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Evidence of efficacy in studies of post-traumatic conditions is largely derived from studies in which variables are kept to a minimum. Extrapolation of treatments from uncomplicated disorders to complex conditions may therefore be called evidence-based without being evidenced.
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Neglect of the complex: why psychotherapy for post-traumatic clinical presentations is often ineffective | BJPsych Bulletin
One of my (secondary) takeaways is that the Royal College of Psychiatrists makes a good argument against UK public health policy makers' endless endorsement of CBT.