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Cognitive-Behavioral Treatment of Borderline Personality Disorder
For the average clinician, individuals with borderline personality disorder (BPD) often represent the most challenging, seemingly insoluble cases. This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan's comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems.
Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT Skills Training Manual, Second Edition , and DBT Skills Training Handouts and Worksheets, Second Edition . Also available: Linehan's instructive skills training videos for clients-- Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two , From Suffering to Freedom , This One Moment , and Opposite Action .
Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT Skills Training Manual, Second Edition , and DBT Skills Training Handouts and Worksheets, Second Edition . Also available: Linehan's instructive skills training videos for clients-- Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two , From Suffering to Freedom , This One Moment , and Opposite Action .
558 pages, Hardcover
First published January 1, 1993
266 people are currently reading
4,234 people want to read
About the author
Marsha M. Linehan
75books607followersMarsha Linehan, PhD, ABPP, is a Professor of Psychology and adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington in Seattle and is Director of the Behavioral Research and Therapy Clinics, a research consortium that develops and evaluates treatments for multi-diagnostic, severely disordered, and suicidal populations. Her primary research is in the application of behavioral models to suicidal behaviors, drug abuse, and borderline personality disorder. She is also working to develop effective models for transferring science-based treatments to the clinical community.
She is the developer of Dialectical Behavior Therapy (DBT), a treatment originally developed for the treatment of suicidal behaviors and since expanded to treatment of borderline personality disorder and other severe and complex mental disorders involving serious emotion dysregulation. In comparison to all other clinical interventions for suicidal behaviors, DBT is the only treatment that has been shown effective in multiple trials across numerous independent research studies. DBT is effective at reducing suicidal behavior and is cost-effective in comparison to both standard treatment and community treatments delivered by expert therapists. It is currently the gold-standard treatment for borderline personality disorder and has demonstrated utility in the treatment of high substance abuse and eating disorders.
Linehan has authored multiple books, including three treatment manuals: Cognitive-Behavioral Treatment for Borderline Personality Disorder, DBT Skills Training Manual (2nd ed.), and Skills Training Manual for Treating Borderline Personality Disorder. She serves on a number of editorial boards and has published extensively in scientific journals.
Linehan is the founder of The Linehan Institute, a non-profit organization which helps advance mental health through support for education, research, and compassionate, scientifically-based treatments. Linehan is also the founder of Behavioral Tech LLC, a DBT training and consulting organization, and founder of Behavioral Tech Research, Inc., a company that develops innovative online and mobile technologies to disseminate science-based behavioral treatments for mental disorders.
Linehan was trained in spiritual directions under Gerald May and Tilden Edwards and is a Zen master (Roshi) in both the Sanbo-Kyodan-School under Willigis Jaeger Roshi (Germany) as well as in the Diamond Sangha (USA). She teaches mindfulness via workshops and retreats for health care providers.
She has dedicated her life and research to working with people whose lives are at-risk due to crippling and incapacitating psychological problems.
She is the developer of Dialectical Behavior Therapy (DBT), a treatment originally developed for the treatment of suicidal behaviors and since expanded to treatment of borderline personality disorder and other severe and complex mental disorders involving serious emotion dysregulation. In comparison to all other clinical interventions for suicidal behaviors, DBT is the only treatment that has been shown effective in multiple trials across numerous independent research studies. DBT is effective at reducing suicidal behavior and is cost-effective in comparison to both standard treatment and community treatments delivered by expert therapists. It is currently the gold-standard treatment for borderline personality disorder and has demonstrated utility in the treatment of high substance abuse and eating disorders.
Linehan has authored multiple books, including three treatment manuals: Cognitive-Behavioral Treatment for Borderline Personality Disorder, DBT Skills Training Manual (2nd ed.), and Skills Training Manual for Treating Borderline Personality Disorder. She serves on a number of editorial boards and has published extensively in scientific journals.
Linehan is the founder of The Linehan Institute, a non-profit organization which helps advance mental health through support for education, research, and compassionate, scientifically-based treatments. Linehan is also the founder of Behavioral Tech LLC, a DBT training and consulting organization, and founder of Behavioral Tech Research, Inc., a company that develops innovative online and mobile technologies to disseminate science-based behavioral treatments for mental disorders.
Linehan was trained in spiritual directions under Gerald May and Tilden Edwards and is a Zen master (Roshi) in both the Sanbo-Kyodan-School under Willigis Jaeger Roshi (Germany) as well as in the Diamond Sangha (USA). She teaches mindfulness via workshops and retreats for health care providers.
She has dedicated her life and research to working with people whose lives are at-risk due to crippling and incapacitating psychological problems.
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September 17, 2011Just started reading this book. However, it's interesting to note that Dr. Marsha Linehan developed this style of therapy because she herself suffered from Borderline Personality Disorder. (BPD)
Her style of therapy is both Cognitive and Dialectical. ( CBT and DBT) DBT is based on a model suggesting that both the cause and the maintenance of BPD is rooted in biological disorder combined with environmental disorder.
The fundamental biological disorder is in the emotion regulation system and may be due to genetics, intrauterine factors before birth, traumatic events in early development that permanently affect the brain, or some combination of these factors. The environmental disorder is any set of circumstances that pervasively punish, traumatize, or neglect this emotional vulnerability specifically, or the individual's emotional self generally, termed the invalidating environment.
The model hypothesizes that BPD results from a transaction over time that can follow several different pathways, with the initial degree of disorder more on the biological side in some cases and more on the environmental side in others. The main point is that the final result, BPD, is due to a transaction where both the individual and the environment co-create each other over time with the individual becoming progressively more emotionally unregulated and the environment becoming progressively more invalidating.
Emotional difficulties in BPD individuals consists of two factors, emotional vulnerability plus deficits in skills needed to regulate emotions.
The components of emotion vulnerability are sensitivity to emotional stimuli, emotional intensity, and slow return to emotional baseline.
"High sensitivity" refers to the tendency to pick up emotional cues, especially negative cues, react quickly, and have a low threshold for emotional reaction. In other words, it does not take much to provoke an emotional reaction. "Emotional intensity" refers to extreme reactions to emotional stimuli, which frequently disrupt cognitive processing and the ability to self soothe. "Slow return to baseline" refers to reactions being long lasting, which in turn leads to narrowing of attention towards mood congruent aspects of the environment, biased memory, and biased interpretations, all of which contribute to maintaining the original mood state and a heightened state of arousal.
An important feature of DBT is the assumption that it is the emotional regulation system itself that is disordered, not only specific emotions of fear, anger, or shame. Thus, BPD individuals may also experience intense and unregulated positive emotions such as love and interest. All problematic behaviors of BPD individuals are seen as related to re-regulating out of control emotions or as natural outcomes of unregulated emotions.
Dialectical Behavior Therapy: The Treatment Model
DBT assumes the problems of BPD individuals are twofold.
First, they do not have many very important capabilities, including sufficient interpersonal skills, emotional and self regulation capacities (including the ability to self regulate biological systems) and the ability to tolerate distress.
Second, personal and environmental factors block coping skills and interfere with self regulation abilities the individual does have, often reinforce maladaptive behavioral patterns, and punish improved adaptive behaviors.
Helping the BPD individual make therapeutic changes is extraordinarily difficult, however, for at least two reasons. First, focusing on patient change, either of motivation or by teaching new behavioral skills, is often experienced as invalidating by traumatized individuals and can precipitate withdrawal, noncompliance, and early drop out from treatment, on the one hand, or anger, aggression, and attack, on the other. Second, ignoring the need for the patient to change (and thereby, not promoting needed change) is also experienced as invalidating.
This is the perfect handbook for any therapist who works with BPD or with people who have a difficult time regulating their emotional world.
Her style of therapy is both Cognitive and Dialectical. ( CBT and DBT) DBT is based on a model suggesting that both the cause and the maintenance of BPD is rooted in biological disorder combined with environmental disorder.
The fundamental biological disorder is in the emotion regulation system and may be due to genetics, intrauterine factors before birth, traumatic events in early development that permanently affect the brain, or some combination of these factors. The environmental disorder is any set of circumstances that pervasively punish, traumatize, or neglect this emotional vulnerability specifically, or the individual's emotional self generally, termed the invalidating environment.
The model hypothesizes that BPD results from a transaction over time that can follow several different pathways, with the initial degree of disorder more on the biological side in some cases and more on the environmental side in others. The main point is that the final result, BPD, is due to a transaction where both the individual and the environment co-create each other over time with the individual becoming progressively more emotionally unregulated and the environment becoming progressively more invalidating.
Emotional difficulties in BPD individuals consists of two factors, emotional vulnerability plus deficits in skills needed to regulate emotions.
The components of emotion vulnerability are sensitivity to emotional stimuli, emotional intensity, and slow return to emotional baseline.
"High sensitivity" refers to the tendency to pick up emotional cues, especially negative cues, react quickly, and have a low threshold for emotional reaction. In other words, it does not take much to provoke an emotional reaction. "Emotional intensity" refers to extreme reactions to emotional stimuli, which frequently disrupt cognitive processing and the ability to self soothe. "Slow return to baseline" refers to reactions being long lasting, which in turn leads to narrowing of attention towards mood congruent aspects of the environment, biased memory, and biased interpretations, all of which contribute to maintaining the original mood state and a heightened state of arousal.
An important feature of DBT is the assumption that it is the emotional regulation system itself that is disordered, not only specific emotions of fear, anger, or shame. Thus, BPD individuals may also experience intense and unregulated positive emotions such as love and interest. All problematic behaviors of BPD individuals are seen as related to re-regulating out of control emotions or as natural outcomes of unregulated emotions.
Dialectical Behavior Therapy: The Treatment Model
DBT assumes the problems of BPD individuals are twofold.
First, they do not have many very important capabilities, including sufficient interpersonal skills, emotional and self regulation capacities (including the ability to self regulate biological systems) and the ability to tolerate distress.
Second, personal and environmental factors block coping skills and interfere with self regulation abilities the individual does have, often reinforce maladaptive behavioral patterns, and punish improved adaptive behaviors.
Helping the BPD individual make therapeutic changes is extraordinarily difficult, however, for at least two reasons. First, focusing on patient change, either of motivation or by teaching new behavioral skills, is often experienced as invalidating by traumatized individuals and can precipitate withdrawal, noncompliance, and early drop out from treatment, on the one hand, or anger, aggression, and attack, on the other. Second, ignoring the need for the patient to change (and thereby, not promoting needed change) is also experienced as invalidating.
This is the perfect handbook for any therapist who works with BPD or with people who have a difficult time regulating their emotional world.
July 5, 2007
this is a little bit of a misleading title, as this is THE book that founded DBT (dialectical behavioral therapy).
dbt was initially created for BPD clients, but happily, it's being spread to different populations.
it is a cognitive treatment, but it's more behaviorally based than on cognition. it's a blend of western and eastern thought, and i think it's the most successful therapy on the market for addictive behaviors (from self-injury to gambling to eating disorders) and even depression and anxiety.
i could go on forever, but basically there are four components: interpersonal effectiveness, emotion regulation, mindfulness, and distress tolerance. each section has a set of skills that are taught, so instead of just saying, yeah, that sucks, the client has something to DO that is not detrimental or self-harming in anyway. the treatment is incredibly validating of emotions, and of the pain that people feel in their lives. it just seeks to try and get rid of the suffering related to the pain, and to improve the lives of its clients.
it's absolutely genius, i cannot emphasize enough how this radically changed my life - it's what made me decide to go into psychology instead of law. it clearly likes its clients, and treats them as intelligent people, instead of just saying, "if you think differently about this . . ."
seriously, it's brilliant, and it's kind of awesome to be around at the birth of a therapy that's eventually going to be one of the cornerstones of treatment. i mean, imagine being in frued's vienna and learning from him - that's how i feel about linehan. which, okay, maybe isn't the best analogy, but. it's just such a smart treatment.
dbt was initially created for BPD clients, but happily, it's being spread to different populations.
it is a cognitive treatment, but it's more behaviorally based than on cognition. it's a blend of western and eastern thought, and i think it's the most successful therapy on the market for addictive behaviors (from self-injury to gambling to eating disorders) and even depression and anxiety.
i could go on forever, but basically there are four components: interpersonal effectiveness, emotion regulation, mindfulness, and distress tolerance. each section has a set of skills that are taught, so instead of just saying, yeah, that sucks, the client has something to DO that is not detrimental or self-harming in anyway. the treatment is incredibly validating of emotions, and of the pain that people feel in their lives. it just seeks to try and get rid of the suffering related to the pain, and to improve the lives of its clients.
it's absolutely genius, i cannot emphasize enough how this radically changed my life - it's what made me decide to go into psychology instead of law. it clearly likes its clients, and treats them as intelligent people, instead of just saying, "if you think differently about this . . ."
seriously, it's brilliant, and it's kind of awesome to be around at the birth of a therapy that's eventually going to be one of the cornerstones of treatment. i mean, imagine being in frued's vienna and learning from him - that's how i feel about linehan. which, okay, maybe isn't the best analogy, but. it's just such a smart treatment.
April 12, 2009
This book is not an easy read, but is well worth the effort. Dr. Linehan understands people with Borderline Personality Disorder, and how they got that way. If more of us understood emotional invalidation, and knew how to validate our children, ourselves, and each other, most mental illnesses as we know them would not exist.
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April 15, 2010How can I begin to describe the importance of this book
and it's workbook of the same title?
It's nothing less than revolutionary.
Clearly Dr. Linehan is making a life of the seminal Buddhist prayer
"May all sentient beings be freed from suffering"
And this is the key to the cage.
"I've been where you're hanging
I think I can see how you're pinned
When you're not feeling holy
your loneliness says that you've sinned"
Blessings to St. Marsha, Sister of Mercy,
She can bring you back from hell, through purgatory,
and leave you standing once again on the green and solid Earth.
If the old saints' battle cry was "Save souls"
this saint's mantra is "Save Lives"
She asks us only to accept reality,
and teaches us all that can mean for our lives.
What beautiful simplicity.
What an extraordinary challenge.
and it's workbook of the same title?
It's nothing less than revolutionary.
Clearly Dr. Linehan is making a life of the seminal Buddhist prayer
"May all sentient beings be freed from suffering"
And this is the key to the cage.
"I've been where you're hanging
I think I can see how you're pinned
When you're not feeling holy
your loneliness says that you've sinned"
Blessings to St. Marsha, Sister of Mercy,
She can bring you back from hell, through purgatory,
and leave you standing once again on the green and solid Earth.
If the old saints' battle cry was "Save souls"
this saint's mantra is "Save Lives"
She asks us only to accept reality,
and teaches us all that can mean for our lives.
What beautiful simplicity.
What an extraordinary challenge.
November 8, 2021
Od té doby, co jsem se setkala s člověkem s hraniční poruchou, ve mně tahle oblast vzbudila zájem. O to víc jsem si o ní chtěla přečíst od Marshy Linehan, zakladatelky DBT, která sama poruchou trpěla. Vzhledem k častosti suicidálního chování hraničních pacientů je terapie obrovská dřina jak pro ně samotné, tak pro terapeuty. I pro to jsou označováni jako “butterfly patients� � lidi, kteří do terapie střídavě vstupují a následně ji rychle opouští. Knížka nabízí vhled do terapeutického přístupu navrženého na míru lidem s hraniční poruchou osobnosti - techniky jsou vesměs inspirované buddhismem a dialektikou ve snaze změnit černobílé uvažování pacientů. Co si z knížky odnáším je nový úhel pohledu na sebepoškozování a schopnost konverzovat o ukončení života.
April 23, 2023
This was a great book. Be warned, it is extremely long and it took me months to read. However, I recommend it to any mental health professional looking to learn more about BPD. Linehan gave a clear and evidence based approach to treating the condition while also taking the time to explain the background and trauma associated with this disorder. BPD is such a complicated disorder and this book gave me valuable insight that has helped me better understand and treat my clients.
March 21, 2014
It almost took me ten months to finish this book. It is fairly dry and tedious, although the points that Linehan makes are excellent. Throughout the book you can feel the empathy and compassion she has for some of the most troubled people in the world. I think she does a nice job of taking some dry behavioral research (operant conditioning, classical conditioning) and explaining how to apply it to humans.
Throughout the book, you get the sense that DBT in itself is really a synthesis between the clinical behaviorism of Skinner and the empathic client-centered humanism of Rogers. As a therapist who practices relational therapy (influenced by psychodynamic and existential tenets), I struggled at times with the more behavioral end of Linehan's paradigm. That being said, it does seem helpful in providing containment, and behavioral shifts for the most traumatized patients. As a whole, I tend to reject the medical model, but believe that LInehan's treatments can inform any good therapy for someone that is chronically distressed. One of the things I like the most about the model is the therapist serving as a consultant to the patient, and helping them learn to maneuver through systems and manage their affect when these systems tend to be unhelpful and nonresponsive (as systems often are).
I do have questions about how one manages to do this when systems are both unhelpful and nonresponsive, and are partly in place to keep the status quo (i.e. to not provide adequate care to those most in need). Perhaps this is a pessimistic view of systems. Linehan does acknowledge that invalidation is largely a part of the person who has Borderline Personality Disorder's experience particularly when it comes to family of origin, sexism and other larger systems, but I am curious when we stop helping clients to manage challenging systems, and begin to create a more humane society.
Throughout the book, you get the sense that DBT in itself is really a synthesis between the clinical behaviorism of Skinner and the empathic client-centered humanism of Rogers. As a therapist who practices relational therapy (influenced by psychodynamic and existential tenets), I struggled at times with the more behavioral end of Linehan's paradigm. That being said, it does seem helpful in providing containment, and behavioral shifts for the most traumatized patients. As a whole, I tend to reject the medical model, but believe that LInehan's treatments can inform any good therapy for someone that is chronically distressed. One of the things I like the most about the model is the therapist serving as a consultant to the patient, and helping them learn to maneuver through systems and manage their affect when these systems tend to be unhelpful and nonresponsive (as systems often are).
I do have questions about how one manages to do this when systems are both unhelpful and nonresponsive, and are partly in place to keep the status quo (i.e. to not provide adequate care to those most in need). Perhaps this is a pessimistic view of systems. Linehan does acknowledge that invalidation is largely a part of the person who has Borderline Personality Disorder's experience particularly when it comes to family of origin, sexism and other larger systems, but I am curious when we stop helping clients to manage challenging systems, and begin to create a more humane society.
November 29, 2020
This is THE book that is the foundation for Dialectical Behavioral Therapy. I highly recommend this for every counseling professional, if they don't make you read this in grad school, it's worth picking up on your own. I absolutely don't think every therapist needs to be a DBT therapists, or even use Dr. Linehan's techniques, but nonetheless understanding this treatment and the people it helps is invaluable (although after reading this, you'll definitely add a few tools to your kit).
December 22, 2013
More than just a book about treating Borderline Personality Disorder, this is the book about Dialectical-Behavioural Treatment (DBT). I didn’t realize that when I started to read, but it wasn’t an unpleasant surprise by any means.
This is an academic text and is heavy, ponderous, and dry in many places. I’m not a stranger to texts like these, and so was not bothered by it, though it did make for slower going. Other readers might find it hard to get through because of this alone. The second half becomes a bit repetitive, and the text very clearly addresses psychologists in detailing treatment approaches specific to DBT. I found the first part of the book � which describes BPD and its symptoms, and the philosophy and skeleton of DBT � to be the most useful.
This is probably the best text I’ve read on BPD, its symptoms, and ways to deal with them. And, because this is an academic text, there isn’t a lot of fluff or padding (which often distracts from the meat of the text in other books).
This is an academic text and is heavy, ponderous, and dry in many places. I’m not a stranger to texts like these, and so was not bothered by it, though it did make for slower going. Other readers might find it hard to get through because of this alone. The second half becomes a bit repetitive, and the text very clearly addresses psychologists in detailing treatment approaches specific to DBT. I found the first part of the book � which describes BPD and its symptoms, and the philosophy and skeleton of DBT � to be the most useful.
This is probably the best text I’ve read on BPD, its symptoms, and ways to deal with them. And, because this is an academic text, there isn’t a lot of fluff or padding (which often distracts from the meat of the text in other books).
December 18, 2012
This book was fine, and DBT is obviously an enourmously effective therapy. I just wish that Linehan had put "manual" somewhere in the title, so I wouldn't have held out hope for so long that it would suddenly turn more fascinating than instructive (I probably unfairly judge fascination level by amount of clinical examples). She does, however, excel at writing clearly and without jargon.
June 5, 2017
Marsha Linehan has articulated a very extraordinary mental disorder and the ways to overcome it in this ground breaking book. If one is unable to find trained mental health professionals for this particular problem, this book will help guide the untrained practitioner.
June 18, 2009
This book was difficult to understand. I only got part way through the second chapter until I couldn't take it anymore. My eyes kept glazing over and my mind was wandering because the author rambles in textbook speak.
January 27, 2011
I just ordered this from Amazon. I'm hoping it will give me some insite on a person I know who I'm convinced has borderline personality disorder. This book was recommended to my by a professional psychologist.
May 27, 2020
A very helpful book for anyone struggling with mood regulation. Marsha is ahead of her time in techniques, understanding of emotional lability and presents a practical approach for healing dysfunctional behavioural patterns.
February 11, 2022
This is such a long but must read volume for all DBT therapists. I feel much more confident and competent as a clinician in so many regards ( my capacity to work with clients with borderline traits, to employ DBT principles, to manage suicide risk and to handle case management, etc) after receiving the DBT training from Psychwire and reading this one. What impressed me is Linehan’s seamless blend of skills and strategies informed by various disciplines, her courage for taking an unimaginable risk at that time to completely revamp and revolutionize the common suicide response protocol, and her intentionality around empowering the clients in their own recovery and treatment ( what an innovative and advanced perspective considering this book was written in the 90s!). I have so much respect for Linehan. She’s a marvelous woman, therapist and researcher.
April 4, 2023
Read this in school because of a professor and i was an overachiever. As a naive student, i thought it was great. It is well-written though a bit tedious. But after having real-life experiences with DBT, i think it’s great in theory —as well as in practice for many—but not always effective nor realistic. (Obviously nothing is.) I’m somewhat irked that it has become the catch-all for anything and everything and if it doesn’t work, it must be the pt’s fault. For that reason, i give it a lower rating. It’s not the fault of how the book was written but for the fact that i wish people would stop excessively glorifying and defaulting to this modality.
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October 1, 2024If there was ever a manual that wasn’t called a manual, it’s Cognitive Behavioral Treatment of Borderline Personality Disorder. It’s the manual for dialectical behavioral therapy (DBT), but it doesn’t have the word “manual� � nor any of the components of DBT � in the title. I’d previously reviewed DBT Explained, which sorted some of the essential mysteries about the therapy practice, but at roughly one-quarter the size of this book, it summarized some of the details.
December 31, 2023
This book details the theory in which DBT is rooted. Personally, I found the book an intriguing and insightful read. As someone who's emotionally sensitive and grew up in an invalidating and abusive environment, this book has given me an invaluable framework for thinking about and navigating through my intense private experiences; furthermore, by explaining the rationale underpinning DBT, this book has given me more reassurance to continue applying DBT principles in my life. Marsha's characterisation of BPD is compassionate, respectful, and nuanced.
February 1, 2024
Наконец-то закончила: вот, пожалуй, основное, что я могу сказать про эту книгу)))) Она, вне всякого сомнения, исключительно полезна, это, без иронии, самая полезная книга о психотерапии, какая попадалось мне в последнее время. Но она невыносимо скучная, поскольку написана ужасным канцелярским языком.
June 11, 2022
Very thorough, though some of it is out dated to the current approach. I read this four times in 2 weeks, 2 of those times in 48 hours to study for my DBT-LBC. I passed and my brain hurts…don’t be like me
December 14, 2023
Phenomenal book that dives into the specifics of using DBT to treat BPD. Her thorough examination and breakdown of the hierarchical structure of DBT in relation to patient interactions is awe-inspiring.
March 12, 2025
Отличная книга -- подробная, достаточно понятная даже неспециалисту, щедро сдобренная ссылками на исследования, личным опытом автора-врача и гуманизмом. Маст-рид по теме. Забросил на 9-й главе из 15, но не из-за проблем книги, а просто захотелось удалиться от темы ПРЛ. Может, потом вернусь.
August 23, 2017
Extremely detailed and exhaustive yet informative. No need to read this unless it's your job.
December 8, 2017
I read this one for school, but this was an amazing read to gain insight into this therapy.
January 25, 2018
DBT is an essential tool for your toolbox when dealing with individuals who have Borderline Personality.
March 10, 2020
Gained insight and clarity around life, mentally.
May 6, 2020
A very educational read!
December 14, 2020
Es un libro imprescindible, haría falta una actualización de los temas. La lectura es un poco compleja por lo cual amerita apoyarse en otras lecturas de otros autores.
March 1, 2021
A must!
April 28, 2021
Obscenely difficult to read but informative
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