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Limitations Of Evidence Based Practice

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Limitations Of Evidence Based Practice
III- Limitations and values of Evidence based practice research.

Therapists have to think about the clients as unique individuals, a modality of therapy that works for one child or young person might not work for another. For instance, for one of my clients who has learning disability, psychodynamic therapy does not work in the same way as it works for other children. This child’s developmental immaturity and limitation to the insight of others perception makes it difficult to work using psychodynamic approach. In this particular case psychodynamic therapy was combined with art therapy and a positive result was reached.

Cooper (2008) is in accordance with the cautious view of child psychotherapists towards EBP research findings, arguing
…show more content…
For example, a research result might be influenced by the researcher modality of therapy orientation. Some therapists also criticize EBP research, because it can devalue professional competence in making their own professional decisions, suggesting that treatments should be selected by anonymous evidence rather than by the therapist and their client. What has also been shown to be important is that the relationship between therapist and their client is crucial to the …show more content…
It should be also considered an educational process. In mental health services its aim is to reduce unnecessary differences in clinical practice and if good evidence for effectiveness of a treatment is presented this evidence should be reflected in the delivery of mental health services. However pressure is made by services requiring professionals to prove safety, effectiveness and cost effectiveness of treatment. The large number of different orientations of therapies can make it a difficult task.
Psychodynamic psychotherapy for children and adolescent has lacked in research to evaluate its effectiveness in a series of childhood disorders compared with other modalities of therapy, as for example, CBT. However in areas such as depression, anxiety and personality disorder, where methodological research has been done, psychodynamic therapy has been as effective as other modalities of therapy. The emerged evidence based practice for children and young people treatment for depression led the psychodynamic treatment being recognized as evidence based treatment in the NICE guidelines. Focusing in EBP for the effectiveness of Psychodynamic psychotherapy as a treatment for children and adolescents could potentially help to develop new approaches for the psychodynamic modality, for example, a more effective approach for the use of psychodynamic therapy for children with

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