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Self-control, the ability to inhibit competing urges, impulses, or behaviors is highly valued by most societies. However, excessive self-control has been linked to social isolation, aloof interpersonal functioning, maladaptive perfectionism, constricted emotional expressions, and difficult-to-treat mental health problems, such as anorexia nervosa, obsessive compulsive personality disorder and refractory depression.
The aim of this workshop is to introduce clinicians to the theoretical foundations and new skills underlying Radically Open-Dialectical Behavior Therapy (RO DBT) for disorders of overcontrol (Lynch, in press). RO DBT is fully manualized and supported by three randomized controlled trials (RCTs) for refractory depression, two open-trials targeting adult Anorexia Nervosa, and one non-randomized trial targeting treatment resistant overcontrolled adults.
While resting on many of the core principles of standard DBT, the therapeutic strategies in RO-DBT are often substantially different. For example, RO-DBT contends that emotional loneliness represents the core problem for overcontrol, not emotion dysregulation. The biosocial theory for overcontrol posits that heightened threat sensitivity and diminished reward sensitivity transact with early family experiences emphasizing “mistakes as intolerable” and “self-control as imperative” to result in an overcontrolled coping style that limits opportunities to learn new skills and exploit positive social reinforcers. A novel thesis linking the communicative functions of emotional expression to the formation of close social bonds will be introduced, as well as new skills emphasizing receptivity, self-enquiry and flexible responding. New approaches designed to activate a neurobiological-based social-safety system, signal cooperation, and encourage genuine self-disclosure will be introduced using slides, handouts, video clips, and role plays.
Upon completion of this one-day training, participants will be able to:
The following is an indicative schedule for one-day training events. The exact running order may be subject to amendment and change, but this timetable gives a good feel for the material covered during the day.
08:30 – 09:00 Registration and Sign-In
09.00 – 10:00 RO-DBT – an empirically based treatment
10:00 – 11:00 The problem of too much self control
11:00 – 12:30 The neuroregualtory model and bio-social theory
12:30 – 13:30 Lunch Break
13:30 – 14:30 Signalling matters and Radical Openness
14:30 – 15:30 Assessing overcontrol
15:30 – 16:30 Treatment Structure, overview of RO skills and an example of targeting OC maladaptive behavior