Henningsen P, Rudolf G
Psychosomatische Klinik, Universität Heidelberg.
Psychother Psychosom Med Psychol. 2000 Sep-Oct;50(9-10):366-75. doi: 10.1055/s-2000-8060.
This review article gives an overview of the state of the art of evidence-based medicine (EBM) which is contrasted with some central aspects of current psychotherapy research. In the first part, three meanings of EBM are discussed: EBM as a regulative idea, EBM as a codified method and EBM as a sociopolitical movement; it follows an evaluation of the advantages and disadvantages of randomized controlled trials (RCT). In the second part, the discussions surrounding the meta-analysis of Grawe, the "Consumer Reports" study and the so-called "Empirically Supported Treatments" are touched upon briefly; it follows a discussion of the specific problems of using RCTs in psychotherapy research and of the suggestions for more naturalistic studies in this field.
这篇综述文章概述了循证医学（EBM）的发展现状，并将其与当前心理治疗研究的一些核心方面进行了对比。在第一部分，讨论了循证医学的三种含义：作为一种规范性理念的循证医学、作为一种编纂方法的循证医学以及作为一场社会政治运动的循证医学；随后对随机对照试验（RCT）的优缺点进行了评估。在第二部分，简要提及了围绕格劳韦的荟萃分析、“消费者报告”研究以及所谓的“实证支持疗法”的讨论；接着讨论了在心理治疗研究中使用随机对照试验的具体问题以及该领域更自然主义研究的建议。
