Modeling Therapeutic Alliance in the Age of Telepsychiatry

Ryu, Jihan; Banthin, David Clifford; Gu, Xiaosi

doi:10.1016/j.tics.2020.10.001

Cited by 11 publications

(11 citation statements)

References 14 publications

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“…An attuned therapeutic relationship helps to effect psychological change in the patient, leading to self-awareness, and-eventually-a reduction in clinical symptoms. Simultaneously, the most important and the most difficult to study, the therapeutic relationship (Colli et al, 2019;King-Casas et al, 2008;Ryu et al, 2020;Talia et al, 2017), may be explored with more clarity with the introduction of neuroaesthetics methods.…”

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confidence: 99%

Using mobile brain/body imaging to advance research in arts, health, and related therapeutics

King

Parada

2021

Eur J of Neuroscience

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The uses of mobile brain/body imaging (MoBI) are expanding and allow for more direct study of the neurophysiological signals associated with behavior in psychotherapeutic encounters. Neuroaesthetics is concerned with the cognitive and neural basis of art appreciation, and scientific correlations are being made in the field that might help to clarify theories claimed in the creative arts therapies. Yet, most neuroaesthetics studies are confined to the laboratory and do not propose a translation for research methods and clinical applications. The creative arts therapies have a long history of clinical success with various patient populations and will benefit from increased scientific explanation to support intervention strategies. Examining the brain dynamics and motor behaviors that are associated with the higher complex processes involved in artistic expression offers MoBI as a promising instrumentation to move forward in linking ideas from neuroaesthetics to the creative arts therapies. Tracking brain dynamics in association with behavioral change allows for more objective and quantitative physiological monitors to evaluate, and together with subjective patient reports provides insight into the psychological mechanisms of change in treatment. We outline a framework that shows how MoBI can be used to study the effectiveness of creative arts therapy interventions motivated by the 4E approach to cognition with a focus on visual art therapy. The article illuminates how a new partnership among the fields of art therapy, neuroscience, and neuroaesthetics might work together within the 4E/MoBI framework in efforts to advance transdisciplinary research for clinical health populations.

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confidence: 99%

Using mobile brain/body imaging to advance research in arts, health, and related therapeutics

King

Parada

2021

Eur J of Neuroscience

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“…Based on the reading of the published articles on psychotherapeutic work in a pandemic [5][6][7][8][9]18], as well as on the acquired experience, we have developed several guidelines useful in conducting remote therapy with families and individual with adolescent and young adult patients.…”

Section: Interpretation Of Research Material Discussion Of Results An...mentioning

confidence: 99%

“…Interestingly, behavioral performance was better in children whose parents received online support than those who waited for specialist assistance. Ryu et al [7] write about the use of virtual platforms in psychiatric care. According to the authors, the number of tele-psychiatric institutions in the United States has doubled in recent decades, a trend that has been intensely reinforced by the COVID-19 pandemic, which had a particular impact on the sudden increase in the number of online psychotherapy sessions.…”

Section: Introductionmentioning

confidence: 99%

From March 2020 to March 2021 - psychotherapists about working in the COVID-19 pandemic. Collective autoethnography

Piasecka¹,

Bryniarska²,

Mróz³

et al. 2021

Psychoter

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Motywacją do napisania artykułu była potrzeba zreflektowania doświadczeń z pracy zespołu psychoterapeutów w wyjątkowym czasie od marca 2020 do marca 2021. Psychoterapeuci, którzy wcześniej tego nie planując, opuścili swoje gabinety i usiedli przed ekranami, przeszli szybki kurs IT i uczestniczyli wspólnie z pacjentami w wielkim eksperymencie: psychoterapia w pandemii COVID-19. W zebraniu i opracowaniu materiału badawczego autorzy posłużyli się metodą zespołowej autoetnografii (collective autoethnography). Jest to metoda badań jakościowych właściwa do eksploracji nowych zjawisk społecznych, wywołujących silne emocje i mających wpływ zarówno na jednostki, jak i na grupy. Badania pokazały, że zarówno adaptacja do pracy w pandemii, jak i powrót do gabinetów ma charakter procesualny, indywidualnie (dla pacjentów i psychoterapeutów) zróżnicowany w tempie i rytmie. Pojawienie się transgresji, czyli twórczego przekształcenia myślenia, działania i otoczenia wymaga sprzyjającego kontekstu, w którym kluczowe jest oparcie w zespole. W psychoterapii zdalnej zbieramy inny rodzaj informacji o rodzinach i pacjentach indywidualnych, wymagający dopasowania sposobów opracowania i rozumienia, settingu i kontraktu. Wprowadzenie psychoterapii online w większym zakresie, niż to było przed pandemią, pozwoli skorzystać z tej formy leczenia osobom, dla których była niedostępna lub dla których dostęp do niej był utrudniony. Otwarcie się psychoterapeutów na konsultacje w zespole czy w szerszym środowisku, na pracę interdyscyplinarną jest wspierającym czynnikiem w procesach adaptacji i transgresji. Praca zdalna wiąże się z przeciążeniem fizycznym i psychicznym psychoterapeutów, stąd szczególnie ważne jest dodatkowe zadbanie o superwizję i własny komfort.

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“…Thus, this study does not provide an objective measure of what changed due to the teletherapy format, but only the therapist's perspective of this process and experience. Observational codings of recorded teletherapy sessions might shed light on behavioral changes in the patient and the therapist, and natural language analysis of transcripts of these recordings might explore if there indeed was a shift in topics/tone or emotional expressiveness in teletherapy (e.g., Ryu et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Adjusting to a new reality: Consensual qualitative research on therapists' experiences with teletherapy

et al. 2023

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Objective In the wake of the COVID‐19 pandemic, the use of teletherapy has become more pervasive than ever. Many therapists faced this move to a remote setting with little experience or training. We aimed to qualitatively examine therapists' subjective experience of providing teletherapy, including changes in technique, the therapeutic relationship, and the therapeutic process. Methods Thirty‐one psychotherapists participated in semistructured interviews. Interviews were recorded, then transcribed and analyzed using the Consensual Qualitative Research method. Results Therapists typically reported a change in the therapeutic relationship in terms of an increased sense of disconnection as well as shifts in various aspects of the relational dynamics, and they also typically experienced differences in the therapy process due to changes in patient and therapist engagement in the therapeutic work. Additionally, some therapists also reported that they became more active and directive in sessions, took a more informal, personal, or relaxed approach to interacting with patients, and while the emotional connection changed and they missed the energy and intimacy of in‐person sessions, the relationship in telesessions felt more authentic and human for some, and teletherapy also provided a way to discuss new dimensions in the process. Conclusion Overall, these results suggest great variability in therapists' subjective experiences with teletherapy, and present teletherapy as a distinct therapy format in many aspects. Further process‐level research and subsequent training is needed to better equip therapists to navigate teletherapy's challenges and harness its unique opportunities.

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Modeling Therapeutic Alliance in the Age of Telepsychiatry

Cited by 11 publications

References 14 publications

Using mobile brain/body imaging to advance research in arts, health, and related therapeutics

Using mobile brain/body imaging to advance research in arts, health, and related therapeutics

From March 2020 to March 2021 - psychotherapists about working in the COVID-19 pandemic. Collective autoethnography

Adjusting to a new reality: Consensual qualitative research on therapists' experiences with teletherapy

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