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Smith, J. (2007). FROM BASE EVIDENCE THROUGH TO EVIDENCE BASE: A CONSIDERATION OF THE NICE GUIDELINES. Psychoanal. Psychother., 21(1):40-60.

(2007). Psychoanalytic Psychotherapy, 21(1):40-60

FROM BASE EVIDENCE THROUGH TO EVIDENCE BASE: A CONSIDERATION OF THE NICE GUIDELINES

Jonathan Smith

The author begins by noting the almost complete absence of any recommendation for Psychodynamic Psychotherapy whether Brief or Long-term in any of the Mental Health Guidelines published by the National Institute of Clinical Excellence [NICE]. He questions the scientific validity of this position, and suggests that it is the manifestation of a destructive or regressive swing within the organization that needs to be robustly confronted. He explores the historical routes of a psychodynamic approach to panic disorder and the evidence base, including Random Control Trials, which now exists and demonstrates its efficacy. He outlines the breadth of evidence that shows the efficacy, and effectiveness in the field of Psychodynamic Therapy for anxiety and depression and a broad range of other disorders and co-morbidities. He goes on to describe the problematic nature of the guidelines' categorizations of disorders for psychodynamic practitioners. He identifies ways in which their formulaic and schematic structure is likely to have a stifling and detrimental effect upon practitioner competencies whatever the modality in which they work. The author concludes with a case vignette that illustrates these themes.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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