Reflection on the RANZCP position on the adverse effects of psychotherapy

被引：3
作者：
Allison, Stephen [1 ,2 ]
Looi, Jeffrey C. L. [2 ,3 ]
Kisely, Steve [2 ,4 ]
Bastiampillai, Tarun [1 ,2 ,5 ]
机构：
[1] Flinders Univ S Australia, Coll Med & Publ Hlth, Adelaide, SA, Australia
[2] Consortium Australian Acad Psychiatrists Independe, Canberra, ACT, Australia
[3] Australian Natl Univ, Canberra Hosp, Sch Med & Psychol, Acad Unit Psychiat & Addict Med, Canberra, ACT, Australia
[4] Univ Queensland, Princess Alexandra Hosp, Sch Med, Ipswich Rd, Brisbane, Qld, Australia
[5] Monash Univ, Dept Psychiat, Clayton, Vic, Australia
来源：
AUSTRALASIAN PSYCHIATRY | 2025年 / 33卷 / 01期
关键词：
psychotherapy; adverse effects; monitoring and evaluation of therapy;
D O I：
10.1177/10398562241280362
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Objective In this perspective, we investigate how the Royal Australian and New Zealand College of Psychiatrists' (RANZCP) position statement on psychotherapy takes the potential for adverse effects into account.Conclusions Psychotherapy has two critical outcomes - efficacy and adverse effects. Evidence-based psychotherapy is significantly more effective than care-as-usual for about one in 10 psychotherapy patients. However, a similar proportion also reports adverse effects. Despite this, the RANZCP position statement on psychotherapy focuses on efficacy with minimal discussion of the adverse effects. This is an oversight because psychiatrists have legal and ethical obligations to consider the adverse effects as well as the benefits of any treatment. We therefore reflect on the RANZCP's six recommendations in light of the adverse effects of psychotherapy.
引用
收藏
页码：28 / 32
页数：5
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