La evaluación de las psicoterapias: implicaciones desde el criterio del paradigma de la psicoterapia basada en las evidencias

• Martínez Rodríguez, José Manuel ^[1] ; Aguado Rodríguez, Verónica ^[2] ; Mateo León, Sabina ; Martínez Fernández, Jorge ^[3] ; Fernández Rodríguez, Blanca ^[1]
  1. [1] Instituto de Análisis Transaccional y Psicoterapia Integrativa, España
  2. [2] Aukebi Centro Psicológico, España
  3. [3] tuto de Análisis Transaccional y Psicoterapia Integrativa, España

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• Localización: Revista de psicoterapia, ISSN-e 2339-7950, ISSN 1130-5142, Vol. 35, Nº. 129, 2024 (Ejemplar dedicado a: Investigación en Psicoterapias Humanistas), págs. 39-53
• Idioma: español
• DOI: 10.5944/rdp.v35i129.41313
• Títulos paralelos:
  • The Evaluation of Psychotherapies: Implications From the Criteria of the Paradigm of Evidence-Based Psychotherapy
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• Resumen
  • español

    Los gestores del sistema de atención pública en salud mental argumentan la necesidad de que las prestaciones que corren a cargo de los presupuestos públicos sean efectivas y eficaces, algo que parece comprensible. Se apoyan en las pruebas aportadas por la Medicina Basada en la Evidencia o la Psicología Basada en la Evidencia. Sin embargo, el sistema de evidencias se creó inicialmente para facilitar la toma de decisiones de los psicoterapeutas ante casos individuales como un complemento a su experiencia clínica. Se podría hacer un uso inadecuado de las listas de evidencias en psicoterapia con la finalidad de incluir o excluir un tratamiento en la asistencia pública. Hay que recordar que los resultados de la lista de evidencias actuales no han de considerarse como definitivos y que han de ser utilizadas con precaución sin considerar que las técnicas que no tienen evidencias por el momento son ineficaces o inútiles.

  • English

    The managers of the public mental health care system argue the need for the benefits provided by public budgets to be effective and efficient, which seems understandable. They rely on the evidence provided by Evidence-Based Medicine or Evidence-Based Psychology. However, the evidence system was initially created to facilitate decision making by psychotherapists in individual cases as a complement to their clinical expertise. Evidence lists in psychotherapy could be misused for the purpose of including or excluding a treatment in public care. It should be remembered that the results of the current evidence list should not be considered as definitive and that they should be used with caution without considering that the techniques that have no evidence for the moment are ineffective or useless.

• Referencias bibliográficas
  • Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public...
  • American Psychological Association Task Force on Psychological Intervention Guidelines (1995). Template for developing guidelines: Interventions...
  • American Psychological Association. (2002). Criteria for evaluating treatment guidelines. American Psychologist, 57, 1052–1059.
  • American Psychological Association. (2004). Guidelines for psychological practice with older adults. American Psychologist, 59, 236–260.
  • American Psychological Association. (2005). Report of the 2005 Presidential Task Force on Evidence-Based Practice. Ronald F. Levant. https://www.apa.org/practice/resources/evidence/evidence-based-report.pdf
  • APA Presidential Task Force on Evidence-Based Practice (2006). Evidence-based practice in psychology. The American psychologist, 61(4), 271–285....
  • Reus, V. I., Fochtmann, L. J., Bukstein, O., Eyler, A. E., Hilty, D. M., Horvitz-Lennon, M., Mahoney, J., Pasic, J., Weaver, M., Wills, C....
  • American Psychological Association. (2019). A clinical practice guideline for the treatment of depression across three age cohorts. Washington,...
  • Andrews, G. & Harvey, R. (1981). Does psychotherapy benefit neurotic patients? A reanalysis of the Smith, Glass, and Miller data. Archives...
  • Barkham, M., Hardy, G.E. & Mellor-Clark, J. (Eds.) (2010). Developing and Delivering Practice-based Evidence. A Guide for the Psychological...
  • Bohart, A.C. y Boyd, G. A (1997). A qualitative analysis and study of outcome in psychotherapy. Paper distributed at the 1997 North American...
  • Brown, C. H., Ten Have, T. R., Jo, B., Dagne, G., Wyman, P. A., Muthén, B., & Gibbons, R. D. (2009). Adaptive designs for randomized trials...
  • Burns, P. B., Rohrich, R. J., & Chung, K. C. (2011). The levels of evidence and their role in evidence-based medicine. Plastic and reconstructive...
  • The periodic health examination. Canadian Task Force on the Periodic Health Examination. (1979). Canadian Medical Association journal, 121(9),...
  • Chambless, D. L., & Hollon, S. D. (1998a). Defining empirically supported therapies. Journal of consulting and clinical psychology, 66(1),...
  • Chambless, D.L., Baker, M.J., Baucom, D.H. et al. (1998b): Update on empirically validated therapies, II. The Clinical Psychologist, 51, 1-16
  • Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: controversies and evidence. Annual review...
  • Concato, J., Shah, N., & Horwitz, R. I. (2000). Randomized, controlled trials, observational studies, and the hierarchy of research designs....
  • Cook, S. C., Schwartz, A. C., & Kaslow, N. J. (2017). Evidence-Based Psychotherapy: Advantages and Challenges. Neurotherapeutics : the...
  • Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., Petticrew, M., & Medical Research Council Guidance (2008). Developing...
  • Del Barrio, V. (2009). Raíces y evolución del DSM. Revista de historia de la psicología, 30(2–3), 81–90.
  • Elliott, R. (2001). Hermeneutic single-case efficacy design: An overview. En K. J. Schneider, J. Bugental, & J. F. Pierson (Eds.), The...
  • Elliott R. (2002). Hermeneutic single-case efficacy design. Psychotherapy research: journal of the Society for Psychotherapy Research, 12(1),...
  • Fishman, D. B. (1999). The case for a pragmatic psychology. New York University Press.
  • Fishman, D. B., Messer, S. B., Edwards, D.J.A., & Dattilio, F.M. (Eds.). (2017). Case studies within psychotherapy trials: Expanding the...
  • Frank, J. D. (1973). Persuasion and healing: A comparative study of psychotherapy (Rev. ed.). Schocken.
  • Greenberg, J. (1994). Psychotherapy research: A clinician's view. En P. F. Talley, H. H. Strupp, & S. F. Butler (Eds.), Psychotherapy...
  • Haynes, R. B., Devereaux, P. J. & Guyatt, G. H. (2002). Clinical expertise in the era of evidence-based medicine and patient choice. Evidence...
  • Hollon S. D. (1996). The efficacy and effectiveness of psychotherapy relative to medications. The American psychologist, 51(10), 1025–1030....
  • Institute of Medicine. (2001). Crossing the quality chasm: a new health system for the 21st century. National Academy Press.
  • Institute of Medicine. (2015). Psychosocial interventions for mental and substance use disorders: a framework for establishing evidence-based...
  • Landsverk, J., Brown, H., Chamberlain, P., Palinkas, L. A. & Horwitz, S. M. (2012). Design and analysis in dissemination and implementation...
  • Lewin, S., Glenton, C., & Oxman, A. D. (2009). Use of qualitative methods alongside randomised controlled trials of complex healthcare...
  • Martínez, J.M. & Pozueta, C. (2019). Análisis Transaccional y Psicoterapia Basada en la Evidencia. Revista de Análisis Transaccional....
  • Marzillier, J. (2004). The myth of evidence-based psychotherapy. The Psychologist, Vol. 17(7), 392–395.
  • McAlister, F. A., Graham, I., Karr, G. W., & Laupacis, A. (1999). Evidence-based medicine and the practicing clinician. Journal of general...
  • McCann, P. V., & Lubman, D. I. (2014). Qualitative process evaluation of a problem-solving guided self-help manual for family carers of...
  • McHugh, R. K., & Barlow, D. H. (Eds.). (2012). Dissemination and implementation of evidence-based psychological interventions. Oxford...
  • McLeod, J. (2010). Case Study Research: In Counselling and Psychotherapy. SAGE Publications. https://dx.doi.org/10.4135/9781446287897
  • McLeod, J. & Eliott, R. (2011). Systematic case study research: A practice-oriented introduction to building an evidence base for counselling...
  • McLeod, J. (2013). An introduction to research in counselling and psychotherapy. Sage publications.
  • McLeod, J. (2017). Science and Psychotherapy: Developing research-based knowledge that enhances the effectivenes of practice. Transactional...
  • Morrow-Bradley, C. & Elliott, R. (1986). Utilization of Psychotherapy research by practicing psychologists. American Psychologist, 41,...
  • National Institutes of Health. (2004). State implementation of evidence based practices: Bridging science and service (National Institute...
  • Nathan, P. E., Stuart, S. P., & Dolan, S. L. (2000). Research on psychotherapy efficacy and effectiveness: between Scylla and Charybdis?....
  • Oakley, A., Strange, V., Bonell, C., Allen, E., Stephenson, J., & RIPPLE Study Team (2006). Process evaluation in randomised controlled...
  • Orlinsky, D. E. & Howard, K. I. (1975). Varieties of psychotherapeutic experience. Teachers College Press.
  • Palinkas, L. A., Aarons, G. A., Horwitz, S., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2011). Mixed method designs in implementation...
  • Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful Sampling for Qualitative Data...
  • Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services:...
  • Reed, G. M., & Eisman, J. (2002) Uses and misuses of evidence: Managed care, treatment guidelines, and outcomes measurement in profesional...
  • Rush A. J & Thase, M. E. (1999). Psychotherapies for depressive disorders. En M. Maj & N. Sartorius (eds.), World Psychiatric Association...
  • Rush, A. J., Thase, M. E., & Dubé, S. (2003). Research issues in the study of difficult-to-treat depression. Biological psychiatry, 53(8),...
  • Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: what it is and what...
  • Seligman M. E. (1995). The effectiveness of psychotherapy. The Consumer Reports study. The American psychologist, 50(12), 965–974. https://doi.org/10.1037//0003-066x.50.12.965
  • Shorrock, M. P. (2012). The pragmatic case study of Ed - A man who struggled with internet addiction. Counselling Psychology Review, 27(2),...
  • Stewart, R. E., Chambless, D. L., & Stirman, S. W. (2018). Decision making and the use of evidence- based practice: Is the three-legged...
  • Thase, M. E., Greenhouse, J. B., Frank, E., Reynolds, C. F., 3rd, Pilkonis, P. A., Hurley, K., Grochocinski, V., & Kupfer, D. J. (1997)....
  • Smith, M. L., & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. The American psychologist, 32(9), 752–760. https://doi.org/10.1037//0003-066x.32.9.752
  • Smith, M.L., Glass, G.V. & Miller, T.I. (1980). The benefits of psychotherapy. The John Hopkins University Press.
  • Teddlie, C. & Tashakkori, A. (2003). Major issues and controversies in the use of mixed methods in the social and behavioral sciences....
  • Wampold, B.E. (2001). The great pscyhotherapy debate: models, methods, and findings. Lawrence Erlbaum Associates Publishers, p. 128.
  • Westen, D., Novotny, C. M. & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: assumptions,...
  • Widdowson, M. (2012a). TA treatment of depression: Hermeneutic single-case efficacy design study-‘Paul.’ International Journal of Transactional...
  • Widdowson, M. (2012b). TA treatment of depression: Hermeneutic single-case efficacy design study-‘Tom.’ International Journal of Transactional...
  • Widdowson, M. (2012c). TA treatment of depression: Hermeneutic single-case efficacy design study-‘Denise.’ International Journal of Transactional...