探索治疗关系中外部现实和创造性新颖性的影响

IF 0.5 4区 医学 Q4 PSYCHIATRY Annales medico-psychologiques Pub Date : 2024-09-01 DOI:10.1016/j.amp.2024.04.012
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引用次数: 0

摘要

背景本文基于对外部现实(包括 COVID-19 大流行病等多重全球危机、社会运动和政治危机)对治疗关系和分析框架的影响的探索研究。这项由来自不同国家的研究人员开展的合作研究是在 COVID-19 健康危机的背景下形成的。研究的主要目的是确定共同的外部现实对治疗过程的影响,强调从业者在多重危机背景下所面临的挑战。研究人员还试图探讨精神分析师和心理治疗师如何质疑和调整他们的实践和框架,以便在充满不确定性和需要随机应变的环境中继续与患者合作。研究方法本研究基于对来自不同国家、面临各种危机的精神分析师和心理治疗师的定性访谈。研究人员对参与者的回答进行了分析,以确定新出现的主题,并了解从业人员如何应对这些挑战,突出强调了应对策略和对治疗框架的调整。结果研究结果证实了外部危机对治疗实践的深远影响,尤其是在挑战从业人员的专业身份和需要调整治疗框架以保持分析过程的连续性方面。参与者表达了一种不安全感、挫败感以及与转向在线工作相关的仪式感的丧失。讨论强调了在治疗实践中认识和应对外部危机所带来的挑战的重要性,同时也强调了即兴创作和创造力在保持分析过程连续性方面的关键作用。从业人员必须准备好重新思考和调整其治疗框架,以满足患者不断变化的需求,同时保留治疗的基本原则。最后,本研究强调了从业人员之间合作和持续发展的重要性,以克服外部危机带来的挑战,确保治疗护理的质量。
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Explorer l’impact de la réalité externe et de la nouveauté créative dans les relations thérapeutiques

Context

This article is based on research exploring the impact of external reality, including multiple global crises such as the COVID-19 pandemic, social movements, and political crises, on the therapeutic relationship and the analytical framework. This collaborative study, carried out by researchers from different countries, took shape in response to the COVID-19 health crisis. It aims to understand how psychoanalysts and psychotherapists have had to adapt their practices in the face of these crises, highlighting the importance of improvisation and creativity in maintaining the continuity of the therapeutic process.

Objectives

The principal objective of the study is to identify the impact of shared external realities on the therapeutic process, highlighting the challenges faced by practitioners in a context of multiple crises. The researchers also seek to explore how psychoanalysts and psychotherapists have had to call into question and adapt their practices and frameworks in order to continue working with their patients in an environment marked by uncertainty and the need to improvise.

Methodology

The research is based on qualitative interviews with psychoanalysts and psychotherapists from different countries facing various crises. The researchers analyzed the participants’ responses to identify emerging themes and understand how practitioners navigated these challenges, highlighting coping strategies and adjustments to the therapeutic framework.

Results

The findings confirm the profound impact of external crises on therapeutic practice, particularly in terms of challenging practitioners’ professional identities and the need to adapt therapeutic frameworks to maintain the continuity of the analytical process. Participants expressed a sense of insecurity, frustration and a loss of rituals associated with the move to working online. However, they also showed great creativity in designing their workplace and exploring new therapeutic approaches.

Discussion and conclusion

The discussion underlines the importance of recognizing and addressing the challenges posed by external crises in therapeutic practice, while also highlighting the crucial role of improvisation and creativity in maintaining the continuity of the analytical process. Practitioners must be prepared to rethink and adapt their therapeutic framework to meet the changing needs of their patients, while preserving the fundamental principles of therapy. Ultimately, the study highlights the importance of collaboration and ongoing development between practitioners in overcoming the challenges posed by external crises in order to ensure the quality of therapeutic care.

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来源期刊
Annales medico-psychologiques
Annales medico-psychologiques 医学-精神病学
CiteScore
1.30
自引率
33.30%
发文量
196
审稿时长
4-8 weeks
期刊介绍: The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.
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