Strategic Behavioral Therapy
The strategic-behavioral therapy (SBT) is a 1994 by Serge KD Sulz developed behavioral therapy oriented psychotherapy method. It was initially developed under the name Strategic Short-Term Therapy (SKT) and renamed Strategic-Behavioral Therapy in 2009 . The authors consider it to be part of the third generation (“third wave therapy”) of behavior therapy, which also includes dialectical behavioral therapy (DBT), acceptance and commitment therapy (ACT), schema therapy , and the cognitive behavioral analysis system of psychotherapy (CBASP), and Mindfulness-Based Cognitive Therapy (MBCT).
background
The strategic short-term therapy (SKT) defines itself as cognitive behavior therapy . The main influences are the system-theoretical variant of Kanfer's self-regulation model , Watzlawick's concept of constructivism and the development theory of Jean Piaget and Robert Kegan . The central construct of the approach, the dysfunctional survival rule , was developed based on Beck's theory of dysfunctional basic assumptions . The central construct of acceptance can also be found in dialectical behavioral therapy, acceptance and commitment therapy, as well as integrative couples therapy according to Jacobson.
The renaming from SKT to SBT took place because the originally estimated short therapy duration of 25 sessions proved to be insufficient, and 45 to 60 sessions were usually required (i.e. it was no longer a short-term therapy).
application
In contrast to dialectical behavioral therapy or schema therapy, SBT is aimed at axis I disorders (e.g. depression , anxiety disorders , and not personality disorders ), which enables a shorter duration of therapy.
Survival rule
A survival rule is described as an affective-cognitive scheme that has evolved to cope with childhood experiences and is normally not conscious. While this rule of survival has proven itself in childhood (for survival), its (unconscious) inflexible application leads to problems in later life. Sulz and Hauke give the following example of a (dysfunctional) survival rule in an anxious patient:
- Only if I am always pleasant and easy to care for others
- and never show anger, address conflicts, go your own way,
- then I keep protection, security, benevolence
- and prevent being alone and helpless.
Action
There are six modules, all of which relate to the rule of survival:
- Mindfulness, body awareness
- Therapy of the emotions anger, fear, shame, guilt
- Therapeutic relationship, interaction, communication
- Personal values
- Behavioral therapy, experience-oriented exercises, experiments
- Symptom therapy, recognizing and enduring signals, exposure
literature
- Serge Sulz: Strategic Short-Term Therapy - Ways to Efficient Psychotherapy . Munich: CIP-Medien, 1994.
- Serge Sulz, Gernot Hauke (Ed.): Strategic-Behavioral Therapy SBT. Theory and practice of an innovative psychotherapy approach . Munich: CIP-Medien, 2009
- Gernot Hauke: Strategic Behavioral Therapy (SBT). Emotional survival strategies - values - embodiment . Berlin, Heidelberg: Springer, 2013.
- Serge Sulz (Ed.): Strategic Therapies SKT, SBT, SJT, PKP - Research - Development - Practice . Munich: CIP-Medien, 2014.