循证心理治疗解析

The Evidence Used to Improve Psychotherapy Service

心理治疗服务的有效性得到研究证据支持,但在临床中采用循证实践很难。本文简介心理治疗循证实践的模式、研究成果和现状,分析工作中推行循证实践困难的原因,介绍一种新循证方式——循效施治。该方式能被整合到心理治疗中,以一种临床治疗师不感到胁迫的方式使其积极参与收集和反思证据的过程,并且允许其以创新方式将证据运用到实践中。

Psychotherapy services have been proved effective by a large amount of research evidence. However, applying ew idence--based practice in routine clinical settings presents particular challenges. This paper outlines evidence--based prac- tice in psychotherapy, analyzes the reasons of challenges, and argues for a new approach--outcome--informed care. It enables clinicians to become engaged in the process of reflecting on evidence in a non--threatening way and allows innovative ways of enhancing reflective practice by linking evidence with practice in routine settings.