https://doi.org/10.4081/rp.2021.261

l'efficacia dei trattamenti psicoterapeutici: per una ricerca basata sulla pratica clinica

V. 32 N. 2 (2021)
Ricevuto: 4 marzo 2020
Accettato: 29 luglio 2020
Pubblicato: 26 agosto 2021
Ricerca in psicoterapia, efficacia, outcome, relazione terapeutica, practice-based research.
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Autori

Gianluca Lo Coco
gianluca.lococo@unipa.it
https://orcid.org/0000-0001-9027-1899
Psicologo e psicoterapeuta, Professore Ordinario di Psicologia Clinica presso l'Università di Palermo. Presidente della sezione italiana della Society for Psychotherapy Research, Italy.

Questo articolo approfondisce il tema del rapporto tra ricerca in psicoterapia e pratica clinica. Nonostante gli avanzamenti nell'ambito della ricerca negli ultimi venti anni, permangono ancora diversi ostacoli nel processo di disseminazione di tale conoscenza. a tal fine, verranno messe in evidenza le differenze tra l'evidence-based research, volta a determinare quale trattamento terapeutico sia più efficace per i singoli disturbi psichiatrici e la practice-based research, che prova ad ottenere dei risultati più vicini alla pratica professionale quotidiana, focalizzandosi su aspetti come la relazione terapeutica, le caratteristiche del terapeuta e del paziente ed i fattori contestuali. È possibile costruire una pratica clinica che non sia sganciata dalle evidenze scientifiche su vari aspetti del lavoro terapeutico. infine, verrà evidenziato come le terapie psicodinamiche abbiano ottenuto varie prove di efficacia che le rendono comparabili a trattamenti di altri orientamenti, anche se la complessità dello studio della relazione terapeutica in tale setting richiede uno sforzo sempre maggiore per integrare ricerca quantitativa e qualitativa.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Abbass, A. A., Hancock, J. T., Henderson, J., & Kisely, S. (2006). Short-term psychodynamic psychotherapies for common mental disorders. Cochrane Database of Systematic Reviews, 4, Article No. CD004687. DOI: https://doi.org/10.1002/14651858.CD004687.pub3
Baldwin, S. A., & Imel, Z. E. (2013). Therapist effects: Findings and methods. In M. J. Lambert (Ed.), Bergin and Garfield"s Handbook of psychotherapy and behavior change (6th ed., pp. 258-297). New York, NY: Wiley.
Barkham, M., Stiles, W. B., Lambert, M. J., & Mellor-Clark, J. (2010). Building a rigorous and relevant knowledge-base for the psychological therapies. In M. Barkham, G. E. Hardy, & J. Mellor-Clark (Eds.), Developing and delivering practice-based evidence: A guide for the psychological therapies (pp. 21-61). DOI: https://doi.org/10.1002/9780470687994.ch2
Barkham, M., Lutz, W., Lambert, M. J., & Saxon, D. (2017). Therapist effects, effective therapists, and the law of variability. In L. G. Castonguay & C. E. Hill (Eds.), How and why are some therapists better than others?: Understanding therapist effects (pp. 13-36). Washington, DC, US: American Psychological Association. DOI: https://doi.org/10.1037/0000034-002
Beutler, L. E., Malik, M., Alimohamed, S., Harwood, T. M., Talebi, H., Noble, S., & Wong, E. (2004). Therapist variables. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (5th ed., pp. 227-306). New York, NY: John Wiley & Son.
Del Corno, F., Lo Coco G. (2018). Disegni di ricerca in psicologia clinica. Milano: Franco Angeli.
Castonguay, L. G., Barkham, M., Lutz, W., & McAleavy, A. (2013). Practice oriented research: Approaches and applications. In M. J. Lambert (Ed.), Bergin & Garfield"s handbook of psychotherapy and behavior change (6th ed., pp. 85-133). Hoboken, NJ: Wiley.
Castonguay, L. G., Eubanks, C. F., Goldfried, M. R., Muran, J. C., & Lutz, W. (2015). Research on psychotherapy integration: Building on the past, looking to the future. Psychotherapy Research, 25, 365-382. DOI: https://doi.org/10.1080/10503307.2015.1014010
Castonguay, L. G., & Hill, C. E. (2017). How and why are some therapists better than others?: Understanding therapist effects. Washington, DC: American Psychological Association. DOI: https://doi.org/10.1037/0000034-000
Castonguay, L. G., & Muran, J. C. (2015). Fostering collaboration between researchers and clinicians through building practice-oriented research: An introduction. Psychotherapy Research, 25, 1-5. DOI: https://doi.org/10.1080/10503307.2014.966348
Cologon, J., Schweitzer, R. D., King, R., Nolte, T. J. A., Health, P. I. M., & Research, M. H. S. (2017). Therapist Reflective Functioning, Therapist Attachment Style and Therapist Effectiveness. Administration and Policy in Mental Health and Mental Health Services Research, 44(5), 614-625. DOI: https://doi.org/10.1007/s10488-017-0790-5
De Smet, M. M., Meganck, R., De Geest, R., Norman, U. A., Truijens, F., & Desmet, M. (2019). What "Good Outcome" Means to Patients: Understanding Recovery and Improvement in Psychotherapy for Major Depression From a Mixed-Methods Perspective. Journal of Counseling Psychology. Advance online publication. DOI: https://doi.org/10.1037/cou0000362
Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4), 316-340. DOI: https://doi.org/10.1037/pst0000172
Goldfried, M. R. (2018). Obtaining Consensus in Psychotherapy: What Holds Us Back?. American Psychologist, 74, 484-496. DOI: https://doi.org/10.1037/amp0000365
Goldman, R. E., Hilsenroth, M. J., Gold, J. R., Owen, J. J., & Levy, S. R. (2018). Psychotherapy integration and alliance: An examination across treatment outcomes. Journal of Psychotherapy Integration, 28, 14-30. DOI: https://doi.org/10.1037/int0000060
Katz, M., & Hilsenroth, M. J. (2018). Psychodynamic technique early in treatment related to outcome for depressed patients. Clinical Psychology & Psychotherapy, 25, 348-358. DOI: https://doi.org/10.1002/cpp.2167
Katz, M., Hilsenroth, M. J., Gold, J. R., Moore, M., Pitman, S. R., Levy, S. R., Owen, J. (2019). Adherence, Flexibility, and Outcome in Psychodynamic Treatment of Depression. Journal of Counseling Psychology, 66(1), 94-103. DOI: https://doi.org/10.1037/cou0000299
Kazdin, A. E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63, 146-159. DOI: https://doi.org/10.1037/0003-066X.63.3.146
Kazdin, A. E. (2017). Addressing the treatment gap: a key challenge for extending evidence-based psychosocial interventions. Behavior Research and Therapy, 88, 7-18. DOI: https://doi.org/10.1016/j.brat.2016.06.004
Keefe J.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
Kivlighan D.M. III, Goldberg, S.B., Abbas, M., Pace, B.T., Yulish, N.E., Thomas, J.G., Cullen, M.M., Flückiger, C., Wampold, B.E. (2015). The enduring effects of psychodynamic treatments vis-à-vis alternative treatments: A multilevel longitudinal meta-analysis. Clinical Psychology Review, 40, 1-14. DOI: https://doi.org/10.1016/j.cpr.2015.05.003
Lambert, M. J., & Ogles, B. M. (2013). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (pp. 169-218) (6th ed.). New York, NY: John Wiley & Sons.
Laska, K. M., Gurman, A. S., & Wampold, B. E. (2014). Expanding the Lens of Evidence-Based Practice in Psychotherapy: A Common Factors Perspective. Psychotherapy, 51, 467-481. DOI: https://doi.org/10.1037/a0034332
Leichsenring, F., & Rabung, S. (2008). Effectiveness of long-term psychodynamic psychotherapy: A meta-analysis. Journal of the American Medical Association, 300, 1551-1565. DOI: https://doi.org/10.1001/jama.300.13.1551
Leichsenring, F., Luyten, P., Hilsenroth, M. J., Abbass, A., Barber, J. P., Keefe, J. R., . . . Steinert, C. (2015). Psychodynamic therapy meets evidence-based medicine: a systematic review using updated criteria. The Lancet Psychiatry, 2, 648-660. DOI: https://doi.org/10.1016/S2215-0366(15)00155-8
Leichsenring, F., Abbass, A., Hilsenroth, M.J., Luyten, P., Munder, T., Rabung, S., Steinert, C. (2018). "Gold Standards," Plurality and Monocultures: The Need for Diversity in Psychotherapy. Frontiers in Psychiatry 9:159. DOI: https://doi.org/10.3389/fpsyt.2018.00159
Leuzinger-Bohleber, M., Kaufhold, J., Kallenbach, L., Negele, A., Ernst, M., Keller, W., ….Beutel, M. (2019). How to measure sustained psychic transformations in long-term treatments of chronically depressed patients: Symptomatic and structural changes in the LAC Depression Study of the outcome of cognitive-behavioural and psychoanalytic long-term treatments. The International Journal of Psychoanalysis, 100, 99-127. DOI: https://doi.org/10.1080/00207578.2018.1533377
Levy, R.A., Ablon, J.S., Kachele, H. (2015). La psicoterapia psicodinamica basata sulla ricerca. Milano: Raffaello Cortina.
Lingiardi, V., Muzi, L., Tanzilli, A., & Carone, N. (2018). Do therapists" subjective variables impact on psychodynamic psychotherapy outcomes? A systematic literature review. Clinical Psychology and Psychotherapy, 25(1), 85-101. DOI: https://doi.org/10.1002/cpp.2131
McWilliams, N. (2017). Integrative Research for Integrative Practice: A Plea for Respectful Collaboration Across Clinician and Researcher Roles. Journal of Psychotherapy Integration, 27, 283-295. DOI: https://doi.org/10.1037/int0000054
Nathan, P. E., & Gorman, J. M. (Eds.) (2015). A guide to treatments that work (4th ed.). New York, NY: Oxford University Press. DOI: https://doi.org/10.1093/med:psych/9780195304145.001.0001
Norcross, J. C. (Ed.). (2002). Psychotherapy relationships that work: Therapist contributions and responsiveness to patient needs. New York: Oxford University Press.
Norcross, J. C., & Wampold, B. E. (2018). A new therapy for each patient: evidence-based relationships and responsiveness. Journal of Clinical Psychology, 74, 1889-1906. DOI: https://doi.org/10.1002/jclp.22678
Norcross, J. C., & Wampold, B. E. (Eds.) (2019). Psychotherapy relationships that work (3rd ed., Vol. 2). New York, NY: Oxford University Press. DOI: https://doi.org/10.1093/med-psych/9780190843960.001.0001
Owen, J., & Hilsenroth, M. J. (2014). Treatment adherence: The importance of therapist flexibility in relation to therapy outcomes. Journal of Counseling Psychology, 61, 280-288. DOI: https://doi.org/10.1037/a0035753
Prochaska, J. O., & Norcross, J. C. (2018). Systems of psychotherapy (9th ed.). New York, NY: Oxford University Press.
Steel, C., Macdonald, J., & Schroder, T. (2018). A Systematic Review of the Effect of Therapists" Internalized Models of Relationships on the Quality of the Therapeutic Relationship. Journal of Clinical Psychology, 74(1), 5-42. DOI: https://doi.org/10.1002/jclp.22484
Stiles, W. B., & Horvath, A. O. (2017). Appropriate responsiveness as a contribution to therapist effects. In L. G. Castonguay & C. E. Hill (Eds.), How and why are some therapists better than others?: Understanding therapist effects (pp. 71-84). Washington, DC: American Psychological Association. DOI: https://doi.org/10.1037/0000034-005
Strauss, B. M., & Petrowski, K. (2017). The role of the therapist"s attachment in the process and outcome of psychotherapy. In L. G. Castonguay & C. E. Hill (Eds.), How and why are some therapists better than others?: Understanding therapist effects (pp. 117-138). Washington, DC: American Psychological Association. DOI: https://doi.org/10.1037/0000034-008
Tasca, G. A., Sylvestre, J., Balfour, L., Chyurlia, L., Evans, J., Fortin-Langelier, B., . . . Wilson, B. (2015). What clinicians want: Findings from a psychotherapy practice research network survey. Psychotherapy, 52(1), 1-11. DOI: https://doi.org/10.1037/a0038252
Turner, E. H., Matthews, A. M., Linardatos, E., Tell, R. A., & Rosenthal, R. (2008). Selective publication of antidepressant trials and its influence on apparent efficacy. New England Journal of Medicine, 358(3), 252-260. DOI: https://doi.org/10.1056/NEJMsa065779
Wampold, B. E. (2001). The great psychotherapy debate: Models, methods, and findings. Mahwah, NJ: Erlbaum.
Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). New York: Routledge. DOI: https://doi.org/10.4324/9780203582015
Westen, D., Novotny, C. M., & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: Assump- tions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130, 631-663. DOI: https://doi.org/10.1037/0033-2909.130.4.631

Come citare

Lo Coco, G. (2021). l’efficacia dei trattamenti psicoterapeutici: per una ricerca basata sulla pratica clinica. Ricerca Psicoanalitica, 32(2). https://doi.org/10.4081/rp.2021.261

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