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Distress tolerance is an emerging construct in psychology that has been conceptualized in several different ways. Broadly, however, it refers to an individual's "perceived capacity to withstand negative emotional and/or other aversive states (e.g. physical discomfort), and the behavioral act of withstanding distressing internal states elicited by some type of stressor."
Distress tolerance means learning to bear emotional discomfort skillfully, without resorting to maladaptive reactions. Healthier coping behaviors are learned, including intentional self-distraction, self-soothing, and 'radical acceptance.' [27] Distress tolerance skills are meant to arise naturally as a consequence of mindfulness.
The specific skills focused on are mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation. [44] The main goal of DBT is to help clients manage their treatment and better understand their symptoms. The focus of DBT for PTSD is the future and adapting to the symptoms of the trauma.
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The skills therapy sessions include four segments; core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills. [72] Dialectical behaviour therapist recommend developing self-compassion.
Rumination, an example of attentional deployment, [20] is defined as the passive and repetitive focusing of one's attention on one's symptoms of distress and the causes and consequences of these symptoms. Rumination is generally considered a maladaptive emotion regulation strategy, as it tends to exacerbate emotional distress.
Distress is an inextricable part of life; therefore, avoidance is often only a temporary solution. Avoidance reinforces the notion that discomfort, distress and anxiety are bad, or dangerous. Sustaining avoidance often requires effort and energy. Avoidance limits one's focus at the expense of fully experiencing what is going on in the present.
Can we imagine ourselves back on that awful day in the summer of 2010, in the hot firefight that went on for nine hours? Men frenzied with exhaustion and reckless exuberance, eyes and throats burning from dust and smoke, in a battle that erupted after Taliban insurgents castrated a young boy in the village, knowing his family would summon nearby Marines for help and the Marines would come ...