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date: 09 December 2019

Abstract and Keywords

The look and feel of Dialectical Behaviour Therapy (DBT) is heavily influenced by the structure of the programme on which each session and meeting rest. Programme structure has always been a focus for Linehan, the treatment developer, who wove recommendations throughout her descriptions of the treatment. This chapter attempts to pull together in one place recommendations from the literature, real-world practice, and guidance of the model developer and experts to assist team leaders who are creating a DBT programme, or who wish to review their existing programme structure. Decisions about programme structure should be driven by a deep understanding of Linehan’s Functions of Treatment, as well as the principles and practices of behaviour therapy, and DBT in particular. A programme manual and routinization of administrative practices ensure that programme structure is well defined, supportive for clinicians and clients, and resistant to treatment drift.

Keywords: Dialectical Behaviour Therapy, programme structure, functions of treatment, behaviour therapy, programme manual, administrative practices, treatment drift.

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