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The human prerogative: a critical analysis of evidence-based and other paradigms of care in substance abuse treatment

Eric Broekaert UGent, Annemarie Autrique UGent, Wouter Vanderplasschen UGent and Kathy Colpaert UGent (2010) PSYCHIATRIC QUARTERLY. 81(3). p.227-238
abstract
Present-day substance abuse treatment is characterized by a compelling demand for applying evidence-based interventions. Vehement discussions between policymakers, practitioners and researchers illustrate this clash of differing paradigms. The aim of this article is to situate evidence-based practice among the leading paradigms of care and to elucidate its implicit assumptions and potential implications. Evidence-based practice is inherent in the empirical-analytical paradigm of care and science, founded upon randomized and controlled studies. This paradigm is compared with the phenomenological-existential and the critical post-structural paradigm, which focus on elaborating the human potential and exploring individuals' subjective interpretations, and on criticizing social inequalities and striving for compliance with human rights, respectively. Evidence-based practice and the methodological rigidity in each paradigm are analyzed critically. We conclude that through the dialectical integration of these diverse approaches, evidence, existence/humanism and social emancipation can be combined for the benefit of the human prerogative of care.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Addiction, Treatment, SYSTEMS, METAANALYSIS, TRIALS, Research paradigm, ALCOHOL-WITHDRAWAL, Evidence-based medicine, Therapeutic communities, THERAPEUTIC-COMMUNITY, PHARMACOLOGICAL MANAGEMENT, ADDICTION TREATMENT, QUALITY-OF-LIFE, EVIDENCE-BASED MEDICINE, EVIDENCE-BASED GUIDELINES, Harm reduction
journal title
PSYCHIATRIC QUARTERLY
Psychiatr. Q.
volume
81
issue
3
pages
227 - 238
Web of Science type
Article
Web of Science id
000281013400005
JCR category
PSYCHIATRY
JCR impact factor
1.327 (2010)
JCR rank
62/107 (2010)
JCR quartile
3 (2010)
ISSN
0033-2720
DOI
10.1007/s11126-010-9132-4
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1071121
handle
http://hdl.handle.net/1854/LU-1071121
date created
2010-11-05 18:43:09
date last changed
2015-06-17 09:16:45
@article{1071121,
  abstract     = {Present-day substance abuse treatment is characterized by a compelling demand for applying evidence-based interventions. Vehement discussions between policymakers, practitioners and researchers illustrate this clash of differing paradigms. The aim of this article is to situate evidence-based practice among the leading paradigms of care and to elucidate its implicit assumptions and potential implications. Evidence-based practice is inherent in the empirical-analytical paradigm of care and science, founded upon randomized and controlled studies. This paradigm is compared with the phenomenological-existential and the critical post-structural paradigm, which focus on elaborating the human potential and exploring individuals' subjective interpretations, and on criticizing social inequalities and striving for compliance with human rights, respectively. Evidence-based practice and the methodological rigidity in each paradigm are analyzed critically. We conclude that through the dialectical integration of these diverse approaches, evidence, existence/humanism and social emancipation can be combined for the benefit of the human prerogative of care.},
  author       = {Broekaert, Eric and Autrique, Annemarie and Vanderplasschen, Wouter and Colpaert, Kathy},
  issn         = {0033-2720},
  journal      = {PSYCHIATRIC QUARTERLY},
  keyword      = {Addiction,Treatment,SYSTEMS,METAANALYSIS,TRIALS,Research paradigm,ALCOHOL-WITHDRAWAL,Evidence-based medicine,Therapeutic communities,THERAPEUTIC-COMMUNITY,PHARMACOLOGICAL MANAGEMENT,ADDICTION TREATMENT,QUALITY-OF-LIFE,EVIDENCE-BASED MEDICINE,EVIDENCE-BASED GUIDELINES,Harm reduction},
  language     = {eng},
  number       = {3},
  pages        = {227--238},
  title        = {The human prerogative: a critical analysis of evidence-based and other paradigms of care in substance abuse treatment},
  url          = {http://dx.doi.org/10.1007/s11126-010-9132-4},
  volume       = {81},
  year         = {2010},
}

Chicago
Broekaert, Eric, Annemarie Autrique, Wouter Vanderplasschen, and Kathy Colpaert. 2010. “The Human Prerogative: a Critical Analysis of Evidence-based and Other Paradigms of Care in Substance Abuse Treatment.” Psychiatric Quarterly 81 (3): 227–238.
APA
Broekaert, Eric, Autrique, A., Vanderplasschen, W., & Colpaert, K. (2010). The human prerogative: a critical analysis of evidence-based and other paradigms of care in substance abuse treatment. PSYCHIATRIC QUARTERLY, 81(3), 227–238.
Vancouver
1.
Broekaert E, Autrique A, Vanderplasschen W, Colpaert K. The human prerogative: a critical analysis of evidence-based and other paradigms of care in substance abuse treatment. PSYCHIATRIC QUARTERLY. 2010;81(3):227–38.
MLA
Broekaert, Eric, Annemarie Autrique, Wouter Vanderplasschen, et al. “The Human Prerogative: a Critical Analysis of Evidence-based and Other Paradigms of Care in Substance Abuse Treatment.” PSYCHIATRIC QUARTERLY 81.3 (2010): 227–238. Print.