DBT’s Interpersonal Effectiveness: Building Mastery and Self-Respect

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“Do you think it’s important to nurture genuine respect for oneself?” I would be shocked/stunned/mind-boggled if the majority of people to whom I asked this question replied with some variation of, “no, thanks, it’s been quite pleasant disrespecting myself and my beliefs and sincerely thinking that I am incompetent.” In fact, while it might be almost impossible to believe, most of the people who walk into my office voice some type of desire to feel good about who they are and at peace about the decisions they’ve made with regard to their interactions with others.

So, just how important is self-respect? Let’s look at a recent situation in my personal life that pertinently and efficiently reminded me of the vast importance of self-respect. Recently, I found myself in a situation with a friend that, over a two-week period, proved to be particularly distressing. Two weeks prior to this realization, I identified my need to express my feelings about his actions, or in this case, lack of action. However, I wanted the discussion to take place in person, not via some sort of electronic medium, and I wanted to find the appropriate time, a combination of desires that proved to be especially difficult to attain as day after day blew by.

Upon his most recent departure from an in-person interaction between us, during which I, again, could not seem to recognize this seemingly elusive perfect time, I found myself bombarded by uncomfortable thoughts/feelings. The most common thought: “You failed. Once again, he left and you did not say anything,” followed closely by the feeling of shame. Then, I watched, mindfully, as the thoughts/feelings cycled through my mind. Shame triggered the thought, “you’re weak, you’ll never find the right time. You’re using this right time notion to avoid talking to him,” followed closely by more shame, who brought with it its two acquaintances, guilt and sadness (nice to see you, again!).

And that’s when it hit me. Why wasn’t I eagerly having this seemingly necessary conversation? Well, that was a fairly easy one for me…fear. Fear that he wouldn’t like me. Fear it would ruin our relationship. Fear that he’d leave. And I didn’t want to discount, invalidate, or avoid this fear, as the fear of losing or damaging significant relationships in one’s life can be daunting, vastly uncomfortable, and even paralyzing. However, what was the cost? By avoiding the first situation of having a discussion due to potential negative consequences, I was causing other, very real, negative consequences to occur in the place of ones that had not even occurred yet, and might not even occur. Based on consequences that had a 50% chance of materializing (It might ruin our relationship, it might not. He might leave, he might not.), I was creating a second situation with a 100% chance of damaging my self-respect…and I still didn’t even know what might or might not happen in the first situation!

The founder of DBT, Marsha Linehan, describes mastery as doing something that increases one’s feelings of competence, and sometimes, if you fail, doing it over and over and over again until you succeed. With regard to self-respect, Linehan notes that one builds self-respect when he/she acts in ways that support his/her personal beliefs, morals, and opinions. Mastery builds competence. Competence builds self-respect. Take the example of a newborn learning to walk. When little Joey takes his first steps and falls, what would happen if he never got back up? Would he ever learn how to walk if he never tried again? How would he feel about his walking abilities? Furthermore, would he be more or less likely to get up and try again if he were to succumb to his inundating thoughts of, “I’m a failure. I’ll never learn how to walk. All the other babies will learn how to walk and I’ll be stuck here, crawling on the floor, forever (insert sad-face emoticon here).” I’m concerned about Little Joey’s self-respect already.

It’s not easy to do things we perceive as potentially threatening, and it’s also not easy to deal with the inevitable thoughts/feelings that show-up when we don’t take action when we want to (or act when we don’t want to). And while the blow to our self-respect can be equally devastating, we deny ourselves the opportunity to learn how to skillfully manage difficult situations.  So, the next time you find yourself in a particularly tough situation with another person, just remember this is probably not the last complicated situation/interaction you’ll be faced with in your lifetime… AND every difficult situation you encounter is another opportunity to build your mastery at effectively handling tough situations and to enhance and deepen your self-respect! Be kind to yourself, validate your fears, and grow.

For more information on me, visit my profile on psychologytoday.com

Julie

Your Say Yes to Life Monday Motivator: V is for Validation, Part One

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This month we continue our exploration of Borderline Personality Disorder (BPD) and its effect on BPD sufferers and their families.

As you may recall from last month’s posts, May was Borderline Personality Month. BPD is now known to be a brain-based emotion regulation disorder that often begins to arise in early adulthood and affects more women than men. The disorder manifests in a devastating emotional sensitivity that makes it difficult for some and impossible for others to maintain the type of close, nurturing, mutually supportive relationships that make life feel worth living.

This explains why, out of the 18 million Americans who have BPD, 10 percent will commit suicide before adequate diagnosis and treatment is offered. Additionally, current statistics state that 33 percent of all youth who commit suicide are found posthumously to have displayed symptoms characteristic of BPD that went undiagnosed.

In my work as Program Director with Southlake Counseling, I have seen firsthand how a lack of knowledge, lack of or improper diagnosis, and inadequate or improper care can lead to the tragic loss of a loved one who has BPD, and the unnecessary total breakdown of family systems. I say unnecessary, because there are some practical, accessible skills that loved ones of a BPD sufferer can begin to employ right now to ease the tension in their relationships and restore valued connections.

In this post, I would like to introduce one such technique: Validation.

Validation is a term that was first employed in Dialectical Behavioral Therapy (DBT), which is a therapeutic method designed by Dr. Marsha Linehan specifically to treat BPD. Validation is a DBT-based technique that is carefully designed to counteract the natural emotional response nearly every important communication has the potential to evoke in a BPD sufferer.

In the normal world of a person with BPD, their brain is not wired as sensitively to relational cues as a non-BPD individual’s brain is. So it is much easier for a BPD sufferer to feel invalidated or rejected by even a mundane or routine interaction with a loved one.

Validation is a direct counter to the BPD individual’s assumption that every communication is invalidating until proven otherwise. The rage, the suicidal actions, the emotional outbursts, the self-harming behaviors, the expressed fearfulness and the impulse control issues all stem from a feeling of being rejected, abandoned or invalidated by a person who holds an important role in the BPD individual’s life.

Learning how to successfully communicate with a loved one who has BPD is based upon understanding their inner emotional landscape and working with rather than against their BPD-influenced perception of relationships and events. Using Validation promotes that awareness and understanding, and opens up the door to better communications between the BPD sufferer and those who share their life.

In our next post, we will explore how to use Validation to facilitate communications with a BPD sufferer. So stay tuned!

If you or someone you care about is suffering from symptoms that appear to be related to Borderline Personality Disorder, don’t wait! Seek help right away as BPD can be life threatening. At Southlake Counseling, our staff has received extensive training from Dr. Linehan’s Behavioral Tech Institute. We have more than two decades of experience successfully treating BPD through Dialectical Behavioral Therapy. We also offer supportive DBT-based skills-building groups for family, loved ones, and friends of BPD sufferers. Learn more at www.southlakecounseling.com.

Be Well,

Kimberly

 

Your Weekly Meditation: Fathers Matter

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Fathers matter.

Whether our relationship with our own father was close or distant, the impact a father has in the life of a daughter is undeniable. And when we begin a family of our own, whether we share duties of child-rearing with a partner or shoulder the responsibility of both mother and father alone, our experience with our father goes with us. It serves us well to employ what Marianne Williamson, author of a “Return to Love,” terms “selective remembering” – “a conscious decision to focus on love and let the rest go.”

This week I resolve to: Celebrate what I learned from my own father, employing the timeless wisdom of “selective remembering” to pass along love and leave the rest behind.

Your Weekly Meditation: Being a Work-in-Progress is Underrated

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Being a work-in-progress is underrated.

Mother Teresa struggled with depression for most of her life and ministry, often wondering whether God even existed. Princess Diana struggled with an eating disorder even as she visited families suffering from AIDS. There are many more stories where those came from – of imperfectly great human beings reaching beyond their own insecurities, inadequacies, and limitations to stay connected and offer what they could to participate in the world we all share. You are the same. We are all the same. In little and small ways, as we live our work-in-progress lives, hurt is healed, anxiety eased, hope rekindled, and progress made.

This week I resolve to: appreciate myself for the work-in-progress that I am.

Your Weekly Meditation: Hard Work is Not a Substitute for Grace

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Hard work is not a substitute for grace.

We live in a very industrious, hard working world. We do work so hard! Sometimes we work so hard that we forget to cut ourselves any slack at all. Hard work is not a substitute for grace. Grace is the small still voice inside of us that quietly observes, “You are so tired right now. Why don’t you take a rest.” Grace is the gentle unseen arms that move to hug us – right before we push them away, saying “But I haven’t achieved enough yet today to relax or receive.” Grace is that moment when we look up and spontaneously ask ourselves, “Does this task REALLY matter to me?”, even if we do not give ourselves the gift of waiting long enough to hear our own answer.

This week I resolve to: pay attention not just to my outer to-do list, but to the inner direction that guides me subtly but unerringly towards my heart’s true priorities.