A survey of 200 psychologists published in 2005 found that only 17 percent of them used exposure therapy (a form of C.B.T.) with patients with post-traumatic stress disorder, despite evidence of its effectiveness. In a 2009 Columbia University study, research findings had little influence on whether mental-health providers learned and used new treatments. Far more important was whether a new treatment could be integrated with the therapy the providers were already offering.
一项发表于2005年的调查发现,虽然现有证据表明了暴露疗法(一种形式的认知行为疗法)对创伤后应激障碍的有效性,但该调查所涉及的200名心理医生中只有17%对其患者使用了该疗法。2009年哥伦比亚大学(Columbia University)的一项研究则显示,研究结果对心理保健服务提供者是否会学习和采用新的治疗方法影响甚微。他们更加重视的是,新的治疗方法能否整合入他们目前提供的治疗之中。
The problem is not confined to the United States. Two years ago, Dr. Waller studied C.B.T. therapists in Britain treating adults with eating disorders to see what specific techniques they used. Dr. Waller found that fewer than half did anything remotely like evidence-based C.B.T.
这一问题并不局限于美国。两年前,沃勒博士对英国的一些认知行为疗法治疗师进行了研究,并考察了他们在治疗患有进食紊乱症的成年患者时使用了哪些特定的技术。沃勒博士发现,只有不到半数的治疗师的工作带有些循证认知行为疗法的影子。
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