American Board of Professional Psychology Diplomate of Clinical Psychology and of Psychoanalysis in Psychology as well as a Fellow of the Division of Psychoanalysis.
Attending Psychiatrist at the Shanghai St. Michael Hospital and He Yun Xin Yu Mental Health Service, Shanghai, China.
Psychodyn Psychiatry. 2021 Fall;49(3):453-462. doi: 10.1521/pdps.2021.49.3.453.
: Most psychotherapists had no choice during the COVID-19 pandemic but to offer teletherapy in order to provide needed treatment. Several psychoanalytic theorists wondered if the very concept of treatment would change without an embodied relationship in an office setting. : To attempt to understand the current concept of effective psychodynamic treatment in the new norm of teletherapy, we surveyed practitioners from 56 countries and regions who remotely treated patients psychodynamically during the beginning months of the pandemic. We asked the practitioners to rank six factors felt to be important to psychodynamic treatment: use of the couch during sessions, session in-office or via teletherapy, cultural similarity between therapist and patient, number of sessions a week, patient factors (motivation, insightfulness, and high functioning) and therapist factors (empathy, warmth, wisdom, and skillfulness). : We received 1,490 survey responses. As predicted, we found that the therapist and patient variables were considered much more important (both tied as highest rankings) to effective treatment than any of the other variables, including if the therapy was in-office or by teletherapy. : Psychodynamic practitioners worldwide confirmed that the empathy, warmth, wisdom, and skillfulness of the therapist and the motivation, insightfulness, and level of functioning of the patient are most important to treatment effectiveness regardless if the treatment is remote or embodied.
大多数心理治疗师在 COVID-19 大流行期间别无选择，只能提供远程心理治疗，以提供所需的治疗。几位精神分析理论家想知道，如果没有在办公室环境中进行的具体关系，治疗的概念是否会发生变化。为了尝试在远程治疗的新常态下理解当前有效的动力心理治疗概念，我们调查了来自 56 个国家和地区的从业者，他们在大流行开始的几个月远程对患者进行动力心理治疗。我们要求从业者对被认为对动力心理治疗重要的六个因素进行排名：在治疗期间使用沙发、在办公室或通过远程治疗进行治疗、治疗师和患者之间的文化相似性、每周治疗次数、患者因素（动机、洞察力和高功能）和治疗师因素（同理心、温暖、智慧和技巧）。我们收到了 1490 份调查回复。正如预期的那样，我们发现治疗师和患者的变量被认为对治疗效果更为重要（两者并列排名最高），而其他任何变量，包括治疗是在办公室还是通过远程治疗，都不那么重要。世界各地的动力心理治疗师都证实，治疗师的同理心、温暖、智慧和技巧，以及患者的动机、洞察力和功能水平，是治疗效果的最重要因素，无论治疗是远程还是具体的。
