Munder Thomas, Flückiger Christoph, Leichsenring Falk, Abbass Allan A, Hilsenroth Mark J, Luyten Patrick, Rabung Sven, Steinert Christiane, Wampold Bruce E
Department of Psychology University of Zürich Switzerland.
Department of Psychosomatics and Psychotherapy Justus-Liebig-University Gießen Germany.
Z Psychosom Med Psychother. 2019 Jun;65(2):178-182. doi: 10.13109/zptm.2019.65.2.178.
: Background regarding a recent debate between Cuijpers et al. (2019a, b) and the authors (Munder et al. 2019) about the efficacy of psychotherapy for depression is given. : A main reason for the discrepancy in Cuijpers et al.'s and our conclusions is discussed. : In our view the discrepancy is due, among other things, to a blurred distinction between questions of relative and absolute efficacy of psychotherapy. Although the efficacy of psychotherapy vis-à-vis alternative treatments may be ambiguous, there can be little doubt about the benefits of psychotherapy relative to no treatment. : We do not think that raising fundamental concerns about the value of psychotherapy is a service to the field. We argue that moving the field forward requires a focus on how psychotherapy works and how the access to psychotherapy can be increased.
介绍了近期Cuijpers等人(2019a,b)与作者(Munder等人,2019)之间关于抑郁症心理治疗疗效的争论背景。讨论了Cuijpers等人与我们结论存在差异的一个主要原因。我们认为,这种差异除其他因素外,是由于心理治疗相对疗效和绝对疗效问题之间的区分模糊所致。尽管心理治疗相对于其他替代治疗的疗效可能不明确,但心理治疗相对于不治疗的益处几乎毋庸置疑。我们认为,对心理治疗价值提出根本性担忧对该领域并无益处。我们认为,推动该领域向前发展需要关注心理治疗的作用方式以及如何增加心理治疗的可及性。