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Evidence-based practice: paradigm of the times

Evidence-based practice: paradigm of the times

While the notion of psychology as an empirical science has been present throughout its history, a critical event in the United States of America (USA) began a process that is presently embodied in the widely-used colloquial (and controversial) term, ‘Evidence-Based Practice’. In 1995, upon the urging of the American Psychological Association’s Division 12 (Clinical Psychology) president, David Barlow, a task force developed criteria for the validation of psychological therapies/techniques utilizing methodologies similar to the Randomized Control Trials experimental standard used by the USA’s Food and Drug Administration to approve pharmaceuticals. This operational definition began an ongoing seismic conflict within the field as to what constitutes effective therapeutic work, with terms changing from ’empirically-validated treatments’ to ’empirically-supported treatments’ to, at present, ‘evidence-based practice’ or ‘best practices’. The conflict’s central tenet involves the inherent difficulty – some would argue impossibility – of generalizing from experimental research conditions and participants to everyday practice and consumers of psychological services who have little, if any, resemblance to subjects of research.

Gordon Paul’s 1967 question, What treatment, by whom, is most effective for this individual with that specific problem, under which set of circumstances, and how does it come about? resonates loudly in reference to evidence-based practice. The premise of evidence-based practice is a complicated and political struggle in the USA and globally. The implications for the practice, training, education, supervision, and research of psychotherapy are incalculable. The importance of consumer feedback is essential to this paradigm, as too often their voices are excluded.

Areas of Interest / Categories: Practice, Psychology, Science, Training Development, WCP 2011

WCP 2011

Defining the concept of spirituality among Filipino counselors and clients.

The individual and the couple in the context of the perinatal experience. A dream or a nightmare?

"There is no such thing as marriage - merely two scapegoats sent out by their families to perpetuate themselves". Whittaker & Keith 1981. This presentation will explore the experience of Anxiety and Depression for both men and women, in the perinatal period. The perinatal period offers a unique opportunity to provide comprehensive care for parents diagnosed with perinatal Anxiety and/or Depression. There is significant evidence that the partner's risk for developing a related Anxiety or Depression, is increased from 4.8% to 36% at 6 weeks postnatally. 

The universality of infant-parent psychotherapy - a South African model

The birth of the democratic South Africa opened up the possibility of meeting with fellow citizens who had previously been kept apart.  Since 1995 a model of  infant-parent psychotherapy has been developed resulting in a mental health service which has come to be valued within the community.

Complex trauma: voices of healing

Within the context of the recent natural disasters occurring around the world, attention has been focussed on trauma's psychological consequences. The trauma spotlighted here is on that of childhood maltreatment and the effects on subsequent adult life. Described in this paper are experiences of recovery from patient perspectives, and an examination of how these are different from, and interact with, representations of therapy derived from published expert theoristpractitioner experience. It is based on a phenomenological study of reports from seven women with histories of chronic childhood maltreatment. These women have since been through significant recovery from dissociative symptoms, and it is this part of their journey that was the focus of this research. From the data, two models are proposed.

Clinical dream incubation and body

For 1000 years during the beginning of Western medicine (500 B.C. - 500 A.D.,) of the hundreds of medical treatments offered at the time, only dream-based medicine was ubiquitously practiced throughout

The Light In Darkness - Art-therapy, a powerful tool in Palliative Care!

Over the years, we as health care providers have proven that a good perinatal preparation, a good birthing process and a good postnatal care ensures the physical and mental well being of the newborn and his mother. A similar opportunity for quality outcome should be afforded at life`s final phase - preparation and a good 'gateway' for the dying person, as well as a good follow - up period of those left behind. A good death needs guidance to settle outstanding issues, to articulate values, beliefs and doubts and to live the remaining period of life in the fullest and most meaningful way. Early contact is pivotal to learn about our client and his life history. This time is needed to build our client`s trust, to endorse our commitment, and to collect the tools needed to guide him through the gateway and when taking his last breath. It is equally important to meet the immediate needs of his family and to develop the crucial trusting partnership that will ensure a good dying process for their loved one in setting of his choice, and a better acceptance of their loss. It is realistic to assume that people in the future will invest in their final time. 

Lateral violence and Indigenous peoples.

Lateral violence occurs when the violence associated with oppression is internalised by those who are oppressed, and redirected between the members of the oppressed group. Among Aboriginal and Torres