Adherence Dynamics: The DBT Pros and Cons Grid
Key Points
- People get their needs met, even when engaging in ineffective behavior.
- A pros and cons grid helps identify what’s working and what’s not, and how clients and professionals engage in the process.
- Quadrants one and four, and two and three, relate to each other in meaningful ways.
- Explore the similarities and differences.
- Explore how these quadrants relate to each other and how they don’t.
- Predict some of the barriers that can come with the plans and work the problems ahead of time.
- Find the strengths, and things people are doing well, and build on them.
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Transcript
I wanted to go over a pros and cons grid that I did at a conference, and to share with you a real-world example of, “What are professionals and clients saying are reasons to follow or not follow professional advice or engagement plans?”
So let me set the stage. I’m working on a whiteboard in front of probably about 15 to 20 professionals who are nurses, doctors, care managers, case managers for chronically ill individuals. And we also had probably 15 or 20 individuals with chronic illness, which ranged from chronic pain to cancer survivors. We engaged in a pros and cons grid about compliance, treatment adherence, or just following professional advice.
Carlson, M. R. (2014). CBT for chronic pain and psychological well-being: A skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing. John Wiley & Sons.,Carlson, M. R. (2017). CBT for psychological well-being in cancer: A skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing. John Wiley & Sons.
As we transitioned in language we had clients talking in language of compliance and professionals talking about adherence. It was interesting as they toggled back and forth. So we’re in a language change time right now, as we’re moving more toward adherence. But oftentimes, depending on who you’re working with, you’ll see that terminology shifting back and forth.
Carlson, M. R. (2014). CBT for chronic pain and psychological well-being: A skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing. John Wiley & Sons.,Carlson, M. R. (2017). CBT for psychological well-being in cancer: A skills training manual integrating DBT, ACT, behavioral activation and motivational interviewing. John Wiley & Sons.