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Books, Journals, New Media
June 28, 2000

Addiction: Treating Addiction as a Human Process

Author Affiliations

Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for new media


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JAMA. 2000;283(24):3262. doi:10.1001/jama.283.24.3262-JBK0628-2-1

Psychodynamic therapies face two powerful foes to their development and survival. The first is an approach to medical and psychiatric care that insists on evidence-based theories and demonstration of positive outcomes for treatment based on those theories. Frequently, this approach is willing to suspend requirements for a theory if the outcome of a treatment is demonstrably positive. Psychodynamic therapies suffer because they reverse this hierarchy and give the majority of their energies to development of elaborate theories with little attention to the theory's testability or enthusiasm for validating positive therapeutic outcomes.