Bechtold Sara, Hall Mila, Scherner Paloma Valerie, Kaven Leonie, Rubel Julian
Abteilung für Psychotherapieforschung, Justus Liebig Universität Giessen.
Professur für Klinische Psychologie und Psychotherapie, Universität Greifswald.
Psychother Psychosom Med Psychol. 2023 Jun;73(6):221-230. doi: 10.1055/a-2017-5338. Epub 2023 Mar 6.
The aim of this study was to investigate the extent to which the therapeutic relationship changed as a result of the COVID-19-related switch from face-to-face to video therapy.
Twenty-one psychotherapists, who had changed the setting of therapy from face-to-face to video therapy were interviewed. The interviews were then transcribed, coded and superordinate themes were created in the context of a qualitative analysis.
More than half of the therapists reported that the therapeutic relationship with their patients remained stable. In addition, the majority of therapists described uncertainties in dealing with and responding to non-verbal signals, as well as maintaining an appropriate distance to their patients. Overall, both an improvement and a deterioration of the therapeutic relationship was reported.
The stability of the therapeutic relationship was mainly attributed to the therapists' previous face-to-face contact with their patients. The uncertainties expressed could be interpreted as risk factors for the therapeutic relationship. Although the sample represented only a small portion of working therapists, the findings from this study represent an important milestone in understanding how psychotherapy has changed as a result of the COVID-19 pandemic.
The therapeutic relationship remained stable despite the change from face-to-face to video therapy.
本研究旨在调查因新冠疫情导致从面对面治疗转变为视频治疗后，治疗关系的变化程度。
对21名将治疗方式从面对面治疗转变为视频治疗的心理治疗师进行了访谈。随后对访谈内容进行转录、编码，并在定性分析的背景下创建了上位主题。
超过一半的治疗师报告称，他们与患者的治疗关系保持稳定。此外，大多数治疗师描述了在处理和回应非语言信号以及与患者保持适当距离方面存在不确定性。总体而言，治疗关系既有改善也有恶化的情况。
治疗关系的稳定性主要归因于治疗师之前与患者的面对面接触。所表达的不确定性可被视为治疗关系的风险因素。尽管该样本仅占在职治疗师的一小部分，但本研究的结果代表了理解新冠疫情如何改变心理治疗的一个重要里程碑。
尽管从面对面治疗转变为视频治疗，但治疗关系保持稳定。
