Evidence Based Research need

Edward Schreiber edwschreiber at earthlink.net
Sun Nov 30 05:08:59 UTC 2014


There might be a research team, or coach, that would work with, support, help design the project, to factor in the points Adam is making.
That along with the funding could be a program, or project, of the ASGPP.

Ed


On Nov 29, 2014, at 9:11 PM, Adam Blatner wrote:

> I'm all for the general idea of research, but before that we may need to address a number of questions:
>    1. Treatment is a very broad category:
>             a. There are specific treatments for specific conditions.
>             b. There are general amelioration treatments for both specific and general conditions. These tend to be more aimed at reducing symptoms even if the original cause is not known.
>             c. There are adjunctive treatments. For example, if a soldier gets his leg blown off, there are multiple aspects of treatment to prevent blood loss, clean out the wound, sew it up, promote healing; and the psycho-social treatments don't substitute for the physical treatment, but vocational guidance, marital support, etc. all are part of the broader sense of treatment.
>         It may be that psychodrama in many cases of major mental illness works not as the primary treatment, but rather as an adjunctive treatment.
>    2. Psychosocial treatments are often combined, so that for example in Serbia psychodrama is used along with Transactional Analysis. In the USA, often different theoretical backgrounds frame the therapy, and role playing is a prominent aspect of Gestalt Therapy. So is that psychodrama? 
> 
>    3. Can we get that proposal by Rory Remer as a paper for our journal? 
> 
>    4. Effectiveness of any modality depends on a specification of what it's being used for. Medicine x is good for condition X, doesn't affect condition Y either way---not effective, not harmful, a waste of money; but medicine x is contraindicated for condition Z---makes the problem worse.
>       Diagnosis in psychiatry is poor in many cases. Whatever is the major diagnosis may be significantly affected by a wide variety of conditions:
>       a. co-morbidities. Alcohol, drug abuse, gambling, sex addiction, etc.
>       b. legal status and secondary gain. What advantages regarding legal charges or disability may be at stake?
>       c. social network: sometimes barren or inhabited by people who make the situation worse.
>       d. economic status. travel, payments, etc. 
>                 These are often ignored in research, but they're most important.
> 
> 5. Response of mildly disturbed college students---the most common target for all kinds of psychological testing---may not reflect the response of other people given similar diagnoses but operate in different circumstances:
>     age groups     social integration    other life stresses    etc.
> 
> And so forth. So research that acknowledges these rather obvious problems is welcome, but may be difficult to set up. 
> 
> 6. Psychodrama as a major modality is rare except in those who are part of a psychodrama group for training. 
>      It's often combined with other approaches, and then the question must be to what extent was psychodrama the operative factor in any recovery?
>     Complicating it: Psychodrama is active and dramatic. To compare it to no treatment would miss the obvious factor of patients feeling that healers are actively intervening in their care, versus patients feeling that no one is doing that much in their behalf. One would need to compare psychodrama with another therapy that was group-centered (accounting for all the variables attending the group setting) and active, suggesting that the therapist is really trying to help. 
>     I don't claim to have listed all the factors that might make for difficulty. Nor do I want to be dismissed merely as a nay-sayer when I point out very very obvious problems. 
>      Warmly, Adam Blatner
> 
> On Sat, Nov 29, 2014 at 4:55 PM, Hollander Erica via Research <research at asgpplistserv.org> wrote:
> To Bill Wysong and others:
>         It is completely correct that we need to bring evidence based research into our field.  It is not correct that nothing is being done about this need.
>         For the last few years we have offered research workshops at every conference.  We have set up a research listserv designed to provide some materials and links for collaboration on research.  Rory Remer has designed a plan for a multi-site project to measure effectiveness of psychodrama which we are promoting worldwide, and will be working on at this year’s conference.  That project is designed to be simple, possible to use in agencies or hospitals or private practice, without formal training in research modalities.
> We are continuing to tweak it to make it simpler, better, easy to use.  We seek input on it and have put it up on the listserv and out to colleagues in Asia and Europe.
>         I have been arguing for inclusion of more data based research and more professional editing in our journal for years.  Nancy Kirsner and I both made monetary donations to ASGPP for research in our field.  So far no one has applied for those funds.
>         I am interested in talking to and working with anyone else who wants to help with this very serious issue.  We definitely need to do this or our lovely method will wither and die.
> 
> Erica Hollander
> 
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