Bhuvaneswar C G, Gutheil T G
University of Pennsylvania, Department of Psychiatry, USA.
Am J Psychother. 2008;62(3):241-61. doi: 10.1176/appi.psychotherapy.2008.62.3.241.
In this paper, we consider the use of e-mail in psychotherapy and its impact on the experience of therapy for both patient and clinician. We discuss in detail the potential for boundary compromise by e-mail use and consider how e-mail may undermine the therapeutic alliance and the cultivation of empathy. Case studies illustrate the possible positive aspects of e-mail and elucidate several fundamental problems with any use of e-mail in psychodynamic treatment.
在本文中,我们探讨了电子邮件在心理治疗中的应用及其对患者和临床医生治疗体验的影响。我们详细讨论了使用电子邮件可能导致的边界妥协问题,并思考电子邮件如何可能破坏治疗联盟和同理心的培养。案例研究说明了电子邮件可能带来的积极方面,也阐明了在心理动力治疗中使用电子邮件存在的几个基本问题。