Evidence-Based Psychotherapy Responsiveness: The Third Task Force

Author(s):  
John C. Norcross ◽  
Bruce E. Wampold

This chapter introduces the second volume of Psychotherapy Relationships That Work and frames its work within the Interdivisional APA Task Force on Evidence-Based Relationships and Responsiveness. The book presents clinical examples, original meta-analyses, diversity considerations, training implications, and research-infused practice recommendations for nine methods of adapting or tailoring psychotherapy to clients’ transdiagnostic characteristics (attachment style, coping style, racial/ethnic culture, gender identity, therapy preferences, reactance level, religion/spiritual identity, sexual orientation, and stages of change). The chapter outlines the purpose and history of the interdivisional task force and its relation to previous efforts to identify evidence-based practices in psychotherapy. The chapter also presents the key limitations of the work.

Sexual Abuse ◽  
2019 ◽  
Vol 32 (6) ◽  
pp. 679-705
Author(s):  
Adam Deming ◽  
Jerry L. Jennings

Despite a continued evolution of the field of sexual abuser treatment toward a distinct professional discipline with clinicians using an increasing variety of treatment approaches, there is no consensus regarding the strength of our various clinical interventions as evidence-based practices (EBPs). This article provides a brief history of the development and goals of EBPs in medicine and mental health, and a review of the earnest efforts of researchers within the field to establish treatment approaches with sexual abusers as evidence-based. An appraisal of the current status of EBP’s with sexual abusers is provided. Although there have been improvements in the methodological quality of treatment outcome research with sexual abusers, divergent opinions about treatment effectiveness remain, and the field has not yet agreed on a system or set of criteria for what constitutes “evidence.” We contend that clinical practice has been influenced as much, or more, by new paradigms that are intuitively meaningful and perceived as needed than it has by what has been determined to be scientifically efficacious. This trend and other processes in our field that seem to be slowing the development of EBPs with sexual abusers are discussed. Recommendations for conducting evidence-based reviews and moving the field of sexual abuser treatment toward the use of a true EBP model are provided.


Author(s):  
Scott O. Lilienfeld ◽  
Candice Basterfield

Evidence-based therapies stemmed from the movement toward evidence-based medicine, and later, evidence-based practice (EBP) in psychology and allied fields. EBP reflects a progressive historical shift from naïve empiricism, which is based on raw and untutored observations of patient change, to systematic empiricism, which refines and hones such observations with the aid of systematic research techniques. EBP traces its roots in part to the development of methods of randomization in the early 20th century. In American psychology, EBP has traditionally been conceptualized as a three-legged stool comprising high-quality treatment outcome evidence, clinical expertise, and patient preferences and values. The research leg of the stool is typically operationalized in terms of a hierarchy of evidentiary certainty, with randomized controlled trials and meta-analyses of such trials toward the apex. The most influential operationalization of the EBP research leg is the effort to identify empirically supported treatments, which are psychotherapies that have been demonstrated to work for specific psychological conditions. Still, EBP remains scientifically controversial in many quarters, and some critics have maintained that the research base underpinning it is less compelling than claimed by its proponents.


2020 ◽  
Author(s):  
scott lilienfeld ◽  
Candice Basterfield

Evidence-based therapies stemmed from the movement toward evidence-based medicine, and later, evidence-based practice (EBP) in psychology and allied fields. EBP reflects a progressive historical shift from naïve empiricism, which is based on raw and untutored observations of patient change, to systematic empiricism, which refines and hones such observations with the aid of systematic research techniques. EBP traces its roots in part to the development of methods of randomization in the early 20th century. In American psychology, EBP has traditionally been conceptualized as a three-legged stool comprising high-quality treatment outcome evidence, clinical expertise, and patient preferences and values. The research leg of the stool is typically operationalized in terms of a hierarchy of evidentiary certainty, with randomized controlled trials and meta-analyses of such trials toward the apex. The most influential operationalization of the EBP research leg is the effort to identify empirically supported treatments, which are psychotherapies that have been demonstrated to work for specific psychological conditions. Still, EBP remains scientifically controversial in many quarters, and some critics have maintained that the research base underpinning it is less compelling than claimed by its proponents.


2022 ◽  
pp. 510-523
Author(s):  
Brandon C. S. Wallace ◽  
Yolanda Abel

Special education has the enhanced capacity to address digital literacies and storytelling, especially as parents become instrumental in the delivery of education through technology. While increasing digital opportunities for interventions and supports for students with learning exceptionalities must be a focus and consideration to improve students' outcomes, there still must be a certain level of sense-making for parents and legal guardians—particularly to strengthen student outcomes. Special educators are well positioned to help lead the work of transforming the relationships between themselves and parents. This chapter briefly explores the history of special education and race, family engagement, evidence-based practices, and opportunities to ensure that special educators help create conversations that lead to actionable opportunities to enhance and improve parent implemented interventions to incorporate families of color in the implementation of digital literacies and digitized platforms of teaching and learning.


2002 ◽  
Vol 21 (5) ◽  
pp. 31-35 ◽  
Author(s):  
Gerald Merenstein ◽  
Anita Glicken

Neonatologists, neonatal nurses, and others who care for critically ill newborns hope that the care they provide will improve the health and the neurodevelopmental outcome of these neonates. In this progressive era of neonatal medicine, we must pause to look backward even as we look forward, taking full advantage of the opportunity to reflect on our short history and to review several important events in neonatal medicine that have contributed in a meaningful way to the evolution of evidence-based neonatal care. Six interventions highlight why randomized controlled trials are necessary to understand the risks and benefits of our interventions with premature and critically ill infants. We hope this history of the evolving practice of evidence-based neonatal care will enable the reader to have a greater appreciation for the consideration of each and every intervention that we take on behalf of the infants in our care.


Author(s):  
Erik Stenberg ◽  
Luiz Fernando dos Reis Falcão ◽  
Mary O’Kane ◽  
Ronald Liem ◽  
Dimitri J. Pournaras ◽  
...  

Abstract Background This is the second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol. Methods A principal literature search was performed utilizing the Pubmed, EMBASE, Cochrane databases and ClinicalTrials.gov through December 2020, with particular attention paid to meta-analyses, randomized controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. After critical appraisal of these studies, the group of authors reached consensus regarding recommendations. Results The quality of evidence for many ERAS interventions remains relatively low in a bariatric setting and evidence-based practices may need to be extrapolated from other surgeries. Conclusion A comprehensive, updated evidence-based consensus was reached and is presented in this review by the ERAS® Society.


Author(s):  
Lynn Kern Koegel ◽  
Sunny Kim ◽  
Robert L. Koegel

The chapter “Working with Adolescents with Autism Spectrum Disorders,” in School Mental Health Services for Adolescents, provides information and guidance related to identification and referral, evidence-based practices, and service delivery issues and models for adolescents with autism spectrum disorder (ASD). The authors open the chapter with a brief history of autism, beginning with the category of Pervasive Developmental Disorder in the DSM-III in 1980, and culminating with the changes made in criteria for ASD in the DSM-5 in 2013. Next, the authors explore issues related to assessment, including diagnosis of ASD during adolescence and assessing challenges to be targeted in schools. They then describe evidence-based practices that can be implemented to train teachers and paraprofessionals, intervene with ASD, and avoid problems before they occur. Finally, the authors present service delivery issues and models when working with adolescents with ASD in secondary schools.


Author(s):  
John C. Norcross ◽  
Michael J. Lambert

This chapter introduces and frames the third edition of Psychotherapy Relationships That Work, which features dozens of original meta-analyses on what works in the relationship. The authors frame the work within the Third Intradivisional Task Force on Evidence-Based Relationships and Responsiveness. To accommodate new research, the book has grown to two volumes: one on relationship elements (what works in general) and one on treatment adaptations/responsiveness (what works in particular). The centrality of the therapy relationship, its interdependence with treatment methods, and potential limitations of the task force work are all highlighted. Frequently asked questions are also addressed. The authors hope that the book serves to repair some of the damage incurred by the culture wars in psychotherapy and to promote rapprochement between the research and practice communities.


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