Where Is the Evidence for "Evidence-Based" Therapy?

@article{Shedler2018WhereIT,
  title={Where Is the Evidence for "Evidence-Based" Therapy?},
  author={Jonathan Shedler},
  journal={The Psychiatric clinics of North America},
  year={2018},
  volume={41 2},
  pages={
          319-329
        }
}
  • J. Shedler
  • Published 1 June 2018
  • Psychology, Medicine
  • The Psychiatric clinics of North America

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References

SHOWING 1-10 OF 31 REFERENCES

The empirical status of empirically supported psychotherapies: assumptions, findings, and reporting in controlled clinical trials.

A critical review of the assumptions and findings of studies used to establish psychotherapies as empirically supported suggests a shift from validating treatment packages to testing intervention strategies and theories of change that clinicians can integrate into empirically informed therapies.

Evidence-based practice in psychology.

  • B. Thorn
  • Psychology
    Journal of clinical psychology
  • 2007
The history of EBPP is explored, the definition and present uses of the term are elaborate, and information relevant to the skill set regarding a practice consistent with the evidence-based approach is provided.

Arbitrary metrics: implications for identifying evidence-based treatments.

  • A. Kazdin
  • Psychology
    The American psychologist
  • 2006
It is possible that evidence-based treatments with effects demonstrated on arbitrary metrics do not actually help people, that is, reduce their symptoms and improve their functioning.

Evidence-based practice in psychology.

The report provides a rationale for and expanded discussion of the EBPP policy statement that was developed by the Task Force and adopted as association policy by the APA Council of Representatives in August 2005.

Evidence based medicine: what it is and what it isn't

As evidence based medicine continues to evolve and adapt, now is a useful time to refine the discussion of what it is andWhat it is not.

A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: an empirical examination of the status of empirically supported therapies.

A meta-analysis of high-quality studies published from 1990-1998 on the efficacy of manualized psychotherapies for depression, panic disorder, and generalized anxiety disorder suggests that a substantial proportion of patients with panic improve and remain improved.

National Institute of Mental Health Treatment of Depression Collaborative Research Program. General effectiveness of treatments.

There was limited evidence of the specific effectiveness of interpersonal psychotherapy and none for cognitive behavior therapy, but Superior recovery rates were found for both interpersonal Psychotherapy and imipramine plusclinical management, as compared with placebo plus clinical management.

Efficacy of cognitive–behavioural therapy and other psychological treatments for adult depression: meta-analytic study of publication bias

The effects of psychotherapy for adult depression seem to be overestimated considerably because of publication bias.

The efficacy of cognitive-behavioral therapy and psychodynamic therapy in the outpatient treatment of major depression: a randomized clinical trial.

The findings extend the evidence base of psychodynamic therapy for depression but also indicate that time-limited treatment is insufficient for a substantial number of patients encountered in psychiatric outpatient clinics.