Barry Duncan
نویسنده
چکیده
1. What exactly is an evidenced-based practice? It usually means an approach that has established itself better than placebo or treatment as usual in two clinical trials. Such demonstrations are nothing to write home about; intervention of nearly any kind has demonstrated its superiority over placebo for 50 years! This research tells us nothing that we already do not know: Treatment works. So, when Multisystemic Therapy (MST) says that it is an evidence based practice, it only means that it is better than no treatment or treatment as usual, not any other systematically-applied form of treatment. When Ontario implemented MST province-wide, they found that MST was no better than treatment as usual (probation officer visits in this case) as did an independent meta-analysis conducted by the Cochrane/Campbell foundation. Is MST worth the cost of implementation?
منابع مشابه
'Beckett on the Wards': medical humanities pedagogy and 'compassionate care'.
To cite: Heron J, Barry E, Duncan F, et al. Med Humanit 2016;42:63–64. To be ‘compassionate’ is to share the passion— etymologically, to suffer together. For some clinicians, there is an understandable tension between this compassion (to feel pity) and the imperative of diagnosis (to know thoroughly). This tension became an explicit concern of the 2013 ‘Beckett on the Wards’ medical humanities ...
متن کاملThe Partners for Change Outcome Management System (PCOMS) revisiting the client's frame of reference.
Despite overall psychotherapy efficacy (Lambert, 2013), many clients do not benefit (Reese, Duncan, Bohanske, Owen, & Minami, 2014), dropouts are a problem (Swift & Greenberg, 2012), and therapists vary significantly in success rates (Baldwin & Imel, 2013), are poor judges of negative outcomes (Chapman et al., 2012), and grossly overestimate their effectiveness (Walfish, McAlister, O'Donnell, &...
متن کاملRorty, Williams, and Davidson: Skepticism and Metaepistemology
We revisit an important exchange on the problem of radical skepticism between Richard Rorty and Michael Williams. In his contribution to this exchange, Rorty defended the kind of transcendental approach to radical skepticism that is offered by Donald Davidson, in contrast to Williams’s Wittgenstein-inspired view. It is argued that the key to evaluating this debate is to understand the particula...
متن کاملSouthwestern and Rocky Mountain Division.
ALASKA DIVISION Gunter E. Weller Irma Duncan President Executive Secretary PHYSICS (B) CHEMISTRI Edwin M. McMillan Thomas E. RoIf M. Sinclair Leo Schube SOCIAL AND ECONOMIC SCIENCES (K) Robert K. Marton Harvey Sapolsky EDUCATION (Q) DENTISTR Gordon Swanson Martin C Phillip R. Fordyce Sholom F PACIFIC DIVISION John 0. Isaacs Robert T. Orr President Secretary-Treasurer Y(C) .Taylor "I RICHARDH BO...
متن کامل