In addressing the very general question of what we should expect from psychotherapy, this article begins by discussing what constitutes relevant evidence on which to base the efficacy and effectiveness of psychotherapy. In this context, an important distinction is made between empirically supported treatments and evidence-based practice. Although there is evidence that psychotherapy does indeed work, there are also findings that there are times when our patients are harmed by our interventions. It is noted that the therapeutic alliance plays an extremely important role in the change process, and that ruptures in the alliance can contribute to our therapeutic failures. In pointing to directions for the future, modifications of how we investigate the outcome of treatment, as well as how to close the gap between research and practice, are offered.

中文翻译：

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我们应该从心理治疗中得到什么？

在解决我们应该从心理治疗中获得的期望这一非常普遍的问题时，本文首先讨论构成心理治疗的有效性和有效性的相关证据。在这种情况下，经验支持的治疗与循证实践之间存在重要区别。尽管有证据表明心理疗法确实有效，但也有发现有时我们的患者会受到我们的干预的伤害。值得注意的是，治疗联盟在变革过程中发挥着极其重要的作用，联盟破裂会导致我们的治疗失败。在指出未来的方向时，我们对如何研究治疗结果以及如何缩小研究与实践之间的差距进行了修改。