Details

Autor(en) / Beteiligte

• Courtois, Christine A.
• Brown, Laura S.
• Hilsenroth, Mark J
• Brown, Laura S
• Courtois, Christine A

Titel

Guideline Orthodoxy and Resulting Limitations of the American Psychological Association's Clinical Practice Guideline for the Treatment of PTSD in Adults

Ist Teil von

• Psychotherapy (Chicago, Ill.), 2019-09, Vol.56 (3), p.329-339

Ort / Verlag

United States: Educational Publishing Foundation

Erscheinungsjahr

2019

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• This article introduces the special issue in which we explore problems and limitations inherent both in the development and implementation of the American Psychological Association's (APA) Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder in Adults. As Chair (Christine A. Courtois) and member (Laura S. Brown) of the guideline development panel, we were in a unique position to observe how certain decisions made by the APA regarding how this guideline should be produced led to flaws in the final product. In this special issue, we address problems that may be inherent in many clinical practice guidelines for psychotherapists. Our authors explore the importance of a more ecologically-informed model for such guidelines, one that would take into account the body of research on the psychotherapy relationship, psychotherapy process, and a broad range of psychotherapy outcomes. We end with recommendations APA might take to generate future clinical practice guidelines that are well-founded in APA's own definitions of evidence-based practice, and more attuned to APA's increasing attention to the specialized concerns of clients who come from socially marginalized groups. Clinical Impact Statement Question: This article provides an overview of issues that have been raised about the recently published American Psychological Association's Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder in Adults and introduces the special issue on this topic. Findings: The authors agree that many of the critiques of these guidelines have merit. Meaning: Clinicians will be able to use the material in this article and those that make up this issue to help in critically analyzing and thoughtfully applying guideline findings to their work with trauma survivors, as well as to consider obtaining additional formal education in trauma treatment modalities. Next Steps: The authors recommend steps that APA should take when developing other clinical practice guidelines, most notably, that future guidelines should be integrated into the larger body of scholarship on psychotherapy process and outcome and trauma and its treatment.