Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body Image
The COVID-19 pandemic outbreak has led to a general reorganization of health services and an increase in outpatient telemedicine in mental healthcare for physically ill people. Current literature highlights facilitators and obstacles concerning the use of new technologies in psychotherapy, an underr...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-03-01
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| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.638274/full |
| _version_ | 1818741965330579456 |
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| author | Nicola Grignoli Paola Arnaboldi Paola Arnaboldi Mattia Antonini |
| author_facet | Nicola Grignoli Paola Arnaboldi Paola Arnaboldi Mattia Antonini |
| author_sort | Nicola Grignoli |
| collection | DOAJ |
| description | The COVID-19 pandemic outbreak has led to a general reorganization of health services and an increase in outpatient telemedicine in mental healthcare for physically ill people. Current literature highlights facilitators and obstacles concerning the use of new technologies in psychotherapy, an underrated topic of research in the context of supportive expressive psychotherapy. More insight is needed to explore the characteristics of video in therapeutic alliance for treatment of specific mental disorders experienced in psychosomatics, particularly with people suffering from a disturbed body- and self-image. Using two clinical vignettes, it is the authors’ intention to enrich the critical debate on current knowledge in psychosomatic remote psychotherapy, with special focus on mentalization deficits and their impact on therapeutic alliance in the consultation-liaison psychiatry setting. In particular, we will question the interpersonal processes at stake related to mirroring and the disruption caused by the use of videoconference applications. We will also reflect upon the relationship between the therapeutic alliance and the medical team, and that between patient and psychotherapist. The aim is to improve psychotherapeutic alliance maintained during the pandemic for specific mental disorders and to inform about possible clinical factors that could be the subject of future empirical studies or professional guidelines. |
| first_indexed | 2024-12-18T02:05:00Z |
| format | Article |
| id | doaj.art-b54525882ed84b4faef0aed26eb864d5 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-18T02:05:00Z |
| publishDate | 2021-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-b54525882ed84b4faef0aed26eb864d52022-12-21T21:24:38ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-03-011210.3389/fpsyg.2021.638274638274Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body ImageNicola Grignoli0Paola Arnaboldi1Paola Arnaboldi2Mattia Antonini3Servizio di Psichiatria e Psicologia Medica, Organizzazione Sociopsichiatrica Cantonale, Savosa, SwitzerlandServizio di Psichiatria e Psicologia Medica, Organizzazione Sociopsichiatrica Cantonale, Savosa, SwitzerlandLega Ticinese Contro il Cancro, Bellinzona, SwitzerlandServizio Medico Psicologico, Organizzazione Sociopsichiatrica Cantonale, Bellinzona, SwitzerlandThe COVID-19 pandemic outbreak has led to a general reorganization of health services and an increase in outpatient telemedicine in mental healthcare for physically ill people. Current literature highlights facilitators and obstacles concerning the use of new technologies in psychotherapy, an underrated topic of research in the context of supportive expressive psychotherapy. More insight is needed to explore the characteristics of video in therapeutic alliance for treatment of specific mental disorders experienced in psychosomatics, particularly with people suffering from a disturbed body- and self-image. Using two clinical vignettes, it is the authors’ intention to enrich the critical debate on current knowledge in psychosomatic remote psychotherapy, with special focus on mentalization deficits and their impact on therapeutic alliance in the consultation-liaison psychiatry setting. In particular, we will question the interpersonal processes at stake related to mirroring and the disruption caused by the use of videoconference applications. We will also reflect upon the relationship between the therapeutic alliance and the medical team, and that between patient and psychotherapist. The aim is to improve psychotherapeutic alliance maintained during the pandemic for specific mental disorders and to inform about possible clinical factors that could be the subject of future empirical studies or professional guidelines.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.638274/fulltherapeutic alliancesupportive-expressive psychodynamic psychotherapyremote psychotherapyconsultation-liaison (C-L) psychiatrymentalization and reflective functionobesity |
| spellingShingle | Nicola Grignoli Paola Arnaboldi Paola Arnaboldi Mattia Antonini Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body Image Frontiers in Psychology therapeutic alliance supportive-expressive psychodynamic psychotherapy remote psychotherapy consultation-liaison (C-L) psychiatry mentalization and reflective function obesity |
| title | Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body Image |
| title_full | Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body Image |
| title_fullStr | Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body Image |
| title_full_unstemmed | Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body Image |
| title_short | Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body Image |
| title_sort | therapeutic alliance in covid 19 era remote psychotherapy delivered to physically ill patients with disturbed body image |
| topic | therapeutic alliance supportive-expressive psychodynamic psychotherapy remote psychotherapy consultation-liaison (C-L) psychiatry mentalization and reflective function obesity |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.638274/full |
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