Evidence-based psychoanalytic case study-prize

Clarke, Jeremy

doi:10.1080/02668734.2021.1922209

Cited by 2 publications

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“…We are simply not open enough to inter‐disciplinary studies using empirical methods, including randomized controlled trials, to secure our place in clinical guidelines. Nor do we use case studies to help build scientific knowledge (Clarke, 2021a; McLeod & Elliott, 2011; Morgan, 2019); scientific models, or scientific theories (Morgan and Morrison, 1999); or even useable scientific data (Barkham et al., 2010), by putting these together (Cartwright et al., 2022). We badly need to update our ways to generate useful psychoanalytic knowledge (see Figure 10).…”

Section: Conclusion: Can Psychoanalysts In the 21st C Step Up To Lead...mentioning

confidence: 99%

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Clarke

2023

Appl Psychoanal Studies

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In the UK in 2007 a national experiment was initiated with the aim of tackling “Britain's Biggest Social Problem”—Depression. Improving Access to Psychological Therapies (IAPT) was devised as the solution. A universal free‐to‐access talking therapies program would make available evidence‐based treatment to all adults with depression. NICE (National Institute for Health and Care Excellence), the body that decides on what is cost‐effective, said CBT, not antidepressants, should be its first line offer. The starting gun was fired. The promise from IAPT was 3‐fold: to scale up access to CBT rapidly; to achieve recovery targets that would reduce the prevalence of depression over time; and—most ambitious of all—to ensure the Treasury would see a return on its investment by reducing the economic burden from depression. People who were on invalidity benefits due to depression would be supported back into employment. It was a New Deal for depression. As well as for CBT. But did it work? A decade and a half on with IAPT, are we in any position to give an answer? This paper will seek to draw lessons about “What Worked”, and what didn't, to ask ourselves a question: are we—those of us in the applied psychoanalytic community—willing to garner what can be learned from IAPT to advocate a new deal for evidence‐based psychoanalysis? Faced with challenges from unemployment and widening inequalities, against a backdrop where global economic recovery must heed the existential threats from climate change and ongoing warfare, to say nothing of the scale of loss and grief for those already impacted by bereavement due to the pandemic, the need for some such deal could not be more urgent.

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Section: Conclusion: Can Psychoanalysts In the 21st C Step Up To Lead...mentioning

confidence: 99%

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Clarke

2023

Appl Psychoanal Studies

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Un New Deal per le terapie psicodinamiche: lo psicoanalista come burocrate di strada

Clarke

2024

Psicoterapia E Scienze Umane

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In Inghilterra nel 2007 è stato avviato un esperimento nazionale con l'obiettivo di affrontare "il più grande problema sociale del Paese": la depressione. È stato così lanciato il programma Impro-ving Access to Psychological Therapies (IAPT), che consiste nell'offrire terapie psicologiche evidence-based a tutti i pazienti con depressione e ansia. Il NICE (National Institute for Health and Care Excellence) stabilì che la terapia cognitivo-comportamentale (cognitive-behavior therapy [CBT]), non i farmaci, doveva essere la prima scelta. La via era spianata. Lo IAPT si propose tre obiettivi: aumentare rapidamente l'accesso alla CBT, diminuire la prevalenza di depressione e an-sia e, il più ambizioso, ottenere un guadagno per le casse dello Stato riducendo il peso economico della depressione, cioè abbassando le assenze lavorative per malattia. Era un New Deal per la depressione, e anche per la CBT. Ma ha funzionato? Noi psicoanalisti siamo disposti a cogliere ciò che ci ha insegnato lo IAPT e sostenere un New Deal per la psicoanalisi evidence-based? Di fron-te alle sfide della disoccupazione, delle crescenti disuguaglianze, del cambiamento climatico, delle guerre e dei lutti dovuti alla pandemia di COVID-19, la necessità di questo New Deal non può essere più urgente.

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Evidence-based psychoanalytic case study-prize

Cited by 2 publications

References 0 publications

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Un New Deal per le terapie psicodinamiche: lo psicoanalista come burocrate di strada

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