Overrating or Dismissing the Value of Evidence-Based Practice: Consequences for Clinical Practice

摘要

Current implementation of the evidence based practice (EBP) model in social work has focused on empirical evidence from efficacy studies, with far less attention to practitioner judgment and client values. Among many clinical social workers the opposite is often true: clinical judgment supersedes the use of scientifically tested techniques. Clinicians may reject EBP as coming out of narrowly focused, possibly irrelevant research, and adherents of EBP run the risk of discounting psychotherapy techniques derived from practice experience or the vast diversity of client situations—both positions threaten our effectiveness. Reasserting clinical judgment and the centrality of clients’ experience into EBP, while enhancing traditional psychotherapy with strong treatment-effectiveness evidence, will improve clinical social work practice, especially in addressing the wide array of human problems and suffering that clients present, especially in the context of globalization and cultural diversity.