What is "evidence" in psychotherapy? : revising the concept of "evidence-based"

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  • 心理療法における「エビデンス」とは何か --Evidence-basedの概念の再検討を通して--
  • シンリ リョウホウ ニ オケル 「 エビデンス 」 トワ ナニ カ : Evidence-based ノ ガイネン ノ サイケントウ オ トオシテ

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Abstract

The concept of evidence-based medicine (EBM) has had a significant impact on the field of psychotherapy, and the concept of evidence-based practice in psychology (EBPP) was developed. However, confusion and misunderstanding about the concepts of EBM and evidence continue to be noted, and EBPP was born out of these misunderstandings. Although it was later modified in some ways, various problems have been identified from the perspective of psychological clinical practice. The objectives of this paper were (1) to clarify the essence of the philosophy of EBM and the concept of "evidence" through a review of the concept of EBM, (2) to identify the problems of EBPP, and (3) to redefine the concept of "evidence" in psychological clinical practice. As a result, three types of evidence were extracted. Based on these findings, the concept of "evidence" in psychological clinical practice was scrutinized, and the type and nature of the evidence in psychological clinical practice was examined and clarified.

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