Of all the treatments in medicine and psychiatry in particular, the evaluation of psychotherapy offers some of the greatest challenges to researchers. A wide variety of research designs and instruments have been employed, with distinct advantages and disadvantages to each. No one study of psychotherapy can answer all the important questions that need to be asked. Given the complexity of research on psychotherapy, knowledge accumulates slowly. Despite the problems, complexities, and slow pace of scientific advance, psychotherapy outcome research now has the tools and emerging findings to begin to influence the practice of psychotherapy and mental health treatments in general. We expect that in the next decade methodological advances in the evaluation of psychotherapy will lead to a stronger link between research and practice.

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