关键词: Counter-transference Covid 19 Crisis Meta-frame Setting Trauma

Mesh : Humans Lebanon COVID-19 / psychology epidemiology Psychotherapists / psychology Male Female Qualitative Research Adult Middle Aged Psychotherapy / methods Pandemics

来  源:   DOI:10.1186/s40359-024-01810-w   PDF(Pubmed)

Abstract:
BACKGROUND: This research explores the impact of the COVID-19 pandemic on psychotherapists\' practices and their ability to maintain a framework despite a shared reality with their patients. The specific focus in this article is on the Lebanese context, which is characterized by a series of crises including economic collapse, the COVID-19 pandemic, and the Beirut blast. The objective of this study was to examine how the destabilization of the meta-frame due to crises necessitates adaptations in theoretical knowledge, practice, and setting.
METHODS: We conducted a qualitative study among a population consisting of mental health professionals, which were recruited in Lebanon through associations and societies of psychologists, psychotherapists, and psychoanalysts. Data was collected using semi-structured individual interviews. The interviews were analyzed using interpretative phenomenological analysis (IPA), which allowed for a dynamic exploration of the participants\' experiences.
RESULTS: Our study revealed four superordinate themes: (1) The strained frontiers; (2) The cumulative traumatic reality and its impact; (3) A challenged professional identity; (4) The creativity stemming from collective trauma.
CONCLUSIONS: Our results highlight the insecurity caused by external reality infiltrating the therapeutic setting. Online therapy allowed for continued work, but uncertainty about the online environment\'s impact on therapeutic relationships was observed. The study underscores the importance of adaptability, containment, and support for therapists navigating crises, particularly in the online setting.
摘要:
背景:这项研究探讨了COVID-19大流行对心理治疗师实践的影响,以及他们在与患者共享现实的情况下维持框架的能力。本文的重点是黎巴嫩的情况,其特点是一系列危机,包括经济崩溃,COVID-19大流行,还有贝鲁特爆炸.这项研究的目的是研究由于危机而导致的元框架不稳定如何需要在理论知识上进行调整,实践,和设置。
方法:我们在由心理健康专业人员组成的人群中进行了一项定性研究,他们是通过心理学家协会和协会在黎巴嫩招募的,心理治疗师,和心理分析师。数据是使用半结构化个人访谈收集的。访谈采用解释现象学分析(IPA)进行分析,这允许对参与者的体验进行动态探索。
结果:我们的研究揭示了四个高级主题:(1)紧张的边界;(2)累积的创伤现实及其影响;(3)受到挑战的职业身份;(4)源于集体创伤的创造力。
结论:我们的研究结果强调了外部现实对治疗环境的渗透所造成的不安全感。在线治疗允许继续工作,但观察到在线环境对治疗关系影响的不确定性。这项研究强调了适应性的重要性,安全壳,并支持治疗师应对危机,特别是在网上设置。
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