TY - JOUR
T1 - Radically open dialectical behavior therapy
T2 - Social signaling, transdiagnostic utility and current evidence
AU - Gilbert, Kirsten
AU - Hall, Karyn
AU - Codd, R. Trent
N1 - Funding Information:
Funding for work on this manuscript was provided by National Institute of Mental Health to K.G. (K23MH115074).
Publisher Copyright:
© 2020 Gilbert et al.
PY - 2020
Y1 - 2020
N2 - At the core of an overcontrolled personality and coping style is a tendency to have too much self-control, exhibiting as behavioral and cognitive inflexibility, high inhibition of emotion, high detail-focused processing and perfectionism, and a lack of social connectedness. Overcontrol underlies a wide variety of psychiatric illnesses and as such, an innovative transdiagnostic therapy called Radically Open Dialectical Behavior Therapy (RO DBT) has been developed to treat disorders characterized by overcontrol. RO DBT targets maladaptive social signaling in order to help individuals “rejoin the tribe,” hypothesizing that increasing social connectedness by means of targeting social signaling is the central mechanism of change in treatment. Because RO DBT is used for individuals with an overcontrolled personality style, rather than individual disordered symptoms, it can be used transdiagnostically across a range of comorbid disorders, including treatment-resistant depression and anxiety, anorexia nervosa, and personality disorders such as obsessive-compulsive personality disorder. The current article introduces this novel treatment approach and discusses its emphasis on social signaling and its transdiagnostic nature. We then provide the first review of existing literature testing the efficacy of RO DBT across clinical populations, discuss issues related to assessment of overcontrol, and speculate on future directions for this novel therapy.
AB - At the core of an overcontrolled personality and coping style is a tendency to have too much self-control, exhibiting as behavioral and cognitive inflexibility, high inhibition of emotion, high detail-focused processing and perfectionism, and a lack of social connectedness. Overcontrol underlies a wide variety of psychiatric illnesses and as such, an innovative transdiagnostic therapy called Radically Open Dialectical Behavior Therapy (RO DBT) has been developed to treat disorders characterized by overcontrol. RO DBT targets maladaptive social signaling in order to help individuals “rejoin the tribe,” hypothesizing that increasing social connectedness by means of targeting social signaling is the central mechanism of change in treatment. Because RO DBT is used for individuals with an overcontrolled personality style, rather than individual disordered symptoms, it can be used transdiagnostically across a range of comorbid disorders, including treatment-resistant depression and anxiety, anorexia nervosa, and personality disorders such as obsessive-compulsive personality disorder. The current article introduces this novel treatment approach and discusses its emphasis on social signaling and its transdiagnostic nature. We then provide the first review of existing literature testing the efficacy of RO DBT across clinical populations, discuss issues related to assessment of overcontrol, and speculate on future directions for this novel therapy.
KW - Overcontrol
KW - Psychological inflexibility
KW - Radically open dialectical behavior therapy
KW - Transdiagnostic
UR - http://www.scopus.com/inward/record.url?scp=85078266421&partnerID=8YFLogxK
U2 - 10.2147/PRBM.S201848
DO - 10.2147/PRBM.S201848
M3 - Review article
C2 - 32021506
AN - SCOPUS:85078266421
VL - 13
SP - 19
EP - 28
JO - Psychology Research and Behavior Management
JF - Psychology Research and Behavior Management
SN - 1179-1578
ER -