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• Section I: Introduction
1: Dialectical Behaviour Therapy: Development and Distinctive Feature,
• Section II: Theoretical underpinnings of DBT
2: Recent developments in understanding the bio in the biosocial theory of BPD in DBT,
3: Invalidating Environments and the Development of Borderline Personality Disorder,
4: Behavioural foundations of DBT: Applying behavioural principles to the challenge of suicidal behaviour and non-suicid,
5: Modifying Behaviour Therapy to meet the challenge of treating BPD: Incorporating Zen and mindfulness,
6: Modifying behaviour therapy to meet the challenge of treating BPD: utilizing dialectics,
• Section: III The Structure of Treatment
7: The structure of DBT Programs,
8: Running an effective Consultation Team: Principles & Challenges,
9: Skills Training in DBT: Principles & Practicalities,
10: Generalisation modalities: Taking the treatment out of the consulting room - using telephone, text and email,
11: Structuring the wider environment: Skills for DBT Team Leader,
• Section: IV Clinical Applications of DBT
12: Case Formulation in DBT: Developing a behavioural formulation,
13: Conducting effective behavioural and solution analyses,
14: Conceptual and practical issues in the application of emotion regulation in DBT,
15: DBT as a Suicide and Self-harm Treatment: Assessing & Treating suicidal behaviours,
16: Conceptual and practical issues in the application of Validation in DBT,
17: Treating In-Session Clinical Behaviours,
18: Teaching Mindfulness Skills in DBT,
19: Dialectical Behaviour Therapy with Parents, Couples and Families to Augment Stage 1 Outcomes,
• Section: V Evidence for DBT
20: Dialectical Behavior Therapy from 1991-2015: What do we know about clinical efficacy and research quality?,
21: Effectiveness of DBT in routine clinical practice,
22: Financial cost-effectiveness of dialectical behavior therapy (DBT) for borderline personality disorder (BPD),
23: Why does DBT work? Understanding processes of change in a complex treatment,
24: A service user perspective on DBT,
• Section VI: Adapting the treatment for new clinical populations
25: DBT with adolescents,
26: DBT for Eating Disorders: Adapting Programmatically and Strategically,
27: DBT for substance dependence,
28: DBT in Forensic settings,
29: DBT in in-patient and residential settings,
30: DBT in College Counselling Centres,
31: DBT for pre-adolescent children,
32: DBT in Schools,
33: DBT for employment -related difficulties,
34: DBT for individuals with an intellectual disability,
35: DBT for PTSD - an integrative approach,
36: DBT for PTSD - A treatment program for complex PTSD after childhood abuse,
• Section: VII Implementation of DBT
37: Implementing DBT: An implementation science perspective,
38: Implementation in public healthcare systems,
39: Implementation in private practice,
40: Implementation in National Systems: The Case of Ireland,
41: International Implementation of dialectical behavior therapy: The challenge of training therapists across cultures,
• Section VIII: Training in DBT
42: Evidence-based training: The Intensive Training ModelTM,
43: Supervision in DBT: Shaping therapists towards adherence,
• Section VIII: In Conclusion
44: 1. Future Directions for Dialectical Behaviour Therapy: Theory, Development & Implementation,

Dialectical behavior therapy (DBT) is a specific type of cognitive-behavioral psychotherapy developed in the late 1980s by psychologist Marsha M. Linehan to help better treat borderline personality disorder. Since its development, it has also been used for the treatment of other kinds of mental health disorders.
The Oxford Handbook of DBT charts the development of DBT from its early inception to the current cutting edge state of knowledge about both the theoretical underpinnings of the treatment and its clinical application across a range of disorders and adaptations to new clinical groups.
Experts in the treatment address the current state of the evidence with respect to the efficacy of the treatment, its effectiveness in routine clinical practice and central issues in the clinical and programmatic implementation of the treatment.
In sum this volume provides a desk reference for clinicians and academics keen to understand the origins and current state of the science, and the art, of DBT.

• A comprehensive DBT reference work covering all aspects of theory, practice and application of DBT
• Takes a scholarly approach, enabling readers with an academic background to find the latest research within its pages
• Provides practical advice for clinicians, who will find chapters covering important aspects of treatment implementation and delivery

Michaela A. Swales, Reader in Clinical Psychology, Bangor University, UK. Consultant Clinical Psychologist with Betsi Cadwaladr University Health Board and Reader in Clinical Psychology North Wales Clinical Psychology Programme & School of Psychology, Bangor University. She trained in Dialectical Behaviour Therapy in Seattle in 1995 with Marsha Linehan and for twenty years ran a clinical programme for suicidal young people in an inpatient service. She was a founder members of the UK DBT Training Team becoming its Director in 2002. She has trained more than a thousand professionals in DBT, seeding over 400 programmes, in both the UK and further afield. She is the author with Heidi Heard PhD of Dialectical Behaviour Therapy: Distinctive Features (2009 & 2017) and Changing Behavior in DBT: Problem-Solving in Action (2015).