J Am Psychoanal Assoc. 2022 Aug;70(4):665-694. doi: 10.1177/00030651221114053.
During the Covid-19 pandemic, psychotherapists quickly transitioned to provide online therapy, while facing many challenges. This study aimed to explore psychodynamic and psychoanalytically oriented therapists' ( = 1450) experiences with online therapy during the first weeks of the pandemic and two months later. Results showed that therapists had little pre-pandemic experience with providing online therapy and even less training in it, and that younger therapists reported more challenges in the transition to online therapy. During the first weeks of the pandemic, most therapists thought that online therapy was less effective than in-person therapy, and they reported a wide range of relational and technical challenges, feeling more tired, less confident and competent, and less connected and authentic in online sessions, compared to previous in-person sessions. At follow-up, therapists viewed online therapy as more comparable to in-person therapy; the majority felt connected and authentic as they had during the initial weeks of the pandemic, or more so, but were still as tired as before. The most challenging aspect of online therapy was distraction in sessions, which increased over time. This study demonstrates the professional adaptability of therapists and highlights the need for more training and professional support for clinicians providing remote psychotherapy.
在新冠疫情期间，心理治疗师迅速过渡到提供在线治疗，同时面临许多挑战。本研究旨在探讨心理动力学和精神分析导向的治疗师（=1450）在疫情爆发的头几周和两个月后在线治疗的经验。结果表明，治疗师在提供在线治疗方面几乎没有疫情前的经验，甚至更少的相关培训，年轻的治疗师在向在线治疗过渡方面报告了更多的挑战。在疫情爆发的头几周，大多数治疗师认为在线治疗不如面对面治疗有效，他们报告了广泛的关系和技术挑战，与之前的面对面治疗相比，他们感到更疲倦、自信心和能力更差、在线治疗中联系和真实性更差。在随访时，治疗师认为在线治疗与面对面治疗更为可比；大多数治疗师感到他们在疫情爆发的最初几周所感受到的联系和真实性，或者更多，但仍然和以前一样疲倦。在线治疗中最具挑战性的方面是治疗期间的分心，随着时间的推移而增加。本研究展示了治疗师的专业适应性，并强调了为提供远程心理治疗的临床医生提供更多培训和专业支持的必要性。
