Pagano Joshua, Kyle Brandon N, Johnson Toni L, Saeed Sy Atezaz
Department of Psychiatry and Behavioral Medicine, Brody School of Medicine at East Carolina University, Cherry Hospital, 201 Stevens Mill Rd, Goldsboro, NC, 27530, USA.
Division of Behavioral Medicine, Department of Psychiatry and Behavioral Medicine, Brody School of Medicine, East Carolina University, Mail Stop 694, Greenville, NC, 27834, USA.
Psychiatr Q. 2017 Jun;88(2):285-294. doi: 10.1007/s11126-016-9476-5.
Evidence-based treatment and manualized psychotherapy have a recent but rich history. As interest and research have progressed, defining the role of treatment manuals in resident training and clinical practice has become more important. Although there is not a universal definition of treatment manual, most clinicians and researchers agree that treatment manuals are an essential piece of evidence-based therapy, and that despite several limitations, they offer advantages in training residents in psychotherapy. Requirements for resident training in psychotherapy have changed over the years, and treatment manuals offer a simple and straightforward way to meet training requirements. In a search limited to only depression, two treatment manuals emerged with the support of research regarding both clinical practice and resident training. In looking toward the future, it will be important for clinicians to remain updated on further advances in evidence based manualized treatment as a tool for training residents in psychotherapy, including recent developments in online and smartphone based treatments.
循证治疗和标准化心理治疗虽起步较晚，但历史丰富。随着兴趣和研究的发展，明确治疗手册在住院医师培训和临床实践中的作用变得愈发重要。尽管对于治疗手册尚无统一的定义，但大多数临床医生和研究人员都认同，治疗手册是循证治疗的重要组成部分，并且尽管存在一些局限性，但它们在培训住院医师进行心理治疗方面具有优势。多年来，心理治疗住院医师培训的要求发生了变化，而治疗手册提供了一种简单直接的方式来满足培训要求。在仅针对抑郁症的搜索中，出现了两本在临床实践和住院医师培训研究支持下的治疗手册。展望未来，临床医生紧跟循证标准化治疗作为培训住院医师进行心理治疗工具的进一步进展，包括基于网络和智能手机治疗的最新发展，将非常重要。
