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In this chapter, we present three clinical principles—of immediacy, of engagement, and of emotionality (Table 4–1)—that serve as helpful guides to the therapist in successfully managing an approach to trauma. These principles are not for psychotherapy in general or, for that matter, for most forms of psychotherapy or clinical intervention. They are specific to trauma-centered work. Once the therapist and client have jointly agreed to engage in this work, these principles should be applied consistently throughout the treatment. These principles are not applicable to those clinicians in a general clinic or a general private practice until the trauma-centered frame has been established.
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