1. 因應 COVID-19 從實體諮商轉換為 視訊晤談的經驗探究: 當事人的視角.
- Author
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洪雅鳳
- Abstract
The global COVID-19 pandemic was a serious threat to the physical and mental health of individuals. Due to social distancing measures, psychological counseling sessions that were previously held face-to-face had to be conducted through videoconferencing. In Taiwan, the two COVID-19 outbreaks in early 2020 and May 2021 necessitated the imposition of social restrictions. This study focuses on the experiences and views of college student clients who initially received counseling for mental health issues through face-to-face sessions but had to transition to online video counseling due to the epidemic. In this study, a qualitative research method with discovery orientation was adopted. The recruitment of study participants was carried out in two phases. The first phase targeted two universities in central Taiwan, while the second phase was expanded to include universities in northern and southern Taiwan. Both recruitments were promoted online on the school pages of several universities. Over 20 college students signed up in the two stages. After screening by the researchers through telephone and email, only 9 college students (female = 6), all sophomores or juniors, met the study criteria. Data collection was conducted through semi-structured, in-depth interviews conducted through videoconferencing due to social distancing constraints. Open coding, axial coding, and selective coding based on grounded theory research were used for data analysis. The analysis extracted four themes in the participants' experiences of transition to videoconferencing. The first theme is the anticipation of the videoconference, which includes three sub-themes: feeling a sense of similarity to previous experiences of online social communication or distance learning, having positive expectations due to novelty and convenience, and worrying about the possible limitations of the videoconference or interfering distractions. The second theme addresses the challenges of videoconferences, encompassing three sub-themes: the adverse effects of poor dialogue quality on engagement, difficulties in establishing a comforting atmosphere in virtual spaces, and limitations on emotional expression and awareness. The participants discussed this theme frequently in the interviews. The third theme is related to the elements that enable the success of continuous videoconference interviews, including two sub-themes: pragmatic considerations of the client and coping with and adjusting to videoconferencing difficulties. Fourth, the positive experience of videoconferencing includes two sub-themes: time-saving and convenience, which reduce the burden of social contact. Two themes were identified in the participants' perception of the counseling relationship during the transition process. One aspect to consider is the impact of transition on the counseling relationship, which includes two sub-themes: loss of emotional connection and a strengthened counseling relationship. The second theme pertains to the factors that contribute to maintaining the consultation relationship, encompassing two sub-themes: the support of an existing face-to-face counseling relationship and the immediate support and response from the counseling psychologist. This study suggests that the absence of proper informed consent by psychological counseling professionals before the videoconference is one of the main factors affecting the client's experience. The quality of the videoconference session is significantly influenced by communication equipment and the environment. In addition, participants typically spoke of a weakening of the emotional connection in the counseling relationship during the transition process. The original face-to-face counseling relationship foundation helped to alleviate the discomfort of the transition process. Finally, based on the study results, recommendations for practice related to telecounseling and suggestions for future research directions are provided. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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