Clinician experiences of remotely delivering psychodynamic and intensive psychoanalytic psychotherapy within an NHS institution during the COVID-19 pandemic, and possible implications for future clinical practice.
When it became clear that the COVID-19 pandemic would require significant shifts in working practice, staff in the Adult Complex Needs department at the Tavistock clinic designed a study to explore the emotional impact of remote working on clinicians and patients, and to consider related clinical im...
| Published in: | Psychoanalytic Psychotherapy Vol. 38; no. 1; pp. 20 - 38 |
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| Main Authors: | , , , |
| Format: | Article |
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Taylor & Francis Ltd
Mar2024
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=176014487&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 176014487 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02668734 GX8 jtl: Psychoanalytic Psychotherapy issn: 02668734 maglogo: N pubinfo: dt: Mar2024 vid: 38 iid: 1 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 176014487 10.1080/02668734.2023.2263509 ppf: 20 ppct: 18 formats: tig: atl: Clinician experiences of remotely delivering psychodynamic and intensive psychoanalytic psychotherapy within an NHS institution during the COVID-19 pandemic, and possible implications for future clinical practice. aug: au: Croxford, Anna Baban, Alan Kreel, Sasha Stern, Julian affil: Adult Complex Needs Department, Tavistock and Portman NHS Foundation Trust, London, UK Previously director of Adult and Forensic Services and consultant psychiatrist in psychotherapy, Tavistock and Portman NHS Trust. Currently in private practice, London, UK su: United Kingdom Medical care Interviewing Emotions Experience COVID-19 pandemic Medical practice National health services Psychodynamic psychotherapy Outpatient services in hospitals Thematic analysis Telemedicine Medical consultation Research methodology Attitudes of medical personnel sug: subj: Medical care Interviewing Emotions Experience COVID-19 pandemic Medical practice United Kingdom All Other Outpatient Care Centers National health services Psychodynamic psychotherapy Outpatient services in hospitals Thematic analysis Telemedicine Medical consultation Research methodology Attitudes of medical personnel keyword: COVID-19 psychoanalytic psychotherapy psychodynamic psychotherapy remote COVID-19 psychoanalytic psychotherapy psychodynamic psychotherapy remote ab: When it became clear that the COVID-19 pandemic would require significant shifts in working practice, staff in the Adult Complex Needs department at the Tavistock clinic designed a study to explore the emotional impact of remote working on clinicians and patients, and to consider related clinical implications both individually and collectively. A set of semi-structured questions were designed to tap into experiences of working remotely, and clinicians were interviewed. The material arising from these interviews has been summarised into themes. The predominant theme was clinicians' awareness of the importance of their own emotional milieu in delivering psychoanalytic psychotherapy, especially at a time of crisis, in their initial emotional responses and as they gathered further remote experience. They raised challenges around maintaining an analytic frame amid therapeutic uncertainties, and in the context of the many physical losses of a remote frame: blurred clinical boundaries, altered emotional experiences and resonance, and important impacts on holding, patient attendance, and worsening distress and risks for patients who struggled remotely. Strategies to adapt were key, particularly remaining emotionally consistent and observant amidst uncertainty, and support was paramount to do so. These experiences assist in informing clinicians about the limitations and uses of remote clinical work. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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