Esta categoría se refiere a todos los \ncomportamientos del paciente que \npresionan o cruzan los límites \npersonales del terapeuta

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Observing limits constitutes a special \ncase of contingency management \ninvolving the application of problem- \nsolving strategies to client behaviors that \nthreaten or cross a therapist’s personal \nlimits. Such behaviors interfere with the \ntherapist’s ability or willingness to \nconduct the therapy, and thus constitute \na special type of therapy-interfering \nbehavior. Therapists must take \nresponsibility for monitoring their own \npersonal limits, and clearly communicate \n to their clients which behaviors are \ntolerable and which are not. Therapists \nwho do not do this will eventually burn \nout, terminate therapy, or otherwise \nharm clients. DBT favors natural over \narbitrary limits. Thus limits will vary \nbetween therapists and within the same \ntherapist over time and circumstances. \nLimits should also be presented as for \nthe good of a therapist or treatment \nagency, not for the good of a client. \nThe effect of this is that while clients \nmay argue about what is in their own \nbest interests, they do not have ultimate \nsay over what is good for their \ntherapists. Also, for adolescents this \napproach is often refreshing, compared \nto hearing parents’ requests of them as \nbeing “for their own good.”

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DBT (Terapia Dialéctico Comportamental) www.grupoact.com.ar