Table 1.

General principles of GIT-PD

Level	Principle	Explanation
Organizational	Support	Sustained support of team by management board
	Structure	Predictability of program; e.g. schedule of appointments, availability of team, exchange of information, responsibilities of team members.
	Integration	Cooperation with other services, e.g. crisis and social services; within and between units
Treatment process	Phased & episodic	Structured in time (begin-middle-end) and possibly episodic to prevent relapses
	Goal-focused	cooperative agreement upon goals. Regular evaluation, leading to adaptations or (premature) termination.
Team	Complementary	Enabling integration of all perspectives in the team
	Reflective	Enabling reflection upon team culture and processes
	Supportive	Enabling mutual support to prevent iatrogenic actions
Common therapeutic factors	Self: Identity (autonomy-focused)	Strengthening autonomy; enhancing self-esteem; using strategies to identify, regulate and cope with (intense) emotions, including crisis
	Self: Self-direction (motivation-focused)	Monitoring and fostering motivation to engage and change in treatment; establishing strategies to improve self-reflection; Encouraging self-management of life stressors
	Interpersonal: Empathy (other/context-focused)	Monitoring, discussing and challenging patient’s experiences of others, including the therapist; focusing on understanding emotions and behavioral reactions of others
	Interpersonal: Intimacy (relationship-focused)	Enhancing trust in therapy; establishing an emotionally involved relationship; repairing ruptures; involving relatives and restoring openness to social learning
Basic stance of therapists	Curiously involved	Taking an investigative, curious, involved stance
	Supportive, Empathic	Taking an empathic, validating and supportive stance
	Transparent, authentic	Open to discuss actual events in the therapist relationship