Evidence-Based Practices in Mental Health: Debate and Dialogue on the Fundamental Questions / Edition 1

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Few topics in mental health are as consequential and controversial as evidence-based practices (EBPs). EBPs have profound implications for mental health practice, training, and policy. What is designated as "evidence-based" will determine in part which therapies and tests are conducted, what is reimbursed, what is taught, and what is researched.

Unfortunately, this multifaceted topic has been reduced to simplistic and polarized arguments. This book, designed for mental health practitioners, trainers, and graduate students, addresses 9 fundamental questions in the debate on EBPs. Each chapter centers on a single question in the ongoing debate and consists of focused position papers on that question. The position papers, contributed by some of the most respected psychologists writing today, are argued with passion and intelligence. Each chapter concludes with a dialogue among the contributors in which they emphasize their points of agreement and disagreement, which makes the book an ideal tool for teaching and discussion.

Evidence-Based Practices in Mental Health helps readers understand the central questions in this fiercely contested subject, provides a balance of views, and purges needless confusion and antagonism. In doing so, the book underscores both the robust commonalities and the remaining contentions regarding EBPs in mental health.

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Product Details

  • ISBN-13: 9781591472902
  • Publisher: American Psychological Association
  • Publication date: 1/28/2006
  • Edition number: 1
  • Pages: 464
  • Product dimensions: 7.40 (w) x 10.46 (h) x 1.10 (d)

Table of Contents

About the Editors xi
Contributors xiii
Prologue 3
Chapter 1 What Qualifies as Evidence of Effective Practice? 13
Clinical Expertise 13
Scientific Research 23
Patient Values and Preferences 31
Dialogue: Convergence and Contention 40
Chapter 2 What Qualifies as Research on Which to Judge Effective Practice? 57
Case Studies 57
Single-Participant (S-P) Design Research 64
Qualitative Research 74
Change Process Research 81
Effectiveness Research 89
Randomized Clinical Trials 96
Dialogue: Convergence and Contention 105
Chapter 3 Does Manualization Improve Therapy Outcomes? 131
Psychotherapy Manuals Can Improve Outcomes 131
Treatment Manuals Do Not Improve Outcomes 140
Dialogue: Convergence and Contention 149
Chapter 4 Are Research Patients and Clinical Trials Representative of Clinical Practice? 161
Patients and Treatments in Clinical Trials Are Not Adequately Representative of Clinical Practice 161
Research Patients and Clinical Trials Are Frequently Representative of Clinical Practice 171
Dialogue: Convergence and Contention 180
Chapter 5 What Should Be Validated? 191
The Treatment Method 191
The Psychotherapist 200
The Therapy Relationship 208
The Active Client 218
Principles of Change 226
Dialogue: Convergence and Contention 234
Chapter 6 What Else Materially Influences What Is Represented and Published as Evidence? 257
Theoretical Allegiance 257
Impact of Funding Source on Published Research 267
A Poor Fit Between Empirically Supported Treatments and Psychotherapy Integration 275
Dialogue: Convergence and Contention 282
Chapter 7 Do Therapies Designated as Empirically Supported Treatments for Specific Disorders Produce Outcomes Superior to Non-Empirically Supported Treatment Therapies? 299
Not a Scintilla of Evidence to Support Empirically Supported Treatments as More Effective Than Other Treatments 299
Empirically Supported Treatments Typically Produce Outcomes Superior to Non-Empirically Supported Treatment Therapies 308
Dialogue: Convergence and Contention 317
Chapter 8 How Well Do Both Evidence-Based Practices and Treatment as Usual Satisfactorily Address the Various Dimensions of Diversity? 329
Ethnic Minority Populations Have Been Neglected by Evidence-Based Practices 329
Gender Is Neglected by Both Evidence-Based Practices and Treatment as Usual 338
The Neglect of Lesbian, Gay, Bisexual, and Transgendered Clients 346
Evidence-Based Practices Have Ignored People With Disabilities 353
Dialogue: Convergence and Contention 359
Chapter 9 Are Efficacious Laboratory-Validated Treatments Readily Transportable to Clinical Practice? 375
Efficacious Laboratory-Validated Treatments Are Generally Transportable to Clinical Practice 375
Transporting Laboratory-Validated Treatments to the Community Will Not Necessarily Produce Better Outcomes 383
Dialogue: Convergence and Contention 393
Epilogue 403
Author Index 407
Subject Index 427
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