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ERIC Number: EJ875632
Record Type: Journal
Publication Date: 2010
Pages: 2
Abstractor: As Provided
Reference Count: 9
ISSN: ISSN-0003-066X
Effects of an Uncertain Literature on All Facets of Clinical Decision Making
Sammons, Morgan T.; Newman, Russ
American Psychologist, v65 n2 p137-138 Feb-Mar 2010
Greenberg (2010) is correct in his assertion that the investigational heuristic used to measure the efficacy of antidepressants is flawed. Robust placebo effects are endemic in the psychiatric literature, particularly in studies of antidepressants, and estimates of placebo responding have increased over time (Rief et al., 2009). In the case of established treatments such as antidepressants, the placebo-controlled RCT heuristic is often misapplied (treatments of proven efficacy, no matter how modest, are arguably best understood by comparing their effects with those of other efficacious interventions, not placebos, although we recognize there is not uniformity on this position; see, e.g., Fritze & Moller, 2001). We also agree with Greenberg's (2010) observation that these points, however valid, do nothing to gainsay the argument that prescriptive authority is an appropriate goal for the profession of psychology. We believe that Greenberg (2010) would likely concur with our observation that the profession of psychology, relatively unburdened by questionable ties to pharmaceutical funding sources or biases toward biological interventions, is best positioned to both investigate and apply treatments for mental disorders that optimally combine both pharmacologic and psychotherapeutic approaches.
American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail:; Web site:
Publication Type: Journal Articles; Opinion Papers
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A