Pragmatism in Evidence-Based Practice – Not to the Extreme, Please

Over the years, I have written many articles on the subject of evidence-based practice (EBP). At times, the writing has been entirely derogatory; at others, it has been a bit more forgiving. In attempting to crystalize my notion of evidence in practice, I have concluded that pragmatism is a central driver of the process and that such pragmatism may attempt to whitewash the problem of bias in order to make findings useful for clinicians. To further clarify my position, the ideas of pragmatism, EBP, and bias are considered here.