How the philosophy of Merleau- Ponty can help us understand the gulf between clinical experience and the doctrine of evidence-based psychotherapy
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Australasian Psychiatry 18 ( 3):221–225 (2010)
Objective: The aim of this paper is to examine the gulf between clinical<br>experience and the doctrine of evidence-based psychotherapy from the<br>perspective of the philosophy of Maurice Merleau-Ponty.<br>Conclusions : Evidence-based psychotherapy, which requires that psychotherapists ignore their thoughts and feelings with individual patients in favour of following standardized manuals and guidelines, is being increasingly promoted as part of evidence-based medicine (EBM). However,this represents an inappropriate extension of logical empiricist philosophy and significance testing methodology, on which evidence-based medicine is founded, to psychotherapy. It sacrifices a search for truth in psychotherapy, for an illusory search for certainty. The inevitable consequence of this is that psychotherapy becomes a commoditised pseudorelationship. Merleau-Ponty provides an alternative ontology, based on the primacy of perception, that gives an epistemological foundation for the search for truth and integration as a basis for psychotherapy. The practice of evidence-based psychotherapy raises serious ethical concerns about pseudorelationships being passed off as authentic, which could lead to missed opportunities to engage mentally ill patients in treatment and to reinforcement of their damaging sense of alienation.<br>.
|Keywords||evidence-based psychotherapy empiricism evidence-based medicine Merleau-Ponty truth|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Ron Morstyn (2011). Dangerous “Spin”: The Probability Myth of Evidence-Based Prescribing - a Merleau-Pontyian Approach. Australasian Psychiatry 19 (4):295-300.
Brian Hazelton Walsh (2010). The Spatialisation of Disease: Foucualt and Evidence-Based Medicine (Ebm). [REVIEW] Journal of Bioethical Inquiry 7 (1):31-42.
Hillel D. Braude (2009). Clinical Intuition Versus Statistics: Different Modes of Tacit Knowledge in Clinical Epidemiology and Evidence-Based Medicine. Theoretical Medicine and Bioethics 30 (3):181-198.
Malcolm Parker (2002). Whither Our Art? Clinical Wisdom and Evidence-Based Medicine. Medicine, Health Care and Philosophy 5 (3):273-280.
Simon A. Cole, Toward Evidence-Based Evidence: Supporting Forensic Knowledge Claims in the Post-Daubert Era.
Wendy A. Rogers (2002). Is There a Tension Between Doctors' Duty of Care and Evidence-Based Medicine? Health Care Analysis 10 (3):277-287.
Paul Biegler (2010). Autonomy and Ethical Treatment in Depression. Bioethics 24 (4):179-189.
Added to index2010-05-05
Total downloads6 ( #461,743 of 1,796,307 )
Recent downloads (6 months)1 ( #468,135 of 1,796,307 )
How can I increase my downloads?