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Nassif RM, Husseini ME, Beaini N, Choueiri T, Tarazi-Sahab L, Moro MR. Working through multiple crises: the experience of psychotherapists and psychoanalysts in Lebanon. BMC Psychol 2024; 12:303. [PMID: 38807244 PMCID: PMC11134674 DOI: 10.1186/s40359-024-01810-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 05/22/2024] [Indexed: 05/30/2024] Open
Abstract
INTRODUCTION This research explores the impact of the COVID-19 pandemic on psychotherapists' practices and their ability to maintain a framework despite a shared reality with their patients. The specific focus in this article is on the Lebanese context, which is characterized by a series of crises including economic collapse, the COVID-19 pandemic, and the Beirut blast. The objective of this study was to examine how the destabilization of the meta-frame due to crises necessitates adaptations in theoretical knowledge, practice, and setting. METHODS We conducted a qualitative study among a population consisting of mental health professionals, which were recruited in Lebanon through associations and societies of psychologists, psychotherapists, and psychoanalysts. Data was collected using semi-structured individual interviews. The interviews were analyzed using interpretative phenomenological analysis (IPA), which allowed for a dynamic exploration of the participants' experiences. RESULTS Our study revealed four superordinate themes: (1) The strained frontiers; (2) The cumulative traumatic reality and its impact; (3) A challenged professional identity; (4) The creativity stemming from collective trauma. CONCLUSIONS Our results highlight the insecurity caused by external reality infiltrating the therapeutic setting. Online therapy allowed for continued work, but uncertainty about the online environment's impact on therapeutic relationships was observed. The study underscores the importance of adaptability, containment, and support for therapists navigating crises, particularly in the online setting.
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Affiliation(s)
- Rose Marie Nassif
- University Sorbonne Paris Nord, Villetaneuse, 93430, France.
- UVSQ, Inserm, CESP, Team DevPsy, University of Paris-Saclay, Villejuif, 94807, France.
| | - Mayssa' El Husseini
- UVSQ, Inserm, CESP, Team DevPsy, University of Paris-Saclay, Villejuif, 94807, France
- University of Picardie Jules Verne CHSSC EA 4289, Amiens, France
| | | | | | - Layla Tarazi-Sahab
- UVSQ, Inserm, CESP, Team DevPsy, University of Paris-Saclay, Villejuif, 94807, France
- Saint Joseph University, Beirut, Lebanon
| | - Marie-Rose Moro
- UVSQ, Inserm, CESP, Team DevPsy, University of Paris-Saclay, Villejuif, 94807, France
- APHP, Hôpital Cochin, Maison de Solenn, Paris, 75014, France
- University of Paris Cite, PCPP, Boulogne-Billancourt, 92100, France
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Jiang Q, Deng Y, Perle J, Zheng W, Chandran D, Chen J, Liu F. Education and training of telemental health providers: a systematic review. Front Public Health 2024; 12:1385532. [PMID: 38841687 PMCID: PMC11152158 DOI: 10.3389/fpubh.2024.1385532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Accepted: 04/12/2024] [Indexed: 06/07/2024] Open
Abstract
Objective To conduct a systematic literature review of education and training (E&T) programs for telemental health (TMH) providers in the past 10 years to qualitatively clarify field offerings and methodologies, as well as identify areas for future growth. Methods We searched five major electronic databases: PubMed, PsycINFO, Scopus, CINAHL, and Web of Science for original publications on TMH E&T from January 2013 to May 2023. We extracted information from each publication and summarized key features of training programs including setting, target group, study aims, training modality, methods of assessing quality, and outcomes. Results A total of 20 articles were selected for the final review. Articles meeting inclusionary criteria were predominantly comprised of case studies and commentaries, focused on a TMH service/practice for a specific region/population, and were performed after 2020. All of the selected studies demonstrated a significant increase in the measured knowledge, skills, and abilities of the participants after TMH training. Nevertheless, there remains a lack of standardization of training methodologies, limited sample sizes and demographics, variability in study methodologies, and inconsistency of competency targets across studies. Conclusion This systematic review highlighted the diversity of methods for TMH E&T. Future research on this topic could include more varied and larger-scale studies to further validate and extend current findings, as well as explore potential long-term effects of TMH training programs on both provider attitudes and patient outcomes.
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Affiliation(s)
- Qiaoling Jiang
- Institute of Higher Education, Changsha University, Changsha, China
| | - Yongjia Deng
- West Virginia University School of Medicine, Morgantown, WV, United States
| | - Jonathan Perle
- Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, WV, United States
| | - Wanhong Zheng
- Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, WV, United States
| | - Dilip Chandran
- Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, WV, United States
| | - Jingru Chen
- Mental Health & Counseling, Yale Health, New Haven, CT, United States
| | - Feiyue Liu
- School of Economics and Management, Changsha University, Changsha, China
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Thurmann I, Leukhardt A, Eichenberg C. [Indication and Contraindication of Video-Based Psychotherapy: A Qualitative Delphi Survey to Capture Psychotherapists' Reflection and Deliberation Processes]. Psychother Psychosom Med Psychol 2024. [PMID: 38710217 DOI: 10.1055/a-2255-3800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2024]
Abstract
OBJECTIVE The Corona pandemic forced many psychotherapists to make a rapid transition to video setting. Even after the acute phase of the pandemic, video-based treatments can be determined to a certain extent in practice. Thus, indication and contraindication recommendations are essential to ensure treatment quality. However, empirical studies are almost completely lacking in this regard. In the context of this work, the decision-making and consideration processes of psychotherapists regarding video-based treatments are to be recorded and those factors that can have an effect on the indication are to be identified. METHODS Two-stage, qualitative Delphi survey with psychodynamically oriented psychotherapists (n=9) and behavioural therapists (n=7) who can be assigned to the fields of research and practice. RESULTS The quality of the therapeutic alliance guides the participants' choice of setting. An indication for video setting results from the feasibility of therapeutic interventions and the respective treatment goal. The therapists weighed the costs and benefits of video setting for various disorders. The changed feeling of control on both sides and the possibility of improving health care are decisive factors. DISCUSSION Based on the results, a decision tree for psychotherapists was created, which includes the identified indication criteria.
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Affiliation(s)
- Isabelle Thurmann
- Department Psychotherapiewissenschaft, Sigmund Freud PrivatUniversität - Berlin, Berlin
| | - Alena Leukhardt
- Department Psychotherapiewissenschaft, Sigmund Freud PrivatUniversität - Berlin, Berlin
| | - Christiane Eichenberg
- Institut für Psychosomatik an der Med. Fakultät, Sigmund Freud PrivatUniversität - Wien, Wien, Österreich
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Ma L, Wang H, Zhang M, Zu Z, Yang L, Chen F, Wei W, Li X. Effects of smartphone-based hypnotic intervention for undergraduate students' shyness during the COVID-19 pandemic: A randomized controlled trial. Work 2024; 77:1059-1069. [PMID: 38143402 DOI: 10.3233/wor-220686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2023] Open
Abstract
BACKGROUND Since the outbreak of the COVID-19 pandemic, university students have been exposed to a heightened vulnerability towards developing psychological issues, such as psychological distress and shyness. Internet-based interventions offer a convenient avenue for scalability, thus prompting the development of a smartphone-based hypnotic intervention aimed at addressing shyness among university students. OBJECTIVE We devised an innovative smartphone-based hypnotic intervention called mHypnosis to examine its impact on shyness among undergraduate students. Furthermore, we aimed to investigate whether the apprehension of negative evaluations before treatment could serve as a predictor for the effectiveness of the intervention on shyness. METHODS Eighty students with high shyness scores were randomly assigned to the experimental group and the control group. Another 40 participants with low shyness score were selected as the baseline group. The Shyness Scale (SS), Fear of Negative evaluation scale (FNE), Self-Acceptance Questionnaire (SAQ), and Self-Esteem Scale (SES) were used to evaluate the effect of hypnotic intervention. RESULTS Before the intervention, the scores of the experimental and control groups on the SS, FNE, SAQ, and SES were higher than those in the baseline group (p < 0.05). There was no significant difference in scores between the experimental and control group (p > 0.05). After the intervention, the scores of the SS, FNE, SAQ, and SES were significantly lower in the experimental group than those in the control group (p < 0.05). The pretest score of FNE could predict the shyness score after hypnotic intervention (B = 0.35, p < 0.05). CONCLUSION Smartphone-based hypnotic intervention had a significant effect on ameliorating shyness during the COVID-19 pandemic; fear of negative evaluation can be a target for treating shyness.
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Affiliation(s)
- Lijun Ma
- Department of Medical Psychology, School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China
| | - Huixue Wang
- Department of Medical Psychology, School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China
| | - Mi Zhang
- Department of Medical Psychology, School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China
| | - Zhenyue Zu
- Department of Medical Psychology, School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China
| | - Linxi Yang
- Department of Medical Psychology, School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China
| | - Fenglan Chen
- Department of Medical Psychology, School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China
| | - Wenzhuo Wei
- Department of Medical Psychology, School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China
| | - Xiaoming Li
- Department of Medical Psychology, School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China
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Laczkovics C, Blüml V, Kapusta N, Hoffmann-Lamplmair D, Casini E, Bazan M, Torres MAG, Lendvay J, Normandin L, Nowacki H, Snigur V, Doering S, Yeomans F, Clarkin J, Preti E. Videoconferencing psychotherapy from a psychodynamic point of view. A qualitative analysis. Front Psychiatry 2023; 14:1235478. [PMID: 37779629 PMCID: PMC10540621 DOI: 10.3389/fpsyt.2023.1235478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 08/28/2023] [Indexed: 10/03/2023] Open
Abstract
There is a growing interest in delivering videoconferencing psychotherapy (VCP) due to the enormous impact of the COVID-19 pandemic on our lives since the beginning of severe restrictions worldwide in March 2020. Scientific literature has provided interesting results about the transition to remote sessions and its implications, considering different psychotherapy orientations. Less is known about whether and how VCP affects psychodynamic psychotherapeutic approaches and reports on remote work with severe and complex mental health problems such as severe personality disorders are still scarce. The aim of the study was to examine the experiences of psychodynamic psychotherapists, mainly delivering Transference-Focused Psychotherapy (TFP), with the transition and delivery of VCP during the first wave of the COVID-19 pandemic. Four hundred seventy-nine licensed psychotherapists completed an online survey during the peak of the pandemic. Survey data were analyzed using qualitative analysis. Results are presented and discussed concerning advantages and disadvantages regarding the access to psychotherapy, the specificity of the online video setting, bodily aspects, the quality of the therapeutic relationship, the therapeutic process including technical aspects and therapist's experience. Furthermore, we analyzed and discussed the statements concerning transference and countertransference reactions differentiating between high-level borderline and neurotic patients and low-level borderline patients. Our results support the importance to identify patients who potentially benefit from VCP. Further research including more prospective randomized controlled trials are needed to investigate the therapeutic implications of the findings.
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Affiliation(s)
- Clarissa Laczkovics
- Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria
| | - Victor Blüml
- Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria
| | - Nestor Kapusta
- Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria
- Comprehensive Center for Clinical Neurosciences and Mental Health, Medical University of Vienna, Vienna, Austria
| | | | - Erica Casini
- Department of Psychology, University of Milano-Bicocca, Milano, Italy
| | - Maria Bazan
- Polish Society for Psychodynamic Psychotherapy, Cracow Psychodynamic Center, Kraków, Poland
| | - Miguel Angel Gonzalez Torres
- Department of Neuroscience. University of the Basque Country, San Sebastian, Spain
- Department of Psychiatry, Basurto University Hospital, Bilbao, Spain
- CIBERSAM, Spanish Network of Research in Mental Health, Bilbao, Spain
- Biocruces-Bizkaia Research Institute, Barakaldo, Spain
| | - Judit Lendvay
- Personality Disorders Institute, Weill Cornell Medical College, White Plains, NY, United States
- Columbia Center for Psychoanalytic Training and Research, New York, NY, United States
| | - Lina Normandin
- École de Psychologie, Université Laval (Québec), Québec, QC, Canada
| | - Henryk Nowacki
- Polish Society for Psychodynamic Psychotherapy, Cracow Psychodynamic Center, Kraków, Poland
| | - Vladimir Snigur
- Russophone Society for the Transference Focused Psychotherapy, Moscow, Russia
| | - Stephan Doering
- Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria
| | - Frank Yeomans
- Personality Disorders Institute, Weill Cornell Medical College, White Plains, NY, United States
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States
| | - John Clarkin
- Personality Disorders Institute, Weill Cornell Medical College, White Plains, NY, United States
| | - Emanuele Preti
- Department of Psychology, University of Milano-Bicocca, Milano, Italy
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Stadler M, Jesser A, Humer E, Haid B, Stippl P, Schimböck W, Maaß E, Schwanzar H, Leithner D, Pieh C, Probst T. Remote Psychotherapy during the COVID-19 Pandemic: A Mixed-Methods Study on the Changes Experienced by Austrian Psychotherapists. Life (Basel) 2023; 13:life13020360. [PMID: 36836720 PMCID: PMC9961677 DOI: 10.3390/life13020360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 01/23/2023] [Accepted: 01/25/2023] [Indexed: 01/31/2023] Open
Abstract
The outbreak of the COVID-19 pandemic and associated measures to contain the SARS-CoV-2 coronavirus required a change in treatment format from face-to-face to remote psychotherapy. This study investigated the changes experienced by Austrian therapists when switching to psychotherapy at a distance. A total of 217 therapists participated in an online survey on changes experienced when switching settings. The survey was open from 26 June until 3 September 2020. Several open questions were evaluated using qualitative content analysis. The results show that the setting at a distance was appreciated by the therapists as a possibility to continue therapy even during an exceptional situation. Moreover, remote therapy offered the respondents more flexibility in terms of space and time. Nevertheless, the therapists also reported challenges of remote therapy, such as limited sensory perceptions, technical problems and signs of fatigue. They also described differences in terms of the therapeutic interventions used. There was a great deal of ambivalence in the data regarding the intensity of sessions and the establishment and/or maintenance of a psychotherapeutic relationship. Overall, the study shows that remote psychotherapy seems to have been well accepted by Austrian psychotherapists in many settings and can offer benefits. Clinical studies are also necessary to investigate in which contexts and for which patient groups the remote setting is suitable and where it is potentially contraindicated.
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Affiliation(s)
- Michael Stadler
- Department for Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, 3500 Krems, Austria
| | - Andrea Jesser
- Department for Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, 3500 Krems, Austria
- Correspondence:
| | - Elke Humer
- Department for Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, 3500 Krems, Austria
| | - Barbara Haid
- Austrian Federal Association for Psychotherapy, 1030 Vienna, Austria
| | - Peter Stippl
- Austrian Federal Association for Psychotherapy, 1030 Vienna, Austria
| | | | - Elisabeth Maaß
- Österreichische Gesellschaft Für Wissenschaftliche, Klientenzentrierte Psychotherapie und Personorientierte Gesprächsführung (ÖGWG), 4020 Linz, Austria
| | - Helmut Schwanzar
- Österreichische Gesellschaft Für Wissenschaftliche, Klientenzentrierte Psychotherapie und Personorientierte Gesprächsführung (ÖGWG), 4020 Linz, Austria
| | - Daniela Leithner
- Österreichische Gesellschaft Für Wissenschaftliche, Klientenzentrierte Psychotherapie und Personorientierte Gesprächsführung (ÖGWG), 4020 Linz, Austria
| | - Christoph Pieh
- Department for Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, 3500 Krems, Austria
| | - Thomas Probst
- Department for Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, 3500 Krems, Austria
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Ivey G, Denmeade L. Trainee psychologists’ experiences of learning and conducting psychodynamic therapy via telepsychology. PSYCHOANALYTIC PSYCHOTHERAPY 2023. [DOI: 10.1080/02668734.2022.2158210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Affiliation(s)
- Gavin Ivey
- Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia
| | - Lesley Denmeade
- Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia
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Fiala-Baumann B, Ploner H, Witzmann D, Jesser A. Säuglings‑, Kinder- und Jugendlichen- (SKJ) Psychotherapien während der Covid-19 Pandemie: Ergebnisse einer Studie unter psychodynamischen Psychotherapeut*innen in Österreich. PSYCHOTHERAPIE FORUM 2022. [PMCID: PMC9746562 DOI: 10.1007/s00729-022-00213-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Zusammenfassung
Fragestellung
Diese explorative Studie untersucht die Situation der Säuglings‑, Kinder- und Jugendlichen- (SKJ) Psychotherapien während der Covid-19 Pandemie in Österreich.
Methodik
23 psychodynamisch arbeitende Psychotherapeut*innen nahmen an einer Online-Umfrage teil, die quantitative und qualitative Daten generierte. Offene Fragen zu subjektiv wahrgenommenen Veränderungen wurden mithilfe der qualitativen Inhaltsanalyse ausgewertet.
Ergebnisse
Insgesamt sank die Anzahl an Psychotherapien insbesondere bei den Säuglings- und Kleinkind-Psychotherapien. Die Zahl der Kinder und Jugendlichen-Psychotherapien nahm zunächst ab, stieg nach dem ersten Lockdown aber an. Große Nachfrage wurde zuletzt vor allem bei Jugendlichenpsychotherapien wahrgenommen. Anpassungsleistungen an sich ändernde Bedingungen und Settings erforderten große Flexibilität der Psychotherapeut*innen, die mit Fortschreiten der Pandemie zunehmend an ihre Belastungsgrenzen kamen. Befragte beobachteten eine Zunahme an Symptomen sowie einen gestiegenen Bedarf an Eltern- und Vernetzungsarbeit mit Institutionen.
Schlussfolgerungen
Tele-Psychotherapie kann vor allem mit jüngeren Kindern Präsenztherapie nicht ersetzen. Ergebnisse deuten auf eine Unterversorgung dieser Zielgruppe hin. Dies, sowie die beobachtete Zunahme an Symptomen bei älteren Kindern und Jugendlichen, ist gesellschaftspolitisch und gesundheitsökonomisch ein großes Thema und erfordert dringend einen weiteren Ausbau der Versorgungsnetzwerke.
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Affiliation(s)
| | | | | | - Andrea Jesser
- Wissenschaftliche Arbeitsgruppe, D.O.T. – Die offene Tür, Karl Landsteiner Privatuniversität für Gesundheitswissenschaften, Dr. Karl-Dorrek-Straße 30, 3500 Krems, Österreich
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