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"improving-the-moment", "physiological-coping-skills", "self-soothing", "cue-controlled-relaxation", "safe-place-visualization" ] }, { "id": "acceptance-reality", "title": "Acceptance & reality work", "description": "These entries lead from fighting facts toward accepting, re-turning, and willingness.", "nodeIds": [ "reality-acceptance", "radical-acceptance", "turning-the-mind", "willingness", "clear-mind" ] }, { "id": "recovery-abstinence", "title": "Relapse-near stabilization", "description": "This area focuses relapse proximity, abstinence logic, and actively stabilizing a workable environment.", "nodeIds": [ "dialectical-abstinence", "community-reinforcement", "exercise-planning-for-dialectical-abstinence-worksheet", "exercise-reinforcing-nonaddictive-behaviors-worksheet" ] } ], "situations": [ "krise-akut", "rueckfall-suchtimpuls", "anspannung-hoch", "aushalten-sich-beruhigen", "innere-unruhe", "angst-panik" ], "practiceNodeIds": [ "community-reinforcement", "cue-controlled-relaxation", "improving-the-moment", "physiological-coping-skills", "safe-place-visualization", "self-soothing", "stop-skill", "tip-skills", "radical-acceptance", "turning-the-mind", "exercise-planning-for-dialectical-abstinence-worksheet", "exercise-reinforcing-nonaddictive-behaviors-worksheet" ], "learningPathType": "framework-to-application", "learningPathTitle": "Distress Tolerance: next entry points", "learningPathDescription": "These entry points lead from the module space of Distress Tolerance into nearby concepts, skill bundles, or applications.", "learningPathNodeIds": [ "community-reinforcement", "crisis-survival-strategies", "cue-controlled-relaxation", "rest-strategy", "physiological-coping-skills" ], "learningPathSteps": [ { "nodeId": "community-reinforcement", "label": "Open as a first entry point", "description": "This connection leads directly from the module space into Community Reinforcement.", "pathType": "framework-to-application" }, { "nodeId": "crisis-survival-strategies", "label": "Open as the next concept", "description": "This connection leads directly from the module space into Crisis Survival Strategies.", "pathType": "framework-to-application" }, { "nodeId": "cue-controlled-relaxation", "label": "Open as the next concept", "description": "This connection leads directly from the module space into Cue-Controlled Relaxation.", "pathType": "framework-to-application" }, { "nodeId": "rest-strategy", "label": "Open as the next concept", "description": "This connection leads directly from the module space into REST Strategy.", "pathType": "framework-to-application" }, { "nodeId": "physiological-coping-skills", "label": "Open as the next concept", "description": "This connection leads directly from the module space into Physiological Coping Skills.", "pathType": "framework-to-application" } ] }, { "id": "module-interpersonal", "type": "module", "title": "Interpersonal Effectiveness", "description": "Clarify relationships and 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"give-validate", "interpersonal-values-and-ratios", "mindfulness-of-others", "mutual-validation", "raven-negotiation", "assertiveness-scripts", "ending-relationships", "fast", "fast-fair", "fast-no-apologies", "fast-stick-to-values", "fast-truthful", "other-compassion", "protocol-recovering-from-invalidation" ], "moduleOverviewSections": [ { "id": "attunement-validation", "title": "Attunement & validation", "description": "These entries group understanding others, validating responses, and repairing relational safety after invalidation.", "nodeIds": [ "mindfulness-of-others", "assertive-listening", "validation", "mutual-validation", "other-compassion", "protocol-recovering-from-invalidation" ] }, { "id": "dear-man", "title": "Advocate goals with DEAR MAN", "description": "This is the primary path for requests, boundaries, and goal-oriented expression of what you need.", "nodeIds": [ "dear-man", "dear-man-describe", "dear-man-express", "dear-man-assert", "dear-man-reinforce", "dear-man-mindful", "dear-man-appear-confident", "dear-man-negotiate" ] }, { "id": "give", "title": "Protect relationships with GIVE", "description": "These entries focus preserving connection and protecting the relationship while staying in contact.", "nodeIds": [ "give", "give-gentle", "give-interested", "give-validate", "give-easy-manner" ] }, { "id": "fast", "title": "Protect self-respect with FAST", "description": "This is the line for self-respect, value clarity, and integrity in contact with others.", "nodeIds": [ "fast", "fast-fair", "fast-no-apologies", "fast-stick-to-values", "fast-truthful" ] }, { "id": "effectiveness-boundaries", "title": "Boundaries, negotiation & effectiveness frame", "description": "This area groups additional paths for communicative effectiveness, negotiation, relationship endings, and the larger frame of interpersonal goals.", "nodeIds": [ "assertiveness-scripts", "communication-effectiveness-checklist", "raven-negotiation", "ending-relationships", 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from the module space into Validation.", "pathType": "framework-to-application" }, { "nodeId": "give", "label": "Open as the next concept", "description": "This connection leads directly from the module space into GIVE.", "pathType": "framework-to-application" }, { "nodeId": "assertive-listening", "label": "Open as the next concept", "description": "This connection leads directly from the module space into Assertive Listening.", "pathType": "framework-to-application" }, { "nodeId": "other-compassion", "label": "Open as the next concept", "description": "This connection leads directly from the module space into Other-Compassion.", "pathType": "framework-to-application" }, { "nodeId": "ending-relationships", "label": "Open as the next concept", "description": "This connection leads directly from the module space into Ending Relationships.", "pathType": "framework-to-application" }, { "nodeId": "mutual-validation", "label": "Open as the next concept", "description": "This connection leads directly from the module space into Mutual Validation.", "pathType": "framework-to-application" }, { "nodeId": "protocol-recovering-from-invalidation", "label": "Open as the next concept", "description": "This connection leads directly from the module space into Recovering from Invalidation.", "pathType": "framework-to-application" } ] } ], "bundleComponentNodes": [], "contextNodes": [ { "id": "emotion-regulation", "type": "framework", "title": "Emotion Regulation (Framework)", "searchAliases": [ "Emotionsregulation", "Emotionsregulation" ], "description": "Theoretical foundation · Regulation capacity · Emotion regulation capacity", "priorityRank": 23, "priorityLabel": "More foundational", "priorityDescription": "This node is more about preparation, stabilization, or later deepening around orientation and understanding.", "cardPreview": "If you first have to understand how emotions change and where you can intervene.", "purpose": "Organize the regulatory space of emotions so that it becomes understandable how emotions arise, are maintained and can be influenced at different points.", "applicationContext": "When emotional reactions seem too violent, too long-lasting or difficult to control and a structuring classification is needed first.", "longDescription": { "text": "Emotion Regulation in DBT is not about eliminating emotions but about increasing the ability to influence them — to reduce their frequency when unwanted, decrease their intensity, shorten their duration, and reduce suffering caused by their secondary effects. The module begins with understanding: emotions have functions (motivating action, communicating to self and others) and are complex full-system responses involving biology, cognition, behavior, and expression. Changing any part of the system can change the whole. The practical skills fall into two broad categories: changing unwanted emotions through Check the Facts, Opposite Action, and Problem Solving; and building resilience through the ABC PLEASE skills that reduce biological vulnerability and increase positive experience over time.", "furtherReading": [ { "sourceId": "linehan-manual-529p", "chapter": 9, "section": "I", "page": 323 } ] }, "sourceId": "linehan-manual-529p", "sourceLabel": "Linehan Manual", "sourceLocator": "Chapter 1", "sourceCategory": "Foundation-oriented", "sourceType": "Manual", "sourceTrustSignal": "Primary source-close", "sourceAuthorityWeight": "high", "sourcePracticeWeight": "medium", "sourceAudienceFit": "Professional", "sourceNote": "Linehan Manual · Chapter 1", "whenToUse": "If it is still unclear whether fact checking, opposing action, problem solving or vulnerability reduction is the appropriate next step.", "whenToUseSource": "editorial", "situationsSource": "explicit", "skillComplexity": "core", "interventionMode": "cognitive", "evidenceLevel": "clinical_consensus", "foundationalCategory": "understanding", "secondaryModules": [ "mindfulness", "distress-tolerance", "interpersonal" ], "moduleBridgeContexts": [ { "moduleId": "mindfulness", "contextText": "Emotional dysregulation often begins with a lack of awareness - mindfulness is the prerequisite for recognizing and naming emotional patterns at all." }, { "moduleId": "distress-tolerance", "contextText": "When emotion regulation does not work or works too slowly, crisis skills take over - distress tolerance is the emergency backup for moments when regulation is not yet accessible." }, { "moduleId": "interpersonal", "contextText": "Unregulated emotions are the most common reason interpersonal attempts fail - emotion regulation is the quiet prerequisite for effective communication." } ], "relatedIds": [], "situations": [ "orientierung-verstehen" ], "practiceNodeIds": [ "weekly-regulator" ], "comparisonTitle": "Understanding DBT foundations", "comparisonBullets": [], "comparisonAxes": [], "comparisonNodeIds": [ "biosoziale-theorie", "emotionsdysregulation" ], "comparisonDescription": "Emotion regulation describes the ability to influence emotions. Emotion dysregulation describes difficulties with this. Biosocial theory explains how emotional vulnerability and an invalidating environment interact in the development of these difficulties.", "learningPathType": "framework-to-application", "learningPathTitle": "Explore and apply", "learningPathDescription": "These nodes lead from the conceptual frame of reference into the first concrete application or deepening.", "learningPathNodeIds": [ "weekly-regulator", "biosoziale-theorie", "emotionsdysregulation" ], "learningPathSteps": [ { "nodeId": "weekly-regulator", "label": "Switch into a sequence", "description": "This connection leads into a clearer step sequence when the next move should become graspable as a process.", "pathType": "framework-to-application" }, { "nodeId": "biosoziale-theorie", "label": "Deepen the frame of reference", "description": "This connection expands the conceptual frame so the current topic does not remain isolated.", "pathType": "framework-to-application" }, { "nodeId": "emotionsdysregulation", "label": "Deepen the frame of reference", "description": "This connection expands the conceptual frame so the current topic does not remain isolated.", "pathType": "framework-to-application" } ], "situationLinks": [ { "situationId": "orientierung-verstehen", "label": "Orientation and Understanding", "entryType": "orientation", "pathSegment": "situations", "relationRole": "understand", "fit": "primary", "strength": 0.9, "isPreferred": true } ] } ], "situations": [ { "id": "orientierung-verstehen", "label": "Orientation and Understanding", "shortLabel": "Orientation", "entryType": "orientation", "isDraft": false, "description": "For moments in which classification is needed instead of immediate action.", "bodySensation": "Head tightness or mental exhaustion, felt rigidity or lameness, problems concentrating, sometimes tingling or relief when something clicks", "impulse": "Understand first before acting, gather information or ask questions, pause and wait, get confirmation from others, ponder or analyze excessively", "intensityNotes": "Can range from a short orientation break to a longer clarification phase. Risk: analysis lameness or endless weighing. Helpful if a hasty action would cause more damage than stopping.", "longDescription": { "text": "The orientation situation applies when the primary need is not skill application but understanding — grasping what DBT is, how its components fit together, and why a particular module is clinically relevant. This distinguishes it clearly from all skill-application situations. Relevant skill categories are mindfulness at a meta-level, psychoeducation-facing skills (understanding the biosocial model, function of emotions, validation), and the DBT framework itself. A key clinical mistake is rushing past orientation toward skill application, which produces superficial skill use disconnected from the underlying rationale. Clinicians and clients who understand why a skill exists — not just what to do — demonstrate better generalization and more creative adaptation to new situations." }, "preferredNodeIds": [], "conceptLinks": [ { "conceptId": "wise-mind", "relationRole": "orient" }, { "conceptId": "dbt-uebersicht", "relationRole": "entry" }, { "conceptId": "emotion-regulation", "relationRole": "understand" }, { "conceptId": "biosoziale-theorie", "relationRole": "understand" }, { "conceptId": "emotionsdysregulation", "relationRole": "understand" }, { "conceptId": "invalidierende-umgebung", "relationRole": "understand" }, { "conceptId": "skills-training-target-hierarchy", "relationRole": "orient" }, { "conceptId": "chain-analysis", "relationRole": "understand" }, { "conceptId": "missing-links-analysis", "relationRole": "understand" }, { "conceptId": "skills-training-program-design", "relationRole": "orient" }, { "conceptId": "skills-training-session-structure", "relationRole": "orient" }, { "conceptId": "skills-training-targets-and-procedures", "relationRole": "orient" }, { "conceptId": "strategies-in-skills-training", "relationRole": "orient" }, { "conceptId": "general-skills-orientation-and-behavior-analysis", "relationRole": "orient" }, { "conceptId": "cognitive-vulnerability", "relationRole": "understand" }, { "conceptId": "linehan-manual-structure", "relationRole": "orient" }, { "conceptId": "recognizing-emotions", "relationRole": "understand" }, { "conceptId": "dbt-diary", "relationRole": "understand" }, { "conceptId": "options-for-solving-any-problem", "relationRole": "orient" }, { "conceptId": "question-which-skill-helps-first", "relationRole": "orient" }, { "conceptId": "question-what-is-the-difference-between-these-skills", "relationRole": "orient" }, { "conceptId": "question-what-belongs-to-this-bundle", "relationRole": "orient" }, { "conceptId": "exercise-putting-abc-skills-together-day-by-day", "relationRole": "apply" }, { "conceptId": "question-how-do-i-change-an-unwanted-emotion", "relationRole": "orient" }, { "conceptId": "exercise-getting-from-values-to-specific-action-steps", "relationRole": "apply" }, { "conceptId": "beginners-mind", "relationRole": "orient" }, { "conceptId": "problem-solving", "relationRole": "apply" } ], "pathSegment": "situations" } ] }