Isaacs Russell Gillian
Br J Psychother. 2020 Aug;36(3):364-374. doi: 10.1111/bjp.12581. Epub 2020 Jul 9.
In this interview by email, Gillian Isaacs Russell, author of the influential , responds to a set of questions from the . The interview focuses on the impact of remote working during the coronavirus epidemic, starting with the question of whether an effective therapeutic process can occur without physical co-presence. Isaacs Russell shares her immediate thoughts about the virtually overnight changes to our practice that came with the epidemic, and the work of the American Psychoanalytic Association's Covid-19 Advisory Team, on which she sits. Her responses are informed by recent cross-disciplinary and neuropsychological research on the digital age. She considers what happens to free association, evenly suspended attention and reverie when working by phone or online; the loss of the consulting room as a containing physical space for both clinician and patient; the relationship between place and time; and whether (and how) we can maintain a focus on transference and countertransference in the presence of the threat of death. The interview ends with her thoughts on whether we should assume that the landscape of analytic therapy will be permanently altered by Covid-19, and with her hope that general awareness of the impact of trauma on our mental health has been raised.
在这次电子邮件采访中,有影响力的《 》的作者吉莉安·艾萨克斯·拉塞尔回答了《 》提出的一系列问题。这次采访聚焦于新冠疫情期间远程工作的影响,开篇问题是:没有面对面在场,是否能进行有效的治疗过程。艾萨克斯·拉塞尔分享了她对疫情给我们的诊疗实践带来的几乎是一夜之间的变化的即时想法,以及她所在的美国精神分析协会新冠疫情咨询小组的工作情况。她的回答基于近期关于数字时代的跨学科和神经心理学研究。她思考了通过电话或在线工作时自由联想、均匀悬浮注意力和幻想会发生什么;咨询室作为临床医生和患者的容纳性物理空间的丧失;地点与时间的关系;以及在死亡威胁存在的情况下,我们是否(以及如何)能够保持对移情和反移情的关注。采访最后,她思考了我们是否应该认为分析治疗的格局会因新冠疫情而永久改变,以及她希望人们对创伤对我们心理健康的影响的普遍认识已经得到提高。