Sharing Ideas and Evidence-Based Practice (EBP)

By Pam Marshalla

Q: I received the email you sent regarding collecting suggestions for carryover that you intend to compile in a book. It is surprising to me that you find it reasonable to pass on non-evidence based ideas submitted by therapists. I don’t think this meets a best practice standards at all. Will you measure the merit of these ideas? I’m curious to know how you propose to demonstrate efficacy. What you seem to propose is to collect and disseminate ideas that stops short of any evidence-based practice. Where, in fact, is the evidence for these carryover strategies?

This is unbelievable. I am not publishing a journal. I am publishing a book of therapy ideas.

I have a series of questions for you:

  • Are you opposed to the sharing of ideas from one therapist to another?
  • Are you opposed to showing other therapists how to do certain things?
  • Are you opposed to watching or listening to other therapists who have ideas for you?
  • Is there something wrong with the sharing of clinical ideas?
  • Is there something wrong with the dissemination of anecdotal information?
  • Have we gotten to the point where we can no longer even talk about what we do?
  • Are practicing therapists now forbidden from writing down their ideas?
  • Are 10, or 20, or 30, or 40 years of clinical experiences worthless?
  • Is there no room anymore for the sharing of clinical ideas from one therapist to another?

If the answer to each of these questions is “yes,” then we are doomed as a profession. We will never “fix” anyone else ever again. Why? Because most of what we do in therapy has never been researched by anyone.

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