The Utility of Systematic Reviews: The Case of Psychological Debriefing after Trauma

Sensky, Tom

doi:10.1159/000070780

Cited by 17 publications

(13 citation statements)

References 27 publications

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“…Sensky [63, 64] illustrates the methodological integration required for the interpretation of meta-analysis results. Feinstein [56] had also warned against the authoritative aura given to collections of ‘best available evidence’, which may lead to major abuses that produce inappropriate guidelines or dogmas for clinical practice.…”

Section: Treatment Ingredients and Evidence-biased Psychiatrymentioning

confidence: 99%

The Intellectual Crisis of Psychiatric Research

Fava¹

2006

Psychother Psychosom

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The aim of this paper was to examine the intellectual crisis and the potential sources of reveille in clinical research in psychiatry. Current prevailing conceptual models in psychiatry are critically examined, with particular reference to neurobiology, clinical psychopharmacology, assessment, and the therapeutic process. Biological reductionism, neglect of individual responses to treatment, massive propaganda from the pharmaceutical industry, misleading effects of psychometric theory on clinical assessment, and lack of consideration of multiple therapeutic ingredients and of the role of psychological well-being are identified as major sources of an intellectual crisis in psychiatric research. The conceptual crisis of psychiatry is shared by other areas of clinical medicine and stems from a narrow concept of science that neglects clinical observation, the basic method of medicine. A unified concept of health and disease may yield new clinical insights in psychiatric disorders, and may result in therapeutic efforts of more enduring quality than current strategies.

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Section: Treatment Ingredients and Evidence-biased Psychiatrymentioning

confidence: 99%

The Intellectual Crisis of Psychiatric Research

Fava¹

2006

Psychother Psychosom

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“…Two of these [8, 9] were circumscribed in their aims, while the other two [6, 7] were more ambitious in their scope. Direct comparisons between these four reviews are complicated because they did not share precisely the same objectives, nor precisely the same selection criteria for the primary studies they included [10]. The comments below apply particularly to these latter two reviews.…”

Section: Limitations Of Current Meta-analysesmentioning

confidence: 99%

The Effectiveness of Cognitive Therapy for Schizophrenia: What Can We Learn from the Meta-Analyses?

Sensky¹

2005

Psychother Psychosom

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“…If such a subgroup exists, its features should be identified to allow PD to be used only for that subgroup. It is also possible that PD’s effect might vary according to features of the trauma and of the victim [16]. …”

Section: Introductionmentioning

confidence: 99%

Alternatives to Debriefing and Modifications to Cognitive Behavior Therapy for Posttraumatic Stress Disorder

Belaise

Fava

Marks

2005

Psychother Psychosom

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Background: Psychological debriefing uses brief unsystematic exposure, and is ineffective for posttraumatic stress symptoms and disorder. Systematic exposure alone and cognitive restructuring alone are each effective. Other approaches too may be useful. Methods: The treatment of 3 posttraumatic stress disorder (PTSD) patients is detailed in which there was no exposure to the main traumatic event.There was exposure to related cues in case 1, exposure to related and other cues followed by well-being therapy (WBT) in case 2 and WBT in case 3. Results: The 3 patients improved enduringly, confirming earlier findings that exposure to the main trauma is not essential for PTSD to improve. Conclusions: A study is needed of therapeutic mechanisms in PTSD and of the value of WBT in a randomized controlled trial.

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The Utility of Systematic Reviews: The Case of Psychological Debriefing after Trauma

Cited by 17 publications

References 27 publications

The Intellectual Crisis of Psychiatric Research

The Intellectual Crisis of Psychiatric Research

The Effectiveness of Cognitive Therapy for Schizophrenia: What Can We Learn from the Meta-Analyses?

Alternatives to Debriefing and Modifications to Cognitive Behavior Therapy for Posttraumatic Stress Disorder

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