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Some comments on empirically supported treatments

S L Garfield1

  • 1Department of Psychology, Washington University, St. Louis, Missouri 63130, USA.

Journal of Consulting and Clinical Psychology
|March 7, 1998
PubMed
Summary
This summary is machine-generated.

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Recent psychotherapy research emphasizes empirically supported therapies. However, this focus may overlook crucial patient and therapist factors influencing positive outcomes in mental health treatment.

Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Recent advancements in psychotherapy highlight empirically supported therapies (ESTs) for specific psychiatric disorders.
  • While ESTs offer empirical validation, the proliferation of specialized therapies raises concerns about accreditation and training standards.
  • An overemphasis on specific therapeutic modalities may overshadow the significance of individual patient and therapist variables.

Purpose of the Study:

  • To critically evaluate the trend towards empirically supported therapies in psychotherapy.
  • To examine the potential drawbacks of focusing solely on specific therapy forms.
  • To advocate for research that identifies key patient and therapist characteristics contributing to therapeutic success.

Main Methods:

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  • This study involves a critical review and conceptual analysis of current trends in psychotherapy research and practice.
  • It synthesizes existing literature on empirically supported therapies and their impact on clinical training and outcomes.
  • The analysis focuses on the theoretical implications of prioritizing specific therapeutic techniques over broader relational factors.
  • Main Results:

    • The emphasis on empirically supported therapies, while valuable, risks fragmenting the field and potentially devaluing non-specific factors.
    • There is a critical need to balance the pursuit of specific treatment efficacy with an understanding of the universal mechanisms of change.
    • The current focus may inadvertently diminish the importance of patient-therapist relationship dynamics and individual patient characteristics.

    Conclusions:

    • Future research must investigate the interplay of specific techniques and non-specific factors, including patient and therapist variables, to understand therapeutic change.
    • A more holistic approach to psychotherapy research and practice is needed, integrating empirical support with individual patient needs and therapeutic alliance.
    • Re-evaluating training and accreditation standards may be necessary to ensure comprehensive therapist competency beyond technique-specific knowledge.