What are the Key Characteristics of a 'Good' Psychotherapy? Calling for Ethical Patient Involvement.
empirically supported treatment
evidence-based practice
patient autonomy
patient-centered care
psychotherapy
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2020
2020
Historique:
received:
04
12
2019
accepted:
21
04
2020
entrez:
26
6
2020
pubmed:
26
6
2020
medline:
26
6
2020
Statut:
epublish
Résumé
The evidence-based practice movement clearly defines the relevant components of a good treatment. In the present article, we elaborate on how the active involvement of patients within psychotherapy can and should be increased in order to respect ethical considerations. Our arguments complement the requirements of evidence-based practice, and are independent of the actual psychotherapeutic treatment approach being used. Theoretical and ethical analysis. In order to respect patient autonomy, psychotherapy needs to be transparent and honest when it comes to disclosing the relevant factors for promoting therapeutic change. It has been argued that ethical informed consent needs to include empirically supported patient information. In this paper we go one step further: we outline that fully respecting ethical considerations in psychotherapeutic treatment necessarily calls for acknowledging and strengthening the active role of patients in the course of psychotherapy. Accordingly, patients need not only to be informed openly and transparently about the planned treatment, the treatment rationale, and the expected prognosis of improvement in the course of psychotherapy, but they also need to be actively involved in the decision-making process and during the entire process of psychotherapeutic treatment. Our arguments support the tendency that can be observed in health care in recent years towards more active patient involvement across different health-care domains, but also in clinical research. This article offers an ethical perspective on the question what defines a 'good psychotherapy', which, hopefully, will help to leave behind some of the ongoing psychotherapy debates and move the field forward.
Identifiants
pubmed: 32581856
doi: 10.3389/fpsyt.2020.00406
pmc: PMC7292227
doi:
Types de publication
Journal Article
Langues
eng
Pagination
406Informations de copyright
Copyright © 2020 Gerger, Nascimento, Locher, Gaab and Trachsel.
Références
Pain. 2016 Dec;157(12):2766-2772
pubmed: 27755279
BMJ. 2013 Jan 28;346:f167
pubmed: 23358487
Clin Psychol Psychother. 2019 May;26(3):362-377
pubmed: 30746808
J Consult Clin Psychol. 2018 Apr;86(4):301-308
pubmed: 29517254
Front Psychol. 2010 Jul 02;1:27
pubmed: 21833197
Clin Psychol Rev. 2019 Feb;67:78-93
pubmed: 30442478
Psychother Psychosom. 2015;84(4):217-26
pubmed: 26022270
Psychotherapy (Chic). 2011 Mar;48(1):72-9
pubmed: 21401277
Pain. 2014 Aug;155(8):1426-34
pubmed: 24780622
J Ment Health Policy Econ. 2017 Dec 1;20(4):177-190
pubmed: 29300704
J Health Serv Res Policy. 2012 Oct;17(4):248-51
pubmed: 22814591
Psychol Psychother. 2003 Jun;76(Pt 2):109-32
pubmed: 12855059
J Consult Clin Psychol. 1998 Feb;66(1):113-20
pubmed: 9489264
J Consult Psychol. 1952 Oct;16(5):319-24
pubmed: 13000035
Am J Bioeth. 2015;15(10):17-9
pubmed: 26479094
Cephalalgia. 2011 Apr;31(5):550-61
pubmed: 21216874
Lancet Psychiatry. 2015 Sep;2(9):775-7
pubmed: 26360886
Am Psychol. 2007 Nov;62(8):855-73
pubmed: 18020771
Am J Bioeth. 2015;15(10):3-12
pubmed: 26479091
J Clin Psychol. 2017 Feb;73(2):192-195
pubmed: 27893150
Front Psychiatry. 2019 Aug 08;10:555
pubmed: 31440174
Semin Perinatol. 1997 Feb;21(1):3-5
pubmed: 9190027
AIDS Patient Care STDS. 2019 Mar;33(3):131-144
pubmed: 30844307
World Psychiatry. 2010 Oct;9(3):164-5
pubmed: 20975860
World Psychiatry. 2014 Oct;13(3):306-9
pubmed: 25273304
J Consult Psychol. 1957 Apr;21(2):95-103
pubmed: 13416422
Dialogues Clin Neurosci. 2008;10(4):377-84
pubmed: 19170395
J Affect Disord. 2017 Mar 01;210:1-13
pubmed: 27988373
Psychotherapy (Chic). 2015 Dec;52(4):422-31
pubmed: 26641372
Health Expect. 2017 Feb;20(1):11-23
pubmed: 26889874
World J Biol Psychiatry. 2000 Jul;1(3):151-8
pubmed: 12607225
PLoS One. 2010 Dec 22;5(12):e15591
pubmed: 21203519
Clin Psychol Rev. 2014 Jul;34(5):367-75
pubmed: 24927168
Qual Life Res. 2015 May;24(5):1033-41
pubmed: 25560774
Front Psychol. 2019 Jul 31;10:1747
pubmed: 31417470
J Affect Disord. 2016 Jan 15;190:254-263
pubmed: 26540079
Pain. 2017 Dec;158(12):2320-2328
pubmed: 28708766
J Med Ethics. 2016 Aug;42(8):493-5
pubmed: 27169707
Psychotherapy (Chic). 2019 Dec;56(4):431-440
pubmed: 31815506
Front Psychol. 2016 Aug 10;7:1170
pubmed: 27559322
Milbank Q. 2009 Jun;87(2):368-90
pubmed: 19523122
Behav Modif. 2003 Jul;27(3):412-30
pubmed: 12841591
BMJ. 2017 Feb 20;356:j816
pubmed: 28219884
Psychotherapy (Chic). 2018 Dec;55(4):486-495
pubmed: 30335460
Psychopathology. 2009;42(1):1-10
pubmed: 19023229
Behav Cogn Psychother. 2009 Mar;37(2):129-40
pubmed: 19364414
Am Psychol. 2004 Jan;59(1):20-8
pubmed: 14736317
Am Psychol. 2016 Dec;71(9):900
pubmed: 28032786
Psychotherapy (Chic). 2019 Dec;56(4):459-469
pubmed: 31580139
Psychotherapy (Chic). 2019 Mar;56(1):11-15
pubmed: 30688483
Front Psychol. 2019 Mar 22;10:460
pubmed: 30984050
Psychol Bull. 2004 Jul;130(4):631-63
pubmed: 15250817
Health Qual Life Outcomes. 2014 Feb 05;12:15
pubmed: 24499454
Biol Psychiatry. 2003 Apr 15;53(8):649-59
pubmed: 12706951
Health Technol Assess. 2016 Jun;20(43):1-392
pubmed: 27306503
Psychotherapy (Chic). 2018 Dec;55(4):508-519
pubmed: 30335462
BMJ. 2017 Feb 23;356:j939
pubmed: 28232314
J Consult Clin Psychol. 2016 Sep;84(9):783-794
pubmed: 27031326
Am Psychol. 2014 Apr;69(3):218-29
pubmed: 24393136
Bioethics. 2016 Jul;30(6):407-14
pubmed: 26840547
Expert Rev Pharmacoecon Outcomes Res. 2018 Feb;18(1):43-49
pubmed: 29022750
Psychotherapy (Chic). 2018 Dec;55(4):473-485
pubmed: 30335459
BMJ. 2019 May 9;365:l2044
pubmed: 31072873
BMJ. 2018 Apr 10;361:k1463
pubmed: 29636343
J Consult Clin Psychol. 2001 Dec;69(6):875-99
pubmed: 11777114
Am J Bioeth. 2015;15(10):23-5
pubmed: 26479097