Abstract
In 1995 the report from the American Psychological Association on empirically supported treatments (EST) boosted the understanding that evidence-based practice rested on the premise of matching treatments with diagnoses. Evidence-based psychological practice (EBPP) was developed partly as a response to this premise and described a broader foundation for good practice. However, EBPP did not give clear answers on the role and significance of treatment methods in evidence-based practice. The question remains an issue and has implications for the organization of service delivery to people with mental disorders. The goal of this article is to explore how clinicians could reason when faced with the question of which treatment method to choose. Even though different treatment methods may not differ notably in outcomes, there is still a need to establish their efficacy through research before integrating them in service delivery systems. Moreover, uncertainties exist regarding what the healing elements of psychotherapy are, as do challenges regarding the classification and conceptualization of mental disorders. Individual adaptation is an essential feature of EBPP, which implies that EBPP should be conceptualized as a dynamic process of hypothesis-based testing of methods in consultation with the client. Keywords: diagnoses, psychotherapy, treatment methods, evidence-based practice
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