Mental disorders can as well be called psychological disorders. Totruly understand what evidence-based practice and practice-basedevidence is all about, researchers, psychotherapists and medicalpractitioners need to know about the origin of a mental disorder inpsychological treatment. They need to understand the root cause ofthe disorder as well as learn various techniques that will help thepatients to control these disorders. I vehemently hold my opinion forthe fact that psychological disorders are a serious concern. Variouschallenges as well as opportunities have emerged in the psychologicalresearch which investigates effective treatments for psychologicaldisorders among psychotherapists. The main objective of this paper isto discuss the concept of evidence-based practice and practice-basedevidence as well as to identify the controversies that are associatedwith these two concepts. Further, I will explain the methodologicalissues and challenges, as well as efficacy of psychologicaltreatments. As simple as it may sound or seem to many, this topic isa sensitive one especially to psychotherapists and researchers. Amhoping to drive a point at home and help many practitioners choosethe appropriate treatment for psychological disorders.
Efficacy, Methodological Issues and Challenges of PsychologicalTreatments
Variouspsychological disorders require various psychological treatments(Beck & Dozois, 2011). There are a number of psychologicaldisorders. Some of them are mood disorders, bipolar disorder, panicdisorder, social psychology, social psychiatry among others. Thereare a number of methodological issues and challenges that are uniqueto psychological research in treating psychological disorders. One ofthe issue and challenge that arises is basically the concern oftreatment rather than study by many practitioners as well asresearchers. For instance, in the case of psychiatry and socialpsychology, in most cases psychiatry is so much into treatment and itoverlooks study, and there are no therapeutic practices in socialpsychology. This is a very big controversy in these two psychologicaldisorders (Ernest K, 1938). There is as well, the challenge of thegap between practitioners and scientists. Most of the practitionersand therapists do not make use of treatments that are stronglysupported by scientists. Despite the fact that quite a good number ofpsychologists utilize the research and treatment of scientists in anevidence-based way, there is evidence that shows that there is a gapbetween scientists and practitioners (Lilienfeld, 2010). According toLilienfeld, just a handful of patients who have panic disorders anddepression get treatments that are supported in a scientific manner.There is considerable evidence that a good number of practitionersare still in the dark over important research since they believe thatthe research is of no use to their practices. These practitioners endup overlooking the consequences in their clinical practices (Parish &Rubin, 2011).
Inthe concept of evidence-based practice, there is a huge perceptionthat evidence-based practice (EBP) makes psychology to be acomplicated science. This eventually parallelizes its humanity(Pagoto et al., 2007). According to Steward and Chambless, clinicalevidence is far much of more value as compared to scientificevidence. Most practitioners concurred that clinical experienceslargely affects their treatment decisions whereas just a few of themagreed that treatment consequences are characterized by scientificresearch. This is a very complicated as well as extraordinary issuebetween practitioners and scientific research (Dozois, 2012).
Anothercontroversy surrounding the concepts of evidence-based practice andpractice-based evidence is criticism of scientific research.Practitioners argue that scientific research may not necessarily leadto clinical or medical practice. This shows that there is a hugedifference effectiveness and efficacy thus creating a controversybetween medical practitioners and scientific researchers. This makesmost practitioners and clinicians not rely on scientific literatureand research. As mentioned earlier in this paper, there is a huge gapbetween social psychology and psychiatry. This is marjorly based onthe fact that practice-based evidence and evidence-based practice donot have a common ground. Primarily, psychiatry is characterized bytreatment rather than study. On the other hand, social psychologydoes not practice the art of therapy.
Insummary, it will be a wrong approach to say that there is a concreteconclusion or solution to these controversies. All in all, there hasto be a common ground between practitioners and scientificresearchers. This will help to solve numerous controversies thatemerge in the treatment of psychological disorders. There is a greatneed to fill the gap between practitioners and scientificresearchers. They both need each other to come up with a concisetreatment for the number of psychological disorders. As Nathan andGorman reports, scientific research is needed so that there would notbe opinion (Nathan & Gorman, 1998). At some point, human memoryas well as judgement becomes fallible. So we need science as much aswe need practice. These two must co-exist. Science is needed inpractice in order for psychologists to reason in evidence-based way,at the same time practice is needed in science in order forresearchers to think in practice-based evidence.
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