ABSTRACT

The coronavirus or COVID-19 crisis has forced counsellors and therapists around the globe to use online videoconference programs to provide psychotherapy treatment, teaching, and supervision. Some varieties of psychotherapy have historically used video technology for these purposes. Intensive short-term dynamic psychotherapy (ISTDP), one such method, is built on activating intrapsychic crises that lead to emotional experiencing and change. In the current context, external or extrapsychic crises can also be a launchpad for personal growth. The treatment method relies on detailed examination of verbal and nonverbal cues as markers of unconscious avoidance processes and unconscious emotional experiences. Adopting video technology and online treatment presents some unique challenges and benefits. At the same time, the current COVID-19 crisis results in common treatment themes that therapists will encounter. In this review, we will examine common crisis response patterns, some client characteristics based on attachment trauma, and common themes emerging due to this crisis and the related social changes it brings. We will also review some technical issues and tips for those now pressed into using video technology, often for the first time.

摘要

冠状病毒或 COVID-19 危机迫使全球的咨询师和治疗师使用在线视频会议程序来提供心理治疗、教学和监督。某些种类的心理治疗历来使用视频技术来达到这些目的。强化短期动态心理治疗 (ISTDP) 就是这样一种方法，它建立在激活导致情绪体验和改变的心理危机的基础上。在当前背景下，外部或超心灵危机也可以成为个人成长的跳板。治疗方法依赖于对语言和非语言线索的详细检查，作为无意识回避过程和无意识情绪体验的标志。采用视频技术和在线治疗带来了一些独特的挑战和好处。同时，当前的 COVID-19 危机导致治疗师会遇到常见的治疗主题。在这篇综述中，我们将研究常见的危机应对模式、基于依恋创伤的一些客户特征，以及由于这场危机及其带来的相关社会变革而出现的共同主题。我们还将为那些现在被迫使用视频技术的人（通常是第一次）回顾一些技术问题和技巧。