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"The group-think will be strong and can add to self-righteousness or toxic indignation in the immediate aftermath," said Nancy Irwin, a trauma specialist and primary therapist at Seasons in Malibu.
Karen Hylen, the primary therapist at Summit Malibu Treatment Center in California, said that, while people have historically resorted to cannibalism for survival or religious reasons, modern interpretations of cannibalism focus on questions of addiction or mental illness.
"This may include driving your own car to be able to leave if you feel uncomfortable or making others in your support network aware in case you need to reach out," said Jennifer Langston, primary therapist at The Freedom Center, a substance abuse intensive outpatient program.
A single therapist treated each patient with a substitute stepping in if the primary therapist had to be absent.
The first was 'self-help' [ 17], where the parent was trained as the child's primary therapist and was responsible for administering daily behavioural and medical therapy.
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In addition to providing family assessment and intervention, social work graduate students serve as primary therapists for some cases, assuming responsibility for treatment planning and implementation.
Training workshops are available, although not mandatory, for arthritis primary therapists [ 6].
In Canada, some PTs and occupational therapists work as multi-skilled primary therapists and provide services that cross the traditional physiotherapy/occupational therapy boundary [ 4, 5].
The psychiatrists' viewpoint may derive from a desire to limit their roles specifically to that of consultants (not to primary therapists), consistent with evolving consensus on roles for psychiatrists [ 9, 10].
On an inpatient unit this translates into telephone coaching calls with patients away from the unit and/or mini-skills coaching interactions on the unit with staff who are not the primary individual therapist.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com