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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Dimidjian, Sona Hollon, Steven D. |
| Description | Country affiliation: United States Author Affiliation: Dimidjian S ( Department of Psychology and Neuroscience, University of Colorado, Boulder, CO 80309-0345, USA. sona.dimidjian@colorado.edu) |
| Abstract | Patients can be harmed by treatment or by the decisions that are made about those treatments. Although dramatic examples of harmful effects of psychotherapy have been reported, the full scope of the problem remains unclear. The field currently lacks consensus about how to detect harm and what to do about it when it occurs. In this article, we define the ways in which treatment (or the inferences about treatment) can do harm and discuss factors that complicate efforts to detect harm. We also recommend methods to detect and understand harm when it occurs, drawing from and modifying many of the same strategies that are used to detect benefit. Specifically, we highlight the value of establishing independent systems for monitoring untoward events in clinical practice, reporting descriptive case studies and qualitative research, and making use of information from randomized clinical trials, including examining potential active ingredients, mechanisms, moderators, and a broad range of outcomes measured over time. We also highlight the value of promoting discussion in the field about standards for defining and identifying harm. |
| File Format | HTM / HTML |
| ISSN | 0003066X |
| Issue Number | 1 |
| Volume Number | 65 |
| e-ISSN | 1935990X |
| Journal | American Psychologist |
| Language | English |
| Publisher | American Psychological Association |
| Publisher Date | 2010-01-01 |
| Publisher Place | United States |
| Access Restriction | Subscribed |
| Subject Keyword | Discipline Psychology Mental Disorders Therapy Psychotherapy Methods Treatment Failure Adverse Drug Reaction Reporting Systems Harm Reduction Humans Outcome And Process Assessment (health Care) Standards Randomized Controlled Trials As Topic Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Psychology |
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