Quote:
Originally Posted by roimata
Example A: If you're struggling with self-harm, one of the "aversive consequences" (I shouldn't have used negative reinforcements because they're two different things. Aversive consequences would be a more suitable term for this) would be that if you were to indulge your urges to use those behaviors your consequence is not being allowed to contact your therapist for x number of days.
Example B: Not completing homework assignments leads to negative feedback from group facilitators: acting cold and irreverent.
Example C: Storming out of a session = client is "grounded" from therapy and is not allowed to attend x number of sessions.
Those are harsher examples I have heard from a handful of people who have experienced these techniques. I'm sure the majority of DBT practitioners use positive and intermittent reinforcement much more frequently since a lot of people are reflecting on their experience in a positive light. But it is a tactic that is used as a treatment approach.
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Thank you for this. This might sound really odd, but it makes me feel better about my DBT group. A isn't an issue because I'm keeping my own T and she would never do that to me. B and C won't be a problem either. The group T told me that if I don't want to talk at all, I don't have to. And her supervisor told me that I can take a break at any point I need to. Homework won't be an issue just because I will be motivated to do it to show my T I'm trying. Still scared of group, but at least I know I won't have to deal with the things you listed