Helen and Arthur E. Johnson Depression Center, University of Colorado School of Medicine, 13199 E. Montview Ave, Aurora, CO, 80045, USA.
Department of Psychiatry, Helen and Arthur E. Johnson Depression Center, University of Colorado School of Medicine, 3199 E. Montview Ave, Aurora, CO, 80045, USA.
Curr Psychiatry Rep. 2019 Jul 8;21(8):76. doi: 10.1007/s11920-019-1055-7.
Telemental health, which is treatment mediated by technology, is an increasingly common method of delivering mental health care. However, its impact on the therapeutic alliance is unclear. This review examines studies of telemental health and its impact on therapeutic alliance.
Findings indicate that a therapeutic alliance can be maintained through a variety of communication technologies, with some caveats. Considerations on maintaining a successful therapeutic alliance include using technology as an adjunct to treatment and ensuring patients and providers have back-up plans for continuing communication in the event of technical difficulties. Overall, the studies found that clinicians often have more concerns about alliance than patients do, suggesting that clinicians could make some changes to feel more comfortable. Recommendations are offered for implementing techniques into practice that will help clinicians increase their awareness of ways to support the therapeutic alliance when using telemental health.
远程心理健康治疗是一种通过技术进行的治疗方法，是提供心理健康护理的一种日益常见的手段。然而，它对治疗联盟的影响尚不清楚。本综述探讨了远程心理健康治疗及其对治疗联盟的影响的研究。
研究结果表明，通过各种通信技术可以维持治疗联盟，但存在一些注意事项。维持成功的治疗联盟的考虑因素包括将技术作为治疗的辅助手段，并确保患者和提供者在遇到技术困难时制定备用计划以继续进行沟通。总的来说，这些研究发现，临床医生通常比患者更关注联盟问题，这表明临床医生可以做出一些改变以获得更多的舒适感。本综述为实施有助于提高临床医生在使用远程心理健康治疗时支持治疗联盟的意识的技术提供了建议。
