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Click the link to read the related article. Then review the synopsis below and a

ID: 3465020 • Letter: C

Question

Click the link to read the related article. Then review the synopsis below and answer the related questions http://www.nytimes.co ea 3lives.html? Dr. Marsha M. Linehan, creator of dialectical behavior therapy used worldwide in the treatment of borderline and suicidal patients, recently announced her own battle with borderline personality disorder and suicidality. Telling her story for the first time in public in the hopes that it would give others with these diagnoses hope, Linehan stated that many had begged her to come forward. Fellow professor Elyn R. Saks, who wrote a book about her own struggles with schizophrenia, said there's a tremendous need to show people who "struggle with these disorders [that we] can lead full, happy productive lives, if we have the right resources." These resources include medications, therapy, good luck, and the inner strength to manage or banish one's demons Linehan recounts that she arrived at the Institute of Living on March 9, 1961, at age 17. She attacked herself habitually, burning her wrists with cigarettes and slashing herself all over her body with whatever sharp object she could find. She wanted to die. She felt out of control and begged God for help. A history of her childhood reveals that she was an excellent student and a natural on the piano, but she was often in trouble at home and she felt deeply inadequate in comparison to her five siblings. She was bedridden with headaches in her senior year of high school. A local psychiatrist recommended a stay at the institute, where the doctors gave her a diagnosis of schizophrenia and gave her powerful drugs hours of Freudian therapy, and electroshock treatments After 26 months of hospitalization, she was discharged, and several years later after surviving at least one suicide attempt, she found the “radical acceptance" of herself that she needed in a chapel in Chicago. Now, in her treatment of clients with similar disorders, she cannot offer them similar religious visions, but she can offer them the same principles: “acceptance of life as it is, not as it is supposed to be: and the need to change, despite that reality and because of it." Linehan's dialectical behavior therapy approach is now widely used to treat a variety of stubborn clients, including juvenile offenders, people with eating disorders, and those with drug addictions Linehan's transformation came about in a religious vision. How does she offer hope to her clients when she cannot re-create a religious experience for them?

Explanation / Answer

Although Linehan’s transformation came about through a religious vision, she realised that what had actually occurred was an acceptance of who she was. She called this idea ‘radical acceptance’ and began investigating how it impacts her clients through her reserach and interaction with them. From this, Linehan concludes that two principles could form the basis of treatment. First being acceptance of life as it is, not as it is supposed to be, and the second being the need to change, despite that reality and because of it.

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