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An Expanded View

Arch Gen Psychiatry. 2002;59:499-500.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN THEIR article, Gabbard, Gunderson, and Fonagy¹—all distinguished psychoanalytic contributors—describe clearly and persuasively the only partially successful efforts, to this point, for psychoanalytic psychotherapies to meet the proclaimed "gold standard" of empirically validated treatments. (However, Luborsky² and Strupp³ have both made a convincing case for the greater appropriateness of the less rigorous criterion of empirically supported treatment as the more useful and meaningful measure of psychotherapeutic approaches.) Gabbard et al describe equally clearly and persuasively the complexities of method and design that make it much more difficult to mount compelling empirically validated treatment studies in the realm of psychoanalytic psychotherapies than in alternative psychiatric therapeutic approaches, such as pharmacotherapy or even brief, time-limited dynamic psychotherapy. And, incidentally, many of even the most widely used, and presumably efficacious, therapies in general medicine and surgery have not met or even been subjected to empirical validation.

This article is a response, but . . . [Full Text of this Article]

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