The science and practice of empirically supported treatments

Despite impressive gains over the past three decades in the development and evaluation of empirically supported psychotherapies, such treatments are not used widely by front-line practicing clinicians. In an attempt to address this science-practice gap, efforts have turned recently to constructing lists of empirically supported treatments (ESTs) and disseminating information about these treatments to professionals and the public. This effort has been met with criticism, however, by both practitioners, on one hand, and psychotherapy researchers on the other. The current procedures for identifying ESTs are critically reviewed, and recommendations are offered to improve the scientific viability of the process. It is argued that lists of ESTs are viewed most productively as one step toward the development of best practice guidelines.