Almost 70 years ago, Eysenck1 stirred up the community of psychotherapists by postulating that psychotherapies—at that time predominantly psychoanalytic—are not effective in the treatment of psychological disorders. This led to a massive surge of empirically evaluated psychotherapy research and promoted particularly the rise of cognitive behavioural therapy. Today, we know that a range of psychotherapies work across a wide variety of mental disorders and numerous meta-analyses of randomised controlled trials prove that Eysenck’s conclusion is no longer relevant. However, despite ample evidence that psychotherapy is generally efficacious, only 30% of patients achieve remission while as many as 65% leave treatment without a measurable benefit or even with deterioration.2 Therefore, psychotherapy researchers face the challenge to improve the effectiveness of their interventions. …

中文翻译：

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是时候改变心理治疗的范式了吗？

大约 70 年前，艾森克 1 提出心理治疗（当时主要是精神分析治疗）对于治疗心理障碍无效，从而激起了心理治疗师界的关注。这导致了实证评估心理治疗研究的大量涌现，尤其促进了认知行为治疗的兴起。今天，我们知道一系列心理疗法适用于各种精神障碍，并且随机对照试验的大量荟萃分析证明艾森克的结论不再相关。然而，尽管有大量证据表明心理治疗总体上有效，但只有 30% 的患者获得缓解，而多达 65% 的患者在没有明显获益甚至病情恶化的情况下离开治疗。2因此，心理治疗研究人员面临着提高干预措施有效性的挑战。……