Therapeutic alliance in videoconferencing psychotherapy: A review
Therapeutic alliance in videoconferencing psychotherapy: A review
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DOI：
10.1111/ajr.12149
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发表时间：
2014-12-01
影响因子：
1.8
通讯作者：
Reid, Corinne L.
中科院分区：
文献类型：
--
作者：
Simpson, Susan G.;Reid, Corinne L.
在澳大利亚和地球仪的偏远和农村地区，心理治疗服务有限。视频会议已经成为一种可行和可接受的心理治疗方式。治疗联盟（TA）是跨治疗模式成功治疗的重要因素。为了确定通过视频会议进行心理治疗的知识状态，对过去23年中正式测量TA作为主要，次要或第三结局指标的研究进行了文献综述。检索的数据库为Medline、PsycArticles、PsycINFO、PsycEXTRA和EMBASE。检索确定了9915篇测量满意度、可接受性或治疗关系的文章，其中23篇符合综述标准。3项研究在澳大利亚进行，11项在美国，4项在加拿大，3项在苏格兰，2项在英格兰。研究压倒性地支持这样一种观点，即TA可以通过视频会议在心理治疗中发展，在一系列诊断组中，客户对债券和存在的评级至少与面对面设置一样强烈。治疗师也对TA的水平进行了高评价，但通常没有他们的客户在治疗早期那么高。的证据进行了检查的背景下，TA的重要方面，包括债券，存在，治疗师的态度和能力，客户端的态度和信念。联盟的障碍和促进者被确定。未来的研究应包括债券和存在的观察措施，以补充自我报告。
Psychotherapy services are limited in remote and rural areas in Australia and across the globe. Videoconferencing has become well established as a feasible and acceptable mode of psychological treatment delivery. Therapeutic alliance (TA) is an essential factor underlying successful therapy across therapeutic models. In order to determine the state of knowledge regarding TA in psychotherapy via videoconferencing, a literature review was conducted on research studies that formally measured TA as primary, secondary or tertiary outcome measures over the past 23 years. The databases searched were Medline, PsycArticles, PsycINFO, PsycEXTRA and EMBASE. Searching identified 9915 articles that measured satisfaction, acceptability or therapeutic rapport, of which 23 met criteria for the review. Three studies were carried out in Australia, 11 in USA, 4 in Canada, 3 in Scotland and 2 in England. Studies overwhelmingly supported the notion that TA can be developed in psychotherapy by videoconference, with clients rating bond and presence at least equally as strongly as in-person settings across a range of diagnostic groups. Therapists also rated high levels of TA, but often not quite as high as that of their clients early in treatment. The evidence was examined in the context of important aspects of TA, including bond, presence, therapist attitudes and abilities, and client attitudes and beliefs. Barriers and facilitators of alliance were identified. Future studies should include observational measures of bond and presence to supplement self-report.