通訊心理治療之實務面探討

An Exploration Into the Practice of Telepsychotherapy

劉同雪(Emily Tung-Hsueh Liu) ； 黃天豪(Tien-Hao Huang) ； 台灣臨床心理學會通訊心理工作小組(Taiwan Association of Clinical Psychology Telepsychology Task Force)

《臨床心理學刊》 16卷1/2期 (2022/12) Pp. 16-32

https://doi.org/10.6550/ACP.202212_16(1_2).0002

摘要

新型冠狀病毒肺炎（coronavirus disease 2019, COVID-19）疫情迫使傳統面對面心理治療難以實行，於此同時，通訊心理治療成為可能的解決方案。然而，通訊心理治療究竟僅是替代選擇，抑或其實能突破傳統心理治療的限制，從而帶來此前尚未充分發掘之優勢？為此，本文針對：（1）通訊心理治療中的治療關係；（2）治療性存在；以及（3）評估流程（包含知情同意）等三個方面來說明與討論。本文首先邀請大家思考，通訊心理治療能開闢與傳統方式截然不同之優勢的可能性，以及對治療關係的核心面向帶來何種正向影響。其次，本文簡要整理了有關通訊心理治療中，如何強化治療性存在的具體建議，並以「實際執行通訊心理服務的治療師」的角度提出之經驗反思，對比「實際使用通訊心理治療的個案」所提出之用戶體驗，針對上述「專業邏輯」與「用戶邏輯」差異點切入，提供新的思考方向。最後，就通訊心理治療的評估流程，本文提供評估新舊案主是否適合採用此種治療的評估流程建議，以及成人知情同意書的範例。

關鍵字

通訊心理治療 ； 治療關係 ； 評估流程 ； 知情同意

並列摘要

While the COVID-19 pandemic led to difficulties in conducting traditional face-to-face psychotherapy, telepsychotherapy emerged as a potential solution. Is telepsychotherapy a last resort, or can it actually break through the limitations of traditional psychotherapy and present previously unexplored advantages? To this end, this paper addresses three aspects of telepsychotherapy: (1) the therapeutic relationship; (2) the therapeutic presence; and (3) the evaluation procedure (including informed consent). The paper first invites the audience to consider the possibility that telepsychotherapy can confer benefits for the core aspects of the therapeutic relationship. Secondly, the paper briefly compiles specific recommendations on how to strengthen the therapeutic presence in telepsychotherapy, and offers new directions for reflection from the perspectives of "therapists who conduct telepsychotherapy" compared to the user experiences of "clients who receive telepsychotherapy," focusing on the differences between "professional logic" and "user logic" mentioned above. Finally, in terms of the evaluation procedure of telepsychotherapy, this paper provides recommendations for evaluating the appropriateness of this treatment for new and existing clients, as well as a sample adult informed consent form.

並列關鍵字

telepsychotherapy ； therapeutic relationship ； evaluation procedure ； informed consent

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