PDF(Pubmed)
Abstract：
There is a growing interest in delivering videoconferencing psychotherapy (VCP) due to the enormous impact of the COVID-19 pandemic on our lives since the beginning of severe restrictions worldwide in March 2020. Scientific literature has provided interesting results about the transition to remote sessions and its implications, considering different psychotherapy orientations. Less is known about whether and how VCP affects psychodynamic psychotherapeutic approaches and reports on remote work with severe and complex mental health problems such as severe personality disorders are still scarce. The aim of the study was to examine the experiences of psychodynamic psychotherapists, mainly delivering Transference-Focused Psychotherapy (TFP), with the transition and delivery of VCP during the first wave of the COVID-19 pandemic. Four hundred seventy-nine licensed psychotherapists completed an online survey during the peak of the pandemic. Survey data were analyzed using qualitative analysis. Results are presented and discussed concerning advantages and disadvantages regarding the access to psychotherapy, the specificity of the online video setting, bodily aspects, the quality of the therapeutic relationship, the therapeutic process including technical aspects and therapist\'s experience. Furthermore, we analyzed and discussed the statements concerning transference and countertransference reactions differentiating between high-level borderline and neurotic patients and low-level borderline patients. Our results support the importance to identify patients who potentially benefit from VCP. Further research including more prospective randomized controlled trials are needed to investigate the therapeutic implications of the findings.
摘要：
自2020年3月全球开始严格限制以来，由于COVID-19大流行对我们生活的巨大影响，人们对提供视频会议心理治疗(VCP)的兴趣与日俱增。科学文献提供了关于向远程会议过渡及其影响的有趣结果，考虑不同的心理治疗取向。关于VCP是否以及如何影响心理动力学心理治疗方法的了解较少，并且关于诸如严重人格障碍之类的严重和复杂的心理健康问题的远程工作的报道仍然很少。这项研究的目的是检查心理动力学心理治疗师的经验，主要提供以移情为中心的心理治疗(TFP)，随着第一波COVID-19大流行期间VCP的过渡和递送。在大流行的高峰期，四百七十九名有执照的心理治疗师完成了一项在线调查。采用定性分析方法对调查数据进行分析。提出并讨论了有关获得心理治疗的利弊的结果，在线视频设置的特殊性，身体方面，治疗关系的质量，治疗过程包括技术方面和治疗师的经验。此外，我们分析并讨论了有关转移和反转移反应的陈述，将高级别临界和神经症患者与低水平临界患者区分开来。我们的结果支持识别可能受益于VCP的患者的重要性。需要进一步的研究，包括更多的前瞻性随机对照试验，以调查研究结果的治疗意义。
