Department of Psychiatry and Behavioral Sciences, University of California Davis, Sacramento, California.
Telemed J E Health. 2018 May;24(5):329-334. doi: 10.1089/tmj.2017.0088. Epub 2017 Aug 24.
As the use of technology continues to expand within our mental healthcare system, there has been an increasing interest in conducting psychotherapy online using videoconferencing. Literature pertaining to telepsychotherapy has explored possible drawbacks of this modality on the therapeutic relationship, although several studies have shown that the efficacy of online psychotherapy is equivalent to in-person approaches. Little is written about the potential advantages to the psychotherapeutic relationship when psychotherapy is carried out over videoconferencing.
The available literature was reviewed, as were the general principles of telepsychotherapy and the therapeutic relationship, followed by a more in-depth consideration of patient populations for whom telepsychotherapy may offer distinct advantages.
The current literature, as well as our own clinical experience, suggests that telepsychotherapy may be effective for a broad range of patients, and it may offer distinct advantages in the building of a trusting psychotherapeutic relationship.
Telepsychotherapy offers a novel way to reach and form strong psychotherapeutic relationships with many different types of patients, and it may foster therapeutic intimacy in ways that in-person psychotherapy cannot. More research is needed to further explore this unique modality.
随着技术在我们的精神卫生保健系统中的应用不断扩大，越来越多的人对使用视频会议进行在线心理治疗产生了兴趣。有关远程心理治疗的文献探讨了这种模式对治疗关系可能存在的一些弊端，尽管有几项研究表明，在线心理治疗的疗效与面对面治疗方法相当。关于通过视频会议进行心理治疗对心理治疗关系可能产生的潜在优势，相关研究却很少。
对现有文献进行了回顾，同时还回顾了远程心理治疗和治疗关系的一般原则，随后更深入地考虑了可能通过远程心理治疗获得明显优势的患者群体。
目前的文献以及我们自己的临床经验表明，远程心理治疗可能对广泛的患者有效，并且在建立信任的心理治疗关系方面可能具有明显的优势。
远程心理治疗为与许多不同类型的患者建立和保持强有力的心理治疗关系提供了一种新颖的方式，并且它可能以面对面心理治疗无法实现的方式促进治疗的亲密感。需要进一步研究来更深入地探索这种独特的模式。
