Marc Carter wrote:
>
>
> I certainly don't want my doctor choosing a medicine on the basis of 
> anything other than what's been shown to work.  Why should we expect 
> less of therapists? 

Marc, I think you've hit the nail on the head, though inadvertently. 
There are many, many physicians out there who, although they scraped 
through their initial medical training, are not able (or wanting) to 
read and evaluate new medical research as it is published. They rely 
mainly on their past experience, discussions with colleagues, and 
intuition (just like many clinical psychologists). The pharmaceutical 
industry figured this out a long time ago and exploits it to their 
advantage by sending physicians advertising in the form of easy-to-read 
read promotional literature that is thinly disguised as research 
summaries. And they send them a lot of "samples" to give to their 
patients (to get them in the habit of prescribing the brand), and they 
throw luxurious promotional parties that are thinly disguised as 
confernces.

Do I think that the original training of physicians is more 
scientifically rigorous than that of clinical psychologists? Of course, 
but I also think that medical science, in general, is more rigorous then 
psychological science as well, so the difference in training regimens is 
hardly surprising.

The real issue here, I think, is that there is a clinical ethos (whether 
in psychology or medicine) that is orthogonal to (or perhaps even 
somewhat negatively correlated with) the research ethos (and lets be 
clear -- there are lots of superior researchers who, despite their great 
knowledge, would make horrible clinicians). It is relatively rare to 
find an individual who brings the best of both together. That is where 
the problems lies.

Regards,
Chris
-- 

Christopher D. Green
Department of Psychology
York University
Toronto, ON M3J 1P3
Canada

 

416-736-2100 ex. 66164
[email protected]
http://www.yorku.ca/christo/

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