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Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†)

Evidence of efficacy in studies of post-traumatic conditions is largely derived from studies in which variables are kept to a minimum. Extrapolation of treatments from uncomplicated disorders to complex conditions may therefore be called evidence-based without being evidenced. Complex conditions wit...

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Detalles Bibliográficos
Autores principales: Corrigan, Frank M., Hull, Alastair M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of Psychiatrists 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478904/
https://www.ncbi.nlm.nih.gov/pubmed/26191439
http://dx.doi.org/10.1192/pb.bp.114.046995
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author Corrigan, Frank M.
Hull, Alastair M.
author_facet Corrigan, Frank M.
Hull, Alastair M.
author_sort Corrigan, Frank M.
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description Evidence of efficacy in studies of post-traumatic conditions is largely derived from studies in which variables are kept to a minimum. Extrapolation of treatments from uncomplicated disorders to complex conditions may therefore be called evidence-based without being evidenced. Complex conditions with polysymptomatic presentations and extensive comorbidity are being denied proper evaluation, and patients most severely traumatised from the early stages of their development are not provided with rigorously evaluated psychotherapies because they are more difficult to study in the manner approved by research protocols. Such evidence as there is suggests that the simple extension of treatments for uncomplicated disorders is seriously inadequate. This has significant implications for health services responsible for the provision of the most efficacious treatments to those whose disorders arise from severe trauma, often very early in their life.
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spelling pubmed-44789042015-07-17 Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†) Corrigan, Frank M. Hull, Alastair M. BJPsych Bull Special Articles Evidence of efficacy in studies of post-traumatic conditions is largely derived from studies in which variables are kept to a minimum. Extrapolation of treatments from uncomplicated disorders to complex conditions may therefore be called evidence-based without being evidenced. Complex conditions with polysymptomatic presentations and extensive comorbidity are being denied proper evaluation, and patients most severely traumatised from the early stages of their development are not provided with rigorously evaluated psychotherapies because they are more difficult to study in the manner approved by research protocols. Such evidence as there is suggests that the simple extension of treatments for uncomplicated disorders is seriously inadequate. This has significant implications for health services responsible for the provision of the most efficacious treatments to those whose disorders arise from severe trauma, often very early in their life. Royal College of Psychiatrists 2015-04 /pmc/articles/PMC4478904/ /pubmed/26191439 http://dx.doi.org/10.1192/pb.bp.114.046995 Text en © 2014 The Authors http://creativecommons.org/licenses/by/3.0/ This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Special Articles
Corrigan, Frank M.
Hull, Alastair M.
Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†)
title Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†)
title_full Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†)
title_fullStr Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†)
title_full_unstemmed Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†)
title_short Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†)
title_sort neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective(†)
topic Special Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478904/
https://www.ncbi.nlm.nih.gov/pubmed/26191439
http://dx.doi.org/10.1192/pb.bp.114.046995
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