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date: 06 December 2019

Abstract and Keywords

The Oxford Handbook of DBT has reviewed and considered theoretical, structural, clinical, and implementation aspects of DBT, comprehensively detailing its journey in research and clinical practice since the landmark, yet small, RCT published in Archives of General Psychiatry over 25 years ago (Linehan et al, 1991).. This closing chapter reflects on the treatment’s achievements since that first trial and considers future directions in relation to theory, clinical outcomes, adaptations, and implementation in practice. Building on initial demonstrations of efficacy to deliver any intervention effectively at scale, reaching all those who may benefit, requires changes in dissemination, implementation and research strategies. Targeting research on treatment mechanisms that drive change may usefully inform this agenda. This chapter explores these issues and concludes by discussing challenges within the wider psychotherapy field and their implications for DBT.

Keywords: Dialectical behaviour therapy, DBT, achievements, challenges, theory, outcomes, adaptations, implementation, reach.

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