Although psychological treatments are broadly recognized as evidence-based interventions for various mental disorders, challenges remain. For example, a substantial proportion of patients receiving such treatments do not fully recover, and many obstacles hinder the dissemination, implementation, and training of psychological treatments. These problems require those in our field to rethink some of our basic models of mental disorders and their treatments, and question how research and practice in clinical psychology should progress. To answer these questions, a group of experts of clinical psychology convened at a Think-Tank in Marburg, Germany, in August 2022 to review the evidence and analyze barriers for current and future developments. After this event, an overview of the current state-of-the-art was drafted and suggestions for improvements and specific recommendations for research and practice were integrated. Recommendations arising from our meeting cover further improving psychological interventions through translational approaches, improving clinical research methodology, bridging the gap between more nomothetic (group-oriented) studies and idiographic (person-centered) decisions, using network approaches in addition to selecting single mechanisms to embrace the complexity of clinical reality, making use of scalable digital options for assessments and interventions, improving the training and education of future psychotherapists, and accepting the societal responsibilities that clinical psychology has in improving national and global health care. The objective of the Marburg Declaration is to stimulate a significant change regarding our understanding of mental disorders and their treatments, with the aim to trigger a new era of evidence-based psychological interventions.

中文翻译：

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心理治疗的未来：马尔堡宣言


尽管心理治疗被广泛认为是针对各种精神障碍的循证干预措施，但挑战仍然存在。例如，接受此类治疗的患者中有相当一部分没有完全康复，并且许多障碍阻碍了心理治疗的传播、实施和培训。这些问题要求我们领域的人们重新思考精神障碍及其治疗的一些基本模型，并质疑临床心理学的研究和实践应该如何进展。为了回答这些问题，一组临床心理学专家于 2022 年 8 月在德国马尔堡的智库召开会议，审查证据并分析当前和未来发展的障碍。此次活动之后，起草了对当前最新技术的概述，并整合了改进建议以及研究和实践的具体建议。我们会议提出的建议包括通过转化方法进一步改善心理干预，改进临床研究方法，弥合更多规范性（以群体为导向）研究和具体（以人为中心）决策之间的差距，除了选择单一机制之外还使用网络方法拥抱临床现实的复杂性，利用可扩展的数字选项进行评估和干预，改善未来心理治疗师的培训和教育，并接受临床心理学在改善国家和全球医疗保健方面的社会责任。 《马尔堡宣言》的目标是促进我们对精神障碍及其治疗的理解发生重大变化，旨在开启循证心理干预的新时代。