Sacramento Center for Psychotherapy, Sacramento, California.
Am J Psychother. 2021 Jun 1;74(2):83-88. doi: 10.1176/appi.psychotherapy.20200034. Epub 2021 Feb 2.
Although telepsychiatry is not new, the COVID-19 pandemic has dramatically boosted and legitimized it, especially in the field of group therapy. Group therapists have been forced to move online without enough training in leading online groups. Online groups are not the same as meeting in person and present specific obstacles and challenges that should either be compensated for or acknowledged as losses. In this article, the author summarizes these obstacles, identifying factors in group therapy, such as body-to-body interaction, that are absent online and suggesting ways to compensate for other differences, such as the therapist's reduced control over the setting. Surprisingly, some group members may benefit from online groups more than from in-person ones, but the online format is not for everyone. Research on online therapy has already shown this format's effectiveness, and the therapeutic alliance that is positively correlated with outcome seems to be achievable online as well. However, more research is needed, especially on cohesion in online groups, which seems to develop slower online.
尽管远程精神病学并不新鲜,但 COVID-19 大流行极大地促进并使其合法化,尤其是在团体治疗领域。团体治疗师在没有足够的在线带领团体培训的情况下被迫转移到线上。在线团体与面对面的会议不同,存在特定的障碍和挑战,这些障碍和挑战要么需要弥补,要么需要承认是损失。在本文中,作者总结了这些障碍,并确定了团体治疗中的一些因素,如身体与身体的互动,这些因素在线上是不存在的,并提出了一些弥补其他差异的方法,如治疗师对环境的控制减少。令人惊讶的是,一些团体成员可能从在线团体中比从面对面团体中获益更多,但在线模式并不适合所有人。关于在线治疗的研究已经表明了这种模式的有效性,而且与治疗结果呈正相关的治疗联盟似乎也可以在线上实现。然而,还需要更多的研究,特别是在线团体凝聚力的研究,因为在线团体凝聚力似乎发展得更慢。