Swartz Holly A, Novick Danielle M
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh (Swartz); Outpatient Mood Disorders Clinic and Clinical Training Committee, VA Pittsburgh Healthcare System, Pittsburgh (Novick).
Am J Psychother. 2020 Mar 1;73(1):15-21. doi: 10.1176/appi.psychotherapy.20190040. Epub 2020 Feb 13.
The digital age poses new challenges for psychotherapy. More than four billion people worldwide use the Internet, and most of them engage with social media. Therapists are increasingly asked to help patients navigate the complex interface between online technology and relationships, but few are prepared to address this issue therapeutically. Interpersonal psychotherapy (IPT) is an evidence-based psychotherapy for depression and is focused on addressing interpersonal problems. The authors use the IPT framework to explore how therapists can discuss, during in-person sessions, the impact of technology on communication and relationships. The authors describe how therapists can preserve IPT's overarching goal of resolving interpersonal problems by adapting specific techniques to meet the needs of patients who routinely rely on technology to connect with others. Case vignettes illustrate techniques used to evaluate and modify technology-based communication, including problematic text-based interactions. Recommendations are provided for therapists seeking to meet the interpersonal needs of patients in the digital age.
数字时代给心理治疗带来了新的挑战。全球有超过40亿人使用互联网，其中大多数人都参与社交媒体。越来越多的治疗师被要求帮助患者应对在线技术与人际关系之间的复杂界面，但很少有人准备好从治疗角度解决这个问题。人际心理治疗（IPT）是一种治疗抑郁症的循证心理治疗方法，专注于解决人际关系问题。作者运用IPT框架来探讨治疗师如何在面对面治疗过程中讨论技术对沟通和人际关系的影响。作者描述了治疗师如何通过调整特定技术以满足经常依赖技术与他人建立联系的患者的需求，从而实现IPT解决人际关系问题的总体目标。案例 vignettes 说明了用于评估和修改基于技术的沟通的技术，包括有问题的基于文本的互动。为寻求满足数字时代患者人际关系需求的治疗师提供了建议。
