ABSTRACT

The COVID-19 pandemic shifted many traditional face-to-face treatments to telepsychotherapy, forcing many therapists worldwide to adapt effective techniques developed in face-to-face treatment to telepsychotherapy. These include supportive techniques that may be particularly important at a time of rising anxiety, loneliness, helplessness, and depression. The present paper provides detailed guidelines for therapists on how supportive techniques developed in traditional face-to-face treatment can be effectively used in telepsychotherapy to resolve alliance ruptures. To this end, we used the conceptual framework of the core conflictual relationship theme (CCRT) formulation, making adjustments for identifying and resolving ruptures in the therapeutic alliance in telepsychotherapy. We demonstrated the proposed techniques for identifying and repairing ruptures with a case study of a patient participating in an ongoing RCT, whose treatment shifted in mid-therapy to telepsychotherapy because of the COVID-19 pandemic. The techniques presented and illustrated in this article may be used in the transition to remote therapy for a range of reasons, including patient or therapist relocation and more.

摘要

COVID-19 大流行将许多传统的面对面治疗转变为远程心理治疗，迫使世界各地的许多治疗师将面对面治疗中开发的有效技术应用于远程心理治疗。其中包括支持性技巧，在焦虑、孤独、无助和抑郁情绪加剧时，这些技巧可能尤为重要。本文为治疗师提供了详细的指导方针，说明在传统面对面治疗中发展起来的支持技术如何有效地用于远程心理治疗，以解决联盟破裂的问题。为此，我们使用了核心冲突关系主题 (CCRT) 表述的概念框架，对识别和解决远程心理治疗中治疗联盟的破裂进行了调整。我们通过参与正在进行的 RCT 的患者的案例研究展示了用于识别和修复破裂的拟议技术，由于 COVID-19 大流行，该患者的治疗从治疗中期转向远程心理治疗。由于各种原因，包括患者或治疗师搬迁等，本文中介绍和说明的技术可用于向远程治疗的过渡。