Читать книгу DBT For Dummies - Gillian Galen - Страница 34

Structuring the environment, when necessary, in a way that maximizes the chance of success includes the use of reinforcement of adaptive behavior and not reinforcing maladaptive behavior. Structuring also includes helping patients modify their environment. For example, patients who use drugs might modify their circle of friends. People who use dating apps that have led to abusive relationships may be coached to delete the apps. Patients who struggle by staying up late at night might need to modify their nighttime routine to promote better sleep hygiene.

Patients may need help in finding ways to modify their environments. Typically, the patient is coached as to how to make the modifications, but for younger or less skilled patients, the therapist may need to take a more active role in helping structure the environment. Get the scoop on structuring the environment in Chapter 16.