Are RCT designs in psychotherapy research essential and exclusively
necessary to advance ESTs?
You have a problem, doctor refers you to specialist – ie respirologist who puts u on
-big movement in medicine now is EBM (evidence based medicine) where scientific
literature looks at whether certain medicines are best for specific diseases
so need to look at latest empirically based articles and be up to date w/ current
–BASICALLY you want treatment to be based in science
-WESTEN paper is about empirically supported evidence for psychotherapy
-WESTIN is a psychoanalyst and psychoanalysts don’t subject themselves to EBM
-so do you want clinical experience or someone who is informed in EBM?
you want a balance BUT also has stayed up on literature
-you want medical practitioners to look at peer reviewed articles and practice to
-evidence-based psychotherapeutic interventions (ie. CBT, IPT) are diff from
medically-based interventions b/c they validate treatment for psychotherapy
-this is a vast issue of importance
-empirically-supported therapy INCLUDES randomized clinical trials (RCT)
- CBT trials for depression and anxiety disorders (ie. panic disorders, GAD) lasts
- there are personality styles (ie. excessively dependent, perfectionist) that leads to
depression if personality leads to depression, and if we just treat the depression,
can we see changes in depression/personality over the 20 sessions?
–the biggest problem in psychotherapy is RELAPSE (or occurrence) b/c we just
treat depression and not the underlying cause
o WESTEN argues that yeah ur treating the depression and CBT is regarded