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Jousting with straw men: Comment on Westen, Novotny, and Thompson-Brenner (2004)

机译:与稻草人争吵:评论韦斯顿,诺沃特尼和汤普森-布伦纳(2004)

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摘要

Empirically supported treatments (ESTs) do not cure every patient, and the randomized trial is not a flawless methodology. Upon these often-noted and widely accepted points, D. Westen, C. M. Novotny, and H. Thompson-Brenner (2004a) built a critique of ESTs and EST research. However, important work developing effective, clinically relevant treatments for serious problems was omitted from the Westen et al. (2004a) review. Little documentation was offered for the purported "assumptions" of EST methodology that Westen et al. (2004a) criticized; and different review standards were applied to studies supporting versus those disagreeing with Westen et al.'s (2004a) views. Finally, the correlational research designs proposed as a remedy by Westen et al. (2004a) have far more serious weaknesses than randomized trials, thoughtfully applied to real-world clinical care.
机译:经验支持的治疗(EST)不能治愈所有患者,因此随机试验并非完美无缺的方法。基于这些通常被广泛接受的观点,D。Westen,C。M. Novotny和H. Thompson-Brenner(2004a)对EST和EST研究进行了评论。但是,Westen等人省略了针对严重问题开发有效的,与临床相关的治疗方法的重要工作。 (2004a)评论。与Westen等人所称的EST方法学的“假设”几乎没有文献记载。 (2004a)受到批评;并且对支持和反对Westen等人(2004a)观点的研究采用了不同的审查标准。最后,Westen等人提出的相关研究设计作为一种补救措施。 (2004a)比随机试验有更严重的弱点,它被深思熟虑地应用于现实世界的临床护理。

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