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Treatment 

Treatment
Chapter:
Treatment
DOI:
10.1093/med/9780199608386.003.0005
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date: 25 February 2020

Chapter 5 describes the principles of treatment for each of the main therapeutic modalities most commonly encountered by medical psychotherapists in clinical practice in the UK. The initial section describes therapeutic principles that are common to the practice of all therapies, including the setting, therapeutic stance, initiating treatment, and confidentiality. The subsequent sections describe in detail the key techniques and competencies, mechanisms of change, clinical population, and contexts for each of the therapeutic modalities covered in Chapter 2 (psychoanalytic psychotherapy, cognitive behavioural therapy (CBT), systemic family and couple therapy, group therapy, cognitive analytic therapy (CAT), interpersonal psychotherapy (IPT), psychodynamic interpersonal therapy (PIT), dynamic interpersonal therapy (DIT), dialectical behaviour therapy (DBT), mentalization-based treatment (MBT), schema therapy, mindfulness-based interventions, therapeutic communities, art psychotherapy, dramatherapy, music therapy, and counselling). Two anonymized clinical case vignettes—to exemplify a straightforward case and a more complex case—are given for each therapeutic modality to illustrate how the specific treatment is applied to patients in clinical practice.

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