Episode 103 - Dr. Reginald York: Dodo Birds and Psychotherapy: The Controversy over Evidence-Based Practice Versus Practice-Based Evidence

Monday, September 17, 2012, 8:51:22 AM

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In this episode, Dr. Reginald York discusses the emerging controversy in clinical practice about how best to use evidence to inform psychotherapy. Dr. York describes two perspectives, evidence-based practice and practice-based evidence, noting their similarities and differences, and examines the evidence in support of each.

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Average Rating: 5stars  informative interview, Monday, January 28, 2013

By L. Isac :

This podcast is an informative summary of similarities and differences between the PBE perspective and the EBP perspective. It addresses a critical topic that can be confusing to many practitioners, leaving them unsure of how to apply either perspective to practice.

Dr. York explains that both perspectives agree that practitioners should develop collaborative relationships with clients, and that decisions should be made based on practitioner expertise and client preference. They also agree that psychotherapists should employ methods based on sound psychological theory and that evidence should be considered when choosing between these methods. The PBE perspective believes that the exact method does not matter, as long as it is based on sound psychological theories, compatible with practitioner expertise and client preference, and used in the context of a therapeutic relationship. EBP, according to Dr. York, believes that examining the evidence should lead us to choose one method over another, to treat a given client’s situation. That said, he addressed the misconception that one should only use a treatment that has the most evidence. It is not about the number of studies, but that evidence should be considered. The decision is still moderated by other factors.

One thing that was left out of the discussion is that many practitioners have a more eclectic approach, and view certain methods as techniques that can be used at different times as needed within psychotherapy. Some clinicians do not view CBT or DBT as therapy, but more as tools within psychodynamic therapy. There is an abundance of published empirical research supporting the efficacy of psychodynamic approaches to therapy. Systematic reviews and meta-analyses, as discussed by Dr. York, show that the client’s trust in the clinician, as well as other aspects of a therapeutic relationship, is more predictive of the outcome of therapy than a specific method.

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Average Rating: 4stars  simplifies an unnecessarily complicated topic, Friday, December 07, 2012

By Jonathan Singer :

This episode will be a great resource for any social work practitioner, student, or educator who is looking for a quick and clear explanation of practice-based evidence. Dr. York does a very nice job of highlighting some of the myths and misconceptions about practice-based evidence (e.g. it is a myth that all treatments are equally effective). If the sound quality were better, this would have been a 5-star review.

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