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通过远程医疗进行夫妻治疗:虚拟成功的特殊考量

Conducting Couple Therapy via Telehealth: Special Considerations for Virtual Success.

作者信息

Hogan Jasara N

机构信息

Charleston, SC USA.

出版信息

J Health Serv Psychol. 2022;48(2):89-96. doi: 10.1007/s42843-022-00060-x. Epub 2022 Apr 25.

DOI:10.1007/s42843-022-00060-x
PMID:35496919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9036502/
Abstract

Couples may experience any number of barriers to in-person couple therapy, including scheduling difficulties, childcare needs, and stigma. Providing couple treatment via telehealth can address these obstacles and improve accessibility. However, couple therapists considering the transition to telehealth may be unsure of how to alter their current treatment approach for remote delivery. Further, there are often specific concerns of how to handle safety concerns or high-conflict couples via telehealth. The goal of this paper is to provide concrete suggestions, from pre-treatment screening through treatment, for how to conduct successful couple therapy via telehealth.

摘要

夫妻在接受面对面的夫妻治疗时可能会遇到诸多障碍,包括日程安排困难、儿童保育需求以及污名化问题。通过远程医疗提供夫妻治疗可以解决这些障碍并提高可及性。然而,考虑转向远程医疗的夫妻治疗师可能不确定如何调整他们当前的治疗方法以进行远程治疗。此外,对于如何通过远程医疗处理安全问题或高冲突夫妻,通常存在特定的担忧。本文的目的是提供具体建议,从治疗前筛查到治疗过程,说明如何通过远程医疗成功开展夫妻治疗。

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本文引用的文献

1
Supporting Romantic Relationships During COVID-19 Using Virtual Couple Therapy.在新冠疫情期间通过虚拟夫妻治疗支持浪漫关系。
Cogn Behav Pract. 2021 Nov;28(4):597-607. doi: 10.1016/j.cbpra.2021.02.002. Epub 2021 Mar 29.
2
Feasibility, tolerability, and potential advantages of a dyadic financial incentive treatment for smoking cessation among dual-smoker couples: A pilot study.双吸烟伴侣中对偶金融激励戒烟治疗的可行性、耐受性和潜在优势:一项初步研究。
Exp Clin Psychopharmacol. 2022 Dec;30(6):1001-1007. doi: 10.1037/pha0000521. Epub 2021 Oct 7.
3
Implications of social isolation, separation, and loss during the COVID-19 pandemic for couples' relationships.新冠肺炎疫情期间社交孤立、分离和丧失对夫妻关系的影响。
Curr Opin Psychol. 2022 Feb;43:189-194. doi: 10.1016/j.copsyc.2021.07.014. Epub 2021 Jul 24.
4
Couples Therapists' Attitudes Toward Online Therapy During the COVID-19 Crisis.夫妻治疗师对 COVID-19 危机期间在线治疗的态度。
Fam Process. 2022 Mar;61(1):146-154. doi: 10.1111/famp.12647. Epub 2021 Apr 16.
5
Couple teletherapy in the era of COVID-19: Experiences and recommendations.新冠疫情时期的夫妻线上治疗:经验与建议。
J Marital Fam Ther. 2021 Apr;47(2):225-243. doi: 10.1111/jmft.12501. Epub 2021 Mar 20.
6
Cultivating the Therapeutic Alliance in a Telemental Health Setting.在远程心理健康环境中培养治疗联盟
Contemp Fam Ther. 2021;43(2):189-198. doi: 10.1007/s10591-021-09570-0. Epub 2021 Mar 11.
7
Applying relationship science to evaluate how the COVID-19 pandemic may impact couples' relationships.运用关系科学评估 COVID-19 大流行可能如何影响夫妻关系。
Am Psychol. 2021 Apr;76(3):438-450. doi: 10.1037/amp0000714. Epub 2020 Jul 23.
8
The interparental relationship: Meta-analytic associations with children's maladjustment and responses to interparental conflict.父母间的关系:元分析与儿童适应不良及对父母间冲突反应的关联。
Psychol Bull. 2020 Jul;146(7):553-594. doi: 10.1037/bul0000233. Epub 2020 May 21.
9
Implementing evidence-based treatment protocols: Flexibility within fidelity.实施基于证据的治疗方案:在保真度范围内保持灵活性。
Clin Psychol (New York). 2018 Dec;25(4). doi: 10.1111/cpsp.12271. Epub 2018 Dec 12.
10
Clinical and Ethical Considerations for Delivering Couple and Family Therapy via Telehealth.远程医疗中提供夫妻和家庭治疗的临床和伦理问题。
J Marital Fam Ther. 2019 Apr;45(2):296-308. doi: 10.1111/jmft.12319. Epub 2018 Jan 23.