不寻常的远程治疗:与亲密工作
Journal of the American Psychoanalytic Association
|June 26, 2023
概括
电话治疗,虽然最初令人不安,但提供了一个独特的治疗体验. 探索"亲密"的概念揭示了远程治疗作为治疗关系的典范模型,而不是较小的替代品.
科学领域:
- 心理学 心理学 心理学
- 精神分析是一种精神分析.
- 临床实践 临床实践
背景情况:
- 随着COVID-19大流行,人们迅速转向远程治疗,这给临床医生带来了新的挑战.
- 现有的文献通常将远程治疗视为面对面治疗的减弱形式或仅仅是模拟.
- 这些观点有可能使传统的面对面治疗环境变得理想化.
研究的目的:
- 探索远程治疗的独特方面,包括其固有的陌生,距离和调解.
- 运用精神分析的概念的怪异和拉卡尼安亲密性来理解远程治疗的经验.
- 将远程治疗重新定义为一种独特而有价值的治疗体验形式,而不是作为一种替代品.
主要方法:
- 理论分析,借鉴弗洛伊德对不可思议的概念.
- 应用拉卡纳斯理论,特别是亲密的概念.
- 在远程治疗互动的背景下,探索亲密和身体接近.
主要成果:
- "最小不可思议"和亲密的概念为理解远程治疗的独特品质提供了一个框架.
- 电话治疗的特点是内在的陌生,距离和调解,可以在理论上进行检查.
- 这种方法超越了将远程治疗视为低于传统治疗的观点.
结论:
- 电话治疗不应该被视为一种较低的治疗形式,而是通过其独特的动态来理解.
- 亲密的逻辑提供了一个新的理论镜头来欣赏在远程治疗中治疗的遭遇.
- 电话治疗可以被认为是治疗关系的典范案例,以新的方式突出亲密和存在.
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