The evidence missing from evidence-based practice

Bibliographic Data

ID8724903
AuthorsRichard B Stuart (Washington Sea Grant, corresponding author), Scott O Lilienfeld (0000-0003-4501-8629)
Year2007
Volume62
Issue6
Pages615-616
Publication date2007-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Psychologist (JOURNAL)
Journal identifiersISSN: 0003-066X • E-ISSN: 1935-990X
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/0003-066x62.6.615
PMID17874916
OpenAlexW2004593862
LanguageEN
Citations received8

Comments on the report by the APA Presidential Task Force on Evidence-Based Practice entitled Evidence-based practice in psychology. Regrettably, the task force report was largely silent on three critical issues. As a consequence, it omitted much of the evidence necessary for a complete picture of evidence-based practice. First, the task force report did not operationalize "evidence." Second, the task force report did not address the crucial problem of iatrogenic treatments. Third, the task force report said little about the necessity for ongoing objective evaluation of clinical cases, which is critical to ethically responsible services. Current debate centers on how research findings should be factored into interventions, not on whether it is necessary to do so. Rather than waiting for the resolution of competing views on the matter, psychologists bear an ethical obligation to offer evidence-informed services. Three critical steps that were largely neglected by the task force report can go far toward helping psychologists honor that commitment: (a) providing a clearer operationalization of scientific evidence, (b) using current research to rule out the use of potentially harmful methods, and (c) using objective criteria to evaluate all of their cases on an ongoing basis. These steps, in turn, clarify the menu of options available to therapists, help protect clients from harm, and offer the advantage of allowing clinicians to contribute to the growing body of knowledge about what does and does not work in psychotherapy

Alternative medicine · Engineering ethics · Epistemology · Evidence-based medicine · Evidence-based practice · Harm · MEDLINE · Obligation · Operationalization · Political science · Psychiatry · Psychological intervention · Scientific evidence · Task (project management · Task force · Counseling Practices and Supervision · Medicine · Psychology · Law · Social Psychology

Tools

Open DOI