Insight Into Insight in Psychotherapy

There have been more than 5,000 randomized controlled trials of psychotherapy. Most meta-analyses conclude that psychotherapy is effective for a range of disorders, and different modalities of therapy are equally effective. However, studies with the strongest research designs indicate that psychothe...

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Bibliographic Details
Published in:The American journal of psychiatry 2018-10, Vol.175 (10), p.923-924
Main Author: Høglend, Per
Format: Article
Language:English
Subjects:
Clinical trials
Medical treatment
Mental disorders
Psychotherapy
Self Concept
Systematic review
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Summary:There have been more than 5,000 randomized controlled trials of psychotherapy. Most meta-analyses conclude that psychotherapy is effective for a range of disorders, and different modalities of therapy are equally effective. However, studies with the strongest research designs indicate that psychotherapy may be considerably less effective than we tend to believe. In fact, different psychotherapies may be equally ineffective. Too many patients fail to respond or continue to experience residual symptoms after treatment termination. All treatments for mental disorders have a wide margin for improvement. This is the first meta-analysis of studies with data on the insight-outcome correlation. The meta-analysis is generally well done, with all of the elements that one would want to see--checks for heterogeneity, study quality, weighting, risk of publication bias. The authors screened more than 12,000 abstracts, assessed 261 full-text papers, and ended up with 22 studies (with 23 effect sizes).
ISSN:0002-953X
1535-7228
DOI:10.1176/appi.ajp.2018.18050634