Dialectical Thinking in DBT for Trauma: an Overview

United States Department of Homeland Security

Key Points

  1. Dialectics conceptualizes the universe as an interconnected system full of opposites.
  2. We should align our approach to life with how the universe works to become more effective.
  3. CBT encourages an adversarial relationship with thoughts, and TF-DBT recommends becoming more aware and accepting of them.
  4. Negativity bias: we favor false alarms over no alarms.
  5. This results in more negative emotions but is adaptive for our survival.
  6. Negativity bias also results in automatic negative thoughts (ANTs).
  7. Questions to identify a potential ANT are: is it logical? Is there evidence? And does it matter?
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