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Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie: Interviewstudie mit Psychotherapeut*innen und Patient*innen

BACKGROUND: In the course of the pandemic triggered by the coronavirus disease 2019 (COVID-19), video-based treatment (VBT) has undergone a trend reversal. It must be assumed that the abrupt switch from traditional psychotherapy to the video setting (VS) has an impact on the therapeutic relationship...

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Autores principales: Leukhardt, Alena, Heider, Maximilian, Reboly, Katharina, Franzen, Georg, Eichenberg, Christiane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8386894/
https://www.ncbi.nlm.nih.gov/pubmed/34462623
http://dx.doi.org/10.1007/s00278-021-00532-3
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author Leukhardt, Alena
Heider, Maximilian
Reboly, Katharina
Franzen, Georg
Eichenberg, Christiane
author_facet Leukhardt, Alena
Heider, Maximilian
Reboly, Katharina
Franzen, Georg
Eichenberg, Christiane
author_sort Leukhardt, Alena
collection PubMed
description BACKGROUND: In the course of the pandemic triggered by the coronavirus disease 2019 (COVID-19), video-based treatment (VBT) has undergone a trend reversal. It must be assumed that the abrupt switch from traditional psychotherapy to the video setting (VS) has an impact on the therapeutic relationship and thus on the therapeutic process. This study examined how the switch from traditional treatment to VBT (and back again) during the COVID-19 pandemic was experienced by patients and therapists with respect to the therapeutic relationship and the therapeutic process. METHODS: Group-specific, semi-structured interviews with therapists (n = 8), therapists in training (n = 6), and patients (n = 9). RESULTS: The results show that the majority of participants, both therapists as well as patients, experienced the therapeutic situation in VS as more permeable and less predictable. Although the VS contributes to maintenance of the therapeutic situation, the interaction was described as shallow and less oriented. Furthermore, every setting change was associated with a process of habituation. Therefore, the therapeutic work can only be carried out with the highest possible intensity after several sessions within each setting. CONCLUSION: The possibility of maintaining the therapeutic relationship using VBT can lead to a strengthening of the therapeutic alliance. Although the VS is associated with uncertainties, shame-ridden topics can be addressed more freely. Anxiety patients, in particular, could engage in a more intense therapeutic process after a universally observed phase of habituation.
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spelling pubmed-83868942021-08-26 Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie: Interviewstudie mit Psychotherapeut*innen und Patient*innen Leukhardt, Alena Heider, Maximilian Reboly, Katharina Franzen, Georg Eichenberg, Christiane Psychotherapeut (Berl) Schwerpunkt: Digitale Psychotherapie – Originalien BACKGROUND: In the course of the pandemic triggered by the coronavirus disease 2019 (COVID-19), video-based treatment (VBT) has undergone a trend reversal. It must be assumed that the abrupt switch from traditional psychotherapy to the video setting (VS) has an impact on the therapeutic relationship and thus on the therapeutic process. This study examined how the switch from traditional treatment to VBT (and back again) during the COVID-19 pandemic was experienced by patients and therapists with respect to the therapeutic relationship and the therapeutic process. METHODS: Group-specific, semi-structured interviews with therapists (n = 8), therapists in training (n = 6), and patients (n = 9). RESULTS: The results show that the majority of participants, both therapists as well as patients, experienced the therapeutic situation in VS as more permeable and less predictable. Although the VS contributes to maintenance of the therapeutic situation, the interaction was described as shallow and less oriented. Furthermore, every setting change was associated with a process of habituation. Therefore, the therapeutic work can only be carried out with the highest possible intensity after several sessions within each setting. CONCLUSION: The possibility of maintaining the therapeutic relationship using VBT can lead to a strengthening of the therapeutic alliance. Although the VS is associated with uncertainties, shame-ridden topics can be addressed more freely. Anxiety patients, in particular, could engage in a more intense therapeutic process after a universally observed phase of habituation. Springer Medizin 2021-08-25 2021 /pmc/articles/PMC8386894/ /pubmed/34462623 http://dx.doi.org/10.1007/s00278-021-00532-3 Text en © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Schwerpunkt: Digitale Psychotherapie – Originalien
Leukhardt, Alena
Heider, Maximilian
Reboly, Katharina
Franzen, Georg
Eichenberg, Christiane
Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie: Interviewstudie mit Psychotherapeut*innen und Patient*innen
title Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie: Interviewstudie mit Psychotherapeut*innen und Patient*innen
title_full Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie: Interviewstudie mit Psychotherapeut*innen und Patient*innen
title_fullStr Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie: Interviewstudie mit Psychotherapeut*innen und Patient*innen
title_full_unstemmed Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie: Interviewstudie mit Psychotherapeut*innen und Patient*innen
title_short Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie: Interviewstudie mit Psychotherapeut*innen und Patient*innen
title_sort videobasierte behandlungen in der psychodynamischen psychotherapie in zeiten der covid-19-pandemie: interviewstudie mit psychotherapeut*innen und patient*innen
topic Schwerpunkt: Digitale Psychotherapie – Originalien
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8386894/
https://www.ncbi.nlm.nih.gov/pubmed/34462623
http://dx.doi.org/10.1007/s00278-021-00532-3
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