Dialektisk Atferdsterapi i behandling av suicidal og selvskadende atferd

Lars Mehlum


Dialektisk Atferdsterapi (DBT) ble utviklet for å behandle
suicidal og selvskadende atferd hos pasienter med emosjonelt
ustabil personlighetsforstyrrelse – en pasientgruppe som
mange klinikere opplever som svært utfordrende å hjelpe.
I denne artikkelen skal vi se nærmere på hva utfordringene
består i, og hvilke strategier DBT bruker som krisetiltak og i
langsiktig håndtering av suicidal og selvskadende atferd. Vi
skal også gi en kort oversikt over forskningslitteraturen om
behandlingsresultater og effekter av DBT når det gjelder å redusere
de mange problemene som knytter seg til gjentatt suicidal
og selvskadende atferd. Dernest skal vi diskutere hvilke av
de mange terapeutiske strategiene i DBT som sannsynligvis
har størst betydning som endringsmekanismer i forbindelse
med å redusere denne typen atferd.

Dialectical Behaviour Therapy (DBT) was developed to treat
patients with Borderline Personality Disorder (BPD) and suicidal
and self-harming behaviour – a group of patients perceived as
hard to treat by many clinicians. In this paper we review the most
frequent challenges clinicians are facing when treating suicidal
BPD patients and what strategies are used in DBT to manage
suicidal behaviour in both a short and long-term perspective.
We finally provide a brief review of the research literature on the
effectiveness of DBT in reducing the many problems associated
with repetitive suicidal and self-harming behaviour.




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DOI: http://dx.doi.org/10.5617/suicidologi.6197