Abstract
Zusammenfassung. Aggressive Verhaltensstörungen umfassen die Diagnose Störung des Sozialverhaltens (SSV) und im Erwachsenenalter die dissoziale Persönlichkeitsstörung (DPS). Störungen des Sozialverhaltens gelten als ein schwer zu behandelndes Störungsbild mit hohem Risiko für eine persistierende Verhaltenssymptomatik und gehen in vielen Fällen der dissozialen Persönlichkeitsstörung voraus. Die von Marsha Linehan entwickelte dialektisch-behaviorale Therapie (DBT) wurde ursprünglich zur Behandlung von Borderline-Persönlichkeitsstörungen eingesetzt. In Anbetracht der mit aggressiven Verhaltensstörungen assoziierten Schwierigkeiten in der Emotionsregulation wird die von Marsha Linehan entwickelte dialektisch-behaviorale Therapie zunehmend auch für die Behandlung von Patienten mit einer DPS oder SSV diskutiert. Dieser Beitrag verfolgt das Ziel, Weiterentwicklungen der klassischen DBT für Patienten mit aggressiven Verhaltensstörungen vorzustellen und diskutiert die Frage, inwieweit DBT zur Behandlung von Störungen des Sozialverhaltens eine Behandlungsoption darstellen kann.
Abstract. Disruptive behaviour disorders comprise the diagnosis conduct disorder (CD) and in adults the diagnosis antisocial personality disorder (APD). CD is seen as a difficult-to-treat disorder with a high risk for persistent behavioral problems. In addition, CD is seen as the precursor to antisocial personality disorder (Kretschmer et al., 2014). Dialectical behavior therapy (DBT) was originally developed by Marsha Linehan (1991) for the treatment of borderline personality disorder, but because of the core deficits in emotion regulation in disruptive behavior disorders, DBT is also increasingly being recommended for the treatment of CD and APD. This review presents DBT adaptions for the forensic setting and for the treatment of CD/APD. Clinical implications are discussed.
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