Faire passer la thérapie comportementale dialectique au niveau supérieur pour les personnes autistes présentant une dysrégulation émotionnelle : perspectives cliniques et personnelles

Titre original en anglais : Leveling Up Dialectical Behavior Therapy for Autistic Individuals with Emotion Dysregulation: Clinical and Personal Insights

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Keenan, E. G., Gurba, A., Mahaffey, B., Kappenberg, C. F., & Lerner, M. D. (2023). Leveling Up Dialectical Behavior Therapy for Autistic Individuals with Emotion Dysregulation: Clinical and Personal Insights. Autism in Adulthood, 6(1), 1-8. https://doi.org/10.1089/aut.2022.0011

Date de publication: 26/06/2023 Ajout dans AutiHub: 05/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
5
Auteur·ices de la publication identifié·es comme autistes
2 / 5 (40,0 %)
  1. Elliot Gavin Keenan *
  2. Ava Gurba *
  3. Brittain Mahaffey
  4. Catherine Faith Kappenberg
  5. Matthew D Lerner

Résumé

Les personnes autistes peuvent présenter de fortes sensibilités émotionnelles et sensorielles ainsi qu'un retour lent à l'état émotionnel de référence. La thérapie comportementale dialectique (TCD) a été développée pour traiter la réactivité, l'impulsivité et la dysrégulation de l'humeur chez les personnes présentant des troubles de l'humeur et de la personnalité. La TCD peut être bénéfique sur le plan thérapeutique pour les personnes autistes confrontées à ces difficultés émotionnelles et sensorielles, ou à des difficultés similaires. Cet article constitue une synthèse de l'expérience du premier auteur avec la TCD en tant que personne autiste et des perspectives professionnelles de l'ensemble des auteurs. Nous présentons un aperçu du développement de la TCD, de ses composantes fondamentales et de ses adaptations. Sur cette base, le premier auteur décrit les bénéfices que la TCD lui a apportés, les modifications qui l'ont aidé et la manière dont ces modifications peuvent améliorer la TCD pour les personnes autistes. Les modifications comprennent des supports visuels, des graphiques et un format ludique ciblant les intérêts personnels du client. L'essence de ces changements consiste à transformer les compétences de vie quotidienne et les compétences de TCD en quelque chose de significatif et fonctionnel. La réceptivité du thérapeute aux modifications et à la résolution de problèmes neurodivergente peut être fondamentale pour la réussite thérapeutique. Les contributions initiées par le client dans le cadre d'une thérapie collaborative peuvent améliorer la compréhension, la validation et l'adhésion à la TCD des participants autistes. Les auteurs suggèrent d'élargir les travaux sur les modifications de la TCD pour l'autisme dans les domaines de l'auto-suivi quotidien, de l'évaluation des formats visuels et ludiques préférés, et de l'utilisation des intérêts personnels.

Autistic people may experience high emotion and sensory sensitivities and a slow return to baseline emotional state. Dialectical behavior therapy (DBT) was developed to address reactivity, impulsivity, and mood dysregulation in individuals with mood and personality disorders. DBT may be therapeutically beneficial to autistic individuals struggling with these or similar emotional and sensory challenges. This article is a synthesis of the first author's experiences of DBT as an autistic person and professional insights from all authors. We provide an overview of the development of DBT, its foundational components, and adaptations. Using this basis, the first author describes the benefits DBT has had, the modifications that have helped him, and how those modifications may enhance DBT for autistic people. Modifications include visuals, graphics, and a gaming format that target the client's personal interests. The essence of these alterations is to transform life skills and DBT skills into something meaningful and functional. Receptivity of the therapist to the modifications and neurodivergent problem solving may be foundational to therapeutic success. Client-initiated contributions in collaborative therapy may improve autistic participants' understanding, validation, and adherence with DBT. The authors suggest expanding work on DBT modifications for autism in the areas of daily self-monitoring, assessing for preferred visual and gaming formats, and utilizing personal interests.

Bibliographie citée par cette référence

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:30.

Références citées
50
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
2 / 50 (4,0 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
3 / 193 (1,6 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 3 / 32 (9,4 %). Auteurices cité·es distinct·es identifié·es comme autistes : 3 / 187 (1,6 %).
Occurrences citées rattachées à la base AutiHub
32 / 193 (16,6 %)
Auteurices cité·es distinct·es rattaché·es : 30 / 187 (16,0 %)
Occurrences rattachées, non identifiées comme autistes
29 / 32 (90,6 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 29 / 193 (15,0 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 27 / 30 (90,0 %).
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