Psychotherapy in the context of Marsha M. Linehan

Medicine is the science and practice of caring for patients, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.

Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of creativity and skill), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism. In recent centuries, since the advent of modern science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science). For example, while stitching technique for sutures is an art learned through practice, knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science.

Self-cultivation or personal cultivation (Chinese: 修身; pinyin: xiūshēn; Wade–Giles: hsiu-shen; lit. 'cultivate oneself') is the development of one's mind or capacities through one's own efforts. Self-cultivation is the cultivation, integration, and coordination of mind and body. Although self-cultivation may be practiced and implemented as a form of cognitive therapy in psychotherapy, it goes beyond healing and self-help to also encompass self-development, self-improvement and self realisation. It is associated with attempts to go beyond and understand normal states of being, enhancing and polishing one's capacities and developing or uncovering innate human potential.

Self-cultivation also alludes to philosophical models in Mohism, Confucianism, Taoism and other Chinese philosophies, as well as in Epicureanism, and is an essential component of well-established East-Asian ethical values. Although this term applies to cultural traditions in Confucianism and Taoism, the goals and aspirations of self-cultivation in these traditions differ greatly.

According to the APA Dictionary of Psychology, a feeling is "a self-contained phenomenal experience"; feelings are "subjective, evaluative, and independent of the sensations, thoughts, or images evoking them". The term feeling is closely related to, but not the same as, emotion. Feeling may, for instance, refer to the conscious subjective experience of emotions. The study of subjective experiences is called phenomenology. Psychotherapy generally involves a therapist helping a client understand, articulate, and learn to effectively regulate the client's own feelings, and ultimately to take responsibility for the client's experience of the world. Feelings are sometimes held to be characteristic of embodied consciousness.

The English noun feelings may generally refer to any degree of subjectivity in perception or sensation. However, feelings often refer to an individual sense of well-being (perhaps of wholeness, safety, or being loved). Feelings have a semantic field extending from the individual and spiritual to the social and political. The word feeling may refer to any of a number of psychological characteristics of experience, or even to reflect the entire inner life of the individual (see mood). As self-contained phenomenal experiences, evoked by sensations and perceptions, feelings can strongly influence the character of a person's subjective reality. Feelings can sometimes harbor bias or otherwise distort veridical perception, in particular through projection, wishful thinking, among many other such effects.

A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly mental issues. Sometimes a psychiatrist works within a multi-disciplinary team, which may comprise clinical psychologists, social workers, occupational therapists, and nursing staff. Psychiatrists have broad training in a biopsychosocial approach to the assessment and management of mental illness.

As part of the clinical assessment process, psychiatrists may employ a mental status examination; a physical examination; brain imaging such as a computerized tomography, magnetic resonance imaging, or positron emission tomography scan; and blood testing. Psychiatrists use pharmacologic, psychotherapeutic, or interventional approaches to treat mental disorders.

Cognitive therapy (CT) is a kind of psychotherapy that treats problematic behaviors and distressing emotional responses by identifying and correcting unhelpful and inaccurate patterns of thinking. This involves the individual working with the therapist to develop skills for testing and changing beliefs, identifying distorted thinking, relating to others in different ways, and changing behaviors.

Cognitive therapy is based on the cognitive model (which states that thoughts, feelings, and behavior are connected), with substantial influence from the heuristics and biases research program of the 1970s, which found a wide variety of cognitive biases and distortions that can contribute to mental illness.

In psychology, psychoanalysis, and psychotherapy, projection is the mental process in which an individual attributes their own internal thoughts, beliefs, emotions, experiences, and personality traits to another person or group.

In psychology, meaning-making is the process of how people (and other living beings) construe, understand, or make sense of life events, relationships, and the self.

The term is widely used in constructivist approaches to counseling psychology and psychotherapy, especially during bereavement in which people attribute some sort of meaning to an experienced death or loss. The term is also used in educational psychology.

Cognitive behavioral therapy (CBT) is a form of psychotherapy that aims to reduce symptoms of various mental health conditions, primarily depression, and disorders such as PTSD and anxiety disorders. This therapy focuses on challenging unhelpful and irrational negative thoughts and beliefs, referred to as 'self-talk' and replacing them with more rational positive self-talk. This alteration in a person's thinking produces less anxiety and depression. It was developed by psychoanalyst Aaron Beck in the 1950's.

Cognitive behavioral therapy focuses on challenging and changing cognitive distortions (thoughts, beliefs, and attitudes) and their associated behaviors in order to improve emotional regulation and help the individual develop coping strategies to address problems. Though originally designed as an approach to treat depression, CBT is often prescribed for the evidence-informed treatment of many mental health and other conditions, including OCD, generalized anxiety disorder, substance use disorders, marital problems, ADHD, and eating disorders. CBT includes a number of cognitive or behavioral psychotherapies that treat defined psychopathologies using evidence-based techniques and strategies.

Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. The term can legitimately refer to any form of psychotherapy when delivered in a group format, including art therapy, cognitive behavioral therapy or interpersonal therapy, but it is usually applied to psychodynamic group therapy where the group context and group process is explicitly utilized as a mechanism of change by developing, exploring and examining interpersonal relationships within the group.

The broader concept of group therapy can be taken to include any helping process that takes place in a group, including support groups, skills training groups (such as anger management, mindfulness, relaxation training or social skills training), and psychoeducation groups. The differences between psychodynamic groups, activity groups, support groups, problem-solving and psychoeducational groups have been discussed by psychiatrist Charles Montgomery. Other, more specialized forms of group therapy would include non-verbal expressive therapies such as art therapy, dance therapy, or music therapy.

Couples therapy (also known as couples' counseling, marriage counseling, or marriage therapy) is a form of psychotherapy that seeks to improve intimate relationships, resolve interpersonal conflicts and repair broken bonds of love.

Robert Plutchik (21 October 1927 – 29 April 2006) was an American psychologist who was professor emeritus at the Albert Einstein College of Medicine and adjunct professor at the University of South Florida. He received his Ph.D. from Columbia University. He authored or coauthored more than 260 articles, 45 chapters and eight books and edited seven books. His research interests included the study of emotions, the study of suicide and violence, and the study of the psychotherapy process.

Carl Ransom Rogers (January 8, 1902 – February 4, 1987) was an American psychologist who was one of the founders of humanistic psychology and was known especially for his person-centered psychotherapy. Rogers is widely considered one of the founding fathers of psychotherapy research and was honored for his research with the Award for Distinguished Scientific Contributions by the American Psychological Association (APA) in 1956.

The person-centered approach, Rogers's approach to understanding personality and human relationships, found wide application in various domains, such as psychotherapy and counseling (client-centered therapy), education (student-centered learning), organizations, and other group settings. For his professional work he received the Award for Distinguished Professional Contributions to Psychology from the APA in 1972. In a study by Steven J. Haggbloom and colleagues using six criteria such as citations and recognition, Rogers was found to be the sixth most eminent psychologist of the 20th century and second, among clinical psychologists, only to Sigmund Freud. Based on a 1982 survey of 422 respondents of U.S. and Canadian psychologists, he was considered the most influential psychotherapist in history (Freud ranked third).

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation as well as for changing behavioral patterns such as self-harm and substance use. DBT evolved into a process in which the therapist and client work with acceptance and change-oriented strategies and ultimately balance and synthesize them—comparable to the philosophical dialectical process of thesis and antithesis, followed by synthesis.

This approach was developed by Marsha M. Linehan, a psychology researcher at the University of Washington. She defines it as "a synthesis or integration of opposites". DBT was designed to help people increase their emotional and cognitive regulation by learning about the triggers that lead to reactive states and by helping to assess which coping skills to apply in the sequence of events, thoughts, feelings, and behaviors to help avoid undesired reactions. Linehan later disclosed to the public her own struggles and belief that she suffers from borderline personality disorder.