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Clinical Case Studies
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The Six-Point Dial of Treatment

A Useful Framework for Novice Therapists

Tracy K. Witte

Florida State University, Tallahassee, witte{at}psy.fsu.edu

Kathryn H. Gordon

North Dakota State University, Fargo

Thomas E. Joiner

North Dakota State University, Fargo

The 6-point dial of treatment described in this case report is developed to guide graduate student psychological trainees through treatment and includes the following components: assessment of dangerousness, diagnosis, diagnosis-based treatment, ongoing evaluation of treatment response, obstacles to treatment, and motivation. The article describes the dial of treatment and present a case study of a client with paranoid schizophrenia (John) who presented at a graduate student training clinic to illustrate how this framework can be successfully applied. John exhibits marked improvement, based on both objective measures and clinician judgment of global functioning.

Key Words: clinical training • paranoid schizophrenia • suicidal behavior

This version was published on June 1, 2009

Clinical Case Studies, Vol. 8, No. 3, 226-240 (2009)
DOI: 10.1177/1534650109334820
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