psychotherapy - evidence-based practice

what is the fundamental disconnect between research and therapy?

research is nomothetic while therapy is idiographic

what are the three legs of evidence-based practice?

best scientific evidence, clinical experience, patient preferences

what sources of evidence are important to consider?

treatment efficacy, treatment effectiveness, and basic psychological processes relevant to treatment

what is important for research to consider beyond best outcome?

patient diversity, mode of delivery, feasibility, treatment costs, therapeutic relationships 

which should come first when making a decision in treatment, research evidence or clinical experience?

research evidence

what research sources did the CPA report emphasize?

treatment outcome research, treatment process research, basic research that can be applied to clinical practice

what are the advantages of evidence-based practice?

improve quality and effectiveness of treatment, enhance accountability

what are the criticisms of evidence-based practice?

treatments amenable to research are more likely to be included, inappropriately restrict access to certain treatments

unvalidated treatments

not examined sufficiently in a controlled study

invalidated treatments

shown not to work