Familiendynamik

Steinhoff, Maria; Steubl, Lena; Baumeister, Harald

Social Distancing oder Emotional Closeness?

Die therapeutische Beziehung in ­digitaler Psychotherapie

, 45. Jahrgang, Heft 4, pp 318-327

DOI 10.21706/fd-45-4-318

Zusammenfassung

Digitale Angebote bieten eine Vielzahl an Möglichkeiten zur psychotherapeutischen Versorgung und erfahren zunehmend mediale sowie therapeutenseitige Aufmerksamkeit. Trotz zahlreicher Wirksamkeitsnachweise stehen häufig geäußerte Bedenken der Implementierung im Wege – v. a. die Frage, inwiefern auch über digitale Kommunikationskanäle eine therapeutische Beziehung aufgebaut werden kann, zumal diese als zentraler Wirkmechanismus der klassischen Psychotherapie gilt. Patient*innen berichten, dass sie es auch in digitalen Therapien erleben, dass eine tragfähige und positive arbeitsbezogene therapeutische Beziehung aufgebaut werden kann. Unklar bleibt, inwiefern die therapeutische Beziehung in Interventionen mit minimalem therapeutischen Kontakt zur Wirksamkeit beiträgt. Spezifische Kommunikations- und Verhaltenshinweise bieten hilfreiche Unterstützung, damit Therapeut*innen auch über digitale Kommunikationskanäle eine gute Arbeitsbeziehung aufbauen können.

Abstract

Social Distancing or Emotional Closeness – The Therapeutic Relationship in Digital Psychotherapy
Digital offerings provide a multitude of possibilities for psychotherapeutic care and receive increasing attention in the media and on the part of therapists. Despite substantial evidence of efficacy, frequently voiced concerns interfere with their implementation. As the therapeutic relationship is almost unanimously considered to be the central factor determining the effectiveness of classical psychotherapy, one recurrent query concerns the extent to which such a relationship can be established via digital communication channels. Patients report that a resilient and positive work-related therapeutic relationship can indeed be established in digital therapy. Little is known about the degree to which the therapeutic relationship is an operative mechanism of change in digital interventions with minimal therapeutic contact. Specific varieties of communication and behaviour offer helpful support for therapists endeavouring to build up a good working relationship via digital channels.

Schlüsselwörter
Keywords
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