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Guidelines for the Systematic Treatment of the Depressed
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Larry E. Beutler, John Clarkin, and Bruce Bongar

Print publication date: 2000

Print ISBN-13: 9780195105308

Published to Oxford Scholarship Online: March 2012

DOI: 10.1093/acprof:oso/9780195105308.001.0001

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Models of Treatment in Clinical Practice

Models of Treatment in Clinical Practice

(p.333) 13 Models of Treatment in Clinical Practice
Guidelines for the Systematic Treatment of the Depressed Patient

Larry E. Beutler

John F. Clarkin

Bruce Bongar

Oxford University Press

The variety of mental health treatments must be understood, at least partially, as a reflection of evolving sets of values and assumptions, sharing certain common theoretical roots along with some distinctive perspectives. Each new treatment development introduces new assumptions about what causes change, and these assumptions, in turn, contribute to the evolution of a society's philosophy about the nature of the people who live within the society itself. Biological models, psychodynamic models, and behavioral models of change all reflect different assumptions about depression, and all come from slightly different branches on the evolutionary tree of knowledge. Each has been built on models that went before, but the evolution of each was accepted only because it occurred within a nurturing culture or subculture and at a time when those views were ecologically compatible with the particular social groups who gave them recognition. In developing and presenting our basic and optimal treatment guidelines, we elected to abandon reliance on techniques and procedures that derive from specific theories of psychopathology.

Keywords:   mental health, treatments, biological models, psychodynamic models, behavioral models, depression, psychopathology

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