THE FLAT EARTH AS A METAPHOR FOR THE EVIDENCE FOR UNIFORM EFFICACY OFBONA-FIDE PSYCHOTHERAPIES - REPLY

On the basis of a meta-analysis of comparisons of bona fide psychother apies, B. E. Wampold et al. (1997)concluded that the available evidenc e supported the notion that all psychotherapies are nearly equal in te rms of efficacy. K. I. Howard, hi. S. Krause, S. M. Saunders, and S. M . Kopta (1997) and P. Crits-Christoph (1997) raised 4 general issues w ith this conclusion: (a) counterexamples, (b) untested alternative hyp otheses, (c) methodological problems, and (d) adequacy of randomized c linical trials. Each of these issues is discussed, and it is asserted that empirically there is no basis to alter the conclusions reached in B. E. Wampold et al.'s (1997) meta-analysis.