ABSTRACT

Coronavirus outbreak created diverse challenges for mental health services in general and to psychotherapy in particular. One of the most prominent of these is the move from delivering psychotherapy in face to face sessions to telephone or internet-based platforms. While this is a challenge to all psychotherapies, this paper examines specific considerations that should be taken into account when doing recovery-oriented integrative psychotherapy with persons with schizophrenia. Based on our clinical experiences conducting trials of psychotherapy with people with schizophrenia in Israel and in the United States, we describe several changes that took place as we were providing psychotherapy at the outbreak of the pandemic. These include general changes in the platform of psychotherapy and in the focus of sessions at both process and content levels. These changes represent both barriers and opportunities for the recovery process. Following a description of these changes we discuss and outline adaptations that are needed for sustaining patient’s sense of their own agency and of the intersubjective nature of the session.

摘要

冠状病毒的爆发给一般的心理健康服务，尤其是心理治疗带来了各种挑战。其中最突出的一项是从面对面的心理治疗转变为电话或基于互联网的平台。虽然这对所有心理治疗都是一个挑战，但本文探讨了在对精神分裂症患者进行以康复为导向的综合心理治疗时应考虑的具体考虑因素。根据我们在以色列和美国对精神分裂症患者进行心理治疗试验的临床经验，我们描述了在大流行爆发时我们提供心理治疗时发生的一些变化。这些包括心理治疗平台的一般变化以及过程和内容层面的会议重点。这些变化既是复苏过程的障碍，也是机遇。在对这些变化的描述之后，我们讨论并概述了维持患者对他们自己的能动性和会话的主体间性质的感觉所需的适应。