https://doi.org/10.4081/rp.2023.793

A storm in a teacup: a commentary on the ‘Consensus conference on psychological therapies for anxiety and depression’

Vol. 34 No. 2 (2023)
Published: September 6, 2023
Psychotherapy, anxiety and depression, scientific research, public-private, efficacy
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Authors

Silvia Paola Papini
sppapini@yahoo.it
https://orcid.org/0009-0008-2824-9269
Psicologa, Psicoterapeuta, Responsabile scientifico ‘Gruppo Zoe. Per lo studio e la formazione sulla qualità e l’efficacia delle cure psichiche’, Coordinatore Italiano OPD-3, Socio Ordinario SIPRe, Italy.
Fabio Vanni
Psicologo, psicoterapeuta, Dirigente AUSL Parma, Direttore RP, Direttore Scientifico ‘Progetto Sum’, Italy.

This work is intended as a critical interpretation of the Consensus conference on psychological therapies for anxiety and depression which today comprises a document that is officially adopted by the Ministry of Health and is therefore the reference for operators in the sector. This formal authority makes it advisable for the document to be understood and assessed in depth. The main areas covered in the document are analyzed here, distinguishing between the report for the jury and the recommendations made by the jury itself. As we will see, there is a great difference between the two aspects and, therefore, the document itself contains some issues which the members of the jury themselves have already mentioned. However, others deserve attention: the insufficient examination of childhood and adolescence, the narrow perspective held on the types of studies considered useful, and the recommendations regarding training. These are serious limitations, which make the document in appearance anyway (albeit with the best intentions), an unconvincing text which needs extensive revision in order to reach acceptable standards.

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Scopus
Google Scholar
Europe PMC
American Psychological Association (2012). Recognition of psychotherapy effectiveness. Psychotherapy, 2013;50:102-109. Disponibile da: www.apa.org/about/policy/resolutionpsychotherapy DOI: https://doi.org/10.1037/a0030276
Asay, T.P., Lambert, M. (1999). The empirical case for the common factors in therapy: Quantitative findings. In M.A. Hubble, B.L. Duncan, S.D. Miller (Eds.), The heart and soul of change: What works in therapy. Washington, DC, American Psychological Association, pp. 33-56. DOI: https://doi.org/10.1037/11132-001
Bandelow, B., Michaelis, S. Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in Clinical Neuroscience, 19:93-107. DOI: https://doi.org/10.31887/DCNS.2017.19.2/bbandelow
Barkowski, S., Schwartze, D., Strauss, B., Burlingame, G.M., Rosendahl, J. (2020). Efficacy of group psychotherapy for anxiety disorders: A systematic review and meta-analysis. Psychotherapy Research, 30:1-18. DOI: https://doi.org/10.1080/10503307.2020.1729440
Bergin, A.E. (1971). The evaluation of psychotherapeutic outcomes. In S.L. Garfield, A.E. Bergin (Eds.), Handbook of Psychotherapy and Behavior Change: An empirical analysis (2nd ed., pp. 139-190). New York: Wiley.
Chambless, D.L., Ollendick T.H. (2001). Empirically supported psychological interventions: controversies and evidence. Annual Review of Psychology, 52:685-716 (trad. it.: Gli interventi psicologici validati empiricamente: controversie ed evidenze empiriche. Psicoterapia e Scienze Umane, 2001;35:5-46). DOI: https://doi.org/10.1146/annurev.psych.52.1.685
Clark, D.M. (2017). Il programma inglese Improving Access to Psychological Therapies (IAPT). Psicoterapia e Scienze Umane, 51:529-550. DOI: https://doi.org/10.3280/PU2017-004002
Cuijpers, P., Cristea, I.A., Karyotaki, E., Reijnders, M., Huibers, M.J.H. (2016). How effective are cognitive behavior therapies for major depression and anxiety disorders? A metaanalytic update of the evidence. World Psychiatry, 15:245-258. DOI: https://doi.org/10.1002/wps.20346
Cuijpers, P., Karyotaki, E., Weitz, E., Andersson, G., Hollon, S.D., van Straten, A. (2014). The effects of psychotherapies for major depression in adults on remission, recovery and improvement: A meta-analysis. Journal of Affective Disorders, 159:118-126. DOI: https://doi.org/10.1016/j.jad.2014.02.026
Cuijpers, P., Karyotaki, E., de Wit, L., Ebert, D.D. (2020). The effects of fifteen evidencesupported therapies for adult depression. A meta-analytic review. Psychotherapy Research, 30:279-293. DOI: https://doi.org/10.1080/10503307.2019.1649732
Deacon, B.J. Abramowitz, J.S. (2005). Patients’ perceptions of pharmacological and cognitive-behavioral treatments for anxiety disorders. Behavior Therapy, 36:139-145. DOI: https://doi.org/10.1016/S0005-7894(05)80062-0
Eysenck, H.J. (1952). The effects of psychotherapy: An evaluation. Journal of Consulting Psychology, 16:319-324. DOI: https://doi.org/10.1037/h0063633
Eysenck, H.J. (1961). The effects of psychotherapy. In H.J. Eysenck (Ed.), Handbook of Abnormal Psychology (pp. 697-725). New York: Basic Books.
Eysenck, H.J. (1966). The effects of psychotherapy. New York: International Science Press. DOI: https://doi.org/10.1016/B978-1-4832-0087-3.50019-X
Fava, E., Gruppo Zoe (2016). La competenza a curare. Il contributo della ricerca empirica. Milano: Mimesis.
Fava, G.A. (2002). Long-term treatment with antidepressant drugs: the spectacular achievements of propaganda. Psychotherapy and Psychosomatics, 71:127-132. DOI: https://doi.org/10.1159/000056279
Flückiger, C., Del Re, A.C., Munder, T., Heer, S., Wampold, B.E. (2014). Enduring effects of evidence-based psychotherapies in acute depression and anxiety disorders versus treatment as usual at follow-up. A longitudinal meta-analysis. Clinical Psychology Review, 34:367-375. DOI: https://doi.org/10.1016/j.cpr.2014.05.001
Furukawa, T.A., Shinohara, K., Sahker, E., Karyotaki, E., Miguel, C., Ciharova, M., Bockting, C.L.H., Breedvelt, J.J.F., Tajika, A., Imai, H., Ostinelli, E.G. Sakata, M., Toyomoto, R., Kishimoto, S., Ito, M., Furukawa, Y., Cipriani, A., Hollon, S.D., Cuijpers, P. (2021). Initial treatment choices to achieve sustained response in major depression: A systematic review and network meta-analysis. World Psychiatry, 20:387-396. DOI: https://doi.org/10.1002/wps.20906
Furukawa, T.A., Weitz, E.S., Tanaka, S., Hollon, S.D., Hofmann, S.G., Andersson, G., Twisk, J., DeRubeis, R.J., Dimidjian, S. Hegerl, U., Mergl, E., Jarrett, R.B., Vittengl, J.R., Watanabe, N., Cuijpers, P. (2017). Initial severity of depression and efficacy of cognitive-behavioural therapy: individual-participant data meta-analysis of pill-placebocontrolled trials. British Journal of Psychiatry, 210:190-196. DOI: https://doi.org/10.1192/bjp.bp.116.187773
Gerber, A.J., Kocsis, J.H., Milrod, B.L., Roose, S.P., Barber, J.P., Thase, M.E., Perkins, P., Leon, A.C. (2011). A quality-based review of randomized controlled trials of psychodynamic psychotherapy. American Journal of Psychiatry. 168:19-28. DOI: https://doi.org/10.1176/appi.ajp.2010.08060843
Gruppo di lavoro “Consensus sulle terapie psicologiche per ansia e depressione”. Consensus Conference sulle terapie psicologiche per ansia e depressione. Roma: Istituto Superiore di Sanità; 2022 (Consensus ISS 1/2022). Available from: http://www.iss.it/documents/20126/0/Consensus_1_2022_IT.pdf
Guidi, J., Brakemeier, E., Bockting, C.L.H., Cosci, F., Cuijpers, P., Jarrett, R.B., Linden, M., Marks, I., Peretti, C.S., Rafanelli, C., Rief, W., Schneider, S., Schnyder, U., Sensky, T., Tomba, E., Vazquez, C., Vieta, E., Zipfel, S., Wright, J.H., Fava, G.A. (2018). Methodological recommendations for trials of psychological intervention. Psychotherapy and Psychosomatics, 87:276-284. DOI: https://doi.org/10.1159/000490574
Henry, W.P., Strupp, H.H. (1994). The therapeutic alliance as interpersonal process, in A.O. Horvath, L.S. Greenberg (Eds.), The Working Alliance: Theory, Research and Practice, New York, Wiley, pp. 259-287.
Keefe, K.R., McCarthy, K.S., Dinger, U., Zilcha-Mano, S., Barber, J.P. (2014). A meta-analytic review of psychodynamic therapies for anxiety disorders. Clinical Psychology Review, 34:309-323. DOI: https://doi.org/10.1016/j.cpr.2014.03.004
Lambert, M.J. (2013). The efficacy and effectiveness of psychotherapy. In M.J. Lambert (Ed.) ‘Bergin and Garfield’s handbook of psychotherapy and behavior change’, 6th ed., Hoboken, NJ, Wiley, 169-218.
Leichsenring, F. Steinert, C. (2017). La terapia comportamentale è veramente la più efficace? Psicoterapia e Scienze Umane, 51:551-558. Anche in Migone, P. (a cura di), La terapia psicodinamica è efficace? Il dibattito e le evidenze empiriche. Milano: Franco Angeli, 2021;3:74-82. DOI: https://doi.org/10.3280/PU2017-004003
Luborsky, L., Singer, B. Luborsky, L. (1975). Comparative studies of psychotherapies: ‘Is it true that everyone has won and all must have a prize?’, Archives of General Psychiatry, 32:995-1008. DOI: https://doi.org/10.1001/archpsyc.1975.01760260059004
Norcross, J.C. (2001). Purposes, Processes, and Products of the Task Force on Empirically Supported Therapy Relationships. Psychotherapy: Theory, Research, Practice, Training, 38:345-356. DOI: https://doi.org/10.1037/0033-3204.38.4.345
Norcross, J.C. (a cura di) (2002). Psychotherapy relationships that work: Therapist contributions and responsiveness to patients, Oxford University Press, New York.
Norcross, J.C. (Ed.) (2011). Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed.). Oxford University Press. Available from: https://doi.org/ 10.1093/acprof:oso/9780199737208.001.0001 DOI: https://doi.org/10.1093/acprof:oso/9780199737208.001.0001
Norcross, J.C., Lambert, M.J. (2019). Psychotherapy relationships that work. Volume 1: Evidence-based therapist contributions (3rd ed.). New York: Oxford University Press. DOI: https://doi.org/10.1093/med-psych/9780190843953.003.0001
Norcross, J.C., Wampold, B.E. (2019). Psychotherapy relationships that work. Volume 2: Evidence-based responsiveness (3rd ed.). New York: Oxford University Press. DOI: https://doi.org/10.1093/med-psych/9780190843960.001.0001
Paris, J. (2008). Clinical trials of treatment for personality disorders. The Psychiatric Clinics of North America, 31:517-viii. DOI: https://doi.org/10.1016/j.psc.2008.03.013
Patterson, T.L., Leeuwenkamp, O.R. (2008). Adjunctive psychosocial therapies for the treatment of schizophrenia. Schizophrenia Research, 100:108-119. DOI: https://doi.org/10.1016/j.schres.2007.12.468
Rachman, S. (1971). The effects of psychotherapy (Vol. 15). Oxford: Pergamon.
Rennie, D.L. (1994). Clients’ deference in psychotherapy. Journal of Counseling Psychology, 41:427-437. DOI: https://doi.org/10.1037/0022-0167.41.4.427
Rhodes, R.H., Hill, C.E., Thompson, B.J., Elliott, R. (1994). Client retrospective recall of resolved and unresolved misunderstanding events. Journal of Counseling Psychology, 41:473-483. DOI: https://doi.org/10.1037/0022-0167.41.4.473
Rosenzweig, S. (1954). A transvaluation of psychotherapy: a reply to Hans Eysenck. The Journal of Abnormal and Social Psychology, 49:298-304. DOI: https://doi.org/10.1037/h0061172
Safran, J.D., Muran, J.C., Samstag, L.W., Stevens, C. (2001). Repairing alliance ruptures. Psychotherapy: Theory, Research, Practice, Training, 38:406-412. DOI: https://doi.org/10.1037/0033-3204.38.4.406
Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. The American psychologist, 65:98-109. DOI: https://doi.org/10.1037/a0018378
Shedler, J. (2018). Where Is the Evidence for ‘Evidence-Based’ Therapy? The Psychiatric Clinics of North America, 41:319-329. DOI: https://doi.org/10.1016/j.psc.2018.02.001
Solomon, D.A., Keitner, G.I., Ryan, C.E., Kelley, J. Miller, I.W. (2008). Preventing recurrence of bipolar I mood episodes and hospitalizations: Family psychotherapy plus pharmacotherapy versus pharmacotherapy alone. Bipolar Disorders, 10:798-805. DOI: https://doi.org/10.1111/j.1399-5618.2008.00624.x
Steinert, C. Leichsenring, F. (2017). No psychotherapy monoculture for anxiety disorders. Lancet, 389:1882-1883. DOI: https://doi.org/10.1016/S0140-6736(17)31206-0
Steinert, C., Munder, T., Rabung, S., Hoyer, J., Leichsenring, F. (2017). Psychodynamic Therapy: As Efficacious as Other Empirically Supported Treatments? A Meta-Analysis Testing Equivalence of Outcomes. The American journal of psychiatry, 174:943-953. DOI: https://doi.org/10.1176/appi.ajp.2017.17010057
Thoma, N.C., McKay, D., Gerber, A.J., Milrod, B.L., Edwards, A.R. Kocsis, J.H. (2012). A quality-based review of randomized controlled trials of cognitive-behavioral therapy for depression: An assessment and metaregression. American Journal of Psychiatry, 169:22-30. DOI: https://doi.org/10.1176/appi.ajp.2011.11030433
Thornton, J. (2018). Depression in adults: campaigners and doctors demand full revision of NICE guidance. British Medical Journal (BMJ), 361:k2681. DOI: https://doi.org/10.1136/bmj.k2681
Tolin, D.F. (2015). Corrigendum to ‘Beating a dead dodo bird: Looking at signal vs. noise in cognitive-behavioral therapy for anxiety disorders’. Clinical Psychology: Science and Practice, 22:315-316. DOI: https://doi.org/10.1037/h0101727
Tolin, D.F., McKay, D., Forman, E.M., Klonsky, E.D., Thombs, B.D. (2015). Empirically supported treatment: Recommendations for a new model. Clinical Psychology: Science and Practice, 22:317-338. DOI: https://doi.org/10.1037/h0101729
Vocks, S., Tuschen-Caffier, B., Pietrowsky, R., Rustenbach, S.J., Kersting, A. & Hertpertz, S. (2010). Meta-analysis of the effectiveness of psychological and pharmacological treatments for binge eating disorder. International Journal of Eating Disorders, 43:205-217. DOI: https://doi.org/10.1002/eat.20696
Wachtel, P.L. (2010). Beyond ‘ESTs’. Problematic assumptions in the pursuit of evidence-based practice. Psychoanalytic Psychology, 27:251-272. (Trad. It. Al di là degli ‘EST’. Problemi di una pratica psicoterapeutica basata sulle evidenze. Psicoterapia e Scienze Umane, 2011, 45:153-180). DOI: https://doi.org/10.1037/a0020532
Wampold, B.E. (2001). The great psychotherapy debate: Models, methods, and findings. Lawrence Erlbaum Associates Publishers.
Wampold, B.E., Imel, Z.E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). Routledge/Taylor & Francis Group (Trad. It. Il Grande dibattito in psicoterapia: L’evidenza della ricerca scientifica avanzata applicata alla clinica, Sovera editore, Roma, 2017). DOI: https://doi.org/10.4324/9780203582015
Westen, D., Morrison Novotny, K., Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130:631-663. DOI: https://doi.org/10.1037/0033-2909.130.4.631

How to Cite

Papini, S. P., & Vanni, F. (2023). A storm in a teacup: a commentary on the ‘Consensus conference on psychological therapies for anxiety and depression’. Ricerca Psicoanalitica, 34(2). https://doi.org/10.4081/rp.2023.793
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