PSYCHOTHERAPY AND PSYCHIC CHANGE, BETWEEN EVIDENCE BASED ON PRACTICE, AND PRACTICE BASED ON EVIDENCE. A RELATIONAL REFLECTION ON PSYCHOTHERAPY IN THE XXI CENTURY

This paper proposes a reflection, from an intersubjective and relational perspective, on the following questions: What are the interventions and treatments in the context of current clinical practice in Mental Health? What kind of scientific theory and method is applicable to clinical practice? What is and what is not a pseudotherapy, and what are the biases of this pseudo-controversy? What evidence should we recognize as relevant and incorporate into our interventions? Are we aware of the need to evaluate our healthcare psychotherapeutic practice? How should we evaluate our interventions, to contribute to their improvement, and to the increase in the quality of subsequent interventions? Is it a mainly quantitative or qualitative evaluation? After examining these questions, it is proposed to focus our attention on the quality criteria of a psychotherapy based on the dialectic between practice and research, as well as on identifying some of the mega-trends that are expected to mark the evolution of the needs of psychotherapy throughout the 21st century, around which some ways of reflection are opened.