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Psychotherapy in times of Covid-19: video treatments in psychodynamic psychotherapy.
Psychotherapie in Zeiten von Covid-19: Videobehandlungen in der psychodynamischen Psychotherapie
Project status: Completed
Faculty: Psychotherapy Science
Project leader: Univ.-Prof. Dr. Christine Eichenberg; Dr. Alla Kirsha
Project runtime: 01.10.2021 - 01.10.2021
Research Focus:
  • Applied Psychotherapy Science Research
Topic:
  • E-Mental Health
Project leader:

Univ.-Prof. Dr. Christine Eichenberg (eichenberg@sfu.ac.at); Dr. Alla Kirsha 

Project team:

Alena Leukhardt, MSc.; Maximilian Heider, MSc. 

Cooperation partners:

-

Project runtime:

01.10.2021 - 01.10.2021

Grants:

-

Description:

English
In the wake of the Corona crisis, video-based treatments have experienced a turnaround. It can be assumed that the change of setting from traditional treatment to the video-based setting (and back again) has an influence on the therapeutic relationship and thus on the therapeutic process (Eichenberg, 2020). The project Psychotherapy in Times of Covid-19: Video Treatments in Psychodynamic Psychotherapy will investigate to what extent the change from traditional treatment to video therapy in the course of the corona setting affects the therapeutic process. Due to the use of modern media in the therapeutic context, the risk of crossing boundaries is
high (Eichenberg & Küsel, 2017). Partly for this reason, a systematic investigation and reflection of this therapeutic transition is essential. Within the framework of a qualitative study, group-specific, semi-structured interviews will be used to investigate how therapists and patients experience the change of setting and what influence on the therapeutic relationship is observed from both sides. In addition, it will be determined which factors are associated with the non-use of videotelephony as a means of bridging the temporary risk situation, both for therapists and patients.
In a flash survey (N = 4466) conducted by the German Psychotherapists Association (DPtV) in April of this year, it was found that the majority of therapists surveyed preferred face-to-face treatment for therapeutic reasons (78%) and considered the effectiveness of video treatments to be inferior to face-to-face contact (59%). According to this survey, more than half of the patients* continue to be treated in face-to-face contact. Nevertheless, some of the respondents were clearly in favor of enabling video treatment in the current situation (DPtV, 2020). Especially in psychoanalytic circles, arguments for and against video therapy are discussed ambivalently. It is important to systematically investigate and map psychodynamic processes in the transition from traditional treatment to videotherapy as well as during videotreatment in order to be able to discuss indications and contraindications in a well-founded and differentiated manner (Eichenberg & Hübner, 2018).
German
Im Zuge der Corona-Situation haben videobasierte Behandlungen eine Trendwende erfahren. Es ist davon auszugehen, dass der Settingwechsel von der traditionellen Behandlung auf das videobasierte Setting (und wieder zurück) einen Einfluss auf die therapeutische Beziehung und damit auf den therapeutischen Prozess hat (Eichenberg, 2020). Im Projekt Psychotherapie in Zeiten von Covid-19: Videobehandlungen in der psychodynamischen Psychotherapie soll untersucht werden, inwiefern sich der Wechsel von der traditionellen Behandlung zur Videotherapie im Zuge der Corona-Situation auf den therapeutischen Prozess auswirkt. Durch den Einsatz moderner Medien im therapeutischen Kontext ist die Gefahr, dass Grenzen überschritten werden
hoch (Eichenberg & Küsel, 2017). Mitunter aus diesem Grund ist eine systematische Untersuchung und Reflexion dieses therapeutischen Übergangs unerlässlich. Im Rahmen einer qualitativen Studie soll unter Einsatz gruppenspezifischer, semistrukturierter Interviews untersucht werden, wie Therapeut*innen und Patient*innen den Settingwechsel erleben und welcher Einfluss auf die therapeutische Beziehung von beiden Seiten beobachtet wird. Außerdem soll erhoben werden, welche Faktoren mit einer Nichtinanspruchnahme der Videotelefonie als Überbrückung der temporären Risikosituation, sowohl für Therapeut*innen, als auch für Patient*innen, in Zusammenhang stehen.Im Rahmen einer Blitzumfrage (N = 4466) der Deutschen PsychotherapeutenVereinigung (DPtV) im April dieses Jahres stellte sich heraus, dass die Mehrheit der befragten Therapeut*innen die Behandlung im persönlichen Kontakt aus therapeutischen Gründen vorzieht (78 %) und die Wirksamkeit der Videobehandlungen im Vergleich zum persönlichen Kontakt als schlechter einschätzt (59%). Entsprechend dieser Befragung werden mehr als die Hälfte der Patient*innen weiterhin im persönlichen Kontakt behandelt. Dennoch sprachen sich einige der Befragten eindeutig dafür aus, dass die Videobehandlung in der aktuellen Situation ermöglicht werden muss (DPtV, 2020). Vor allem im psychoanalytischen Fachkreis werden Argumente für und wider einer Videotherapie ambivalent diskutiert. Es ist es wichtig, psychodynamische Prozesse im Übergang von der traditionellen Behandlung zur Videotherapie sowie während der Videobehandlung systematisch zu untersuchen und abzubilden, um Indikationen und Kontraindikationen fundiert und differenziert diskutieren zu können (Eichenberg & Hübner, 2018).
\/ideobased treatments in psychodynamic psychotherapy - experiences during the Covid-19 pandemic
\/ideobasierte BehandIungen in der psychodynamischen Psychotherapie. Erfahrungen während der Covid-19 Pandemie
Project status: Completed
Faculty: Psychotherapy Science
Project leader: Dr. Alla Kirsha; Univ.-Prof. Dr. Christiane Eichenberg
Project runtime: 09.06.2020 - 30.09.2020
Research Focus:
  • Applied Psychotherapy Science Research
Topic:
  • E-Mental Health
Project leader:

Dr. Alla Kirsha (alla.kirsha@sfu-berlin.de); Univ.-Prof. Dr. Christiane Eichenberg (eichenberg@sfu.ac.at

Project team:

Maximilian Heider; Alena Leukhardt 

Cooperation partners:

Institutsambulanz SFU Berlin, Ausbildungsinstitut SFU Berlin

Project runtime:

09.06.2020 - 30.09.2020

Grants:

keine

Description:

English
Video-based treatments experienced a trend reversal during the corona crisis (Eichenberg, 2020). It can be assumed that the change of setting from traditional psychotherapy to the video-based setting (and back again) has an influence on the therapeutic relationship (edb).
The project "Videobased Treatments in Psychodynamic Psychotherapy" aims to investigate the extent to which the change from traditional treatment to video therapy in the course of the corona situation affects the therapeutic process. Due to the use of modern media in a therapeutic context, the danger of crossing borders is high. Therefore a systematic investigation and reflection of this therapeutic transition is essential (Eichenberg & Küsel, 2017). This study aims to shed light on how therapists and patients experience the change of setting and what influence on the therapeutic relationship is observed. In addition, it will be investigated which factors are associated with the non-use of videobased therapy as a bridging of the temporary risk situation, both for therapists and patients.
Methodology: qualitative interview study with German psychotherapists (TP/PA) and patients.
German
Videobasierte Behandlungen haben in der Corona-Krise eine Trendwende erfahren (Eichenberg, 2020). Dabei ist davon auszugehen, dass der Settingwechsel von der traditionellen Psychotherapie auf das videobasierte Setting (und wieder zurück) Einfluss auf die therapeutische Beziehung hat (edb).
Im Projekt Videobehandlungen in der psychodynamischen Psychotherapie soll untersucht werden, inwiefern sich der Wechsel von der traditionellen Behandlung zur Videotherapie im Zuge der Corona-Situation auf den therapeutischen Prozess auswirkt. Durch den Einsatz moderner Medien im therapeutischen Kontext ist die Gefahr, dass Grenzen überschritten werden hoch. Daher ist eine systematische Untersuchung und Reflexion dieses therapeutischen Übergangs unerlässlich (Eichenberg & Küsel, 2017). Im Rahmen dieser Studie soll beleuchtet werden, wie Therapeuten/ Therapeutinnen und Patienten/ Patientinnen den Settingwechsel erleben und welcher Einfluss auf die therapeutische Beziehung beobachtet wird. Außerdem soll erhoben werden, welche Faktoren mit einer Nichtinanspruchnahme der Videotelefonie als Überbrückung der temporären Risikosituation, sowohl für Therapeuten/ Therapeutinnen, als auch für Patienten/ Patientinnen, in Zusammenhang stehen.
Methodik: qualitative Interviewstudie an deutschen Psychotherapeuten (TP/PA) und Patienten.
Corrective Experiences in Psychotherapy
Project status: Completed
Faculty: Psychotherapy Science
Project leader: Dr. Kathrin Mörtl
Project runtime: 01.10.2011 - 31.12.2016
Research Focus:
  • Applied Psychotherapy Science Research
Topic:
  • Research on the Psychotherapeutic Process
Project leader:

Dr. Kathrin Mörtl (kathrin.moertl@sfu.ac.at

Project team:

Mag. Adriana Mackova; Mag. Himanshu Giri; Mag. Alla Kirsha; Mag. Nusa Tojnko 

Cooperation partners:

Prof. Lynne Angus (Toronto); Prof. Mike Constantino (Boston); Dr. Martin Kuska (Prag); Prof. Andres Roussos (Buenos Aires)

Project runtime:

01.10.2011 - 31.12.2016

Grants:

keine

Description:

English
The construct of corrective experience has a long history in psychotherapy (Alexander & French, 1946; Wallerstein, 1990). Although definitions vary among clinical theorists and across treatment orientations, all suggest a type of transformative experience or set of experiences for the psychotherapy patient. Despite a rich theoretical history, though, there is precious little empirical information on patients’ perceptions of what is therapeutically corrective, or transformative. Thus, the primary aim of this project is to investigate patients’ posttreatment accounts of corrective experiences in psychotherapy using a qualitative interview methodology.

The primary research questions include: (1) In reflecting back on the time since beginning, and ultimately completing, therapy, what do patients perceive as aspects of self, other, and/or relationships (cognitive, affective, or relational in nature) that get corrected? (2) In reflecting back on the same time frame, what do patients perceive as corrective experiences (i.e., instances in therapy, outside of therapy, or in interaction with others, including possibly the therapist) that fostered what was corrected? and (3) Are any perceptions moderated by type of therapy (as the naturalistic settings include multiple forms of treatment).

Collaborative Research
This project is a multi-site collaboration study involving three universities. Data collection and analysis has already started the University of Massachusetts (Mike Constantino, PH.D.), York University (Prof. Lynne Angus, Kathrin Moertl, PH.D.) and Columbia University (Prof. Barry Farber) in 2011. In 2013 the sites of Sigmund Freud University in Vienna and Paris joined the international multisite project (Kathrin Moertl, PH.D., Prof. Georges Elias Sarfati).

Patients and Settings Patients will be consenting adult outpatients (age 18 and over) who complete a course of naturalistically delivered psychotherapy at one of the five study sites (UMass, York University, Columbia University, SFU Vienna and Paris, Psychosocial Studies College, Prague). For the SFU sites, approximately 30 patients will be included in the present study (15 in Vienna, 15 in Paris). These patients will be treated at the outpatient clinic at SFU Vienna and Paris. These patients will be pooled with approximately 15 patients at UMass, 15 at York and 5 at Columbia to create a sample size of approximately 60 patients. This reflects a large sample for the intensive qualitative analyses that will be conducted, and it should safely allow for both saturation/stability of the emerging themes and the ability to compare findings across certain characteristics (e.g., treatment type).

Interview and Interviewers
Following their termination from treatment, patients will engage in a semi-structured interview that will assess patients’ reflections on broad and therapy specific corrective experiences. The interviews will be conducted in-person by trained graduate research assistants and will last approximately 45 min to 1 hr. Each interview will consist of the same set of open-ended questions with flexible follow-up prompts. The principal investigator at each site will train (post‐feedback) and supervise their local interviewers on the final protocol.

Data Analysis
Data will be analyzed based on audio recordings and transcripts of semi-structured post therapy interviews according to Grounded Theory Methodology (Glaser & Strauss, 1967). This method allows investigators to gain a rich understanding of patients’ first hand experiences of corrective experiences in psychotherapy – i.e., events or insights that patients believe have meaningfully changed their perspectives, feelings/cognitions, or relationships as a result of participating in treatment. Grounded Theory Methodology provides a set of systematic coding procedures (Mey & Mruck, 2007) that facilitates the development of tailor-made category system and conceptual model that are grounded in the data under investigation – e.g. patient corrective experiences – rather than applying a set of a priori established categories.

Output (in progress)
Academic theses:
Mackova, Adriana (2013): Client reports on corrective experiences in psychotherapy. A qualitative analysis (SFU Wien, Master thesis).
Giri, Himanshu (2015): Trainee Therapists‘ perceptions of Corrective Experiences in Individual Therapy. [Master thesis, SFU Vienna]