An alternative support model for family members of the mentally ill: Modifying dialectical cognitive‐behavioral skill building (DBT)

Abstract

This article provides an overview of the literature on family intervention programs and offers Linehan's (1993a) Dialectical Cognitive‐Behavioral Skill Building (DBT) as an alternative model to help family members of the mentally ill. With minor modifications, the theory, structure, aims, and strategies of DBT, originally developed for patients diagnosed with Borderline Personality Disorders, resonate with the service needs articulated by family members of the mentally ill. Specifically, DBT offers support, teaches specific problem‐solving and distress tolerance skills, and fosters increased self‐awareness and interpersonal effectiveness. The model differs from other intervention programs because it appeals to health rather than pathology, targets problems rather than specific diagnostic groups, and integrates a dialectical rather than a linear view of reality and mental illness. Finally, because DBT relies on a group modality and is applicable (with modification) to a range of clients, it is an attractive and cost‐effective option to mental health and preventive services faced with reduced resources.

Notes

Jacinta Marschke, Ph.D., M.S.W. is Assistant Professor at Fordham University, Graduate School of Social Service, Tarrytown, NY. She also is in private practice and serves as a consultant to the Mental Health Association of Ulster County.