Paulik Georgie, Maloney Gayle, Arntz Arnoud, Bachrach Nathan, Koppeschaar Annemieke, McEvoy Peter
Perth Voices Clinic, School of Psychology, Murdoch University, 90 South Street, Murdoch, Western Australia, 6150, Australia.
School of Psychological Science, University of Western Australia, Crawley, Australia.
Curr Psychiatry Rep. 2021 Mar 16;23(5):24. doi: 10.1007/s11920-021-01238-8.
Delivery of psychological therapies via telehealth has increased with the emergence of the COVID-19 pandemic. Therapists may be hesitant in moving to telehealth when delivering therapies targeting memories of traumatic experiences. This paper collates the clinical experiences of clinicians and clients who have delivered or received imagery rescripting, respectively, via telehealth across a range of clinical presentations, and describes key clinical considerations and recommendations.
It is important to consider perceived and real safety; practical and technological issues; therapeutic alliance; depth of emotional processing; and dissociation. There was support for the delivery of imagery rescripting via telehealth being no less effective than face-to-face delivery; however, telehealth delivery was not a viable option for many clients during COVID-19 lockdowns who were living in high density housing, old houses with thin walls, or with some complex disorders.
随着新冠疫情的出现，通过远程医疗提供心理治疗的情况有所增加。在提供针对创伤经历记忆的治疗时，治疗师可能对转向远程医疗持犹豫态度。本文整理了分别通过远程医疗在一系列临床病例中提供或接受意象改写治疗的临床医生和患者的临床经验，并描述了关键的临床考虑因素和建议。
重要的是要考虑到感知到的和实际的安全性；实际和技术问题；治疗联盟；情感处理的深度；以及解离。有证据支持通过远程医疗提供意象改写治疗的效果不低于面对面治疗；然而，在新冠疫情封锁期间，对于许多居住在高密度住房、墙壁薄的老房子或患有某些复杂疾病的患者来说，远程医疗并不是一个可行的选择。
