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From DBT Skills Training Handouts and Worksheets, Second Edition  by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permis -
sion to photocopy this worksheet is granted to purchasers of this book for personal use only (see copyright page for details). Purchasers may 
download a larger version of this worksheet from www.guilford.com/dbt-  
worksheets .Interpersonal effect Iv eness Worksheet 11a   (I. E. Handouts 15, 16)
Dialectics Checklist
Due Date:       Name:                   Week Starting:  
E
veryday dialectical practice:  Check off dialectical practice exercises each time you do one. For 
each skill you practice, give it a rating to indicate how effective that skill was in helping you reach 
your personal and interpersonal goals. Rate from a low of 1 (not at all effective) to a high of 5 (very effective).
Looked at both sides:Rating  
(1–5)

 1
.
 A
sked Wise Mind: “What am I missing?”   
  2
.
 L
ooked for the kernel of truth in another person’s side.   
  3 . St ayed away from extremes (such as “always” or never”), and instead thought 
or said:                                     
                                     
  4 . B alanced opposites in my life:   V alidated both myself and a person 
I disagreed with
  A
ccepted reality and tried to change it