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Test Treatment of Borderline Personality Disorder (BPD)
Agenda
QUESTION 1: What was Dialectical Behavior Therapy (DBT) originally conceived for?
Borderline Personality Disorder (BPD)
Obsessive-compulsive disorder
Specific phobias
Chronic insomnia
QUESTION 2: According to the text, how does emotional dysregulation manifest itself in BPD?
Flat emotions and lack of reactivity
Emotional changes only in the face of traumatic events
Rapid escalation to minor stimuli and slow return to baseline state
Affective stability with minimal variations
QUESTION 3: How does DBT conceptualize suicidal and self-injurious behaviors?
Malicious manipulative strategies
Unmodifiable personality traits
Desperate attempts at solutions in the face of unmanageable emotional pain
Moral failures that require sanction
4th QUESTION: What occupies the preeminent place in the DBT treatment hierarchy for BPD?
Improving work performance
Optimizing body image
Reducing perfectionism
Ensuring physical safety
QUESTION 5: What alternative does DBT propose to replace lethal behaviors?
Use of discomfort tolerance skills of high physiological impact (such as ice or intense exercise)
Social isolation to avoid triggers
Prolonged meditation without guidance
Contingent punishments to deter behavior
6TH QUESTION: What does the application of dialectics in treatment seek?
Reinforcing black or white thinking
Helping to hold two contradictory truths simultaneously
Eliminating negative emotions altogether
Replacing relationships with absolute avoidance
7th QUESTION: What is the effect of the mental relaxation promoted by DBT?
Increases the intensity of emotional reactions
Favors extreme idealization of others
Reduces emotional reactivity and fosters a more nuanced view
Prevents recognizing one's own mistakes
8TH QUESTION: How does DBT interpret impulsivity in BPD?
Attention-seeking behavior with no emotional basis
Expression of malice toward others
Neutral habit devoid of function
Dysfunctional attempt to regulate unbearable emotional states
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