Boundaries in online couples therapy: “Can anything exist without boundaries?”

IF 1.7 3区社会学 Q2 FAMILY STUDIES

Family Relations Pub Date : 2024-06-05 DOI:10.1111/fare.13053

Alon Aviram

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Abstract

This research delved into the experiences of couples and therapists in online couples therapy with an emphasis on therapeutic boundaries.Although the popularity of online therapy has surged, limited understanding exists about the meanings and experiences tied to therapeutic boundaries in this context, underscoring the need for its examination to enhance online therapy's effectiveness.A purposive sample of 51 participants, including 36 individuals (comprising 18 couples who underwent separate interviews), and 15 couple and family therapists were interviewed in four online focus groups. Constructivist grounded theory guided the data analysis to discern therapeutic boundary dimensions.The analysis identified three dimensions of therapeutic boundaries: (a) boundaries between the therapist and couple, (b) boundaries between the couple and their family, and (c) boundaries between the therapists and their own families.The study offers insights into the nuanced concept of liminality within therapists' and couples' transition to online couples therapy, particularly emphasizing disruptions in conventional therapeutic paradigms.To uphold the integrity and bolster the therapeutic alliance in online couples therapy, there is a compelling need for therapists to transition toward novel means of establishing boundaries, moving away from traditional constructs.

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在线夫妻治疗中的界限："没有界限，还能存在吗？"

这项研究深入探讨了在线夫妻治疗中夫妻和治疗师的经验，重点是治疗界限。虽然在线治疗的普及率急剧上升，但人们对这种情况下与治疗界限相关的意义和经验的了解却很有限，这突出表明有必要对其进行研究，以提高在线治疗的有效性。这项研究在四个在线焦点小组中对 51 名参与者进行了有目的的抽样调查，其中包括 36 名个人（包括 18 对接受单独访谈的夫妻）以及 15 名夫妻和家庭治疗师。分析确定了治疗界限的三个方面：（a）治疗师与夫妻之间的界限；（b）夫妻与家人之间的界限；（c）治疗师与自己家人之间的界限。这项研究为治疗师和夫妻向在线夫妻治疗过渡过程中的微妙边缘性概念提供了见解，特别强调了对传统治疗范式的颠覆。为了维护在线夫妻治疗的完整性并加强治疗联盟，治疗师亟需向建立界限的新方法过渡，摒弃传统建构。

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来源期刊

Family Relations Multiple-

CiteScore

3.40

自引率

13.60%

发文量

164

期刊介绍： A premier, applied journal of family studies, Family Relations is mandatory reading for family scholars and all professionals who work with families, including: family practitioners, educators, marriage and family therapists, researchers, and social policy specialists. The journal"s content emphasizes family research with implications for intervention, education, and public policy, always publishing original, innovative and interdisciplinary works with specific recommendations for practice.