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The value of how counselors and psychologist consider the importance of EBP. |
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The Research Digest, suggested the importance of research for the EBP |
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EBP(Lets get the meaning) the last papers I was totally in the dark. |
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Why is research allegiance important in EBP? |
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Research is important because results can influence the confidence that policy-makers,managers and insurance companies have in effectiveness of modalities.2. Research can influence clients confidence in counseling.The third point is that they influence teachers and student of counseling and psychology have about modalities they are promoting. |
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What are the criticism of research? |
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The biggest issuse is it may be unreliable through allegiance effects. |
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He's credited with highlighting the role of researcher allegiance in psychotherapy outcome research. |
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He takes the view that counseling reseach is compromised because most researchers are practitioners for who practice effectiveness is depedent on heir allegiance to a modality. |
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McLeod paper recommended to |
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Counselors and therapist who are interested in the role allegiance may play in outcome research. |
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Toska, Taylor, Kavas & Rice written an article called Epistemology and allegiance |
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Epistemology It questions what knowledge is, how it is acquired, and the possible extent to which a given subject or entity can be known. The authors suggest that while the link between epistemology and psychotherapy process has empirical support, its lin with therapy outcomes has ye to be examined. |
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Botella and Berianin in another article on allegiance effects in psychotherapy research. |
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theses authors support the views promoted in the other papers but take a more positive view of the potential to incorporate allegiance effects into research. |
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The three papers discussed in the articles contribute |
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to constructivist approaches to research. |
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Beyond EST Probelmatic Assumptions in the Pursuit of Evidence-Based Practice. |
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1. The Paper Examines in details the scientific and logical limintations of the "EST movement and aims to place the empirical investigation of theory and practice in psychothery on sounder basic. |
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Emipirically validated (An empirical validation of a hypothesis is required for it to gain acceptance in the scientific community) |
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Fundamentally, empirical validation requires rigorous communication of hypothesis (usually expressed in mathematics), experimental constraints and controls (expressed necessarily in terms of standard experimental apparatus), and a common understanding of measurement. |
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The terms used in the article "well established", probably efficacious, "empirically validated, empirically supported or evidence-based treatments has been limiting the focus of the therapeutic efforts to a well defined problem. |
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theses terms must be understood before writing about this article. |
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The second feature of the standard "EST" criteria is perhaps even more problematic the requirement that the treatment be manualized. |
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has become widely manadorty for funding and research and training. |
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Manualization is required for for empirical support |
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empirical support means evidence to back up a theory autonomous state is where something runs itself |
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The third problematic criteria |
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EST paradigm is the insistence on RCT(Random controlled Trials) |
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to in science is respect for evidence. This is the best and most appropriate methodology for what is being studied. |
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The use of RCT's in drug trials almost always also include as an essential element, the employment of a double-blinded methodology. |
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neither the patient nor the doctor knows who is recieving the medication. |
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Misleading lists and deceptive communications |
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the two major flaws in their contentions. First, even if they literally have not said that those not on the list are not effective. Second, there is in fact a great deal of evidence supporting the efficacy of a significant range of therapies not on the "EST. |
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Article: Guidelines for Classifying Evidenece-Based Treatments in Couple and Family Therapy |
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Guidelines for EBT in Family therapy are intended to help guide clinicians, researchers, and policy makers in identifying specific clinical interventions and treatment programs for couples and families that hace scientifically based evidence to support their efficacy. |
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The Best methods to help diverse clients who seek clinical help has always been of great signifance |
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The common thread among theses efforts is the use of scientific evidence as th primary basic for the determinaion of efficacious clinical treatments and preventive intervention. |
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The clincial work of couple and family therapy is based on a unique set of relationally based principles and practices that require a different system of evaluation than does individual therapy. |
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Family and couple therapy, an evidence based classification system must go beyond the simple classification of outcomes to include context, perspective and specific mechanisms of change. |
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The matrix model that promotes consideration of the interactions between treatment, evidence, context, and mechanisms to help match clinical questions to relevant evidence. |
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The treatments and interventions of family and couple clincians are the activity/action by an interventionist in a therapeutic context for the purpose of helping the client. |
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The outcomes of the interventions are similarly important. To be accepted by practitioners, evidence-based interventions and treatments models must demonstrate clinically relevant outcomes that produce an acceptable level of absolute, relative and contextual efficacy. |
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Overall the quality of the treatment outcome studies must be considered. All research does not produce quality or reliable or compelling evidence. The research must be rigorous and tailored to the particular questions of interest. |
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The three levels of increasing evidence provide both a hierarchical index of confidence that a treatment model works. |
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Article- Evidence based practice and the future of counselling. The debate revisted. |
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Prochaska and Norcross(2007) considered to be one of the most important professional issues of the decade:the development of EP's in mental health |
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Kivlighan's comment on group therapists resistancce to using EB research in their practice. |
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Hansen views examining what was then termed Best practices to determine whether it was consistent with the traditinal values of he counselling profession.. He noted a number of mismatches that this movement had with counseling. |
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One of the concerns with Hansen, was that he noted that best practice depends on DSM diagnoses which, he suggested hace questionable validity. |
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Thomason articulates clearly the controversy surounding the promotion of EBP and ESP. He notes that some therapist feel the emphasis on using theses approaches is misguided because it moves psychotherapy to the medical model. |
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When looking at predictions in EBP have not been identified for many psychologial disorders so people with theses disorders will not receive funding assistance. |
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so a side note is:any therapy not on the is ineffective, which is, of course, not correct: |
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The article is suggest for the contoversy surrounding the medicalization of psychotherapy, and the adoption of EBP that wil be funded concerning counselling and psychotherpy, |
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The article by Maskery, Underhill, Hutchinson, Shaughnessy&Slawson is the final one in the series of five describing the use of evidence to support decisions made in clinical practices. |
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The focal point of the articles is that GP's should have the ability to demonstrate that they base their treatment and referral on best avaiable evidence. |
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The authors suggest that innovation can be stifled when practitioners are too busy to explore new treatments. |
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the authors provide a diagram strategy for practitiners to use when confronting new info and deterining if they should use it in their practice. |
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Sociological studies demonstrate that patients benefit is only one of the many factors deternming the uptake of EB inventions. |
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Article: Practice-based research and counselling psychology:A criticall review and proposal |
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Psychotherapy research and practice are ofen described as opposing domains. |
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research can be described as hard, cold, scientifiic, factual and time consuming |
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Psychotherapy research and practice can sometimes even seem hostile |
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RCT's generally rely on the DSM, but most clients don't fit the criteria |
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EBP may refer to good, clinical decision making it is based on a practitioners-as-research consumer model, which can be contrucsted very different from practitioner, outcome researcher or policy makers vantage points. |
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Practice-based research refers variously and broadly to non-experimental research, research by practitioners, research in naturalistic/routine clinical settings and therapy research paradigms such as case studies. |
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Effectiveness research is a form of outcome research defined in contrast to efficacy(outcome) |
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Counselling psychology and practice based research is mutuality and dialogue. |
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Mutal can be characterized as a marriage. |
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Practice-based research in the Uk is considered postmodern, pluralistic,qualitative, phiosophical and humanistic. |
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Practice Research Networks, infrastructure or form of research in which practitioners and researchers colloborate to co-construct research and build research. |
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Practice-based research training has emerged as a promising avenue that applies the PRN concept to the psychotherapy/applied psychology training setting. |
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