During instrumental activities, his attention and compliance with directions increased and interfering behaviors (pinching, biting, putting objects in his mouth, and climbing on the furniture) decreased.
Rathus and Miller [ 7] have adapted DBT for suicidal adolescents with borderline personality traits for its strategies of keeping patients committed to treatment and for its focus on reducing both suicidal and quality of life interfering behaviors.
Based on 14 studies, the authors proposed the following goals for social skills training in ASDs: 1) increased social motivation, 2) increase social initiation, 3) improvement in appropriate social responding, 4) reduction of interfering behaviors, and 5) promotion of skill generalization [ 51].
Patients in Category 2 receive readiness treatment, a cognitive behavioral treatment designed to help patients get ready for OCD treatment by modifying treatment-interfering behaviors.
The approach begins with an assessment of the reasons why patients have not responded to treatment, which can be grouped into two categories: (a) inadequacies in the level of OCD treatment the patient has received; and (b) The presence of treatment-interfering behaviors that have obstructed the patient's ability to participate adequately in treatment.
Thus, therapy-interfering behaviors in standard DBT are problematic behaviors prioritized for change.
Secondly, unlike standard DBT, RO-DBT hierarchically targets therapeutic alliance-ruptures over therapy-interfering behaviors.
Broadly speaking, therapy-interfering behaviors in standard DBT [ 28] refer to problem behaviors that interfere with the patient receiving the treatment.
This is a major deviation from standard DBT where therapy-interfering behaviors are considered the second most important target in the treatment hierarchy (after life-threatening).
Common therapy-interfering behaviors in standard DBT might include; non-compliance with diary cards, no-showing for sessions, repeatedly crossing therapists' personal limits leading to demoralization, or refusal to speak during a session.
