TO_TO0 DETERMINE_VVI WHETHER_CJS DBT_NP0 was_VBD effective_AJ0 in_PRP helping_VVG highly_AV0 suicidal_AJ0 individuals_NN2 ,_PUN I_PNP needed_VVD a_AT0 randomized_AJ0 clinical_AJ0 trial_NN1 that_CJT would_VM0 compare_VVI the_AT0 outcomes_NN2 of_PRF DBT_NP0 with_PRP "_PUQ treatment_NN1 as_PRP usual_AJ0 "_PUQ in_PRP the_AT0 community_NN1 ._SENT Thank_VVB God_NP0 our_DPS friends_NN2 at_PRP NIMH_NP0 supported_VVD us_PNP all_DT0 the_AT0 way_NN1 ,_PUN awarding_VVG me_PNP a_AT0 grant_NN1 in_PRP 1980_CRD to_TO0 carry_VVI out_AVP the_AT0 trial_NN1 ._SENT 
I_PNP started_VVD with_PRP a_AT0 pool_NN1 of_PRF about_AV0 sixty_CRD women_NN2 between_PRP the_AT0 ages_NN2 of_PRF eighteen_CRD and_CJC forty-five_CRD ,_PUN all_DT0 of_PRF whom_PNQ met_VVD certain_AJ0 criteria_NN2 for_PRP borderline_NN1 personality_NN1 disorder_NN1 and_CJC had_VHD had_VHN at_PRP least_AV0 two_CRD episodes_NN2 of_PRF parasuicide_NN1 (_PUL serious_AJ0 self-harm_NN1 ,_PUN with_PRP or_CJC without_PRP the_AT0 intention_NN1 to_TO0 die_VVI )_PUR in_PRP the_AT0 previous_AJ0 five_CRD years_NN2 ,_PUN with_PRP at_PRP least_AV0 one_CRD of_PRF the_AT0 episodes_NN2 occurring_VVG in_PRP the_AT0 previous_AJ0 eight_CRD weeks_NN2 ._SENT We_PNP did_VDD various_AJ0 pre-treatment_AJ0 assessments_NN2 ,_PUN during_PRP which_DTQ some_DT0 candidates_NN2 dropped_VVD out_AVP ._SENT 
We_PNP ended_VVD up_AVP with_PRP about_AV0 fifty_CRD women_NN2 ,_PUN whom_PNQ we_PNP randomly_AV0 assigned_VVN to_PRP either_AV0 the_AT0 group_NN1 that_CJT would_VM0 receive_VVI DBT_NP0 or_CJC the_AT0 group_NN1 that_CJT would_VM0 have_VHI standard_AJ0 behavior_NN1 therapy_NN1 ._SENT (_PUL That_DT0 's_VBZ the_AT0 "_PUQ randomized_AJ0 "_PUQ component_NN1 in_PRP a_AT0 randomized_AJ0 clinical_AJ0 trial_NN1 ._SENT )_PUR The_AT0 study_NN1 was_VBD to_TO0 run_VVI for_PRP a_AT0 year_NN1 ,_PUN with_PRP assessments_NN2 of_PRF how_AVQ patients_NN2 were_VBD faring_VVG at_PRP four_CRD ,_PUN eight_CRD ,_PUN and_CJC twelve_CRD months_NN2 ._SENT (_PUL A_AT0 year_NN1 was_VBD a_AT0 lot_NN1 longer_AJC than_CJS the_AT0 twelve_CRD weeks_NN2 I_PNP had_VHD optimistically_AV0 planned_VVN for_PRP when_CJS I_PNP embarked_VVD on_PRP the_AT0 project_NN1 ._SENT Input_NN1 from_PRP our_DPS friends_NN2 at_PRP NIMH_NP0 ,_PUN plus_PRP my_DPS experience_NN1 trying_VVG to_TO0 apply_VVI the_AT0 treatment_NN1 ,_PUN brought_VVN about_PRP that_DT0 change_NN1 ._SENT )_PUR 
It_PNP is_VBZ appealing_AJ0 to_TO0 imagine_VVI that_CJT the_AT0 trial_NN1 would_VM0 come_VVI to_PRP its_DPS natural_AJ0 end_NN1 ,_PUN the_AT0 data_NN0 would_VM0 be_VBI crunched_VVN ,_PUN we_PNP would_VM0 exclaim_VVI ,_PUN "_PUQ Too_AV0 fabulous_AJ0 for_PRP words_NN2 !_SENT "_PUQ in_PRP unison_NN1 ,_PUN and_CJC then_AV0 we_PNP 'd_VM0 break_VVI out_AVP the_AT0 champagne_NN1 ._SENT Unfortunately_AV0 ,_PUN none_PNI of_PRF that_DT0 happened_VVN ._SENT My_DPS student_NN1 Heidi_NP0 Heard_VVD was_VBD brought_VVN into_PRP the_AT0 study_NN1 in_PRP 1989._CRD She_PNP had_VHD a_AT0 tremendous_AJ0 amount_NN1 of_PRF expertise_NN1 in_PRP evaluating_VVG clinical_AJ0 research_NN1 outcomes_NN2 ,_PUN so_CJS her_DPS role_NN1 was_VBD to_TO0 analyze_VVI the_AT0 raw_AJ0 data_NN0 we_PNP had_VHD obtained_VVN from_PRP the_AT0 trial_NN1 ._SENT "_PUQ We_PNP did_VDD n't_XX0 even_AV0 know_VVI for_PRP a_AT0 time_NN1 if_CJS the_AT0 study_NN1 was_VBD going_VVG to_TO0 be_VBI a_AT0 success_NN1 ,_PUN "_PUQ Heidi_NP0 says_VVZ ._SENT "_PUQ None_PNI of_PRF us_PNP was_VBD confident_AJ0 that_CJT it_PNP would_VM0 have_VHI a_AT0 positive_AJ0 outcome_NN1 ._SENT It_PNP looked_VVD like_PRP it_PNP would_VM0 ,_PUN but_CJC there_EX0 have_VHB been_VBN plenty_PNI of_PRF studies_NN2 that_CJT looked_VVD promising_AJ0 but_CJC came_VVD to_PRP nothing_PNI in_PRP the_AT0 end_NN1 ._SENT "_PUQ 
Scientists_NN2 have_VHB to_TO0 be_VBI attentive_AJ0 to_PRP the_AT0 danger_NN1 of_PRF seeing_VVG a_AT0 positive_AJ0 outcome_NN1 in_PRP their_DPS work_NN1 when_CJS in_PRP fact_NN1 it_PNP is_VBZ not_XX0 there_EX0 ._SENT The_AT0 most_AV0 productive_AJ0 approach_NN1 is_VBZ to_TO0 be_VBI dispassionate_AJ0 about_PRP data_NN0 ,_PUN examine_VVB it_PNP objectively_AV0 ,_PUN and_CJC listen_VVB to_PRP what_DTQ it_PNP tells_VVZ you_PNP ._SENT If_CJS it_PNP tells_VVZ you_PNP something_PNI you_PNP did_VDD n't_XX0 expect_VVI ,_PUN then_AV0 be_VBI grateful_AJ0 ,_PUN because_CJS you_PNP have_VHB learned_VVN something_PNI ._SENT There_EX0 's_VBZ a_AT0 twist_NN1 on_PRP an_AT0 old_AJ0 adage_NN1 :_PUN "_PUQ I_PNP would_VM0 n't_XX0 have_VHI seen_VVN it_PNP if_CJS I_PNP had_VHD n't_XX0 believed_VVN it_PNP ._SENT "_PUQ See_VVB what_DTQ I_PNP mean_VVB ?_SENT 
But_CJC our_DPS outcome_NN1 was_VBD very_AV0 positive_AJ0 —_PUN mostly_AV0 ,_PUN anyway_AV0 ._SENT This_DT0 is_VBZ how_AVQ we_PNP drafted_VVD part_NN1 of_PRF the_AT0 conclusion_NN1 :_PUN 
First_ORD ,_PUN we_PNP found_VVD a_AT0 significant_AJ0 reduction_NN1 in_PRP the_AT0 frequency_NN1 and_CJC medical_AJ0 risk_NN1 of_PRF parasuicidal_AJ0 behavior_NN1 among_PRP patients_NN2 who_PNQ received_VVD DBT_NP0 compared_VVN with_PRP that_DT0 for_PRP control_NN1 subjects_NN2 ._SENT Subjects_NN2 who_PNQ received_VVD DBT_NP0 had_VHD a_AT0 mean_NN1 of_PRF 1.5_CRD parasuicide_AJ0 acts_NN2 per_PRP year_NN1 compared_VVN with_PRP nine_CRD acts_NN2 per_PRP year_NN1 for_PRP control_NN1 subjects_NN2 ._SENT Second_ORD ,_PUN DBT_NP0 effectively_AV0 retained_VVD subjects_NN2 in_PRP therapy_NN1 ._SENT The_AT0 1-year_AJ0 attrition_NN1 rate_NN1 [_PUL i.e._AV0 ,_PUN dropping_VVG out_AVP of_PRF the_AT0 trial_NN1 ]_PUR was_VBD only_AV0 4_CRD (_PUL 16.67_CRD %_NN0 )_PUR of_PRF 24_CRD patients_NN2 ,_PUN one_CRD of_PRF whom_PNQ committed_VVD suicide_NN1 ._SENT Control_NN1 subjects_NN2 who_PNQ started_VVD with_PRP new_AJ0 therapists_NN2 had_VHD an_AT0 attrition_NN1 rate_NN1 of_PRF 50_CRD %_NN0 ._SENT Third_ORD ,_PUN days_NN2 of_PRF inpatient_NN1 psychiatric_AJ0 hospitalization_NN1 were_VBD fewer_DT0 for_PRP subjects_NN2 who_PNQ received_VVD DBT_NP0 than_CJS for_PRP control_NN1 subjects_NN2 ._SENT Patients_NN2 who_PNQ received_VVD DBT_NP0 had_VHD an_AT0 average_NN1 of_PRF 8.46_CRD inpatient_NN1 days_NN2 per_PRP year_NN1 compared_VVN with_PRP 38.86_CRD for_PRP control_NN1 subjects_NN2 ._SENT 
In_PRP other_AJ0 words_NN2 ,_PUN the_AT0 trial_NN1 had_VHD demonstrated_VVN that_CJT patients_NN2 who_PNQ receive_VVB DBT_NP0 are_VBB far_AV0 less_AV0 likely_AJ0 to_TO0 injure_VVI themselves_PNX than_CJS patients_NN2 who_PNQ receive_VVB conventional_AJ0 therapy_NN1 and_CJC are_VBB much_AV0 more_AV0 likely_AJ0 to_TO0 stay_VVI in_PRP therapy_NN1 ._SENT We_PNP did_VDD note_VVI ,_PUN however_AV0 ,_PUN that_CJT these_DT0 differences_NN2 occurred_VVN despite_PRP the_AT0 fact_NN1 that_CJT people_NN0 in_PRP the_AT0 two_CRD groups_NN2 reported_VVN about_PRP the_AT0 same_DT0 degree_NN1 of_PRF depression_NN1 ,_PUN hopelessness_NN1 ,_PUN thoughts_NN2 of_PRF suicide_NN1 ,_PUN and_CJC absence_NN1 of_PRF reasons_NN2 for_PRP living_NN1 ._SENT This_DT0 was_VBD a_AT0 surprise_NN1 ,_PUN but_CJC I_PNP realized_VVD later_AV0 that_CJT developing_VVG a_AT0 life_NN1 worth_PRP living_NN1 takes_VVZ longer_AJC than_CJS developing_VVG a_AT0 reduction_NN1 in_PRP self-injury_NN1 ._SENT 
What_DTQ makes_VVZ DBT_NP0 effective_AJ0 ,_PUN where_CJS other_AJ0 conventional_AJ0 therapies_NN2 fail_VVB ,_PUN in_PRP helping_VVG highly_AV0 suicidal_AJ0 people_NN0 ?_SENT It_PNP 's_VBZ a_AT0 good_AJ0 question_NN1 ._SENT DBT_NP0 is_VBZ unusual_AJ0 in_PRP its_DPS combination_NN1 of_PRF a_AT0 human_AJ0 touch_NN1 (_PUL close_AJ0 ,_PUN genuine_AJ0 relationship_NN1 between_PRP therapist_NN1 and_CJC client_NN1 )_PUR with_PRP practical_AJ0 skills_NN2 that_CJT help_VVB the_AT0 client_NN1 navigate_VVI every_AT0 aspect_NN1 of_PRF his_DPS or_CJC her_DPS life_NN1 ._SENT DBT_NP0 puts_VVZ heavy_AJ0 emphasis_NN1 on_PRP treating_VVG clients_NN2 as_PRP equals_NN2 and_CJC not_XX0 viewing_VVG them_PNP as_PRP somehow_AV0 damaged_AJ0 goods_NN2 who_PNQ need_VVB to_TO0 be_VBI coddled_VVN —_PUN what_DTQ I_PNP call_VVB fragilizing_VVG them_PNP ._SENT Clients_NN2 are_VBB validated_VVN for_PRP who_PNQ they_PNP are_VBB ._SENT As_CJS clients_NN2 gradually_AV0 master_VVB the_AT0 practical_AJ0 skills_NN2 that_CJT help_VVB them_PNP solve_VVI problems_NN2 ,_PUN they_PNP feel_VVB more_AV0 in_PRP control_NN1 of_PRF their_DPS lives_NN2 and_CJC probably_AV0 feel_VVB better_AV0 in_PRP themselves_PNX ._SENT You_PNP could_VM0 say_VVI that_CJT skills_NN2 are_VBB central_AJ0 to_PRP the_AT0 effectiveness_NN1 of_PRF DBT_NP0 ._SENT 
I_PNP am_VBB sometimes_AV0 asked_VVN ,_PUN not_XX0 completely_AV0 jokingly_AV0 ,_PUN whether_CJS there_EX0 is_VBZ a_AT0 "_PUQ magic_NN1 "_PUQ to_PRP DBT_NP0 ._SENT That_DT0 is_VBZ best_AV0 answered_VVN by_PRP those_DT0 who_PNQ have_VHB been_VBN through_PRP it_PNP ._SENT A_AT0 typical_AJ0 answer_NN1 is_VBZ something_PNI like_PRP the_AT0 following_AJ0 :_PUN 
The_AT0 answer_NN1 is_VBZ "_PUQ Yes_ITJ and_CJC no._NN1 "_PUQ The_AT0 "_PUQ no_ITJ "_PUQ part_NN1 is_VBZ that_CJT a_AT0 lot_NN1 of_PRF it_PNP is_VBZ learning_VVG simple_AJ0 ,_PUN practical_AJ0 skills_NN2 that_CJT help_VVB you_PNP get_VVI through_PRP the_AT0 day_NN1 ._SENT And_CJC the_AT0 next_ORD day_NN1 ._SENT And_CJC the_AT0 next_ORD day_NN1 ._SENT The_AT0 "_PUQ yes_ITJ "_PUQ part_NN1 is_VBZ that_CJT it_PNP works_VVZ ._SENT It_PNP 's_VBZ like_PRP no_AT0 other_AJ0 therapy_NN1 I_PNP know_VVB ._SENT It_PNP is_VBZ written_VVN in_PRP a_AT0 way_NN1 that_DT0 is_VBZ easy_AJ0 to_TO0 understand_VVI ._SENT It_PNP changes_VVZ your_DPS thoughts_NN2 ._SENT The_AT0 acronyms_NN2 make_VVB it_PNP easy_AJ0 to_TO0 remember_VVI ._SENT Perfect_AJ0 for_PRP me_PNP ._SENT I_PNP can_VM0 see_VVI how_AVQ they_PNP would_VM0 work_VVI for_PRP others_NN2 ._SENT It_PNP 's_VBZ not_XX0 scary_AJ0 ._SENT It_PNP 's_VBZ not_XX0 boring_AJ0 ._SENT It_PNP really_AV0 applies_VVZ to_PRP you_PNP ._SENT It_PNP helped_VVD me_PNP find_VVI a_AT0 life_NN1 worth_PRP living_VVG ._SENT 
When_AVQ some_DT0 scientists_NN2 write_VVB up_AVP their_DPS results_NN2 ,_PUN they_PNP tend_VVB to_TO0 leave_VVI out_AVP the_AT0 flaws_NN2 ._SENT I_PNP wanted_VVD to_TO0 put_VVI all_DT0 the_AT0 mistakes_NN2 in_PRP so_AV0 that_DT0 people_NN0 could_VM0 see_VVI the_AT0 whole_AJ0 picture_NN1 and_CJC maybe_AV0 learn_VVB from_PRP my_DPS mistakes_NN2 ._SENT We_PNP drafted_VVD the_AT0 paper_NN1 ,_PUN flaws_NN2 and_CJC all_DT0 ,_PUN and_CJC set_VVN about_PRP deciding_VVG where_AVQ to_TO0 publish_VVI ._SENT I_PNP submitted_VVD the_AT0 paper_NN1 to_PRP Archives_NN2 of_PRF General_AJ0 Psychiatry_NN1 ,_PUN a_AT0 mainstream_AJ0 psychiatry_NN1 journal_NN1 ._SENT This_DT0 was_VBD the_AT0 audience_NN1 I_PNP needed_VVD to_TO0 convince_VVI of_PRF our_DPS new_AJ0 and_CJC effective_AJ0 therapy_NN1 ._SENT I_PNP got_VVD a_AT0 very_AV0 quick_AJ0 response_NN1 ._SENT 
A_AT0 flat_AJ0 rejection_NN1 ._SENT This_DT0 was_VBD in_PRP mid-1990_CRD ._SENT 
I_PNP was_VBD n't_XX0 going_VVG to_TO0 take_VVI no_AV0 for_PRP an_AT0 answer_NN1 ._SENT I_PNP called_VVD the_AT0 editor_NN1 and_CJC said_VVD ,_PUN "_PUQ Well_AV0 ,_PUN I_PNP know_VVB you_PNP rejected_VVD this_DT0 ,_PUN but_CJC I_PNP 'd_VM0 like_VVI to_TO0 resubmit_VVI it_PNP ._SENT "_PUQ There_EX0 ensued_VVD a_AT0 half_DT0 hour_NN1 of_PRF conversation_NN1 ,_PUN the_AT0 tone_NN1 of_PRF which_DTQ was_VBD —_PUN how_AVQ best_AV0 to_TO0 put_VVI it_PNP ?_SENT —_PUN combative_AJ0 ._SENT I_PNP 'll_VM0 paraphrase_VVI it_PNP ._SENT "_PUQ We_PNP have_VHB no_AT0 intention_NN1 of_PRF taking_VVG anything_PNI from_PRP you_PNP ,_PUN "_PUQ he_PNP said_VVD ._SENT "_PUQ You_PNP obviously_AV0 do_VDB n't_XX0 know_VVI how_AVQ to_TO0 write_VVI ._SENT "_PUQ They_PNP had_VHD a_AT0 point_NN1 ._SENT So_AV0 I_PNP said_VVD ,_PUN "_PUQ Well_AV0 ,_PUN that_DT0 might_VM0 be_VBI true_AJ0 ,_PUN but_CJC I_PNP think_VVB the_AT0 research_NN1 is_VBZ really_AV0 important_AJ0 and_CJC psychiatrists_NN2 would_VM0 like_VVI to_TO0 hear_VVI about_PRP it_PNP ._SENT "_PUQ He_PNP did_VDD n't_XX0 agree_VVI ._SENT "_PUQ No_ITJ ,_PUN it_PNP 's_VBZ just_AV0 junk_AJ0 ,_PUN and_CJC we_PNP 're_VBB not_XX0 wasting_VVG our_DPS time_NN1 on_PRP your_DPS research_NN1 ._SENT You_PNP 're_VBB just_AV0 a_AT0 waste_NN1 of_PRF time_NN1 ._SENT "_PUQ 
Growing_VVG up_AVP with_PRP two_CRD older_AJC brothers_NN2 is_VBZ good_AJ0 training_NN1 for_PRP life_NN1 's_POS bumps_NN2 ._SENT I_PNP learned_VVD with_PRP John_NP0 and_CJC Earl_NP0 that_CJT when_CJS I_PNP got_VVD knocked_VVN down_AVP by_PRP them_PNP —_PUN by_PRP anything_PNI —_PUN I_PNP should_VM0 bounce_VVI right_AV0 back_AVP up_AVP like_PRP a_AT0 Bobo_NP0 doll_NN1 ._SENT 
"_PUQ Okay_AV0 ,_PUN so_AV0 the_AT0 writing_NN1 's_VBZ not_XX0 good_AJ0 ,_PUN "_PUQ I_PNP persisted_VVD ._SENT "_PUQ How_AVQ about_PRP if_CJS we_PNP do_VDB this_DT0 ?_SENT I_PNP 'll_VM0 rewrite_VVI it_PNP ,_PUN but_CJC I_PNP would_VM0 n't_XX0 want_VVI to_TO0 waste_VVI your_DPS time_NN1 ,_PUN so_CJS I_PNP 'll_VM0 find_VVI some_DT0 reviewers_NN2 and_CJC I_PNP 'll_VM0 get_VVI it_PNP reviewed_VVD before_CJS it_PNP comes_VVZ to_PRP you_PNP and_CJC it_PNP 'll_VM0 all_AV0 be_VBI redone_NN1 ._SENT It_PNP 'll_VM0 be_VBI very_AV0 good_AJ0 ._SENT And_CJC then_AV0 you_PNP can_VM0 look_VVI at_PRP it_PNP ,_PUN so_AV0 it_PNP will_VM0 hardly_AV0 take_VVI you_PNP any_DT0 time_NN1 at_PRP all_DT0 ._SENT How_AVQ about_PRP that_DT0 ?_SENT "_PUQ I_PNP persisted_VVD along_AVP these_DT0 lines_NN2 for_PRP a_AT0 while_NN1 ._SENT Eventually_AV0 he_PNP relented_VVD ,_PUN probably_AV0 out_AVP of_PRF self-preservation_NN1 ,_PUN to_TO0 get_VVI me_PNP off_PRP the_AT0 phone_NN1 ._SENT 
I_PNP recruited_VVD a_AT0 lot_NN1 of_PRF help_NN1 to_TO0 rewrite_VVI the_AT0 paper_NN1 ,_PUN including_PRP Mark_NP0 Williams_NP0 ,_PUN a_AT0 psychologist_NN1 in_PRP Cambridge_NP0 ,_PUN England_NP0 ,_PUN with_PRP whom_PNQ I_PNP had_VHD spent_VVN some_DT0 time_NN1 on_PRP sabbatical_NN1 ._SENT "_PUQ Oh_ITJ ,_PUN Marsha_NP0 ,_PUN "_PUQ he_PNP said_VVD ,_PUN "_PUQ you_PNP ca_VM0 n't_XX0 tell_VVI them_PNP all_DT0 the_AT0 mistakes_NN2 in_PRP your_DPS research_NN1 ._SENT Just_AV0 write_VVB the_AT0 research_NN1 ._SENT "_PUQ I_PNP followed_VVD his_DPS advice_NN1 ,_PUN cut_VVB out_AVP a_AT0 lot_NN1 of_PRF the_AT0 unnecessary_AJ0 detail_NN1 ,_PUN and_CJC submitted_VVD the_AT0 paper_NN1 a_AT0 second_ORD time_NN1 ,_PUN in_PRP early_AV0 1991._CRD 
It_PNP was_VBD rejected_VVN again_AV0 ._SENT 
Another_DT0 conversation_NN1 with_PRP the_AT0 editor_NN1 ,_PUN shorter_AJC this_DT0 time_NN1 ._SENT Another_DT0 promise_NN1 to_TO0 resubmit_VVI ,_PUN an_AT0 even_AV0 better_AJC version_NN1 this_DT0 time_NN1 ._SENT 
Less_AV0 than_CJS a_AT0 week_NN1 after_CJS I_PNP submitted_VVD version_NN1 number_NN1 three_CRD ,_PUN I_PNP got_VVD a_AT0 note_NN1 saying_VVG that_CJT the_AT0 paper_NN1 had_VHD been_VBN accepted_VVN ._SENT It_PNP was_VBD April_NP0 4_CRD ,_PUN 1991._CRD The_AT0 paper_NN1 was_VBD scheduled_VVN for_PRP publication_NN1 in_PRP the_AT0 December_NP0 issue_NN1 ._SENT 
"_PUQ The_AT0 whole_AJ0 episode_NN1 was_VBD a_AT0 good_AJ0 example_NN1 of_PRF Marsha_NP0 's_POS tenacity_NN1 ,_PUN "_PUQ said_VVD my_DPS student_NN1 Heidi_NP0 ._SENT "_PUQ If_CJS it_PNP had_VHD been_VBN me_PNP ,_PUN I_PNP would_VM0 have_VHI given_VVN up_AVP ..._PUN .But_VVB she_PNP soldiered_VVD on_AVP ._SENT She_PNP always_AV0 does_VDZ ._SENT "_PUQ 
DBT_NP0 on_PRP Trial_NN1 by_PRP Psychiatrists_NN2 
Otto_NP0 Kernberg_NP0 is_VBZ the_AT0 kindest_AJS of_PRF human_AJ0 beings_NN2 ,_PUN as_CJS I_PNP discovered_VVD when_CJS I_PNP spent_VVD some_DT0 months_NN2 in_PRP mid-1991_CRD at_PRP the_AT0 Weill_NP0 Cornell_NP0 Medical_AJ0 College_NN1 ,_PUN in_PRP White_AJ0 Plains_NN2 ,_PUN New_NP0 York_NP0 ,_PUN where_AVQ he_PNP is_VBZ based_VVN ._SENT Kernberg_NP0 is_VBZ the_AT0 author_NN1 of_PRF the_AT0 prevailing_AJ0 psychoanalytic_AJ0 theory_NN1 of_PRF borderline_NN1 personality_NN1 disorder_NN1 ._SENT One_CRD day_NN1 during_PRP my_DPS stay_NN1 ,_PUN he_PNP looked_VVD at_PRP me_PNP with_PRP concern_NN1 and_CJC said_VVD ,_PUN "_PUQ Can_VM0 I_PNP talk_VVI with_PRP you_PNP privately_AV0 ,_PUN Marsha_NP0 ?_SENT "_PUQ 
We_PNP went_VVD into_PRP his_DPS office_NN1 and_CJC he_PNP closed_VVD the_AT0 door_NN1 and_CJC sat_VVD down_AVP behind_PRP his_DPS desk_NN1 ._SENT I_PNP took_VVD the_AT0 guest_NN1 chair_NN1 ._SENT Then_AV0 he_PNP said_VVD ,_PUN in_PRP a_AT0 caring_AJ0 voice_NN1 ,_PUN "_PUQ Have_VHB you_PNP been_VBN in_PRP a_AT0 mental_AJ0 institution_NN1 ,_PUN Marsha_NP0 ?_SENT "_PUQ I_PNP said_VVD I_PNP had_VHD ._SENT He_PNP said_VVD ,_PUN "_PUQ I_PNP thought_VVD so_AV0 —_PUN the_AT0 scars_NN2 ._SENT Do_VDB n't_XX0 tell_VVI anyone_PNI ._SENT "_PUQ He_PNP gave_VVD me_DPS advice_NN1 about_PRP how_AVQ to_TO0 handle_VVI it_PNP ._SENT 
It_PNP was_VBD a_AT0 very_AJ0 kind_NN1 moment_NN1 ._SENT 
Kernberg_NP0 had_VHD thirteen_CRD inpatient_NN1 programs_NN2 at_PRP Weill_NP0 ,_PUN and_CJC the_AT0 one_PNI treating_VVG borderline_NN1 patients_NN2 was_VBD the_AT0 hospital_NN1 's_POS flagship_NN1 unit_NN1 ._SENT Charlie_NP0 Swenson_NP0 had_VHD run_VVN that_DT0 unit_NN1 for_PRP some_DT0 years_NN2 prior_AJ0 to_PRP my_DPS sabbatical_NN1 there_AV0 ,_PUN in_PRP 1991._CRD This_DT0 is_VBZ how_AVQ he_PNP describes_VVZ the_AT0 unit_NN1 ._SENT 
Everything_PNI was_VBD very_AV0 formal_AJ0 ,_PUN very_AV0 efficient_AJ0 ,_PUN run_VVN like_PRP a_AT0 Swiss_AJ0 watch_NN1 ._SENT Group_NN1 meetings_NN2 were_VBD rigid_AJ0 and_CJC followed_VVD a_AT0 strict_AJ0 formula_NN1 ._SENT Patients_NN2 were_VBD expected_VVN to_TO0 follow_VVI rules_NN2 :_PUN how_AVQ to_TO0 behave_VVI on_PRP the_AT0 unit_NN1 ,_PUN how_AVQ to_TO0 interact_VVI with_PRP the_AT0 therapist_NN1 ._SENT They_PNP were_VBD not_XX0 supposed_AJ0 to_TO0 be_VBI friendly_AJ0 or_CJC intimate_AJ0 in_PRP any_DT0 way_NN1 ,_PUN not_XX0 ask_VVB personal_AJ0 questions_NN2 ._SENT So_AV0 if_CJS the_AT0 patient_NN1 were_VBD to_TO0 ask_VVI the_AT0 therapist_NN1 where_AVQ they_PNP planned_VVD to_PRP vacation_NN1 this_DT0 year_NN1 ,_PUN they_PNP would_VM0 be_VBI told_VVN ,_PUN "_PUQ It_PNP 's_VBZ fine_AJ0 that_CJT you_PNP ask_VVB that_CJT ,_PUN but_CJC you_PNP know_VVB the_AT0 rules_NN2 ;_PUN we_PNP have_VHB to_TO0 maintain_VVI a_AT0 definite_AJ0 distance_NN1 between_PRP staff_NN0 and_CJC patients_NN2 ._SENT This_DT0 is_VBZ not_XX0 something_PNI to_TO0 share_VVI ._SENT "_PUQ 
The_AT0 therapist_NN1 was_VBD supposed_AJ0 to_TO0 maintain_VVI a_AT0 neutral_AJ0 attitude_NN1 toward_PRP the_AT0 patient_NN1 ,_PUN being_VBG neither_AV0 positive_AJ0 nor_CJC negative_AJ0 ._SENT You_PNP were_VBD not_XX0 supposed_AJ0 to_TO0 make_VVI practical_AJ0 suggestions_NN2 for_PRP how_AVQ the_AT0 patient_NN1 might_VM0 handle_VVI their_DPS anger_NN1 ._SENT Like_PRP doing_VDG an_AT0 energetic_AJ0 stint_NN1 on_PRP an_AT0 exercise_NN1 bicycle_NN1 ,_PUN for_PRP example_NN1 ,_PUN or_CJC making_VVG a_AT0 drawing_NN1 of_PRF the_AT0 subject_NN1 of_PRF anger_NN1 and_CJC then_AV0 ripping_VVG it_PNP apart_AV0 ._SENT Nothing_PNI like_PRP that_DT0 ._SENT Being_VBG friendly_AJ0 or_CJC in_PRP any_DT0 way_NN1 demonstrating_VVG care_NN1 was_VBD absolutely_AV0 taboo_AJ0 ._SENT [_PUL Anger_NN1 was_VBD at_PRP the_AT0 core_NN1 of_PRF Kernberg_NP0 's_POS model_NN1 for_PRP BPD_NN0 ._SENT ]_PUR The_AT0 idea_NN1 was_VBD that_CJT if_CJS you_PNP got_VVD close_AV0 to_PRP the_AT0 patient_NN1 ,_PUN she_PNP would_VM0 n't_XX0 be_VBI able_AJ0 to_TO0 unload_VVI her_DPS negative_AJ0 feelings_NN2 on_PRP you_PNP ._SENT And_CJC then_AV0 the_AT0 treatment_NN1 would_VM0 n't_XX0 work_VVI ._SENT 
Unexpected_AJ0 Outcome_NN1 of_PRF a_AT0 Chance_NP0 Meeting_NN1 
You_PNP are_VBB probably_AV0 thinking_VVG ,_PUN "_PUQ What_DTQ ?_SENT Have_VHB you_PNP lost_VVN your_DPS mind_NN1 ,_PUN Marsha_NP0 ?_SENT What_DTQ Charlie_NP0 Swenson_NP0 describes_VVZ is_VBZ the_AT0 absolute_AJ0 antithesis_NN1 of_PRF everything_PNI you_PNP believe_VVB about_PRP therapy_NN1 ._SENT And_CJC yet_AV0 you_PNP went_VVD there_AV0 on_PRP sabbatical_NN1 ._SENT Why_AVQ on_PRP earth_NN1 would_VM0 you_PNP do_VDI something_PNI like_PRP that_DT0 ?_SENT "_PUQ It_PNP 's_VBZ a_AT0 good_AJ0 question_NN1 ._SENT Here_AV0 's_VBZ what_DTQ happened_VVD ._SENT 
A_AT0 few_DT0 years_NN2 earlier_AV0 ,_PUN a_AT0 chance_NN1 encounter_NN1 had_VHD occurred_VVN between_PRP Charlie_NP0 and_CJC a_AT0 prominent_AJ0 psychiatrist_NN1 ,_PUN Allen_NP0 Frances_NP0 ,_PUN on_PRP the_AT0 borderline_NN1 unit_NN1 at_PRP Weill_NP0 ._SENT Again_AV0 ,_PUN I_PNP 'll_VM0 let_VVI Charlie_NP0 tell_VVI the_AT0 story_NN1 ._SENT 
There_EX0 was_VBD a_AT0 meeting_NN1 that_CJT day_NN1 in_PRP the_AT0 hospital_NN1 ,_PUN and_CJC a_AT0 famous_AJ0 psychiatrist_NN1 ,_PUN Allen_NP0 Frances_NP0 ,_PUN happened_VVD to_TO0 be_VBI visiting_AJ0 ._SENT He_PNP was_VBD on_PRP the_AT0 Cornell_NP0 faculty_NN1 but_CJC based_VVN at_PRP the_AT0 Payne_NP0 Whitney_NP0 Clinic_NN1 ,_PUN on_PRP the_AT0 Upper_AJ0 East_NN1 Side_NN1 of_PRF Manhattan_NP0 ._SENT He_PNP was_VBD an_AT0 expert_NN1 on_PRP personality_NN1 disorder_NN1 and_CJC had_VHD helped_VVN draft_NN1 the_AT0 DSM-IV_AJ0 ,_PUN which_DTQ outlined_VVD criteria_NN2 for_PRP borderline_NN1 personality_NN1 disorder_NN1 ._SENT He_PNP is_VBZ very_AV0 open-minded_AJ0 ,_PUN willing_AJ0 to_TO0 challenge_VVI everybody_PNI ,_PUN and_CJC is_VBZ a_AT0 furious_AJ0 critic_NN1 of_PRF the_AT0 controversial_AJ0 most_DT0 recent_AJ0 edition_NN1 of_PRF the_AT0 DSM_NP0 ._SENT He_PNP was_VBD also_AV0 familiar_AJ0 with_PRP Marsha_NP0 's_POS work_NN1 ._SENT 
