Therapy interfering behaviors or "TIBs" are, according to dialectical behavior therapy (DBT), things that get in the way of therapy.[1] These are behaviors of either the patient or the therapist. More obvious examples include being late to sessions,[1] not completing homework,[2] cancelling sessions, and frequently contacting the therapist out-of-session.[3] More subtle examples can include sobbing uncontrollably, venting, criticizing the therapist, threatening to quit therapy, shutting down, yelling, only reporting negative information, saying "I don't know" repeatedly, and pushing the therapist's limits.[2][3] Behaviors that "burn out the therapist" are included, and thus, vary from therapist to therapist.[3] These behaviors can occur in session, group, between sessions, and on the phone.[1]

DBT requires therapists to directly address TIBs as a way to prevent early termination from therapy, to improve the relationship between therapist and client, and to model effective communication.[3] TIBs are the second most important dysfunctional behavior to address according to DBT, just below life-threatening behaviors.[4]

DBT is one of the first therapy models to identify problems between therapist and client in terms of behaviors rather than personality defects.[5] Identifying TIB's to decrease (and identifying therapy enhancing behaviors) takes the place of the terms "transference" and "countertransference".[6]

Books

  • Skills Training Manual for Treating Borderline Personality Disorder by Marsha M. Linehan ISBN 0-89862-034-1
  • Cognitive Behavioral Treatment of Borderline Personality Disorder by Marsha M. Linehan, 1993

See also

References

  1. 1 2 3 Zalewski, Maureen; Walton, Carla J.; Rizvi, Shireen L.; White, Andrew W.; Gamache Martin, Christina; O'Brien, Jacqueline R.; Dimeff, Linda (November 2021). "Lessons Learned Conducting Dialectical Behavior Therapy via Telehealth in the Age of COVID-19". Cognitive and Behavioral Practice. 28 (4): 573–587. doi:10.1016/j.cbpra.2021.02.005. ISSN 1077-7229. PMC 8488181. PMID 34629837.
  2. 1 2 Davis, Michelle L.; Fletcher, Terri; McIngvale, Elizabeth; Cepeda, Sandra L.; Schneider, Sophie C.; La Buissonnière Ariza, Valérie; Egberts, Jolenthe; Goodman, Wayne; Storch, Eric A. (2020-01-02). "Clinicians' perspectives of interfering behaviors in the treatment of anxiety and obsessive-compulsive disorders in adults and children". Cognitive Behaviour Therapy. 49 (1): 81–96. doi:10.1080/16506073.2019.1579857. ISSN 1650-6073. PMID 30862251. S2CID 76663766.
  3. 1 2 3 4 Chalker, Samantha A.; Carmel, Adam; Atkins, David C.; Landes, Sara J.; Kerbrat, Amanda H.; Comtois, Katherine Anne (December 2015). "Examining Challenging Behaviors of Clients with Borderline Personality Disorder". Behaviour Research and Therapy. 75: 11–19. doi:10.1016/j.brat.2015.10.003. ISSN 0005-7967. PMC 4690778. PMID 26496225.
  4. ↑ Chapman, Alexander L. (September 2006). "Dialectical Behavior Therapy". Psychiatry (Edgmont). 3 (9): 62–68. ISSN 1550-5952. PMC 2963469. PMID 20975829.
  5. ↑ "Dialectical Behavior Therapy (DBT): What It Is & Purpose". Cleveland Clinic. Retrieved 2024-01-09.
  6. ↑ Prasko, Jan; Ociskova, Marie; Vanek, Jakub; Burkauskas, Julius; Slepecky, Milos; Bite, Ieva; Krone, Ilona; Sollar, Tomas; Juskiene, Alicja (2022-08-11). "Managing Transference and Countertransference in Cognitive Behavioral Supervision: Theoretical Framework and Clinical Application". Psychology Research and Behavior Management. 15: 2129–2155. doi:10.2147/PRBM.S369294. ISSN 1179-1578. PMC 9384966. PMID 35990755.
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