The unprecedented nature of the coronavirus pandemic and clinicians’ own concerns for safety and stability amidst collective uncertainty have threatened to undermine our ability to trust what we already know about our clients and how to help them. Rather than search for a novel solution, I suggest that what we need during a shared crisis is to renew our trust in the existing ethos of good enough therapy, a metaphoric corollary to Winnicott’s concept of good enough mothering, which presupposes the realities of imperfection and uncertainty along the continuum of growth. Using personal reflections, clinical vignettes from my psychotherapy practice, and drawing from modern attachment theory, contemporary relational psychoanalysis, and object relations theory, I posit in this article that clinical social workers already possess the framework, skills, and knowledge needed to deeply understand and meaningfully work with clients as they, and we, endure shared trauma. Through the clinical material, I examine opportunities to make use of clients’ reactions, as well as my own, in order to deepen the therapeutic process. I discuss the necessity of holding the therapeutic frame with increased flexibility in light of my use of self-disclosure surrounding my COVID-19 diagnosis and recovery, and I assess the impact of this disclosure.

中文翻译：

---

史无前例的足够好的治疗的先例

冠状病毒大流行的前所未有的性质以及临床医生在集体不确定性中对安全和稳定的担忧，已经威胁到我们信任我们已经了解的客户以及如何帮助他们的能力。与其寻找新的解决方案，我建议我们在共同危机中需要的是重新信任现有的足够好的治疗精神，这是温尼科特的足够好的母亲概念的隐喻推论，它预设了不完美的现实和持续增长的不确定性。使用个人反思、我的心理治疗实践中的临床小插曲，并借鉴现代依恋理论、当代关系精神分析和客体关系理论，我在本文中假设临床社会工作者已经具备框架、技能、和知识需要深入理解并与客户进行有意义的合作，因为他们和我们都承受着共同的创伤。通过临床材料，我检查了利用客户的反应以及我自己的反应的机会，以加深治疗过程。鉴于我使用围绕我的 COVID-19 诊断和康复的自我披露，我讨论了以更大的灵活性持有治疗框架的必要性，并评估了这种披露的影响。