Practice Based Evidence (PBE) and therapies: personal recommendations from the 30 years of the CORE system (Evidencia basada en la práctica (EBP) y psicoterapias: recomendaciones personales basadas en los 30 años del sistema CORE)

IF 0.2 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Studies in Psychology-Psikoloji Calismalari Dergisi Pub Date : 2022-09-02 DOI:10.1080/02109395.2022.2127235
C. Evans
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引用次数: 1

Abstract

Abstract Over the last 30 years we have seen two models of empirical evidence dominate funding for psychotherapies and for researching the psychotherapies. The first, still the dominant model, ‘Evidence-Based Practice (EBP)’ is based on Randomized Controlled Trial (RCT) evidence. More recently, Embedded Change Management (ECM) is the rising pre-paradigm, offering an alternative to EBP. I argue that neither model understands how evidence it is best shared between therapists as both are based on fundamentally flawed epistemologies and ideas of what constitutes pertinent evidence about the psychotherapies. Twenty-eight years ago, I was a co-creator of the CORE (Clinical Outcomes in Routine Exploration) system designed to support Practice-Based Evidence (PBE). I suggest that re-thinking the rather neglected PBE model at the heart of the original CORE system design might help change this situation. However, I recognize that the political models beneath both EBP and ECM create such vested interests within the ‘global North’ that real change will probably have to come from elsewhere.
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基于实践的证据(PBE)和治疗:来自核心系统30年的个人建议
在过去的30年里,我们看到两种经验证据模型主导了心理治疗的资助和心理治疗的研究。第一种,也是目前占主导地位的模式,“循证实践(EBP)”是基于随机对照试验(RCT)的证据。最近,嵌入式变更管理(ECM)是正在兴起的前范式,提供了EBP的替代方案。我认为,这两种模式都不理解如何在治疗师之间最好地分享证据,因为它们都是基于根本上有缺陷的认识论和构成心理治疗相关证据的想法。28年前,我是CORE(常规探索临床结果)系统的共同创建者,该系统旨在支持基于实践的证据(PBE)。我建议在原始CORE系统设计的核心重新考虑相当被忽视的PBE模型可能有助于改变这种情况。然而,我认识到EBP和ECM下的政治模式在“全球北方”中创造了这样的既得利益,真正的变化可能必须来自其他地方。
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