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The Essential Psychotherapies

Published online by Cambridge University Press:  02 January 2018

Gavin Andrews
Gavin Andrews*
Affiliation:
Clinical Research Unit for Anxiety Disorders, University of New South Wales at St Vincent's Hospital, Sydney, Australia
*
Anxiety Disorders Unit, 299 Forbes Street, Darlinghurst, NSW 2010, Australia
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Abstract

Psychiatry is becoming increasingly confident about defining the benefits to be expected from each treatment (World Health Organization, 1991). The World Health Organization has published a list of essential drug treatments, but neither it nor any national regulatory body has ever examined non-drug treatments. This article examines the utility of the psychotherapies as treatments for persons with psychiatric disorders, and within a health service, whether supported by private insurance or by public taxation. It is not about the utility of psychotherapy paid for by an individual, for what people do with their own money is their own business. However, when deciding how to apportion a limited health budget, one should choose treatments that are more effective, safer, and cheaper than competing alternatives. Precisely how effectiveness, safety, and cost efficiency should be traded off against each other is a moot point, but there is agreement that treatments that are ineffective, harmful, and costly should not be used.

Type
Annotation
Information
The British Journal of Psychiatry , Volume 162 , Issue 4 , April 1993 , pp. 447 - 451
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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References

Alden, L. (1989) Short–term structured treatment for avoidant personality disorder. Journal of Consulting and Clinical Psychology, 57, 756–764.CrossRefGoogle ScholarPubMed
Andrews, G. (1983) Psychotherapy outcome: a wider view leads to different conclusions. Behavioral and Brain Sciences, 6, 285–286.CrossRefGoogle Scholar
Andrews, G. (1989) Evaluating treatment effectiveness. Australian and New Zealand Journal of Psychiatry, 23, 181–186.CrossRefGoogle ScholarPubMed
Andrews, G. (1991a) The evaluation of psychotherapy. Current Opinion in Psychiatry, 4, 379–383.Google Scholar
Andrews, G. (1991b) The changing nature of psychiatry. Australian and New Zealand Journal of Psychiatry, 25, 453–459.Google Scholar
Andrews, G. (1991c) Anxiety, personality and anxiety disorders. International Review of Psychiatry, 3, 293–302.Google Scholar
Andrews, G. (1991d) The Tolkien Report. Sydney: Clinical Research Unit for Anxiety Disorders.Google Scholar
Andrews, G. (1992) The evaluation of psychotherapy: reply to Meares. Current Opinion in Psychiatry, 5, 183–185.Google Scholar
Andrews, G. & Harvey, R. (1981) Does psychotherapy benefit neurotic patients? A reanalysis of the Smith, Glass and Miller data. Archives of General Psychiatry, 38, 1203–1208.Google Scholar
Andrews, G., Hall, W., Goldstein, G., et al (1985) The economic costs of schizophrenia: implications for public policy. Archives of General Psychiatry, 42, 537–543.Google Scholar
Andrews, G. & Hadzi–Pavlovic, D. (1988) The work of Australian psychiatrists, circa 1986. Australian and New Zealand Journal of Psychiatry, 22, 153–165.Google Scholar
Christensen, H., Hadzi–Pavlovic, D., Andrews, G., et al (1987) Behavior therapy and tricyclic medication in the treatment of obsessive compulsive disorder: a quantitative review. Journal of Consulting and Clinical Psychology, 55, 701–711.Google Scholar
Clum, G.A. & Bowers, T.G. (1990) Behavior therapy better than placebo treatments: fact or artifact? Psychological Bulletin, 107, 110–113.Google Scholar
Crits–Christoph, P. (1992) The efficacy of brief dynamic psychotherapy: current status and future directions. American Journal of Psychiatry, 149, 151–158.Google Scholar
Dinnage, R. (1988) One to One. London: Viking.Google Scholar
Dobson, K.S. (1989) A meta–analysis of the efficacy of cognitive-behavior therapy for depression. Journal of Consulting and Clinical Psychology, 57, 414–419.Google Scholar
D'urzilla, T.J. (1986) Problem–Solving Therapy. New York: Springer.Google Scholar
Elkin, L., Shea, T. & Watkins, J.T. (1989) National Institute of Mental Health treatment of depression collaborative research program. General effectiveness of treatments. Archives of General Psychiatry, 46, 971–982.Google Scholar
Ellard, J. (1987) Psychotherapy. Part 1. Modem Medicine of Australia, February, 32–37.Google Scholar
Gartrell, N., Herman, J., Olarte, S., et al (1986) Psychiatrist–patient sexual contact: results of a national survey, I: prevalence. American Journal of Psychiatry, 143, 1126–1131.Google Scholar
Gelder, M.G. (1990) Psychological treatment for depressive disorder. British Medical Journal, 300, 1087–1088.CrossRefGoogle ScholarPubMed
Goldfried, M.R., Greenberg, L.S. & Marmar, C. (1990) Individual psychotherapy: process and outcome. Annual Review of Psychology, 41, 659–688.Google Scholar
Howard, K.I., Kopta, S.M., Krause, M.S., et al (1986) The dose–effect relationship in psychotherapy. American Psychologist, 41, 159–164.Google Scholar
Hunt, C. & Singh, M. (1991) Generalised anxiety disorder. International Review of Psychiatry, 3, 215–230.Google Scholar
Kelly, T.A. (1990) The role of values in psychotherapy: a critical review of process and outcome effects. Clinical Psychology Review, 10, 171–186.Google Scholar
Klosko, J.S., Barlow, D.H., Tassinari, R., et al (1990) A comparison of alprazolam and behavior therapy in treatment of panic disorder. Journal of Consulting and Clinical Psychology, 58, 77–84.CrossRefGoogle ScholarPubMed
Lambert, M.J., Shapiro, D.A. & Bergin, A.E. (1986) The effectiveness of psychotherapy. In Handbook of Psychotherapy and Behavior Change (3rd edn) (eds Garfield, S. & Bergin, A.), pp. 157–212. New York: Wiley.Google Scholar
Linehan, M.M. (1987) Dialectical behavioral therapy: a cognitive behavioral approach to parasuicide. Journal of Personality Disorders, 1, 328–333.CrossRefGoogle Scholar
Masson, J. (1990) Against Therapy. London: Fontana.Google Scholar
Mattick, R.P., Andrews, G., Hadzi–Pavlovic, D., et al (1990) Treatment of panic and agoraphobia: an integrative review. Journal of Nervous and Mental Disease, 178, 567–576.Google Scholar
Mattick, R.P. & Newman, C. (1991) Social phobia and avoidant personality disorder. International Review of Psychiatry, 3, 163–173.Google Scholar
Michelson, L., Marchione, K., Greenwald, M., et al (1990) Panic disorder: cognitive behavioural treatment. Behaviour Research and Therapy, 28, 141–151.CrossRefGoogle Scholar
Pope, K.S. (1990) Therapist patient sexual involvement: a review of the research. Clinical Psychology Review, 10, 477–490.Google Scholar
Prioleau, L., Murdock, M. & Brody, N. (1983) An analysis of psychotherapy versus placebo studies. Behavioral and Brain Sciences, 6, 275–310.Google Scholar
Robinson, L.A., Berman, J.S. & Neimeyer, R.A. (1990) Psychotherapy for the treatment of depression: a comprehensive review of controlled outcome research. Psychological Bulletin, 108, 77–84.Google Scholar
Selmi, P.M., Klein, M.H., Greist, J.H., et al (1990) Computer–administered cognitive-behavioral therapy for depression. American Journal of Psychiatry, 147, 51–56.Google Scholar
Smith, M.L., Glass, G.V. & Miller, T.I. (1980) The Benefits of Psychotherapy. Baltimore: The Johns Hopkins Press.Google Scholar
Stevenson, J. & Meares, R. (1992) An outcome study of psychotherapy in borderline personality disorder. American Journal of Psychiatry, 149, 358–362.Google Scholar
Strupp, H.H. & Hadley, S.W. (1978) Specific versus non–specific factors in psychotherapy: a controlled study of outcome. Archives of General Psychiatry, 36, 1125–1136.Google Scholar
Svartberg, M. & Styles, T.C. (1991) Comparative effects of short–term psychodynamic psychotherapy: a meta-analysis. Journal of Consulting and Clinical Psychology, 59, 704–714.Google Scholar
Test, M.A. & Scott, R. (1990) Theoretical and research bases of community care programs. In Mental Health Care Delivery: Innovations, Impediments and Implementation (eds Marks, I. M. & Scott, R. A.), pp. 11–16. Cambridge: Cambridge University Press.Google Scholar
Welkowitz, L.A., Papp, L.A., Cloitre, M., et al (1991) Cognitive–behaviour therapy for panic disorders delivered by psychopharmacologically oriented clinicians. Journal of Nervous and Mental Disease, 179, 473–477.Google Scholar
World Health Organization (1991) Evaluation of methods for the treatment of mental disorders. World Health Organization Technical Report Series, 812, Geneva: WHO.Google Scholar
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