Evidence-Based Practice in Psychotherapy

심리학에서의 근거기반실천(Evidence-based practice)이란 “연구를 통해 증거가 확보된 심리치료를, 임상적으로 숙련된 치료자가, 환자의 필요, 가치와 선호 등의 맥락을 고려하여 내담자에게 적용하는”(APA Presidential Task Force on Evidence-Based Practice, 2006) 의사 결정 과정이며, 궁극적으로 증거를 기반으로 한 심리측정, 사례개념화, 치료관계와 개입 등 통합적 접근을 통해 심리학적 치료의 효과를 증진시키고 공중보건의 질을 높이기 위해서 제안되었다(APA, 2006). 경험적으로 지지된 심리치료(empirically supported treatments) 패러다임 이후, 최선의 심리치료를 제공하기 위해서는 치료의 효능(efficacy) 뿐 아니라 다른 요소들 (즉, 내담자의 선호 및 가치, 임상적 전문성)이 통합되어야 한다는 주장이 제기되었다. 그 결과, 더욱 통합적 패러다임인 증거기반실천 운동이 시작되었으며 현재 미국 및 영국을 비롯한 많은 나라들에서 근거기반실천으로의 이행이 활발히 이루어지고 있다. 본 개관 논문에서는 근거기반실천에 대한 이해를 증진하고, 한국에서의 근거기반실천 시행에 기여하기 위하여 (1) 근거기반실천의 정의 및 근거기반실천의 각 구성 요소를 소개하고 (2) 근거기반실천에 대한 흔한 오해를 개괄한 뒤 이에 대한 답변을 제시하며, 마지막으로 (3) 근거기반실천을 더욱 향상시키기 위한 방안을 소개하였다.

keywords: Evidence-based practice, empirically supported treatment, randomized controlled trials, psychotherapy, 근거기반실천, 경험적으로 지지된 심리치료, 무선통제연구, 심리치료

Abstract

Evidence-based practice in psychology(EBPP) is defined as a “decision-making process of a therapist combining his/her clinical expertise and psychotherapy with best research evidence while keeping the client's needs, value and preference in mind”(APA Presidential Task Force on Evidence-Based Practice, 2006). This movement was suggested to increase the provision of effective psychological treatments and improve the quality of public health through an integrative approach covering key service dimensions such as psychometric evaluation, case formulation, and working alliance(APA, 2006). Following the paradigm of empirically supported treatments, there were criticisms and opinions calling for various important factors other than efficacy. As a result, a more integrative paradigm of evidence-based practice was introduced and now actively implemented in many countries including the U.S. and the U.K. This review article aimed to promote understanding on evidence-based practice and facilitate evidence-based practice in Korea by (1) introducing the widely accepted definition and components of evidence-based practice, (2) providing answers to common misconceptions about evidence-based practice, and (3) making suggestions to implement evidence-based practices in Korea.

keywords: Evidence-based practice, empirically supported treatment, randomized controlled trials, psychotherapy, 근거기반실천, 경험적으로 지지된 심리치료, 무선통제연구, 심리치료

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논문 상세

Vol.32 No.1

근거기반실천과 심리치료

Evidence-Based Practice in Psychotherapy

초록

Abstract

참고문헌

한국심리학회지: 일반