Grappling with our therapeutic relationship and professional self-doubt during COVID-19: will we use video therapy again?
Grappling with our therapeutic relationship and professional self-doubt during COVID-19: will we use video therapy again?
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DOI：
10.1080/09515070.2020.1773404
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发表时间：
2020-06-04
影响因子：
3
通讯作者：
Prout, Tracy A.
中科院分区：
文献类型：
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作者：
Aafjes-van Doorn, Katie;Bekes, Vera;Prout, Tracy A.
COVID-19危机期间的社会限制导致许多治疗师远程提供治疗，尽管一些治疗师担心其疗效、技术挑战及其在线建立强大治疗关系的能力。这项调查研究报告了141名治疗师的经验，他们在大流行期间过渡到提供视频治疗。治疗关系（如工作联盟，真实的关系），经验丰富的焦虑和专业的自我怀疑，态度和打算在未来的视频治疗使用方面进行了评估。尽管治疗师报告了一些焦虑和自我怀疑，但大多数人认为在线会议有足够的工作联盟和强大的真实的关系。在线治疗经验更丰富、自我怀疑和焦虑程度更低的治疗师，以及在大流行期间经历过牢固的真实的在线关系，或认为患者对其持积极态度的治疗师，往往更容易接受视频治疗。治疗师在很大程度上不确定他们是否计划在未来使用视频治疗;然而，那些有视频治疗经验的人更有可能支持未来的使用。培训是必要的，特别是对于在线治疗经验较少的治疗师，以促进更好的体验，并支持未来有效使用在线治疗。
The social restrictions during the COVID-19 crisis led to many therapists providing therapy remotely, despite some therapists' concerns regarding its efficacy, technical challenges and their ability to build a strong therapeutic relationship online. This survey study reports on the experiences of 141 therapists who transitioned to providing video therapy during the pandemic. Aspects of the therapeutic relationship (e.g. working alliance, real relationship), experienced anxiety and professional self-doubt, attitudes towards and intention of video therapy use in the future were assessed. Although therapists reported some anxiety and self-doubt, most felt that online sessions had a sufficient working alliance and a strong real relationship. Therapists with more online therapy experience, lower levels of self-doubt and anxiety, and those who experienced a strong online real relationship during the pandemic, or thought their patients viewed it positively, tended to be more accepting of video therapy. Therapists were largely undecided as to whether they planned to use video therapy in the future; however, those with prior video therapy experience were more likely to endorse future utilization. Training is needed, especially for therapists with less online therapy experience, in order to foster a better experience and to support effective use of online therapy in the future.