Competing Models of Evidence and Corroborating Research Strategies: Shaping the Landscape of Psychotherapy Research in the Era of Evidence-Based Practice

Iwakabe, Shigeru

doi:10.2117/psysoc.2013.89

Cited by 4 publications

(3 citation statements)

References 114 publications

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“…The fundamental nature of these problems has prompted a number of researchers to argue for the quantitative basis of the gold standard to be replaced by a different epistemology and methodology, such as qualitative research or empirical case study research (Iwakabe 2013). 14 However, both case study research and qualitative research methods are still contested as less systematic and therefore less useful for deriving sound evidence for EBTs (Chambless and Ollendick 2001;Nathan and Gorman 2002).…”

Section: What If the Numbers Were Taken As Speaking For Themselves?mentioning

confidence: 99%

Do the numbers speak for themselves? A critical analysis of procedural objectivity in psychotherapeutic efficacy research

Truijens

2016

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Psychotherapy research is known for its pursuit of evidence-based treatment (EBT). Psychotherapeutic efficacy is assessed by calculation of aggregated differences between pre treatment-and post treatment symptom levels. As this 'gold standard methodology' is regarded as 'procedurally objective', the efficacy number that results from the procedure is taken as a valid indicator of treatment efficacy. However, I argue that the assumption of procedural objectivity is not justified, as the methodology is build upon a problematic numerical basis. I use an empirical case study to show (1) how measurement problems practically occur in the first step of data collection, i.e. in individual symptom measurement. These problems have been discussed and acknowledged for decades, but still measurement is regarded as the best epistemic means to gain evidence on psychotherapeutic efficacy. Therefore, I show (2) how initial measurement problems are overlooked in the remainder of the methodological procedure, which harms the 'evidence-base' of psychotherapeutic EBT. Via this applied analysis, I exhibit concerns that are increasingly raised in the literature in an empirical way, to emphasize the need for a non-idealized consideration of the 'gold standard methodology' as a means towards its clinical end.

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Section: What If the Numbers Were Taken As Speaking For Themselves?mentioning

confidence: 99%

Do the numbers speak for themselves? A critical analysis of procedural objectivity in psychotherapeutic efficacy research

Truijens

2016

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“…Culture can no longer be dismissed from cross-cultural counseling and psychotherapy. In the age of evidence-based treatments (EBT) and evidence-based practice in psychology (APA Presidential Task Force on Evidence-Based Practice, 2006), research designs based on individual cases are also gaining recognition (Iwakabe, 2013), as well as types of evidence produced across cultures (Draguns, 2013), all for conducting a culturally sensitive assessment and intervention. As evidence-based practice guidelines incorporate the value preference of the client (APA Presidential Task Force on Evidence-Based Practice, 2006), it is expected that accurate assessment of individuals will enable a more active role for clients within the counseling context.…”

Section: Culturally Adapted Counseling and Psychotherapymentioning

confidence: 99%

Counseling Across Cultures: A Half-Century Assessment

Tanaka‐Matsumi

2022

Journal of Cross-Cultural Psychology

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As the Special Issue of the Journal of Cross-Cultural Psychology celebrates the 50th anniversary of the International Association for Cross-Cultural Psychology (IACCP), this article aims to summarize and track the development of counseling and psychotherapy in cultural contexts over the past half-century. When the edited volume, Counseling Across Cultures (CAC) first appeared nearly half a century ago, it sent an innovative message that culture matters in counseling and psychotherapy. The CAC editors produced six more updated editions in the succeeding years by 2016. The CAC authors examined the cultural context of accurate assessment, meaningful understanding of culture-relevant concepts, and appropriate interventions in each of the seven editions. They have surveyed universal and cultural aspects of counseling and psychotherapy according to such themes as emic and etic approaches to models of mental health, therapeutic relationships and techniques, assessment and interventions, and training needs against the IACCP’s ever-growing academic and professional activities. Research on the cultural adaptation of specific psychotherapies for specific clients should enhance access to culturally sensitive and evidence-based assessments and interventions. The need for training in multicultural awareness is expected to accelerate in the age of rapid globalization. This article affirms the contribution of the foundation-building approaches of CAC and the need for developing the interface between cross-cultural psychology and related clinical and counseling fields.

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“…For Iwakabe (2013), "the core issue lies in how to determine what constitutes evidence for the effectiveness of psychotherapy." Iwakabe reviewed four major models and frameworks of evidence: (1) empirically supported treatments, (2) empirically supported psychotherapy relationships, (3) research informed principles of therapeutic change, and (4) evidence-based practice in psychology.…”

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confidence: 99%