4th Johore Mental Health Convention 23 - 24 August 2002 Hyatt Regency Hotel Johor Bahru DIALETICAL BEHAVIOUR THERAPY (DBT)  Speaker        Ilana Karpln I Judy Campbell Wesley Private Hospital 91 Milton street, Ashfield, Sydney NSW  DIALECIICAL BEHAVIOUR THERAPY, the term, ‘dialectical’ is derived from classical philosophy. It refer to a form of argument in which an assertion is first made about a particular issues (the ‘thesis’), the opposing position is then formulated (the ‘antithesis’) and finally a ‘synthesis’ is sought between the two extreme, embodying the valuable features of each position and resolving any contradictions between the two. The synthesis then acts as the thesis for the next cycle. In this way truth Is seen as a process which develops over time in transactions between people.  Dialectical Behavior Therapy (DBT) is a therapeutic approach developed specifically for people diagnosed with borderline personality disorder,. The approach is useful for people who struggle with self-harm and or suicidal urges people who have difficulty maintaining effective relationships and who feel’ out of control’ in managing their moods and emotions.  The approach has A cognitive behavioral base  A strong emphasis on both acceptance of the patient and expectations for change in behaviors  A skill training facus A growing body of empirical support for its efficacy.