ABSTRACT

In this paper, the authors describe how patients and therapists may, paradoxically, perceive a greater sense of closeness as a result of the physical distance inherent in conducting psychotherapy over synchronous video telehealth. Case material is used to illustrate ways in which tele-psychotherapy facilitated engagement, strengthened the alliance, and created unique therapeutic opportunities that may not be possible when therapy is conducted in person. This paper aims to challenge preconceived notions about the ability to develop a strong therapeutic relationship with patients and implement lasting change through tele-psychotherapy. Implications for future clinical work are discussed, with particular consideration of the recent COVID-19 outbreak’s influence on psychotherapy.

摘要

在这篇论文中，作者描述了患者和治疗师如何自相矛盾地，由于在同步视频远程医疗上进行心理治疗时固有的物理距离而感知到更大的亲近感。案例材料用于说明远程心理治疗促进参与、加强联盟并创造独特的治疗机会的方式，这在亲自进行治疗时可能是不可能的。本文旨在挑战关于与患者建立牢固的治疗关系并通过远程心理治疗实现持久改变的能力的先入为主的观念。讨论了对未来临床工作的影响，特别考虑了最近的 COVID-19 爆发对心理治疗的影响。