Treatment manuals for the real world: Where do we build them?
Treatment manuals for the real world: Where do we build them?
复制标题
DOI：
10.1093/clipsy/9.4.431
复制
发表时间：
2002-12-01
影响因子：
5.8
通讯作者：
Chorpita, BF
中科院分区：
文献类型：
--
作者：
Chorpita, BF
卡罗尔和努罗（本期）概述了一个发展心理治疗手册的模型，该模型与最近阐述的心理治疗研究阶段模型相平行。作者概述了治疗手册在早期，中期和晚期发展阶段的良好考虑。随着手动测试从大学环境中的试点研究和有效性测试转移到临床环境中的可移植性研究，手册的复杂性增加。然而，这些考虑也提出了一个更广泛的问题，即通常实施的心理治疗研究阶段是否最适合于开发适合于“现实世界”临床环境的治疗方法。我认为，研究的所有阶段都可能在临床上进行，而不是在大学环境中进行。研究基础设施的改变最初将具有挑战性，但最终可能会加速心理治疗技术的发展。
Carroll and Nuro (this issue) outline a model for development of psychotherapy manuals that parallels the recently articulated stage model of psychotherapy research. The authors outline excellent considerations for treatment manuals in early, middle, and late stages of development. As manual testing moves from pilot studies and efficacy tests in university settings to transportability studies in clinical settings, the complexity of the manuals increases. These considerations also raise the broader question, however, of whether the stages of psychotherapy research as commonly implemented are best suited for developing treatments appropriate for "real-world" clinical settings. I suggest that all stages of research are perhaps better conducted in clinical as opposed to university settings. A change in research infrastructure would be challenging at first but could ultimately accelerate development of psychotherapy technologies.