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implementing treatment modalities to fulfil programme functions

The majority of psychotherapies, including most cognitive-behavioural treatments, consist of a single modality, for example individual psychotherapy or group psychotherapy. The single modality, however, may address multiple functions. In most therapy models, individual psychotherapy addresses motivational issues and psychological change and may attend to the generalization of treatment gains outside of therapy. DBT, in contrast, uniquely identifies five functions of treatment based on the motivational/capability deficit model of BPD (outlined in Chapter 4) and develops specific modalities to fulfil each function. Any given modality within DBT may address more than one function. For example, individual therapy primarily works on improving motivation, but also attends somewhat to generalization. We describe each of the five functions that form a comprehensive DBT programme.

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