Integration of Structural Family Therapy and Dialectical Behavior Therapy With High-Conflict Couples

Abstract

There is a gap in existing literature regarding the integration of family therapies and dialectical behavior therapy (DBT) with high-conflict couples and families. A case application is utilized to highlight how the integration of structural family therapy (SFT) and DBT can inform the conceptualization and treatment of clients. The following case study involves a high-conflict, Children’s Services Bureau–referred couple presenting to therapy with reported multiple stressors and problems. For the purposes of this article, therapeutic change occurs within the family unit, by accepting each member as they are, while at the same time working together to change maladaptive familial structures. The aim of this article is to begin closing the gap in research by exploring how structural family therapy and dialectical behavior can be integrated to create a comprehensive theory and approach to treatment.