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    "title": "Radically Open-Dialectical Behavior Therapy for Disorders of Over-Control: Signaling Matters",
    "authors": [
        "Thomas R. Lynch",
        "Roelie J. Hempel",
        "Christine Dunkley"
    ],
    "container": "American Journal of Psychotherapy",
    "year": "2015",
    "doi_url": "https:\/\/doi.org\/10.1176\/appi.psychotherapy.2015.69.2.141",
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    "best_landing_page": "https:\/\/pubmed.ncbi.nlm.nih.gov\/26160620",
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    "abstract": "Radically Open-Dialectical Behavior Therapy (RO-DBT) is a transdiagnostic treatment designed to address a spectrum of difficult-to-treat disorders sharing similar phenotypic and genotypic features associated with maladaptive over-control-such as anorexia nervosa, chronic depression, and obsessive compulsive personality disorder. Over-control has been linked to social isolation, aloof and distant relationships, cognitive rigidity, high detailedfocused processing, risk aversion, strong needs for structure, inhibited emotional expression, and hyper-perfectionism. While resting on the dialectical underpinnings of standard DBT, the therapeutic strategies, core skills, and theoretical perspectives in RO-DBT often substantially differ. For example, RO-DBT contends that emotional loneliness secondary to low openness and social-signaling deficits represents the core problem of over-control, not emotion dysregulation. RO-DBT also significantly differs from other treatment approaches, most notably by linking the communicative functions of emotional expression to the formation of close social bonds and via skills targeting social-signaling and changing neurophysiological arousal. The aim of this paper is to provide a brief overview of the core theoretical principles and unique treatment strategies underlying RO-DBT.",
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