Distinction, limites et complémentarité des recherches d’efficacité potentielle et d’efficacité réelle : nouvelles perspectives pour la recherche en psychothérapie
“…From these debates certain shared ideas appear to have emerged. Alongside the idea that randomised controlled trials (RCTs) should not be the only method in counselling and psychotherapy research, three objectives have been highlighted: (a) the need to develop studies in natural conditions (Thurin & Briffault, ); (b) to extend the evaluation of results to include the investigation of the psychotherapeutic process itself in order to better understand the conditions, causes and mechanisms of change; and (c) to reduce the gap between clinicians and researchers (see, Goldfried & Wolfe, ; Thurin &Thurin, ).…”
Background/Objective: With increasing awareness of some of the limitations of randomised controlled trials as the ‘gold standard’ of psychotherapy evaluation, researchers at the start of the twenty‐first century have focused on a number of new priorities: developing studies in natural conditions; investigating the psychotherapeutic process to better understand the conditions, causes and mechanisms of change; and reducing the gap between clinicians and researchers. Can these three interrelated objectives be combined? Method: A French psychotherapy practice‐based research network (PRN) is used as a field of research for these issues. A survey was used to investigate the conditions that encouraged the clinicians to participate in the PRN study within the context of clinicians’ general opposition to research. Results: Several elements emerged as the key to clinicians’ positive involvement in research: the methodology implemented (intensive case studies during one year); the choice of measures; the constant attention to the practicalities and the potential contribution of studies to clinical practice; the organisation of work in peer groups; the training methods; the use of new information technologies and the sense of participation in a project that would support the profession. Implications: These elements are briefly discussed in relation to the question of how best to encourage clinicians to engage with research.
“…From these debates certain shared ideas appear to have emerged. Alongside the idea that randomised controlled trials (RCTs) should not be the only method in counselling and psychotherapy research, three objectives have been highlighted: (a) the need to develop studies in natural conditions (Thurin & Briffault, ); (b) to extend the evaluation of results to include the investigation of the psychotherapeutic process itself in order to better understand the conditions, causes and mechanisms of change; and (c) to reduce the gap between clinicians and researchers (see, Goldfried & Wolfe, ; Thurin &Thurin, ).…”
Background/Objective: With increasing awareness of some of the limitations of randomised controlled trials as the ‘gold standard’ of psychotherapy evaluation, researchers at the start of the twenty‐first century have focused on a number of new priorities: developing studies in natural conditions; investigating the psychotherapeutic process to better understand the conditions, causes and mechanisms of change; and reducing the gap between clinicians and researchers. Can these three interrelated objectives be combined? Method: A French psychotherapy practice‐based research network (PRN) is used as a field of research for these issues. A survey was used to investigate the conditions that encouraged the clinicians to participate in the PRN study within the context of clinicians’ general opposition to research. Results: Several elements emerged as the key to clinicians’ positive involvement in research: the methodology implemented (intensive case studies during one year); the choice of measures; the constant attention to the practicalities and the potential contribution of studies to clinical practice; the organisation of work in peer groups; the training methods; the use of new information technologies and the sense of participation in a project that would support the profession. Implications: These elements are briefly discussed in relation to the question of how best to encourage clinicians to engage with research.
“…Ce projet s'inscrit dans une approche naturaliste et pragmatique s'appuyant sur les pratiques cliniques de terrain [10]. Les résultats de cette comparaison des TAU européennes montrent qu'il existe un savoir-faire commun à tous les thérapeutes malgré leur formation psychothéra-peutique spécifique.…”
“…Ces deux principes nous ont conduit à sélectionner une méthodologie observationnelle, centrée sur le cas et mettant en relation les résultats avec le processus. Cette méthodologie permet à la fois une proximité avec la démarche clinique, une qualité d'observation plus fine et moins A c c e p t e d M a n u s c r i p t 3 globale que celle utilisée pour les études de résultats portant sur des groupes, et l'obtention d'un bon niveau de preuve [14,8].…”
Section: Questions De Départ Et Choix D'une Méthodologieunclassified
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