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- W3124927778 abstract "As we are entering the new millennium, the field of psychotherapy is confronted with a number of unresolved issues and difficult challenges. Chief among them is a growing recognition of a large gap between the professional reality of practicing clinicians and the work of psychotherapy researchers. Researchers, for instance, have devoted a tremendous amount of effort toward developing empirically supported treatment protocols (Chambless & Hollon, 1998). The use of manualized treatments in clinical practice and training, however, has been the object of vigorous debates (see Elliot, 1998). The attitude toward the DSM classification system is another example of the current lack of convergence between clinical practice and empirical investigation. For most researchers, the use of DSM criteria is a sine qua non condition for increasing sample homogeneity and specificity (let alone any hope of funding). On the other hand, the reliance on symptoms and categorical assessment entailed by these criteria is perceived by many clinicians as a restrictive and frequently inadequate strategy to capture the complexity of clients’ problems, as well as the breadth and depth of change resulting from psychotherapy. In addition, clinicians frequently lament that current psychotherapy research is not informed by the phenomena they observe and the problems they deal with in their dayto-day practice. Not surprisingly, few practitioners find research findings to be a primary source of information to guide their clinical decisions. For many, the substantial rift between practice and research has been maintained, if not fostered, by the public policies that have guided research funding and that have made controlled clinical trials a priority. With a clear emphasis on treatment manuals (which frequently focus on techniques and pay little attention to interpersonal processes), strict (DSM-based) inclusion and exclusion criteria, symptom reduction, fixed-length treatment, and randomization, such funding policies have prioritized issues of internal validity and efficacy at the expense of issues of external, clinical validity and effectiveness. Although perceived as disconnected" @default.
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- W3124927778 date "1999-11-01" @default.
- W3124927778 modified "2023-09-25" @default.
- W3124927778 title "Contemporary challenges and new directions in psychotherapy: An introduction" @default.
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- W3124927778 doi "https://doi.org/10.1002/(sici)1097-4679(199911)55:11<1321::aid-jclp1>3.0.co;2-2" @default.
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