For more than sixty years in clinical psychology we have attempted to integrate science into practice for the benefit of the public. After a brief review of the progress we have made and the reasons for the emergence of evidence-based practice, we will consider current barriers to dissemination and implementation. These include the relative (in) efficacy of current psychological interventions, issues of comorbidity and heterogeneity of psychopathology, the ambiguity concerning mechanisms of action in treatments, a continuing emphasis on nomothetic rather than idiographic methodology, and emerging issues of implementation in clinical settings. The centrality of these issues to public health policy will dictate a marked shift in emphasis in both research and practice in the coming decade.
*Sessions may be edited for content and to preserve confidentiality*
Professor of Psychology, Research Professor of Psychiatry, Director of Clinical Training Programs, and Director of the Center for Anxiety and Related Disorders at Boston University. Editor of Clinical Psychology: Science and Practice. He is a Diplomate in Clinical Psychology of the American Board of Professional Psychology, and maintains a private practice. Dr. Barlow has published over 500 articles, chapters and books. He is the recipient of numerous awards, most recently the C. Charles Burlingame Award from the Institute for Living.