Dialectical Behaviour Therapy (DBT) teaches mindfulness as a set of distinct skills, unlike other mindfulness-based therapies. It separates mindfulness into "What Skills" (observe, describe, participate) and "How Skills" (non-judgementally, one-mindfully, effectively). The "Wise Mind" skill helps clients synthesize logical and emotional perspectives for decision-making. Mindfulness skills are taught in skills group, strengthened in individual therapy, and generalized via phone contact. The chapter is organized around these three modes of delivery, using client examples and scenarios to demonstrate strategies for overcoming challenges in teaching these skills.
Dialectical Behaviour Therapy (DBT) is described as a synthesis of behaviour therapy and Zen contemplative practice, unified by a dialectical philosophy. The chapter traces the history of Zen and explains why an acceptance-based practice was needed to counterbalance behaviour therapy. It outlines Zen beliefs—the four noble truths and precepts—and examines the compatibility and differences between Zen and behaviour therapy. The author argues that Zen practice modifies behaviour therapy within DBT. Most anecdotes are drawn from Linehan's Zen Dharma talks from the past ten years.