Mermelstein H T, Holland J C
Psychiatry Service, Memorial Hospital, Memorial Sloan-Kettering Cancer Center, New York, NY.
Psychosomatics. 1991 Fall;32(4):407-12. doi: 10.1016/S0033-3182(91)72042-2.
Medically ill patients who cannot come to the psychotherapist's office on a regular basis frequently are encountered in consultation-liaison settings. For these individuals the telephone becomes the only link to psychological counseling. The two cases presented in this article of successful telephone therapy with cancer patients exemplify and highlight the effect of this mode of interaction on the therapeutic process and relationship. Telephone communication also differs from face-to-face interaction in areas of therapist-patient accessibility, control, formality, and anonymity, which make it an especially effective psychotherapeutic tool for the medically ill patient.
在会诊-联络环境中经常会遇到无法定期前往心理治疗师办公室的内科疾病患者。对于这些人来说,电话成为了与心理咨询的唯一联系。本文介绍的两例对癌症患者进行成功电话治疗的案例,例证并突出了这种互动方式对治疗过程和关系的影响。电话沟通在治疗师与患者的可及性、控制权、正式程度和匿名性等方面也与面对面互动有所不同,这使其成为内科疾病患者特别有效的心理治疗工具。