By John C. Norcross, Larry E. Beutler, Ronald F. Levant
Addresses primary questions within the debate on evidence-based practices (EBPs) similar to What qualifies as facts? What qualifies as learn on which to pass judgement on powerful perform? Are learn sufferers and scientific trials consultant of medical perform? Are evidence-based remedies effectively moveable to medical perform? and others. Positions are argued with ardour and intelligence. each one question-focused bankruptcy concludes with a discussion one of the participants within which they emphasize their issues of contract and war of words. the talk, interchange, and discussion layout makes this an incredible instrument for educating and dialogue. For psychological well-being practitioners, running shoes, and graduate scholars.
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Extra resources for Evidence-Based Practices In Mental Health: Debate And Dialogue On The Fundamental Questions, 1st Edition
Turning to psychological treatments, is there an EST that fits the case at hand? " Therapies for PTSD that are considered efficacious do not pertain to combat but to rape, genocide, and natural disasters (Keane & Barlow, 2002). Furthermore, many PTSD studies apply only to treatment that takes place soon after the trauma (Litz, Gray, Bryant, & Adler, 2002), which was not Tom's situation. Nevertheless, a substantial amount of empirical research on PTSD and other anxiety disorders points to two important treatment factors: anxiety management and exposure, whether in vivo or imaginal (Keane & Barlow, 2002).
Although Mrs. T is not yet fully recovered after one and a half years of therapy, she is much less subject to anxiety and mood swings, is working part time, and is functioning better on a day-to-day basis. Her medications have also been substantially reduced. The Take-Home Point in the Case of Mrs. T An EST, although of some help in this case, could not by itself cover other ground that truly mattered to this woman. Hers was not a case of pure or even typical PTSD, as is also true of many cases that are triply diagnosed or multifaceted.
As patients' relationship to the therapist deepens and comfort and trust are more firmly established, the complexity of their lives becomes apparent. The nature of their problems and the specifics for which they are seeking help seem less straightforward. In other words, unless a patient and clinician are intent on treating only the DSM disorder as such, for which there may or may not be a prescribed EST, it is necessary to take a broader view of what troubles the patient. Issues are often subtle or may be unconscious, and patients are frequently conflicted and ambivalent about how to proceed with their lives.