The 6 Core Dialectics at the Heart of Dialectical Behavior Therapy

Understanding the Key Principles of Dialectical Behavior Therapy

Dialectical behavior therapy (DBT) has emerged as one of the most effective treatments for borderline personality disorder, especially in individuals with chronic suicidal ideation. But what exactly are the core components that make DBT so successful? Here, we outline the six fundamental dialectics that serve as the foundation of this therapeutic approach.

1. Acceptance and Change

A key dialectic in DBT is finding a balance between acceptance and change. On one hand, DBT emphasizes radical acceptance of oneself, one's emotions, and the current situation. At the same time, there is also a focus on making positive changes to build a life worth living.

DBT teaches distressed individuals how to accept themselves despite their struggles, while also giving them tools to regulate emotions, improve relationships, and change behaviors that may be causing problems in their lives.

2. Keeping Balanced Views

Clients are encouraged to take a balanced view of situations without going to extremes. For example, someone may be tempted to view a friend's inability to attend their birthday party as a deliberate attack. DBT helps people recognize alternative viewpoints - perhaps the friend has an important deadline and isn't actually ignoring them.

Taking balanced perspectives can help reduce tension in relationships and promote more accurate interpretations of events. DBT teaches how to identify extreme or judgmental thinking patterns and consider the bigger picture.

3. Addressing the Past and the Present

While focusing on the here-and-now is important, DBT also recognizes the need to address events of the past which may be influencing current difficulties. Trauma, for example, can have long-lasting impacts on mental health.

DBT aims to help individuals process painful history when needed. However, the emphasis is always on applying what is learned to the present situation rather than staying stuck in the past. Clients are encouraged to grieve losses mindfully while acting effectively in the present.

4. Attending to Thoughts and Feelings

Rational thoughts and intense emotions are both important in DBT. Traditionally, therapy focused on logical reasoning over emotions. DBT aims to find a synthesis by teaching clients to pay attention to both.

Patients learn to validate their own intense emotions, while also helping them return to wise mind by thinking rationally through situations. This dialectical approach allows people to make space for feelings while still acting thoughtfully.

5. Problem Solving and Validation Strategies

DBT includes a range of problem-solving techniques to find practical solutions for daily challenges. For example, someone struggling socially may need coaching in conversation skills.

Equally important though is validating emotions. DBT helps clients listen to themselves with caring awareness - acknowledging painful feelings without self-judgment. This combination of hands-on problem solving plus emotional validation skills is vital.

6. Balancing Care for Self and Others

Dialectical thinking means encouraging both self care and caring for others. People with mental health issues may neglect either their own or others needs.

DBT asks for a synthesis - stand up for yourself, while also being caring, respectful and understanding of others. This may involve coping ahead of time with events to prevent burning out while still being available emotionally for relationships.

Using Dialectics to Build a Life Worth Living

DBT uses a dialectical philosophy to help clients balance multiple perspectives. By synthesizing acceptance and change, past and present, thoughts and feelings, clients build a life of balance, purpose and meaningful relationships. DBT skills become invaluable for coping with life's inevitable challenges.

While borderline personality disorder is the most common application, the focus on building balanced thinking makes DBT a promising treatment for many mental health conditions where distorted thinking causes distress.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.