Behavioral Analysis Strategies | Insight Interpretation Strategies | Didactic Strategies | Solution Analysis | Validation | Problem-Solving Strategies
Fundamental to problem solving in DBT is the behavioral
analysis, which is the collaborative process of
identifying and reevaluating over time the sequence of internal
and external events that are associated with the problem behavior.
Behavioral analysis includes the assessment of multiple chain analyses. Small
units (links) of behavior are analyzed with the goal of defining
the beginning of the chain, or the antecedents; the middle of the
chain, or the problem behavior itself; and the end of the chain,
or the consequences of the behavior. Attention is paid to all behaviors,
including emotions, bodily sensations, thoughts (explicitly and
implicitly as in expectations and assumptions), urges, and overt
behaviors. Environmental factors (e.g., a conflictful visit with
a relative) and vulnerability factors (e.g., lack of sleep or physical
illness) that may affect the behavior are important to ascertain.
It is essential to define the problem specifically. Rather than
asking questions about causality (e.g., "Why do you think
that happened?"), the therapist should ask questions aimed
at specifying the antecedents and consequences of the behavior (e.g., "At
what point in the day did the thought of suicide enter your mind?
What was happening in that moment?"). This information
facilitates understanding of typical response patterns to specific
stimuli that are germane to the particular behavior.