Ghosh G J, McLaren P M, Watson J P
Department of Psychiatry, United Medical and Dental Schools, Guy's Hospital, London, UK.
J Telemed Telecare. 1997;3 Suppl 1:33-5. doi: 10.1258/1357633971930283.
The use of videoconferencing in psychotherapy remains largely unexplored. Videoconferencing compromises the range and quality of interactional information and thus might be expected to affect the working alliance (WA) between client and therapist, and consequently the process and outcome of therapy. A single case study exploring the effect of videoconferencing on the development of the WA in the psychological treatment of a female-male transsexual is described. The self-rated Working Alliance Inventory (WAI) was used to measure client and therapist perceptions of the WA after each session over 10 sessions of eclectic therapy conducted over a videolink. The serial WAI measurements charting the development of the WA in 4 cases of 10-session, face-to-face therapy by Horvath and Marx were used as a quasi-control. Therapist and client impressions of teletherapy are described. WAI scores were essentially similar to the face-to-face control group except for lower client-rated bond subscale scores. It is suggested that client personality factors accounted for this difference and that videoconferencing did not impair the development of an adequate working alliance or successful therapeutic outcome.
视频会议在心理治疗中的应用在很大程度上仍未得到充分探索。视频会议会影响互动信息的范围和质量，因此可能会影响客户与治疗师之间的工作联盟（WA），进而影响治疗的过程和结果。本文描述了一项单病例研究，探讨视频会议对一名女变男变性者心理治疗中工作联盟发展的影响。在通过视频链接进行的10次折衷治疗的每次治疗后，使用自评工作联盟量表（WAI）来测量客户和治疗师对工作联盟的看法。霍瓦特和马克思对4例进行10次面对面治疗的病例中工作联盟发展情况的系列WAI测量结果用作准对照。文中描述了治疗师和客户对远程治疗的印象。除了客户评定的关系子量表得分较低外，WAI得分与面对面对照组基本相似。研究表明，客户的个性因素导致了这种差异，并且视频会议并未损害充分工作联盟的发展或成功的治疗效果。
