A Prática Baseada em Evidências na Psicologia entre Avanços e Exclusões

Abstract

Evidence-Based Practice in Psychology (EBPP) has emerged as an integrative model purportedly capable of reconciling scientific rigor with the complexity of clinical practice. However, its transposition from the medical to the psychological field has generated intense debate regarding the legitimation of knowledge and the technification of care. This study aimed to critically analyze EBPP by mapping its conceptual foundations, implementation challenges, and critiques directed at the model. A narrative literature review was conducted, encompassing 23 articles published between 2020 and 2026, selected from academically relevant databases. The results indicate that, although EBPP presents itself as a tripartite model, its operationalization frequently subordinates subjectivity and clinical experience to the statistical hierarchy of randomized controlled trials. Significant gaps were identified in professional training and in the sociocultural representativeness of evidence, which often disregards intersectional markers and peripheral geopolitical contexts. It is concluded that EBPP frequently operates as a strategy of institutional and market legitimation. The study points to the urgent need for a critical appropriation of the model, one that recovers its integrative vocation and acknowledges the existential and political dimensions of the therapeutic encounter, preventing methodological rigor from becoming a mechanism for excluding the subject in their singularity.