Practising as an analyst in Berlin in times of the coronavirus: The core components of psychoanalytic work and the problem of virtual reality

White, Kristin

doi:10.1080/00207578.2020.1761816

Cited by 12 publications

(15 citation statements)

References 2 publications

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“…Svenson concludes that the ‘medium magnifies the dynamics’ (p. 448), hence long dissociated painful experiences can get confronted. This experience again aligns with the ‘online disinhibition effect’ (as above) and calls into question White’s ( 2020 ) assertion that online work can have a ‘distancing’ effect that enables some patients to hide from their neediness. Similar to White, Svenson also describes how online work can lead to ‘a kind of exhaustion’ (p. 447).…”

Section: Responses To the Covid‐19 Pandemic By The Psychoanalytic Schoolsupporting

confidence: 58%

“…An up‐to‐date psychoanalytic response to the COVID‐19 pandemic is that of White ( 2020 ), who not only comments on the progressive effects on her of online work during the pandemic, but offers a good contemporary summary of many of the negative critiques of online analysis, which she concludes is a ‘temporary necessity’ only. In particular, White argues that avoidance of the negative transference can occur in online work, as well as a ‘distancing’ effect that can enable some patients to hide from their neediness.…”

Section: Responses To the Covid‐19 Pandemic By The Psychoanalytic Schoolmentioning

confidence: 99%

“…In terms of certain patients, it is also noticeable that in Martin et al’s ( 2020 ) review, they found research studies suggesting that those with shame and self‐consciousness, who need high levels of control and have avoidant coping styles (often seen with eating disorders and anxiety sufferers), frequently prefer online contact. It is definitely worth noting that patients with such symptoms are apt to respond more positively to working online, and that this need not preclude the longer time that White ( 2020 ) maintains analysis requires.…”

Section: Relevant Research Findings In Response To the Covid‐19 Pandemicmentioning

confidence: 99%

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Working online due to the COVID‐19 pandemic: a research and literature review

Merchant¹

2021

J Analytical Psychology

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Given the contemporary situation of many analysts in the world now being forced to work online due to the effects of the COVID‐19 pandemic, it is important to review the working online issue. Substantial debate over previous years has questioned whether a genuine analytic process can unfold through online work. This debate is reviewed with the conclusion that such a process is not necessarily precluded. Research outcomes are then reviewed to highlight those things that can facilitate positive outcomes when working online. These cover the ‘online disinhibition effect’, the therapeutic alliance, particular ways of using the screen, focussing on trauma, the importance of self‐awareness, knowing the predictors of mental health, certain potential positives of isolation/quarantine and psychotherapy interventions that may be currently needed. Final recommendations and suggestions are then presented as in the diagnosis issue, professional development and guidelines to do with practical and ethical considerations.

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Section: Responses To the Covid‐19 Pandemic By The Psychoanalytic Schoolsupporting

confidence: 58%

Section: Responses To the Covid‐19 Pandemic By The Psychoanalytic Schoolmentioning

confidence: 99%

Section: Relevant Research Findings In Response To the Covid‐19 Pandemicmentioning

confidence: 99%

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Working online due to the COVID‐19 pandemic: a research and literature review

Merchant¹

2021

J Analytical Psychology

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“…Es kann angenommen werden, dass der kurzfristige Setting-Wechsel einen nicht zu vernachlässigenden Einfluss auf die therapeutische Beziehung und damit auf den therapeutischen Prozess ausübt. Im VS entstehe eine lediglich vordergründige Nähe, deren therapeutische Wirksamkeit infrage zu stellen sei (Jaeger und Furck 2014 ; White 2020 ). White ( 2020 ) beschreibt die physische Präsenz als eine Kernkomponente der psychodynamischen Arbeit.…”

Section: Introductionunclassified

“…Im VS entstehe eine lediglich vordergründige Nähe, deren therapeutische Wirksamkeit infrage zu stellen sei (Jaeger und Furck 2014 ; White 2020 ). White ( 2020 ) beschreibt die physische Präsenz als eine Kernkomponente der psychodynamischen Arbeit. Im VS können Übertragungssignale weniger gut aufgenommen werden, was eine Verletzung der Neutralität und Abstinenz mit sich bringe (Scharff 2013 ).…”

Section: Introductionunclassified

Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie

Leukhardt¹,

Heider²,

Reboly³

et al. 2021

Psychotherapeut

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Hintergrund Im Zuge der durch die „coronavirus disease 2019“ (COVID-19) ausgelösten Pandemie haben videobasierte Therapien (VBT) eine Trendwende erfahren. Es lässt sich vermuten, dass der abrupte Wechsel von der traditionellen Psychotherapie auf das Video-Setting (VS) einen Einfluss auf die therapeutische Beziehung und damit auf den therapeutischen Prozess ausübt. Im Rahmen dieser Studie wird untersucht, wie der Wechsel von der traditionellen Behandlung zur videobasierten Behandlung (und wieder zurück) während der COVID-19-Pandemie im Hinblick auf die therapeutische Beziehung und den therapeutischen Prozess von Patient*innen und Therapeut*innen erlebt wurde. Methodik Gruppenspezifische, halbstrukturierte Interviews mit approbierten Therapeut*innen ( n = 8), Therapeut*innen in Ausbildung ( n = 6) und Patient*innen ( n = 9). Ergebnisse Die Mehrheit der Teilnehmer*innen, sowohl Therapeut*innen als auch Patient*innen, hat die therapeutische Situation im VS als durchlässiger und weniger berechenbar erlebt. Obwohl das VS zum Erhalt der therapeutischen Beziehung beiträgt, wird die Interaktion als flacher und weniger gerichtet beschrieben. Weiterhin zeigte sich, dass jeder Setting-Wechsel mit einem Habituationsprozess verbunden ist. Die therapeutische Arbeit kann dadurch erst nach einigen Sitzungen mit der höchst möglichen Intensität innerhalb des jeweiligen Settings durchgeführt werden. Diskussion In der VBT kann es durch den Erhalt der Beziehung zu einer Stärkung in der therapeutischen Allianz kommen. Obwohl das VS mit Unsicherheiten verbunden ist, konnten schambesetzte Themen leichter angesprochen werden. Besonders Angstpatient*innen konnten sich nach einer universell beobachtbaren Habituationsphase auf einen intensiveren therapeutischen Prozess einlassen. Zusatzmaterial online Die Online-Version dieses Beitrags (10.1007/s00278-021-00532-3) enthält Tabellen für Hintergrundinformationen.

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A qualitative exploration of psychologists' experiences of teletherapy within the Irish Public Mental Health System

Reilly

Smith²,

Coyne³

et al. 2022

Couns and Psychother Res

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Objective The current qualitative study aimed to investigate psychologists' experiences of teletherapy throughout the COVID‐19 pandemic, with a particular focus on teletherapy's impact on therapeutic relationships. Method Fifteen participants, consisting of clinical and counselling psychologists employed by the Health Service Executive (HSE) in Ireland, participated in semi‐structured interviews conducted via telephone. Results Constructionist thematic analysis yielded three prominent themes: (i) psychologists experienced a lack of control over therapeutic boundaries with their clients, such as the setting and time in which sessions take place. Teletherapy also encroaches on psychologists' personal boundaries from having aspects of their home lives becoming associated with clients' trauma; (ii) psychologists have to work much harder to make the connection with clients due to the substantial loss of information, including non‐verbal cues, transmitted across teletherapeutic platforms; and (iii) psychologists themselves feel uncontained from being insufficiently supported by the HSE, which impacts on their ability to contain high‐risk clients via teletherapy. Conclusions Various aspects of the therapeutic relationship, including therapeutic boundaries between psychologists and their clients, and psychologists' ability to make the connection and foster containment with their clients, were impacted by teletherapy. Psychologists need to feel heard, supported and appreciated to ensure optimal delivery of teletherapy in future.

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Practising as an analyst in Berlin in times of the coronavirus: The core components of psychoanalytic work and the problem of virtual reality

Cited by 12 publications

References 2 publications

Working online due to the COVID‐19 pandemic: a research and literature review

Working online due to the COVID‐19 pandemic: a research and literature review

Videobasierte Behandlungen in der psychodynamischen Psychotherapie in Zeiten der COVID-19-Pandemie

A qualitative exploration of psychologists' experiences of teletherapy within the Irish Public Mental Health System

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