Psychodynamic Therapy in Canada in the Era of Evidence-based Practice

被引:5
|
作者
Abbass, Allan A. [1 ]
Tasca, Giorgio A. [2 ]
Vasiliadis, Helen-Maria [3 ]
Spagnolo, Jessica [4 ]
Kealy, David [5 ]
Hewitt, Paul L. [6 ,7 ]
Hebert, Catherine [8 ]
Drapeau, Martin [9 ]
Doidge, Norman [10 ]
机构
[1] Dalhousie Univ, Ctr Emot & Hlth, Halifax, NS, Canada
[2] Univ Ottawa, Sch Psychol, Ottawa, ON, Canada
[3] Univ Sherbrooke, Dept Sci Sante Communautaire, Sherbrooke, PQ, Canada
[4] Univ Sherbrooke, Dept Sci Sante Communautaire, FRQS, Sherbrooke, PQ, Canada
[5] Univ British Columbia, Dept Psychiat, Vancouver, BC, Canada
[6] Univ British Columbia, Dept Psychol, Vancouver, BC, Canada
[7] Univ British Columbia, Fac Med, Vancouver, BC, Canada
[8] McGill Univ, Dept Counselling Psychol, Montreal, PQ, Canada
[9] McGill Univ, Dept Counselling Psychol & Psychiat, Montreal, PQ, Canada
[10] Toronto Inst Psychoanal Branch, Canadian Inst Psychoanal, Montreal, PQ, Canada
关键词
psychodynamic therapy; Psychoanalysis; short-term psychodynamic; empirically supported treatment; TERM DYNAMIC PSYCHOTHERAPY; COGNITIVE-BEHAVIORAL THERAPY; TREATMENT-RESISTANT DEPRESSION; HEALTH-CARE; PSYCHOANALYTIC PATIENTS; FUNDED PSYCHOTHERAPY; PROLONGED EXPOSURE; COST-EFFECTIVENESS; CLINICAL-PRACTICE; IMPROVING ACCESS;
D O I
10.1080/02668734.2020.1803390
中图分类号
B84-0 [心理学理论];
学科分类号
040201 ;
摘要
In this article, Canadian psychotherapy researchers and teachers review the state of psychodynamic therapy (PDT) in Canada. We review the ways in which PDT has been implemented, developed and researched within the public and private sector, and how psychoanalytic and psychodynamic practitioners regionally have responded to the challenges of evidence-based practice and the emphasis on empirically supported treatments (EST) as it is defined today. We note that neglect and misrepresentation of the scientific evidence behind PDT has resulted in its marginalization. There is also a dearth of evidence collected to measure the effectiveness of implementing EST. Based on its empirical standing, we propose a model of care that incorporates PDT as an effective, evidence-based model for first line treatment, and also as an alternative for those patients who do not respond to other treatments or who express a preference for PDT or insight-oriented therapy.
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页码:78 / 99
页数:22
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