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Published online by Cambridge University Press: 08 August 2009
This section is concerned with the commonly occurring practical problems of treatment. These differ in type as treatment progresses. They can be broken down into difficulties in engagement, failure to agree to or to adhere to treatment plans, failure to get better, complications that impede progress, the management of problematic types of risk, and helping people to stay well in the long term. These problems are not necessarily due to factors belonging to the patient. Factors belonging to the clinician, contextual difficulties, and poor therapeutic relationships can all create significant impediments to recovery.
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