Active Engagement More Important Than Type of Treatment


Researchers (including Irving Kirsch) in the U.S., Israel and the U.K. find that a combination of psychotherapy and antidepressants may provide a slight benefit over alternative therapies or active intervention controls, whereas either alone did not. The authors conclude that the type of treatment “is less important than getting depressed patients involved in an active therapeutic program.” Results appeared online in PLoS One.

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Khan, A. Faucett, J., Lichtenberg, P., Kirsch, I., Brown, W., A Systematic Review of Comparative Efficacy of Treatments and Controls for Depression. PLoS One. 2012;7(7):e41778. Epub 2012 Jul 30.

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].