© 2004 BMJ Publishing Group Ltd., Royal College of Psychiatrists, & British Psychological Society
EBMH Notebook
Response to Dr Gupta
Editor, EBMH
| The first 150 words of the full text of this article appear below. |
It is not uncommon for proponents of evidence-based practice (EBP) to state that once a treatment has been found to be ineffective in a randomised control trial it is "unethical" to continue to practice it. Dr Gupta challenges this statement. She feels there is no justification for stating "we should practice evidence-based mental health because it is ethical". She buttresses her argument by stating that since there are so many concerns about the "truth" of the evidence provided in scientific studies that one should not base the practice of EBP on that foundation.
It is an interesting point but I think it may be dangerous to caricature EBM. I do not recollect any statement by an advocate of EBP saying that the evidence in a randomised controlled trial is the same as "truth". Indeed, I think that what we learn by practicing EBP is rather "the error of our ways".
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