Allison Stephen, Looi Jeffrey Cl, Kisely Steve, Bastiampillai Tarun
College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; and.
Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.
Australas Psychiatry. 2025 Feb;33(1):28-32. doi: 10.1177/10398562241280362. Epub 2024 Sep 4.
In this perspective, we investigate how the Royal Australian and New Zealand College of Psychiatrists' (RANZCP) position statement on psychotherapy takes the potential for adverse effects into account.
Psychotherapy has two critical outcomes - efficacy and adverse effects. Evidence-based psychotherapy is significantly more effective than care-as-usual for about one in 10 psychotherapy patients. However, a similar proportion also reports adverse effects. Despite this, the RANZCP position statement on psychotherapy focuses on efficacy with minimal discussion of the adverse effects. This is an oversight because psychiatrists have legal and ethical obligations to consider the adverse effects as well as the benefits of any treatment. We therefore reflect on the RANZCP's six recommendations in light of the adverse effects of psychotherapy.
从这个角度出发，我们研究澳大利亚和新西兰皇家精神科医学院（RANZCP）关于心理治疗的立场声明是如何考虑潜在不良影响的。
心理治疗有两个关键结果——疗效和不良影响。对于大约十分之一接受心理治疗的患者，循证心理治疗比常规护理显著更有效。然而，类似比例的患者也报告有不良影响。尽管如此，RANZCP关于心理治疗的立场声明侧重于疗效，对不良影响的讨论极少。这是一个疏忽，因为精神科医生有法律和道德义务既要考虑任何治疗的益处，也要考虑其不良影响。因此，我们根据心理治疗的不良影响来思考RANZCP的六项建议。
