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

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

by Larry E. Beautler
     
 

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ISBN-10: 1591473101

ISBN-13: 9781591473107

Pub. Date: 08/28/2005

Publisher: American Psychological Association

Addresses fundamental questions in the debate on evidence-based practices (EBPs) such as What qualifies as evidence? What qualifies as research on which to judge effective practice? Are research patients and clinical trials representative of clinical practice? Are evidence-based treatments readily transportable to clinical practice? and others. Positions are argued

Overview

Addresses fundamental questions in the debate on evidence-based practices (EBPs) such as What qualifies as evidence? What qualifies as research on which to judge effective practice? Are research patients and clinical trials representative of clinical practice? Are evidence-based treatments readily transportable to clinical practice? and others. Positions are argued with passion and intelligence. Each question-focused chapter concludes with a dialogue among the contributors in which they emphasize their points of agreement and disagreement. The debate, interchange, and dialogue format makes this an ideal tool for teaching and discussion. For mental health practitioners, trainers, and graduate

Product Details

ISBN-13:
9781591473107
Publisher:
American Psychological Association
Publication date:
08/28/2005
Edition description:
New Edition
Pages:
464
Product dimensions:
9.90(w) x 6.90(h) x 0.90(d)

Table of Contents

About the Editorsxi
Contributorsxiii
Prologue3
Chapter 1What Qualifies as Evidence of Effective Practice?13
Clinical Expertise13
Scientific Research23
Patient Values and Preferences31
Dialogue: Convergence and Contention40
Chapter 2What Qualifies as Research on Which to Judge Effective Practice?57
Case Studies57
Single-Participant (S-P) Design Research64
Qualitative Research74
Change Process Research81
Effectiveness Research89
Randomized Clinical Trials96
Dialogue: Convergence and Contention105
Chapter 3Does Manualization Improve Therapy Outcomes?131
Psychotherapy Manuals Can Improve Outcomes131
Treatment Manuals Do Not Improve Outcomes140
Dialogue: Convergence and Contention149
Chapter 4Are Research Patients and Clinical Trials Representative of Clinical Practice?161
Patients and Treatments in Clinical Trials Are Not Adequately Representative of Clinical Practice161
Research Patients and Clinical Trials Are Frequently Representative of Clinical Practice171
Dialogue: Convergence and Contention180
Chapter 5What Should Be Validated?191
The Treatment Method191
The Psychotherapist200
The Therapy Relationship208
The Active Client218
Principles of Change226
Dialogue: Convergence and Contention234
Chapter 6What Else Materially Influences What Is Represented and Published as Evidence?257
Theoretical Allegiance257
Impact of Funding Source on Published Research267
A Poor Fit Between Empirically Supported Treatments and Psychotherapy Integration275
Dialogue: Convergence and Contention282
Chapter 7Do 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 Treatments299
Empirically Supported Treatments Typically Produce Outcomes Superior to Non-Empirically Supported Treatment Therapies308
Dialogue: Convergence and Contention317
Chapter 8How 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 Practices329
Gender Is Neglected by Both Evidence-Based Practices and Treatment as Usual338
The Neglect of Lesbian, Gay, Bisexual, and Transgendered Clients346
Evidence-Based Practices Have Ignored People With Disabilities353
Dialogue: Convergence and Contention359
Chapter 9Are Efficacious Laboratory-Validated Treatments Readily Transportable to Clinical Practice?375
Efficacious Laboratory-Validated Treatments Are Generally Transportable to Clinical Practice375
Transporting Laboratory-Validated Treatments to the Community Will Not Necessarily Produce Better Outcomes383
Dialogue: Convergence and Contention393
Epilogue403
Author Index407
Subject Index427

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