循证心理治疗述评与展望

On Evidence-based Practice Movement in Psychology

循证心理治疗是传统心理治疗受循证医学影响,在其实践领域引发的一场观念与操作的双重变革。它主张把研究者得出的最佳证据、治疗者的临床技能以及病人的人格、文化与偏好三者整合起来,以期达到最佳的治疗目的。该文按实证支持治疗与循证实践两个阶段概述了循证心理治疗的发展历史及主要理念,并对其存在的问题及发展趋势进行了述评与展望。

Evidence-based psychotherapy is an idea and performance reform in the dinical practice of psychology which is influenced by evidence-based medicine. It proposes to integrate the best available evidence provided by researchers, the clinical expertise of practitioners, and the patient＇s characteristics, cultures and preferences, so as to achieve the best treatment. The development of evidence-based psychotherapy can be divided into two stages： empirically supported treatments and evidence-based practice. This paper reviews existing problems as well as developing tendencies.