PDF(Pubmed)
Abstract：
Self-harm is becoming increasingly common in student populations. Brief psychological therapies might be helpful for those who have recently self-harmed. The current paper reports on an evaluation of a brief psychotherapy service delivered via remote means, namely University-Community Outpatient Psychotherapy Engagement (U-COPE). The service combines elements of psychodynamic interpersonal and cognitive analytic therapy to help students who present with self-harm related difficulties. The primary aim was to understand students\' and practitioners\' experiences of a remote psychotherapy service. Semi-structured interviews were conducted with a total of nine participants (seven students and two practitioners). Interview data were analysed using thematic analysis. Analyses of the interviews across the stakeholders revealed three overarching themes: \'Accessibility\'; \'Therapeutic experiences\'; and \'Spaces and places of therapy\'. Students appreciated the rapid access to intervention, especially as student services are typically characterised by long waiting lists. Despite the brief nature of the intervention, many students reported feeling a sense of control over the direction and pace of the therapeutic sessions, which is an important consideration for those who self-harm. The findings suggest that U-COPE may be helpful to students with difficulties related to self-harm. Further investigation of this brief intervention is warranted in order to ascertain whether U-COPE has a long-term impact on difficulties and distress-related behaviours.
摘要：
自我伤害在学生群体中变得越来越普遍。简短的心理治疗可能对那些最近自我伤害的人有所帮助。本论文报告了对通过远程方式提供的简短心理治疗服务的评估，即大学-社区门诊心理治疗参与(U-COPE)。该服务结合了心理动力学人际关系和认知分析疗法的要素，以帮助表现出与自我伤害有关的困难的学生。主要目的是了解学生和从业者对远程心理治疗服务的体验。对总共9名参与者（7名学生和2名从业者）进行了半结构化访谈。访谈数据采用专题分析法进行分析。对利益相关者的访谈进行的分析揭示了三个主要主题：“可访问性”；“治疗经验”和“治疗空间和场所”。学生们赞赏快速获得干预，特别是学生服务的特点是等待名单很长。尽管干预是短暂的，许多学生报告说，他们对治疗课程的方向和节奏有一种控制感，对于那些自我伤害的人来说，这是一个重要的考虑因素。研究结果表明，U-COPE可能对与自我伤害有关的困难学生有所帮助。有必要对这种简短的干预进行进一步调查，以确定U-COPE是否对困难和与痛苦相关的行为具有长期影响。
