Baker Timothy B, McFall Richard M
School of Medicine and Public Health, Department of Medicine, University of Wisconsin.
Department of Psychological and Brain Sciences, Indiana University.
Psychotherapy (Chic). 2014 Dec;51(4):482-6. doi: 10.1037/a0036563.
Baker, McFall, and Shoham (2008) analyzed and critiqued the state of training in clinical psychology, asserting that much of this training is not sufficiently influenced by science. They asserted that the emergent demands of health care, with its attendant costs and resource constraints, require that mental and behavioral health care become increasingly efficient, effective, and cost-effective. Baker et al. (2008) then offered examples of how science-based evidence and methods could influence training in clinical psychology to achieve those goals. Laska, Gurman, and Wampold (2014, pp. 467-481) critiqued aspects of the Baker et al. (2008) paper. In the current paper, we argue that Laska et al. (2014) misconstrued points made in the early Baker paper. We also assert that evidence of common factors in psychological interventions is in no way antithetical or problematic to a science-based approach to clinical training and application. Further, we argue for a multidimensional approach to evaluating intervention performance, one that involves an evaluation of efficacy, effectiveness, cost-effectiveness, translation potential, and so on. Finally, we discuss how researchers can most efficiently develop intervention methods and delivery systems that are superior to the induction of common factors per se.
贝克、麦克福尔和肖姆(2008年)分析并批评了临床心理学的培训现状,宣称这种培训大多没有受到科学的充分影响。他们称,医疗保健的新需求及其随之而来的成本和资源限制,要求心理和行为保健变得越来越高效、有效且具有成本效益。贝克等人(2008年)随后列举了基于科学的证据和方法如何能够影响临床心理学培训以实现这些目标的例子。拉斯卡、古尔曼和万波尔德(2014年,第467 - 481页)批评了贝克等人(2008年)论文的一些方面。在本论文中,我们认为拉斯卡等人(2014年)误解了早期贝克论文中的观点。我们还宣称心理干预中共同因素的证据与基于科学的临床培训和应用方法绝非对立或存在问题。此外,我们主张采用一种多维方法来评估干预效果,这种方法涉及对疗效、有效性、成本效益、转化潜力等方面的评估。最后,我们讨论研究人员如何能够最有效地开发出优于单纯诱导共同因素的干预方法和实施系统。