Barriers to dissemination of evidence-based practices: Addressing practitioners' concerns about manual-based psychotherapies
Barriers to dissemination of evidence-based practices: Addressing practitioners' concerns about manual-based psychotherapies
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DOI：
10.1093/clipsy/6.4.430
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发表时间：
1999-12-01
影响因子：
5.8
通讯作者：
Hatgis, C
中科院分区：
文献类型：
--
作者：
Addis, ME;Wade, WA;Hatgis, C
在过去的几年里，有很多关于经验支持的手动裸露的心理治疗在临床实践中的适当性和可行性的争论。虽然大多数讨论都集中在循证治疗的优势或劣势，以及研究和临床实践之间的差异，很少注意到解决临床环境中从业人员的实际问题。基于现有的研究，我们的经验与培训和监督，以手动为基础的治疗，我们讨论从业者最常见的问题，包括（a）对治疗关系的影响，（B）未满足的客户需求，（c）能力和工作满意度，（d）治疗的可信度，（e）临床创新的限制，（f）可行性手动裸露的治疗。比争辩说，有担心是没有根据的，我们建议该领域必须采取的未来方向，如果循证治疗是可行的，有效的临床实践。假设这些治疗方法有很多（但不是所有）可以为临床医师提供，这导致了涉及所有对循证实践感兴趣的各方的定性和定量研究问题。
The last several years have seen much debate over the appropriateness and viability of empirically supported manual-bared psychotherapies for clinical practice. While the majority of discussions have focused on the strengths or weaknesses of evidence-based treatments, and the differences between research and clinical practice, scant attention has been paid to addressing the actual concerns of practitioners in clinical settings. Based on the available research, and our experiences with training and supervision in manual-based treatments, we discuss practitioners' most common concerns, including (a) effects on the therapeutic relationship, (b) unmet client needs, (c) competence and job satisfaction, (d) treatment credibility, (e) restriction of clinical innovation, and (f) feasibility of manual-bared treatments. Bather than arguing that there concerns are unwarranted, we suggest future directions the field must take if evidence-based treatments are to be viable and effective in clinical practice. Starting with the assumption that these treatments have much (but not everything) to offer practitioners in clinical retting leads to qualitative and quantitative research questions involving all parties with an interest in evidence-based practice.