Online therapy sessions and other forms of digital mental health services (DMH) have seen a sharp spike in new users since the start of the COVID-19 pandemic. Having little access to their social networks and support systems, people have had to turn to digital tools and spaces to cope with their experiences of anxiety and loss. With no clear end to the pandemic in sight, many of us are likely to remain reliant upon DMH for the foreseeable future. As such, it is important to articulate some of the specific ways in which the pandemic is affecting our self and world-relation, such that we can identify how DMH services are best able to accommodate some of the newly emerging needs of their users. In this paper I will identify a specific type of loss brought about by the COVID-19 pandemic and present it as an important concept for DMH. I refer to this loss as loss of perceptual world-familiarity. Loss of perceptual world-familiarity entails a breakdown in the ongoing effortless responsiveness to our perceptual environment that characterizes much of our everyday lives. To cash this out I will turn to insights from the phenomenological tradition. Initially, my project is descriptive. I aim to bring out how loss of perceptual world-familiarity is a distinctive form of loss that is deeply pervasive yet easily overlooked-hence the relevance of explicating it for DMH purposes. But I will also venture into the space of the normative, offering some reasons for seeing perceptual world-familiarity as a component of well-being. I conclude the paper with a discussion of how loss of perceptual world-familiarity affects the therapeutic setting now that most if not all therapeutic interactions have transitioned to online spaces and I explore the potential to augment these spaces with social interaction technologies. Throughout, my discussion aims to do justice to the reality that perceptual world-familiarity is not an evenly distributed phenomenon, that factors like disability, gender and race affect its robustness, and that this ought to be reckoned with when seeking to incorporate the phenomenon into or mitigate it through DMH services.

中文翻译：

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全球大流行期间的知觉崩溃：为数字心理健康目的引入现象学见解。

自 COVID-19 大流行开始以来，在线治疗课程和其他形式的数字心理健康服务 (DMH) 的新用户数量激增。由于几乎无法访问社交网络和支持系统，人们不得不求助于数字工具和空间来应对焦虑和失落的经历。由于看不到大流行的明确结束，在可预见的未来，我们中的许多人可能仍然依赖 DMH。因此，重要的是阐明大流行病影响我们自我和世界关系的一些具体方式，这样我们才能确定 DMH 服务如何最好地满足其用户的一些新出现的需求。在本文中，我将确定 COVID-19 大流行带来的一种特定类型的损失，并将其作为 DMH 的一个重要概念提出。我将这种损失称为感知世界熟悉度的损失。对感知世界的熟悉感的丧失导致对我们日常生活中大部分特征的感知环境的持续毫不费力的反应崩溃。为了兑现这一点，我将求助于现象学传统的见解。最初，我的项目是描述性的。我的目的是揭示知觉世界熟悉度的丧失是如何成为一种独特的丧失形式，这种形式普遍存在但很容易被忽视——因此为了 DMH 目的对其进行解释具有相关性。但我也会冒险进入规范的空间，提供一些将感知世界的熟悉视为幸福的组成部分的理由。我在结束本文时讨论了感知世界熟悉度的丧失如何影响治疗环境，因为大多数（如果不是全部）治疗互动已经过渡到在线空间，并且我探索了通过社交互动技术增强这些空间的潜力。自始至终，我的讨论旨在公正地对待这样一个现实，即知觉世界熟悉度并不是一种均匀分布的现象，残疾、性别和种族等因素会影响其稳健性，而在寻求将这种现象纳入其中时应该考虑到这一点或通过 DMH 服务减轻它。