COGNITIVE BEHAVIORAL THERAPY (CBT) was developed in the 1980s by Marsha M. Linehan as a disorder-specific concept for the treatment of chronic suicidal patients with Borderline Personality Disorder (BPS). The basis of the CBT is cognitive behavioral therapy. However, to meet the requirements of such a complex disorder, fundamental modifications were necessary. The most significant differences from conventional cognitive therapy are the emphasis on acceptance and validation of current behavior, the focus on treating behaviors that endanger therapy, the emphasis on the importance of the therapeutic relationship, and the emphasis on dialectical processes. According to Linehan's understanding, the BPS is based on a disorder of affect regulation. This disorder is due to a high emotional vulnerability coupled with an inability to control emotions. Using a dynamically hierarchized treatment structure, CBT tries to make previously uncontrolled processes predictable for both the patient and the therapist. The CBT distinguishes itself by its clear structure, its high application practicality, and its cross-school attitude. In skill training, the patient is additionally attempted to offer specific skills for better control, for example, of her sometimes enormous stress states, but also for emotion regulation.
General information about the CBT Only since the early 1990s have there been several working groups of psychotherapists in the US and Europe using CBT to treat Borderline Disorder. In CBT, the therapeutic process is divided into three phases, each with defined problem areas.
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