NHS Lothian, St. John's Hospital, Livingston, UK.
Department of Justice & Society, University of South Australia, Adelaide, SA, Australia.
Clin Psychol Psychother. 2021 Mar;28(2):409-421. doi: 10.1002/cpp.2521. Epub 2020 Oct 24.
The arrival of the coronavirus (COVID-19) pandemic has confronted us with a global and unprecedented challenge of community-wide psychological distress alongside reduced access to therapeutic services in the traditional face-to-face format, due to the need to self-isolate. This previously unimagineable set of circumstances provides a unique opportunity, and indeed an imperative, for videotherapy to fulfil its potential in addressing mental health and well-being needs from a distance. Historically, the uptake of videotherapy has been hindered by psychotherapist expectations of inferior therapeutic alliance and outcomes, in spite of considerable research evidence to the contrary. Research suggests that videotherapy provides a powerful pathway for clients to experience enhanced opportunities for self-expression, connection and intimacy. This more neutral therapeutic 'space' provides clients with multifarious opportunities for self-awareness, creative experience and collaboration, with potentially a greater sense of agency over their own experience. This paper explores ways in which videotherapy can lead to a revitalisation of the concept of the therapeutic relationship, in order to meet the challenges associated with COVID-19. A number of specific considerations for videotherapy adaptations and etiquette in the midst of COVID-19 are described.
冠状病毒（COVID-19）大流行的到来使我们面临着全球性的、前所未有的挑战，即由于需要自我隔离，导致社区范围内的心理困扰以及传统面对面形式的治疗服务的减少。这种以前无法想象的情况为视频治疗提供了一个独特的机会，实际上也是一个必要的机会，可以发挥其潜力，从远程角度满足心理健康和福祉的需求。从历史上看，尽管有大量相反的研究证据，但心理治疗师对治疗联盟和结果的期望不佳，一直阻碍了视频治疗的采用。研究表明，视频治疗为客户提供了增强自我表达、联系和亲密感的有力途径。这种更中立的治疗“空间”为客户提供了多种自我意识、创造性体验和协作的机会，他们对自己的体验可能具有更大的自主性。本文探讨了视频治疗如何导致治疗关系概念的复兴，以应对 COVID-19 带来的挑战。描述了在 COVID-19 期间视频治疗适应和礼仪的一些具体注意事项。
