The DBT implementation framework captured all the execution barriers and facilitators described in the literature. However, the evidence synthesis led to a more parsimonious framework as some elements (e.g., research and published guidance) were seldom discussed in DBT implementation.ConclusionTo our knowledge this is the first published review exploring DBT implementation. The literature synthesis suggests some tentative recommendations which warrant further exploration. For instance, if DBT implementation is not pre-planned, having someone in the organisation who champions DBT can be advantageous. However, as the literature is limited and has methodological limitations, further prospective studies of DBT implementation are needed.Electronic supplementary materialThe online version of this article (10.1186/s40479-019-0102-7) contains supplementary material, which is available to authorized users.

show abstract

Section: Critical Literature Reviewmentioning

confidence: 99%

Section: Goal Fit and Suitabilitymentioning

confidence: 99%

Section: Local Knowledge and Evaluationmentioning

confidence: 99%

Section: Team Capacity and Commitmentmentioning

confidence: 99%

See 2 more Smart Citations

The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review

Toms

Williams

Rycroft-Malone

et al. 2019

bord personal disord emot dysregul

View full text Add to dashboard Cite

show abstract

“…This article aims to demonstrate why MBT is a new and suitable theoretical model for music therapy. While theories in music therapy have been established and utilized by clinicians internationally (Bain, Grzanka, & Crowe, 2016;Chwalek & McKinney, 2015;Rolvsjord, 2010;Silverman, 2015;Solli, Rolvsjord, Borg, 2013), theory about clinical work is in constant development.…”

Section: Intr Introduction Oductionmentioning

confidence: 99%

Mentalization Based Treatment (MBT): A Possible Theoretical Frame for Music Therapy Practice in Clinical Psychiatry

Hannibal¹,

Schwantes²

2017

Voices

View full text Add to dashboard Cite

Abstr Abstract actThe mentalization based treatment (MBT) model may be a valuable theoretical perspective for music therapists to consider using with clients in need of mental health care, particularly those with borderline personality disorder. This article explores some of the basic principles of MBT and its application to music therapy. We have included a case study and reflections for further consideration. It is our hope that music therapists will begin to incorporate this model within their treatment and care of clients with psychiatric disorders. K Ke eywor ywords: ds: mentalization based treatment, borderline personality disorder Intr Introduction oductionA woman was playing an improvisation together with me (NH), her music therapist. It was our first session. She was in her 40s. She was slim, well-dressed with makeup and hair in order, and not very tall. She seemed calm and appeared to be nothing out of the ordinary. In the first session, she quickly told me about a traumatic loss of her fiancé who died in an accident 20 years ago. She presented this loss with no emotion and still gave me the impression that she had not yet processed this traumatic event. After talking some more, we engaged in playing an improvisation together on two separate pianos facing one another. She played one note at a time, simply playing like there was only the next note. I accompanied her note while playing a stable grounding rhythm, a few notes, and sometimes some simple chords. There was little progression in the music. Then, the music began to form, a simple melody coming from her, and a simple harmonic ground coming from the therapist, added to a stable pulse. The music had an emotional quality, quiet, maybe sad, or even peaceful. She stopped and said it was peaceful. She associated being at peace with being dead, and suddenly the process of therapy took a new turn. The intimacy level changed. What were only tones on a piano became a wish to die. The intensity of the emotions in this newly formed relationship with the therapist was almost overwhelming, and for the following weeks and months engaging in music became difficult and threatening for her. What happened? How can we understand this process?

show abstract

Using cognitive behaviour therapy to treat posttraumatic stress disorder symptoms among Nigerian journalists covering violence

Talabi,

Okunade,

Aiyesimoju

et al. 2023

Curr Psychol

View full text Add to dashboard Cite

The Use of Dialectical Behavior Therapy (DBT) in Music Therapy: A Sequential Explanatory Study

Abstract: Components of DBT are used in music therapy and are valued, but there is a lack of empirical evidence to inform, refine, and guide practice.

Cited by 12 publications

References 28 publications

The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review

The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review

Mentalization Based Treatment (MBT): A Possible Theoretical Frame for Music Therapy Practice in Clinical Psychiatry

Using cognitive behaviour therapy to treat posttraumatic stress disorder symptoms among Nigerian journalists covering violence

Contact Info

Product

Resources

About