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Published in: European Archives of Psychiatry and Clinical Neuroscience 4/2012

01-06-2012 | Original Paper

How close is evidence to truth in evidence-based treatment of mental disorders?

Author: Hans-Jürgen Möller

Published in: European Archives of Psychiatry and Clinical Neuroscience | Issue 4/2012

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Abstract

Given the importance of the term ‘evidence’ in evidence-based medicine (EBM), the meaning of this term is evaluated, going back to the philosophical tradition and current meaning of the terms ‘evidence’ and ‘truth’. Based on this, current problems in the definition of evidence and in the grading of evidence in EBM are described, taking examples from the field of psychiatry and especially pharmacopsychiatry. These problems underline that the use of the term evidence in EBM is inconsistent and inconclusive. This should be fairly stated in all EBM-related publications, especially in EBM-based guidelines, to avoid severe misunderstandings in and outside the field of psychiatry. Although EBM might have increased empirically driven rational decision-making in psychiatry/medicine, the current limitations should be carefully considered.
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Metadata
Title
How close is evidence to truth in evidence-based treatment of mental disorders?
Author
Hans-Jürgen Möller
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
European Archives of Psychiatry and Clinical Neuroscience / Issue 4/2012
Print ISSN: 0940-1334
Electronic ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-011-0273-8

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