B. Ruger, CRITICAL COMMENTS ON THE STATISTICAL-METH ODS IN GRAWE, DONATI AND BERNAUER - CHANGING PSYCHOTHERAPY - FROM DENOMINATION TO PROFESSION, Zeitschrift fur Psycho-somatische Medizin und Psychoanalyse, 40(4), 1994, pp. 368-383
In the meta-analysis ''Changing Psychotherapy'' by Grawe, Donati and B
ernauer different psychotherapeutic methods are compared based upon pu
blished therapy studies. Hereby the authors claim also to have proven
with statistical methods that certain kinds of therapy are more effect
ive than others. I show here that the descriptive and inductive method
s used are not able to withstand a critical examination; they are inco
rrect and in most cases even inadmissible. The results of my examinati
on show that there are four points of critique: 1. The question of how
effective a kind of therapy is, according to Grawe's criteria, depend
s more on the number of variables and their measurements with which a
therapy is judged than on the number of patients examined in the singl
e studies. 2. Grawe does not distinguish between dependent and indepen
dent variables or measurements; every measurement of each variable is
included in his methods with the same weight. 3. The different effect
variables used to evaluate the therapic process are mostly represented
on varying ordinal scales which are incomparable with each other. Gra
we treats these scales as if they were comparable, often even as if th
ey were metric. 4. All five statistical methods (counting significance
s, binomial test, profile of difference values, t-test, Wilcoxon-test)
with which Grawe evaluates the results of the single studies are inad
missable because the conditions required are not met. In sum: The conc
lusions stated in the meta-analysis cannot be seen as being statistica
lly validated or statistically proven.