Reflection on the RANZCP position on the adverse effects of psychotherapy.

IF 1.2 4区 医学 Q4 PSYCHIATRY Australasian Psychiatry Pub Date : 2024-09-04 DOI:10.1177/10398562241280362
Stephen Allison, Jeffrey Cl Looi, Steve Kisely, Tarun Bastiampillai
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Abstract

Objective: In this perspective, we investigate how the Royal Australian and New Zealand College of Psychiatrists' (RANZCP) position statement on psychotherapy takes the potential for adverse effects into account.

Conclusions: Psychotherapy has two critical outcomes - efficacy and adverse effects. Evidence-based psychotherapy is significantly more effective than care-as-usual for about one in 10 psychotherapy patients. However, a similar proportion also reports adverse effects. Despite this, the RANZCP position statement on psychotherapy focuses on efficacy with minimal discussion of the adverse effects. This is an oversight because psychiatrists have legal and ethical obligations to consider the adverse effects as well as the benefits of any treatment. We therefore reflect on the RANZCP's six recommendations in light of the adverse effects of psychotherapy.

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反思新西兰心理学会关于心理治疗不良影响的立场。
目的:我们从这个角度研究了澳大利亚和新西兰皇家精神科医学院(RANZCP)关于心理治疗的立场声明是如何考虑到潜在不良反应的:从这个角度出发,我们调查了澳大利亚和新西兰皇家精神科医学院(RANZCP)关于心理疗法的立场声明是如何将潜在的不良反应考虑在内的:心理疗法有两个关键结果--疗效和不良反应。对于大约十分之一的心理治疗患者而言,循证心理治疗的效果明显优于常规治疗。然而,也有类似比例的患者报告了不良反应。尽管如此,新西兰心理治疗协会(RANZCP)关于心理治疗的立场声明仍将重点放在疗效上,对不良反应的讨论少之又少。这是一种疏忽,因为精神科医生有法律和道德义务来考虑任何治疗方法的不良反应和益处。因此,我们根据心理疗法的不良反应来反思新西兰心理治疗委员会的六项建议。
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来源期刊
Australasian Psychiatry
Australasian Psychiatry 医学-精神病学
CiteScore
2.80
自引率
5.60%
发文量
159
审稿时长
6-12 weeks
期刊介绍: Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.
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