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Where is the evidence for "evidence-based" therapy?
Journal Title: PSICOTERAPIA E SCIENZE UMANE 
Author/s: Jonathan Shedler 
Year:  2018 Issue: Language: Italian 
Pages:  16 Pg. 383-398 FullText PDF:  204 KB
DOI:  10.3280/PU2018-003003
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The term "evidence-based" therapy has become a de facto code word for manualized therapy, most often brief, highly scripted forms of cognitive behavior therapy. It is widely asserted that "evidence-based" therapies are scientifically proven and superior to other forms of psychotherapy. Empirical research does not support these claims, but shows that "evidence-based" therapies are weak treatments. Their benefits are trivial, few patients get well, and even the trivial benefits do not last. Troubling research practices paint a misleading picture of the actual benefits of "evidence-based" therapies, including sham control groups, cherry-picked patient samples, and suppression of negative findings.
Keywords: Evidence-based therapy; Empirically supported treatments (EST); Psychotherapy outcome research; Cognitive behavior therapy (CBT); Psycho-dynamic therapy (PDT)

  1. American Psychological Association (Presidential Task Force on Evidence-Based Practice) (2006). Evidence-based practice in psychology. American Psychologist, 61, 4: 271-285.
  2. American Psychological Association (2013). Recognition of psychotherapy effectiveness. Psy-chotherapy, 50, 1: 102-109.
  3. Angell M. (2011). The epidemic of mental illness: Why? The New York Review of Books, 58, 11 (June 23): 20-22; The illusions of psychiatry. The New York Review of Books, 58, 12 (July 14): 20-22 (trad. it.: L’epidemia di malattie mentali e le illusioni della psichiatria. Psicoterapia e Scienze Umane, 2012, XLVI, 2: 263-282., 10.3280/PU2012-002008)DOI: 10.3280/PU2012-002008)
  4. Baker T.B., McFall R.M. & Shoham V. (2008). Current status and future prospects of clinical psychology: Toward a scientifically principled approach to mental and behavioral health care. Psychological Science in the Public Interest, 9, 2: 67-103.
  5. Baker T., McFall R. & Shoham V. (2009). Is your therapist a little behind the times? Washington Post, November 15, 2009.
  6. Begley S. (2009). Ignoring the evidence. Why do psychologists reject science? Newsweek, 154, 15 (Oct. 12): 30 (www.newsweek.com/why-psychologists-reject-science-begley-81063).
  7. Bendat M. (2014). In name only? Mental health parity or illusory reform. Psychodynamic Psy-chiatry, 42, 3: 353-375.
  8. Cuijpers P., Smit F., Bohlmeijer E., Hollon S.D. & Andersson G. (2010). Efficacy of cognitive-behavioural therapy and other psychological treatments for adult depression: Meta-analytic study of publication bias. British Journal of Psychiatry, 196, 3: 173-178.
  9. Driessen E., Van H.L., Don F.J., Peen J., Kool S., Westra D., Hendriksen M., Schoevers R.A., Cuijpers P., Twisk J.W. & Dekker J.J. (2013). The efficacy of cognitive-behavioral therapy and psychodynamic therapy in the outpatient treatment of major depression: A randomized clinical trial. American Journal of Psychiatry, 170, 9: 1041-1050.
  10. Elkin I. (1994). Treatment of depression collaborative research program: Where we began and where we are. In: Garfield S.L. & Bergin A.E., editors, Handbook of Psychotherapy and Behavior Change, 4th Edition. New York: Wiley, 1994, pp. 114-139.
  11. Elkin I., Shea T., Watkins T., Imber S.D., Sotsky S.M., Collins J.F., Glass D.R., Pilkonis P.A., Leber W.R., Docherty J.P., Feister J., Parloff M.B. (1989). NIMH Treatment of Depression Collaborative Research Program: General effectiveness of treatment. Archives of General Psychiatry, 46, 11: 971-982.
  12. Gilboa-Schechtman E., Foa E., Shafran N., Aderka I-M., Powers M-B., Rachamim L., Rosen-bach L., Yadin E. & Apter A. (2010). Prolonged exposure versus dynamic therapy for ado-lescent PTSD: A pilot randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 10: 1034-1042.
  13. Gilboa-Schechtman E., Shafran N., Foa E.B. (2011). Drs. Gilboa-Schechtman et al. reply. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 5: 522-524.
  14. Hollon S.D., Thase M.E. & Markowitz J.C. (2002). Treatment and prevention of depression. Psychological Science in the Public Interest, 3, 2: 39-77., 10.1111/1529-1006.00008DOI: 10.1111/1529-1006.00008
  15. Kazdin A.E. (2006). Arbitrary metrics: Implications for identifying evidence-based treatments. American Psychologist, 61, 1: 42-49.
  16. Klerman G.L., Weissman M.M., Rounsaville B.J. & Chevron E.S. (1984). Interpersonal Psychotherapy of Depression. New York: Basic Books (trad. it.: Psicoterapia interpersonale della depressione. Torino: Bollati Boringhieri, 1989).
  17. Leichsenring F. & Steinert C. (2017). La terapia cognitivo-comportamentale è veramente la più efficace? Psicoterapia e Scienze Umane, 51, 4: 551-558., 10.3280/PU2017-004003DOI: 10.3280/PU2017-004003
  18. Migone P. (2005). Farmaci antidepressivi nella pratica psichiatrica: efficacia reale. Psicoterapia e Scienze Umane, XXXIX, 3: 312-322.
  19. Migone P. (2015). Problemi della ricerca farmacologica: il caso dello “Studio 329”. Psicoterapia e Scienze Umane, 2015, XLIX, 4: 589-594., 10.3280/PU2015-004003DOI: 10.3280/PU2015-004003
  20. Mischel W. (2008). Connecting clinical practice to scientific progress. Psychological Science in the Public Interest, 9, 2: i-ii.
  21. Sackett D.L., Rosenberg W.M., Gray J.A., Haynes R.B. & Richardson W.S. (1963). Evidence based medicine: What it is and what it isn’t. British Medical Journal, 312, 7023: 71-72.
  22. Shedler J. (2010). The efficacy of psychodynamic therapy. American Psychologist, 65, 2: 98-109.
  23. Shedler J. (2015). Where is the evidence for “evidence-based” therapy? Journal of Psychological Therapies in Primary Care, 4, 1: 47-59.
  24. Turner E.H., Matthews A.M., Linardatos E., Tell R.A. & Rosenthal R. (2008). Selective Publication of Antidepressant Trials and Its Influence on Apparent Efficacy. New England Journal of Medicine, 358, 3: 252-260.
  25. Wampold B.E., Budge S.L., Laska K.M., Del Re A.C., Baardseth T.P., Fluckiger C., Minami T., Kivlighan D.M. 2nd & Gunn W. (2011). Evidence-based treatments for depression and anxiety versus treatment-as-usual: A meta-analysis of direct comparisons. Clinical Psychology Review, 31, 8: 1304-1312.
  26. Wasserstein R.L. & Lazar N.A. (2016). The ASA’s statement on p-values: Context, process, and purpose. American Statistician, 70, 2: 129-33., 10.1080/00031305.2016.1154108DOI: 10.1080/00031305.2016.1154108
  27. Westen D. & Morrison K. (2001). A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: An empirical examination of the status of empirically supported therapies. Journal of Consulting and Clinical Psychology, 69, 6: 875-899., 10.1037/0022-006X.69.6.875DOI: 10.1037/0022-006X.69.6.875
  28. Westen D., Morrison Novotny K. & Thompson-Brenner H. (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130, 4: 631-663.
  29. Wittmann L., Halpern J., Adams C.B., Orner R.J. & Kudler H. (2011). Prolonged exposure and psychodynamic treatment for posttraumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 5: 521-522.

Jonathan Shedler, Where is the evidence for "evidence-based" therapy? in "PSICOTERAPIA E SCIENZE UMANE" 3/2018, pp. 383-398, DOI:10.3280/PU2018-003003

   

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