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Jan 16 notes.docx - Empirically supported treatments What...

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Empirically supported treatments What techniques are clinicians using to overcome their difficulties? - Drugs - Counselling and behavioural therapies How does a psychologist make a decision about an intervention? - Consider school of therabpy to which the clinician adheres - Consider clinical research - Consider clinical expertise based on past experience APA Task Force - Task force to come up criteria to judge what is an effective technique - A major focus was to increase awareness of such treatments and to facilitate training opportunities - Wanted scientifically supported consistency in techniques across the field Criteria for well established treatments 1. At least two good between group design experiments demonstrating efficacy in one or more of the following ways: a. SUpperior to pill or psychology placebo to another treamtment b. Equivalivent to an already est. treatment in experiments with adequate statistical power 2. A large series of single case design experimens (n> 9) deomstrating efficacy a. These experiments mus have: Used good experimental design and compared to intervention to another treatment Clinicians perspective - Guidelines put forward by the APA have led to some degree of controversy among clinicains - There are those who maintain that is desirable to identify and practise ESTs, while others oppose such restrictions Arguments in favour of ESTS (empirically supported treatments) - The value of adhering to a medical model (where treatments must be demonstrated as valuable before approval to use with patients) - The importance of continuity across training program requirements - The need to minimize therapist bias in evaluating treatment outcomes - The importance of maintaining a professional status for psychology Arguments NOT in favour of ESTS
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- Underestimation or dismissal of important aspects of the therapeutic context (eg.
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