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Learning Objective 1: The learner will be able to acquire knowledge about the skill training of dialectical behavior therapy.
Learning Objective 2: The learner will be able to know the effectiveness of DBT for emotional control.
The authors have been conducting an Emotional Literacy Program since 2009, held once a week for 90 minutes per session targeting patients of the day treatment of an outpatient psychiatric unit. The program adopts an open group style with the maximum number of 10 participants per group, and any patient who wishes to participate can do so. At the beginning, the program was based on the Emotional Intelligence theory, but currently, it also introduces skill training with dialectic approach. The purpose of the present study was to elucidate the efficacy of the program conducted by the authors.
Methods
We carried out an interview of a subject of gender identity disorder with the problem of “impulsiveness,” who had been attending the program for over a year, and a qualitative inductive analysis was conducted by using the grounded theory approach.
Results
About the effect of the skill training in the program, the following nine categories were extracted from sixty nine codes.
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Giving of meaning to one’s actions by understanding the theory well and using the skill consciously
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Avoidance of extreme thoughts
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Change of thought when conflicts are likely to occur
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Lowering of energy and frequency of outbursts
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Decreasing involvement in the underlying cause of outbursts
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Control of impulsiveness
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Acquisition of the ability for cool-headed negotiation
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Acquisition of a new role
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Taking actions toward goals in the future
Conclusion
The skill training influenced the consciousness of the patient and contributed to the control of feelings, correction of thoughts, and change of actions. As a result, the patient adopted a new role in society and a new outlook of life to lead a healthy and realistic life.
After this, we aimed at theoretical saturation by repeating the interview on the case and conducting a continual comparison analysis.