The speakers in this AMTA-Pro podcast – Abbby Dvorak, Lindsey Landeck, Marie Lesiak, and Deborah Spiegel – have extensive clinical experience working with Dialectical Behavior Therapy (DBT) and music therapy. Dialectical Behavior Therapy is an active treatment model building skills in four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. The speakers talk in depth about ways DBT can enhance an MT-BC’s music therapy practice as well as how music therapy may enhance and support DBT skills training in the clinical setting. These experienced MT-BCs demonstrate some clinical interventions in the podcast and discuss research applications for music therapy and Dialectical Behavior Therapy. The text section of this AMTA-Pro podcast includes a detailed list of resources about DBT and music therapy as well as bios of the speakers.


DBT-Informed Music Therapy

AMTA-Pro Podcast May, 2017

Abbey Dvorak, PhD, MT-BC; Lindsey R. Landeck, MT-BC;

Marie Lesiak, MT-BC; Deborah Spiegel MT-BC

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Dialectical Behavior Therapy (DBT) is an active treatment model building skills in four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. The speakers – Abbby Dvorak, Lindsey Landeck, Marie Lesiak, and Deborah Spiegel – have extensive clinical experience working with DBT and music therapy. They talk in depth about ways DBT can enhance an MT-BC’s music therapy practice as well as how music therapy may enhance and support DBT skills training in the clinical setting. The speakers demonstrate some clinical interventions and discuss research applications for music therapy and Dialectical Behavior Therapy. The text section of this AMTA-Pro podcast includes a detailed list of resources about DBT and music therapy as well as bios of the speakers.

Resources

Chwalek, C. M. & McKinney, C. H. (2015). The use of dialectical behavior therapy (DBT) in music therapy: A sequential explanatory study. Journal of Music Therapy, 52(2), 282-318.

Dvorak, A. L. (manuscript in preparation). A conceptual framework for mindfulness-based music therapy interventions.

Dvorak, A. L., Landeck, L., Dyer, W., Spiegel, D. (In progress). Comparison of a DBT skills group and a combined DBT skills with music therapy group on client outcomes.

Kupski, G. (2007). Borderlinestörung und Musiktherapie im Kontext der Dialektisch-Behavioralen Therapie. Musiktherapeutische Umschau, 28(1), 17-27.

Lesiak, M. & Dvorak, A. L. (manuscript in preparation). Mindfulness-based music therapy group protocol for individuals with serious mental illness and chronic illness: A feasibility study.

Linehan, M. M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford.

Linehan, M. M. (1993b). Skills training manual for treating borderline personality disorder. New York: Guildford.

Linehan, M. M. (2015). DBT skills training manual. New York City, NY: Guilford Publications.

Plener, P., Thorsten, S., Ludolph, A., & Stegemann, T. (2010). “Stop cutting-rock!”: A pilot study of a music therapeutic program for self-injuring adolescents. Music and Medicine, 2(1), 59–65. doi:10.1177/1943862109356928

Rathus, J. H. & Miller, A. L. (2015). DBT skills manual for adolescents. New York, NY: Guilford Press.

Spiegel, D. (2010) Music activities and more for teaching DBT skills and enhancing any therapy. Bloomington, IN: Author House.

NOTE:  dbtmusic.com includes links to all DBT-informed music therapy resources – books, websites, research, an intervention sharing blog, and  CMTE classes.

 Speakers

Abbey Dvorak, PhD, MT-BC is an Assistant Professor of Music Therapy at the University of Kansas in Lawrence, KS. She received her PhD in Music Education/Music Therapy from the University of Iowa, her MA and Equivalency in Music Therapy from the University of Iowa, and her BA in Music Education from Briar Cliff University. Dvorak served as an Assistant Professor of Music Therapy at Shenandoah University in Winchester, VA from 2011-2013 before accepting the faculty position at KU in 2013.

Dvorak worked as a music therapist in the Department of Rehabilitation Therapies at the University of Iowa Hospitals and Clinics from 2004-2011. Her clinical work included music therapy with children, adolescents, adults, and older adults in both inpatient and outpatient mental health settings, and music therapy with adult oncology patients and families during hospitalization, outpatient cancer treatments, and cancer support groups. In addition, she provided music therapy services for West Music Company serving a variety of clientele, from children with developmental disabilities to adults in hospice care.

Dvorak is a member of the AUMI-KU InterArts research team that received a 2016 National Endowment for the Arts Presenting and Multidisciplinary Works Grant and a KU The Commons Interdisciplinary Starter Grant for their work focused on improvising inclusive communities with the Adaptive Use Musical Instrument (AUMI). Dvorak also received several KU General Research Fund Awards for her research with adults with mental health needs and the 2007 Arthur Flagler Fultz Research Grant Award from the American Music Therapy Association for her work with cancer patients and caregivers.

Dvorak currently serves on the Editorial Board for Music Therapy Perspectives, as secretary for the Midwestern Region of the American Music Therapy Association, as a member of the Judicial Review Board of AMTA, and as an Ambassador for the Bert Nash Community Mental Health Center in Lawrence, KS where she conducts research with adults with severe mental illness in psychosocial rehabilitation. Dvorak publishes and presents internationally, nationally, and regionally, and most importantly, enjoys spending time with her family.

Lindsey R. Landeck, MT-BC, neurologic music therapist, is based out of Kalamazoo, Michigan where she has worked for the past six years at Kalamazoo Psychiatric Hospital. While in this setting, she has focused much of her attention in the area of how to apply music therapy interventions to the area of Dialectical Behavior Therapy. She started a skills group on a female unit patients who primarily had a diagnosis of Borderline Personality Disorder. Eventually, she started a group with various individuals working with a psychologist in a co-led group combining music therapy and psychology approaches to a skills group.

Marie Lesiak, MT-BC is a board certified music therapist and a graduate student at the University of Kansas. I currently work at a behavioral health center in the Midwest where one of the units incorporates DBT. I first learned about DBT during graduate school which is when I also became interested in mindfulness. Due to this interest, I decided to focus my thesis on mindfulness using a DBT-informed approach. I will be working with a community health center to implement a mindfulness-based music therapy protocol with individuals diagnosed with serious mental illnesses and chronic illnesses.

Deborah Spiegel, MT-BC, CCHt, the CEO and Director of The Spiegel Academy, has been in the field for over 30 years providing music therapy for people of all ages. She served as a member of a multi-disciplinary treatment team in a Dialectical Behavior Therapy based treatment facility for adolescents as a music therapist and a DBT skills group leader for almost 12 years.  She is author of the book Music Activities & More for Teaching DBT Skills and Enhancing Any Therapy which shares some of the interventions she uses to teach and reinforce DBT skills. Deborah has traveled the country teaching CMTE workshops on DBT informed music therapy, and provides online CMTE classes on DBT informed music therapy through The Spiegel Academy. Deborah, Lindsey, and Abbey are currently involved in  a research project to validate the effectiveness of DBT Informed MT.