How the Case of Vumile Contributes to the Evidence Base for Cognitive Therapy with Social Phobia as an Empirically Grounded Clinical Intervention

Edwards, David

doi:10.14713/pcsp.v2i1.871

Pragmatic Case Studies in Psychotherapy

2006

DOI: 10.14713/pcsp.v2i1.871

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How the Case of Vumile Contributes to the Evidence Base for Cognitive Therapy with Social Phobia as an Empirically Grounded Clinical Intervention

David Edwards

Abstract: This article is a response to commentaries by Davison (2005), S. Fishman (2006), Sanderson (2006), and Turk (2006) on Edwards and Kannan's (2006) case study, which documents the response to group therapy of Vumile, a South African student with social phobia. The case material is discussed in relation to five themes raised by the commentators: (a) the tension between structure and flexibility in manualization of treatments, (b) theoretical and practical aspects of the planning and implementation of the interven… Show more

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Cited by 2 publications

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Case studies within a mixed methods paradigm: Toward a resolution of the alienation between researcher and practitioner in psychotherapy research.

Dattilio¹,

Edwards²,

Fishman³

2010

Psychotherapy: Theory, Research, Practice, Training

121

124

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This article addresses the long-standing divide between researchers and practitioners in the field of psychotherapy, regarding what really works in treatment and the extent to which interventions should be governed by outcomes generated in a "laboratory atmosphere." This alienation has its roots in a positivist paradigm, which is epistemologically incomplete because it fails to provide for context-based practical knowledge. In other fields of evaluation research, it has been superseded by a mixed methods paradigm, which embraces pragmatism and multiplicity. On the basis of this paradigm, we propose and illustrate new scientific standards for research on the evaluation of psychotherapeutic treatments. These include the requirement that projects should comprise several parallel studies that involve randomized controlled trials, qualitative examinations of the implementation of treatment programs, and systematic case studies. The uniqueness of this article is that it contributes a guideline for involving a set of complementary publications, including a review that offers an overall synthesis of the findings from different methodological approaches.

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Case studies within a mixed methods paradigm: Toward a resolution of the alienation between researcher and practitioner in psychotherapy research.

Dattilio¹,

Edwards²,

Fishman³

2010

Psychotherapy: Theory, Research, Practice, Training

121

124

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show abstract

Collaborative Versus Adversarial Stances in Scientific Discourse: Implications for the Role of Systematic Case Studies in the Development of Evidence-Based Practice in Psychotherapy

Edwards

2007

Pragmatic Case Studies in Psychotherapy

Self Cite

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There is still a need for advocacy in the promotion of case study research because there has been insufficient appreciation of its role as a source of evidence relevant to the development and evaluation of practice in psychotherapy. Distorted use of terms like "gold standard," "anecdotal," and "empirical" in the discourse in which research methodology is typically presented has disempowered the practitioner's perspective and discredited the role of case-based knowledge building. The framework of evidence-based practice (EBP) recognizes the complementarity of different research methods and acknowledges the significance of casebased research. To spell out some of these complementary links, a typology of seven research methods -including both experimental group comparison designs and individual case studiesis proposed and the contribution of each to the development of EBP is set out. Finally some suggestions are made for strategies to promote the publication of high quality case studies.Key words: evidence-based practice; systematic case studies; scientific discourse; clinical knowledge building; randomized control trials (RCTs) There is still a need for advocacy in the promotion of case study research because there has been insufficient appreciation of its role as a source of evidence relevant to the development and evaluation of practice in psychotherapy. Miller and Miller (2005, p. 70) observe that there is considerable inconsistency with respect to the role of evidence and proof in science, and it is not uncommon for authors to shift between two different positions. On the one hand, there is an idealized demand for "objective certainty" in the establishment of absolute truths, which means that "only a narrow range of evidence" can be admitted and very little can be said with confidence. On the other hand, there is the reality of everyday practice within which "[s]ubjective opinions and consensus among scientists often supersede the stricture of irrefutibility" and "scientific standards of proof are not uniform and well-defined."

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How the Case of Vumile Contributes to the Evidence Base for Cognitive Therapy with Social Phobia as an Empirically Grounded Clinical Intervention

Cited by 2 publications

References 21 publications

Case studies within a mixed methods paradigm: Toward a resolution of the alienation between researcher and practitioner in psychotherapy research.

Case studies within a mixed methods paradigm: Toward a resolution of the alienation between researcher and practitioner in psychotherapy research.

Collaborative Versus Adversarial Stances in Scientific Discourse: Implications for the Role of Systematic Case Studies in the Development of Evidence-Based Practice in Psychotherapy

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