Bridging the Gap Between Clinical Research & Clinical Practice

Bridging the gap between clinical research and clinical practice: Introduction to the special section.
Teachman, Bethany A.; Drabick, Deborah A. G.; Hershenberg, Rachel; Vivian, Dina; Wolfe, Barry E.; Goldfried, Marvin R.
Psychotherapy, Vol 49(2), Jun 2012, 97-100.
Special Section: Research-Practice Integration.
 
Abstract
This Special Section, developed by the American Psychology Association‘s Division 12 (Clinical) 2011 Committee on Science and Practice, highlights different ideas to help bridge the gap between clinical research and clinical practice, and notes recent innovations that help make research–practice integration feasible.

The articles consider how to break down the barriers to enhance researcher–practitioner dialogue, as well as how to make ongoing outcome assessment feasible for clinicians. Moreover, the articles address how to promote training in evidence-based practice, and how to translate efficacy research into clinical practice and clinical insight into empirical study to better establish a two-way bridge between research and practice.

Ultimately, we hope this series can speak to many different types of psychologists, whether they work mainly as researchers or practitioners, so they can see new ways to integrate and learn from both research and practice. \
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Way to go American Psychology Association !
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35 Comments

  1. Altus

     /  06/04/2012

    Here is a sample of Brand’s work. I did not mark this up…it was floating on the web as is. Note the mark-ups.

    https://www.ptsdforum.org/c/gallery/-pdf/1-37.pdf

    -At present, treatment outcome research on
    DID patients is limited to case studies

    -While this study’s findings are encouraging, it
    did not have a control group and had a low
    retention rate (i.e., 46%).

    -However, these studies have methodological weaknesses, including a reliance on
    small samples, single therapists, and/or treatment sites.

    -The research has been primarily
    conducted with U.S. patients and expert therapists. (Hmm…”expert” as in the minority of therapists who discover lots of DID patients when others say they have not seen one case in decades. )

    -Patients had been in treatment for an average
    of 5.0 years with the current therapist.( I heard Brand talking on NPR about a patient she had been treating for 14 YEARS!!!)

    Where the is the science to this???????? Little wonder the ISST-D publishes its own papers…the accepted standards for valid studies are lacking. I won’t even get into what Colin Ross manages to crank out for “papers.”

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  2. Altus

     /  06/02/2012

    Jeanette,

    Here is the site where I got the quote on Judith Herman…there is another quote from her cited from 1992, so I am not sure if the quote came from the same time.

    http://muse.jhu.edu/loginauth=0&type=summary&url=/journals/wsq/v036/36.1-2.suleiman.html

    Interesting that this is a Women’s Studies site. Herman, from what I can gather, is considered a feminist psychiatrist . I do find it strange that a woman who is a theorist with a feminist agenda came up with her very own diagnosis C-PTSD or complex PTSD with no clinical research to back it and it’s written about in some “research” journals as if it is universally accepted. It is not. As psychology moves to evidence based research, hopefully these terms that people just toss out with no basis in reality will fall by the wayside.

    Here’s some more info on Judith and with some insight into why she and her ideas might be so embraced by DID folks….looks like she subscribes to the pristine video camera recall of memory. Of course, this has been totally debunked by neuroscience, which begs the question, why are people using her terms like C-PTSD which rely on bogus conclusions about memory?

    http://wikis.la.utexas.edu/theory/page/recmemory

    And finally, here is a wiki on C-PTSD which states it is not recognized by the DSM.

    http://en.wikipedia.org/wiki/Complex_post-traumatic_stress_disorder

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    • Oh my, Altus. You are generous with your references – much appreciated.

      What Herman does is strange to you? Not me. As I’ve said, these theorists create new MPD/DID diagnostic categories if one doesn’t exist to perpetuate and sustain themselves, not to help mental health consumers or the advancement of psychology and/or psychiatry.

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    • Why are people using C-PTSD? Because they can. Because it satisfies customers. Because it keeps people employed. Because it is reimbursed by insurance companies.

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  3. Altus

     /  06/02/2012

    Jessica,

    Did some poking around. “Complex PTSD” is a phrase Judith Herman came up with in her book. “Trauma and Recovery.” Here’s a quote by her that is quite troubling. Judith Herman writes:

    “The patient may not have full recall of the traumatic history and may initially deny such a history, even with careful, direct questioning. . . . If the therapist believes the patient is suffering from a traumatic syndrome, she should share this information fully with the patient. Knowledge is power. The traumatized person is often relieved simply to learn the true name of her condition. By ascertaining her diagnosis,…”

    EEEK! So you slap on a PTSD diagnosis with not a shred of evidence of trauma. This is the line of reasoning (or total lack of) that supports so many DID diagnosis. Sad to say, but real PTSD is covered by insurance and I think more than a few therapists have used complex PTSD (SUSPECTED repressed trauma) to get paid. Once you get revenue you can go after multiples using parts therapy. If the patient can be convinced of a trauma that they have no recollection of, convincing them they have multiples is not that far off. In fact, the patient has put themselves into the “highly suggestible” category by believing the the therapist’s diagnosis. “You have a truama, you just forgot it–bingo….it’s called complex PTSD.” DID patients research has found are highly suggestible—so acceptance of a C-PTSD diagnosis by the patient might serve as a litmus test for DID therapy by a DID certified therapist. If the patient balks and leaves, you can move onto the next one and try it again. You can also advertise yourself as DID therapist in “Psychology Today” and get people who would tend to believe in the therapy and go right along with the diagnosis. It’s all very sad and disturbing.

    Maybe others can comment on this, but I think Judith Herman may have been a big advocate of repressed memories. I also read somewhere that she advocated hypnosis for recalling them. All of this stuff led to huge court cases where therapists lost millions, so it’s interesting that “Complex PTSD” even shows up in journals–is it showing up in the “Journal of Trauma and Dissociation” only?

    The important thing to remember is C-PTSD, is not formally recognized in diagnostic systems such as DSM or ICD. Muddying a real diagnosis, PTSD, with a phrase someone threw into a book during the height of the repressed memory movement but is not considered a valid diagnosis is just wrong.

    (Jeanette—comments are off on your “What we know…” post.)

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  4. Jessica

     /  06/02/2012

    respondering to a bunch at once:

    Oh i didnt know that journal was the isstd’s journal, i did wonder why i couldn’t pull it up in any of my schools journal archives.

    Yes that is what i found confusing about the complex-ptsd thing, I don’t get why they aren’t forced to redact that name in their journal articles.

    As for the neuro & did stuff, I’m thinking that they just take an article that proves how trauma affects the brain, and its known that trauma does affect the brain, and use that to prove did instead of just that trauma happened, i think i heard of that referred to as a strawman arguemnt once but i am unsure what a strawman arguement really is.

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