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向远程治疗的转变:聚焦情感疗法治疗师的经验

The transition to Teletherapy: Experiences of emotionally focused therapists.

作者信息

Edwards Caitlin, Wittenborn Andrea K, Morgan Preston, Pratt Francesca, Heiden-Rootes Katie

机构信息

Human Development and Family Studies, Colorado State University, Fort Collins, Colorado, USA.

Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA.

出版信息

Fam Process. 2025 Mar;64(1):e13068. doi: 10.1111/famp.13068. Epub 2024 Oct 14.

Abstract

Emotionally focused therapy (EFT) is an evidence-based treatment for relational distress based on experiential, humanistic, and attachment theories. Despite the empirical support for EFT, there are no studies on EFT delivered via teletherapy. In this study, we aimed to understand therapists' experiences delivering EFT through teletherapy using open-ended questions on a web-based survey of certified EFT therapists (n = 69). Reflexive thematic analysis identified five themes: (1) Delivering EFT via teletherapy is similar to in-person therapy, (2) Delivering EFT via teletherapy is more challenging than in-person therapy, (3) Delivering EFT via teletherapy is more challenging with certain clients, (4) therapists adapted EFT for teletherapy, and (5) teletherapy and the COVID-19 pandemic changed therapy practice. The themes illustrated the mixed experiences of EFT therapists using teletherapy. Whereas some found it straightforward to use EFT via teletherapy with couples, others experienced exhaustion and barriers. Practice recommendations for delivering EFT via teletherapy are outlined, including modifying assessment strategies, implementing new safety protocols, and providing additional psychoeducation.

摘要

情绪聚焦疗法(EFT)是一种基于体验、人本主义和依恋理论的针对关系困扰的循证治疗方法。尽管有实证支持EFT,但尚无关于通过远程治疗提供EFT的研究。在本研究中,我们旨在通过对认证EFT治疗师(n = 69)进行基于网络的开放式问卷调查,了解治疗师通过远程治疗提供EFT的经验。反思性主题分析确定了五个主题:(1)通过远程治疗提供EFT与面对面治疗相似,(2)通过远程治疗提供EFT比面对面治疗更具挑战性,(3)对某些客户而言,通过远程治疗提供EFT更具挑战性,(4)治疗师为远程治疗调整了EFT,(5)远程治疗和新冠疫情改变了治疗实践。这些主题说明了EFT治疗师使用远程治疗的复杂体验。一些人发现通过远程治疗对夫妻使用EFT很简单,而另一些人则经历了疲惫和障碍。本文概述了通过远程治疗提供EFT的实践建议,包括修改评估策略、实施新的安全协议以及提供额外的心理教育。

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