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Am J Speech Lang Pathol ; 30(1): 318-323, 2021 01 27.
Article in English | MEDLINE | ID: covidwho-1805675


Purpose In this article, we draw a parallel between the experience of social isolation that occurred throughout the world during the Coronavirus Disease 2019 pandemic and similar experiences occurring in everyday life for people with communication disorders living in long-term care (LTC) facilities. We propose that speech-language pathologists can use the widespread experience of social isolation as a learning catalyst in the effort to shift the LTC culture to one that more highly values a communicative environment that is accessible to all, thereby reducing risk of social isolation for those with communication disorders. Conclusions Many training paradigms for promoting an accessible communicative environment are available in the speech-language pathology literature, yet institutional barriers exist for their widespread implementation. Overcoming these barriers is a challenge that requires awareness and learning on the part of staff and administration regarding the impact of an unfriendly communicative environment on social isolation, and the resulting psychosocial consequences. Learning theory indicates that new learning in adults is motivated by connections between personal experiences and the material to be learned. Explicitly infusing established training programs with the experience of social isolation brought on by the Coronavirus Disease 2019 pandemic may be the key needed for changing the communicative environment in LTC.

Communication Barriers , Coronavirus Infections/psychology , Long-Term Care/psychology , Physical Distancing , Coronavirus Infections/therapy , Humans , Inservice Training , Professional-Patient Relations , Social Environment , Social Isolation
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 14: e10616, 2022.
Article in English, Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-1726773


Objetivo: compreender a percepção do parceiro sobre sua experiência e participação na assistência pré-natal e nascimento. Método: estudo de abordagem qualitativa realizado com 26 pais abordados no período de outubro a novembro de 2020, mediante entrevistas por mídia digital áudio gravadas. Utilizada análise de conteúdo, modalidade temática. Resultados: emergiram três categorias as quais mostram que eles tiveram pouca participação nas consultas de pré-natal e que desconhecem o "pré-natal do parceiro". Em geral, demonstram gratidão pela assistência durante o parto, mas poucos relataram ter recebido informações relacionadas à educação em saúde. Considerações finais: os homens reconhecem que como pais, têm responsabilidade em acompanhar a assistência pré-natal, percebem os benefícios desta participação, mas não se sentem acolhidos e nem incentivados a participar e não têm suas necessidades de saúde consideradas, o que precisa ser revisto pelos profissionais de saúde, em especial o enfermeiro

Objective: to understand the partner's perception of their experience and participation in prenatal care and birth. Method: a qualitative study conducted with 26 parents approached from October to November 2020, through interviews by recorded digital audio media. Content analysis was used, thematic modality. Results: three categories emerged which show that they had little participation in prenatal consultations and are unaware of the "partner's prenatal". In general, they show gratitude for assistance during childbirth, but few reported having received information related to health education. Final considerations: men recognize that as parents, they have a responsibility to monitor prenatal care, realize the benefits of this participation, but do not feel welcomed or encouraged to participate and do not have their health needs considered, which needs to be reviewed by health professionals, especially nurses

Objetivo: comprender la percepción de la pareja sobre su experiencia y participación en la atención prenatal y el parto. Método: estudio cualitativo realizado con 26 padres abordados de octubre a noviembre de 2020, a través de entrevistas por medio de audio digital grabado. Se utilizó análisis de contenido, modalidad temática. Resultados: surgieron tres categorías que muestran que tuvieron poca participación en las consultas prenatales y desconocen el "prenatal de la pareja". En general, muestran gratitud por la asistencia durante el parto, pero pocos informaron haber recibido información relacionada con la educación para la salud. Consideraciones finales: los hombres reconocen que como padres, tienen la responsabilidad de acompañar el cuidado prenatal, se dan cuenta de los beneficios de esta participación, pero no se sienten bienvenidos ni animados a participar y no se tienen en cuenta sus necesidades de salud, lo que debe ser revisado. por profesionales de la salud, especialmente enfermeras

Humans , Male , Adolescent , Adult , Middle Aged , Paternity , Prenatal Care/trends , Fathers , Perception , Professional-Patient Relations , Health Education , Qualitative Research
J Cancer Res Ther ; 17(6): 1540-1546, 2021.
Article in English | MEDLINE | ID: covidwho-1597096


Purpose: Coronavirus disease (COVID-19) pandemic has affected the entire health-care system and has led to a sense of fear and anxiety in the minds of patients. Patient's perceptions in this scenario of the pandemic are unknown. Providing continued care for cancer patients during the lockdown has been challenging. Measures are needed to improve patient safety and satisfaction during these challenging times and hence the importance of measuring the degree of satisfaction for the quality of care provided. The aim of the study was to evaluate the factors related to patients' satisfaction and also understand their apprehensions, fears, and anxieties they face as they receive radiotherapy treatment amid COVID-19 pandemic. The study's objective was to explore other aspects such as logistic issues, patient-staff communication, and also perceptions of the patients toward the outbreak. Materials and Methods: This study was conducted from April to September 2020. A questionnaire was created for which the patients were asked to provide answers. Parameters assessed included general information such as mode of transport used, frame of mind during treatment, awareness about pandemic, satisfaction toward care provided by health-care staff, and also documenting the suggestions to improve the quality of care. Results: During this period, we interviewed 108 patients: 56 males (51.9%) and 52 females (48.1%). 90.7% of the participants were satisfied with the condition and safety measures employed in waiting area and billing section. Majority (88.9%) were found to be aware about COVID-19. 74.1% of the participants were very satisfied with the services provided to them in the department of radiation oncology. Conclusion: The survey was useful in measuring the patient satisfaction, in understanding their fears and anxieties, and also in determining their awareness about the pandemic. The survey was also useful to get the patients' opinion and ideas for improvement in the health-care services.

Neoplasms/radiotherapy , Patient Satisfaction/statistics & numerical data , Professional-Patient Relations , Tertiary Care Centers/statistics & numerical data , Adult , Aged , Anxiety/psychology , COVID-19/epidemiology , Communication , Fear/psychology , Female , Humans , India/epidemiology , Male , Middle Aged , Patient Safety , Quality of Health Care , SARS-CoV-2 , Surveys and Questionnaires
JAMA Netw Open ; 4(11): e2135386, 2021 11 01.
Article in English | MEDLINE | ID: covidwho-1527392


Importance: Adoption of mask wearing in response to the COVID-19 pandemic alters daily communication. Objective: To assess communication barriers associated with mask wearing in patient-clinician interactions and individuals who are deaf and hard of hearing. Design, Setting, and Participants: This pilot cross-sectional survey study included the general population, health care workers, and health care workers who are deaf or hard of hearing in the United States. Volunteers were sampled via an opt-in survey panel and nonrandomized convenience sampling. The general population survey was conducted between January 5 and January 8, 2021. The health care worker surveys were conducted between December 3, 2020, and January 3, 2021. Respondents viewed 2 short videos of a study author wearing both a standard and transparent N95 mask and answered questions regarding mask use, communication, preference, and fit. Surveys took 15 to 20 minutes to complete. Main Outcomes and Measures: Participants' perceptions were assessed surrounding the use of both mask types related to communication and the ability to express emotions. Results: The national survey consisted of 1000 participants (mean [SD] age, 48.7 [18.5] years; 496 [49.6%] women) with a response rate of 92.25%. The survey of general health care workers consisted of 123 participants (mean [SD] age, 49.5 [9.0] years; 84 [68.3%] women), with a response rate of 11.14%. The survey of health care workers who are deaf or hard of hearing consisted of 45 participants (mean [SD] age, 54.5 [9.0] years; 30 [66.7%] women) with a response rate of 23.95%. After viewing a video demonstrating a study author wearing a transparent N95 mask, 781 (78.1%) in the general population, 109 general health care workers (88.6%), and 38 health care workers who are deaf or hard of hearing (84.4%) were able to identify the emotion being expressed, in contrast with 201 (20.1%), 25 (20.5%), and 11 (24.4%) for the standard opaque N95 mask. In the general population, 450 (45.0%) felt positively about interacting with a health care worker wearing a transparent mask; 76 general health care workers (61.8%) and 37 health care workers who are deaf or hard of hearing (82.2%) felt positively about wearing a transparent mask to communicate with patients. Conclusions and Relevance: The findings of this study suggest that transparent masks could help improve communication during the COVID-19 pandemic, particularly for individuals who are deaf and hard of hearing.

COVID-19/prevention & control , Communication Barriers , Health Personnel/statistics & numerical data , Masks/statistics & numerical data , Professional-Patient Relations , Adult , Communication , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , United States , Young Adult
J Am Psychoanal Assoc ; 68(6): 1089-1099, 2020 12.
Article in English | MEDLINE | ID: covidwho-1484175
Ann Allergy Asthma Immunol ; 128(2): 139-145, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1474318


OBJECTIVE: Social media has fundamentally changed how the world shares and receives information. This review offers a perspective for the practicing clinician regarding how patients are being influenced by their online interactions and considerations for proactively discussing medical decision making with patients. DATA SOURCES: Literature search of PubMed database and online published market research data surrounding social media use. STUDY SELECTIONS: Peer-reviewed studies, Pew research data, and editorials in the English language were selected and reviewed. RESULTS: There has been a substantial increase in the breadth and depth of literature surrounding the use of social media by patients and medical professionals. Increased focus on how it contributes to medical decision making and patient-clinician interactions has occurred in recent years. The coronavirus disease 2019 pandemic has highlighted the various sources of misinformation and disinformation and how they impact care on many levels. Best practices have been established to assist medical professionals in developing an online presence to combat misinformation or address individual patients. CONCLUSION: There is growing understanding and recognition of the myriad of ways in which social media is impacting health care. Health care professionals from all backgrounds need to increase their understanding of these complex interactions to best assist patients with their medical decision making.

Delivery of Health Care , Social Media , Communication , Humans , Professional-Patient Relations
J Med Ethics ; 46(8): 495-498, 2020 08.
Article in English | MEDLINE | ID: covidwho-1467727


Key ethical challenges for healthcare workers arising from the COVID-19 pandemic are identified: isolation and social distancing, duty of care and fair access to treatment. The paper argues for a relational approach to ethics which includes solidarity, relational autonomy, duty, equity, trust and reciprocity as core values. The needs of the poor and socially disadvantaged are highlighted. Relational autonomy and solidarity are explored in relation to isolation and social distancing. Reciprocity is discussed with reference to healthcare workers' duty of care and its limits. Priority setting and access to treatment raise ethical issues of utility and equity. Difficult ethical dilemmas around triage, do not resuscitate decisions, and withholding and withdrawing treatment are discussed in the light of recently published guidelines. The paper concludes with the hope for a wider discussion of relational ethics and a glimpse of a future after the pandemic has subsided.

Decision Making/ethics , Ethics, Clinical , Health Care Rationing/ethics , Health Equity/ethics , Health Personnel/ethics , Pandemics/ethics , Betacoronavirus , COVID-19 , Coronavirus Infections/virology , Disaster Planning , Humans , Moral Obligations , Pneumonia, Viral/virology , Poverty , Practice Guidelines as Topic , Professional-Patient Relations , Resuscitation Orders , SARS-CoV-2 , Social Values , Triage/ethics , Vulnerable Populations , Withholding Treatment/ethics
J Tissue Viability ; 30(4): 484-488, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1401669


AIM: This study aimed to determine the problems faced by physicians and nurses dealing with chronic wound care during the COVID-19 pandemic and their views on telehealth. MATERIALS AND METHODS: A descriptive and cross-sectional design was used in this study. The sample comprised physicians (n = 74) and nurses (n = 271) interested in chronic wound care. Data were collected through a questionnaire form consisting of open- and closed-ended questions. RESULTS: Of the participants, 21.4% (n = 74) were physicians and 78.6% (n = 271) were nurses. Of the physicians, 45.9% (n = 34) were obliged to work in another unit during the COVID-19 period, while 43.2% continued their service related to chronic wound care, and only 17.0% (n = 18) in the wound care service before the pandemic. These rates are 51.3% (n = 139), 51.6% (n = 157) and 36.8% (n = 128) for nurses, respectively. 40.7% of the physicians (n = 33) and 34.9% of the nurses (n = 106) stated that their time had been reduced for chronic wound care. When the telehealth experiences were examined, 32.4% (n = 24) of the physicians utilized telehealth, 29.7% (n = 22) used e-visit, 77.0% (n = 57) stated that they thought telehealth was a good option, 47.3% (n = 35) utilized it for wound evaluation and treatment, and 31.9% (n = 59) used smart phones. These rates for nurses were 16.6% (n = 45), 14.0% (n = 38), 72.7% (n = 197), 33.9% (n = 92), and 27.0% (n = 182), respectively. CONCLUSIONS: The COVID-19 pandemic negatively affected the manner of delivery, duration, and quality of service regarding wound management. During this period, face-to-face contact times with patients were reduced, some diagnosis and treatment attempts were not performed, and wound care services were suspended temporarily or permanently. On the other hand, a positive result was achieved in that the physicians and nurses gave positive feedback for the telehealth experience.

COVID-19/epidemiology , Professional-Patient Relations , Surgical Wound Infection/prevention & control , Telemedicine/methods , Wounds and Injuries/therapy , Adult , Attitude of Health Personnel , Cross-Sectional Studies , Humans , Male , Qualitative Research , Turkey
JAMA Netw Open ; 4(9): e2123453, 2021 09 01.
Article in English | MEDLINE | ID: covidwho-1400714


Importance: Older adults who are homebound can be difficult to reach owing to their functional limitations and social distancing during the COVID-19 pandemic, leaving their health needs unrecognized at an earlier stage. Objective: To determine the effectiveness of a telecare case management program for older adults who are homebound during the COVID-19 pandemic. Design, Setting, and Participants: This randomized clinical trial was conducted among 68 older adults in Hong Kong from May 21 to July 20, 2020, with a last follow-up date of October 20, 2020. Inclusion criteria were being 60 years or older, owning a smartphone, and going outside less than once a week in the previous 6 months. Interventions: Participants in the telecare group received weekly case management from a nurse supported by a social service team via telephone call and weekly video messages covering self-care topics delivered via smartphone for 3 months. Participants in the control group received monthly social telephone calls. Main Outcomes and Measures: The primary outcome was the change in general self-efficacy from before the intervention to after the intervention at 3 months. Self-efficacy was measured by the Chinese version of the 10-item, 4-point General Self-efficacy Scale, with higher scores representing higher self-efficacy levels. Analysis was performed on an intention-to-treat basis. Results: A total of 68 participants who fulfilled the criteria were enrolled (34 in the control group and 34 in the intervention group; 56 [82.4%] were women; and mean [SD] age, 71.8 [6.1] years). At 3 months, there was no statistical difference in self-efficacy between the telecare group and the control group. Scores for self-efficacy improved in both groups (ß = 1.68; 95% CI, -0.68 to 4.03; P = .16). No significant differences were found in basic and instrumental activities of daily living, depression, and use of health care services. However, the telecare group showed statistically significant interactions of group and time effects on medication adherence (ß = -8.30; 95% CI, -13.14 to -3.47; P = .001) and quality of life (physical component score: ß = 4.99; 95% CI, 0.29-9.69; P = .04). Conclusions and Relevance: In this randomized clinical trial, participants who received the telecare program were statistically no different from the control group with respect to changes in self-efficacy, although scores in both groups improved. After the intervention, the telecare group had better medication adherence and quality of life than the control group, although the small sample size may limit generalizability. A large-scale study is needed to confirm these results. Trial Registration: Identifier: NCT04304989.

Case Management , Homebound Persons/psychology , Homebound Persons/statistics & numerical data , Self Efficacy , Telemedicine/methods , Activities of Daily Living , Aged , Aged, 80 and over , COVID-19 , Case Managers , Depression/epidemiology , Female , Hong Kong/epidemiology , Humans , Male , Medication Adherence/statistics & numerical data , Nurses , Pilot Projects , Professional-Patient Relations , Quality of Life
Psychodyn Psychiatry ; 49(3): 453-462, 2021.
Article in English | MEDLINE | ID: covidwho-1394606


Introduction: Most psychotherapists had no choice during the COVID-19 pandemic but to offer teletherapy in order to provide needed treatment. Several psychoanalytic theorists wondered if the very concept of treatment would change without an embodied relationship in an office setting. Methods: To attempt to understand the current concept of effective psychodynamic treatment in the new norm of teletherapy, we surveyed practitioners from 56 countries and regions who remotely treated patients psychodynamically during the beginning months of the pandemic. We asked the practitioners to rank six factors felt to be important to psychodynamic treatment: use of the couch during sessions, session in-office or via teletherapy, cultural similarity between therapist and patient, number of sessions a week, patient factors (motivation, insightfulness, and high functioning) and therapist factors (empathy, warmth, wisdom, and skillfulness). Results: We received 1,490 survey responses. As predicted, we found that the therapist and patient variables were considered much more important (both tied as highest rankings) to effective treatment than any of the other variables, including if the therapy was in-office or by teletherapy. Discussion: Psychodynamic practitioners worldwide confirmed that the empathy, warmth, wisdom, and skillfulness of the therapist and the motivation, insightfulness, and level of functioning of the patient are most important to treatment effectiveness regardless if the treatment is remote or embodied.

COVID-19/prevention & control , Health Care Surveys/methods , Internationality , Psychoanalytic Therapy/methods , Telemedicine/methods , Adult , Aged , Female , Humans , Male , Middle Aged , Pandemics , Professional-Patient Relations , SARS-CoV-2 , Treatment Outcome
J Am Geriatr Soc ; 69(11): 3034-3043, 2021 11.
Article in English | MEDLINE | ID: covidwho-1304115


BACKGROUND: Individuals aged 65 and older face unique barriers to adoption of telehealth, and the coronavirus disease 2019 pandemic has provided a "natural experiment" in how to meet the health needs of older patients remotely. Physician perspectives on practical considerations surrounding telehealth adoption, motivations of use, and reasons for nonuse are necessary to inform the future of healthcare delivery. The objective is to understand the experiences of physicians using telemedicine for older patients. METHODS: From September to November 2020, we conducted 30-min semi-structured interviews using purposeful sampling to identify and enroll participants from diverse settings. We included 48 U.S.-based physicians (geriatrician, n = 18, primary care, n = 15, emergency, n = 15) from all geographic regions, rural-urban and academic/community settings. Audio-recorded interviews were professionally transcribed and analyzed using framework analysis. Major themes and subthemes were identified. RESULTS: Participants had a median (interquartile range) age of 37.5 (34-44.5), 27 (56%) were women. Five major themes emerged: (1) telehealth uptake was rapid and iterative, (2) telehealth improved the safety of medical care, (3) use cases were specialty-specific (for geriatricians and primary care physicians telehealth substituted for in-person visits; for emergency physicians it primarily supplemented in-person visits), (4) physicians altered clinical care to overcome older patient barriers to telehealth use, and (5) telehealth use among physicians declined in mid-April 2020, due primarily to patient needs and administrator preferences, not physician factors. CONCLUSION: In this qualitative analysis, physicians reported a rapid, iterative uptake of telehealth and attenuation of use as coronavirus disease 2019 prevalence declined. Physician experiences during the pandemic can inform interventions and policies to help buoy telehealth for ongoing healthcare delivery and ensure its accessibility for older Americans.

Attitude of Health Personnel , Patient Acceptance of Health Care/statistics & numerical data , Physicians, Primary Care/trends , Professional-Patient Relations , Telemedicine/trends , Adult , Aged , Female , Humans , Male , Middle Aged , Primary Health Care/trends , Qualitative Research
J Anal Psychol ; 66(3): 443-462, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1299075


This paper explores how the deadly shadow of COVID-19 passing over the Earth constitutes a collective trauma that frequently opens up or 'triggers' un-remembered personal trauma, and it provides clinical examples of these intersections. The paper further explores how the human imagination, which we normally utilize to make meaning out of traumatic experience, can be hijacked by fear - leading to avoidance of suffering and to illusory formulations and alternative realities such as conspiracy theories. Alternatively, the imagination can be employed in more realistic and creative ways - leading through conscious suffering to healing and wholeness. Which path the imagination takes is shown to depend on the capacity of individuals to feel the full reality of the human condition in general and the exquisite vulnerability of our existence as fragile human beings at this moment in history. Ernest Becker's analysis of our 'denial of death' and his urgency to embrace our common human vulnerability is explored in relation to Jung's early tendency to deny the body. The author proposes that the more creative uses of the imagination, connected to a more humble and realistic apprehension of our common destiny, may be seen in the 'Black Lives Matter' movement that swept the world in the aftermath of the COVID-19 outbreak.

Cet article explore comment l'ombre de mort de la COVID-19, passant sur la terre, constitue un traumatisme collectif qui souvent ouvre ou ravive un traumatisme personnel non-remémoré. L'article fournit des exemples cliniques de telles intersections. Il explore comment l'imagination humaine, que nous utilisons normalement pour donner du sens à nos expériences traumatiques, peut être détournée par la peur. Ceci mène à l'évitement de la souffrance et à des formulations illusoires ou réalités alternatives telles que les théories du complot. Mais l'imagination peut aussi être employée de manières plus réalistes et créatives, nous guidant à travers une souffrance consciente à la guérison et la complétude. Nous montrerons que le choix du chemin que l'imagination emploie dépend de la capacité des personnes à éprouver la pleine réalité de la condition humaine en général et la vulnérabilité magnifique de notre existence en tant qu'êtres humains fragiles à ce moment de l'histoire. L'analyse que fait Ernest Becker de notre 'déni de la mort' et son insistance à épouser notre vulnérabilité humaine commune est étudiée et mise en relation avec la tendance de Jung, au début de son œuvre, à renier le corps. L'auteur propose que les utilisations plus créatives de l'imagination, reliées à une appréhension plus humble et plus réaliste de notre destinée commune, peuvent se retrouver dans le mouvement Black Lives Matter, mouvement qui a balayé le monde à la suite de la flambée de COVID-19.

El presente trabajo explora como la sombra mortal del COVID-19 pasando sobre la tierra constituye un trauma colectivo que frecuentemente abre o 'activa' trauma personal no recordado. Se proveen ejemplos clínicos de estas intersecciones. El escrito además explora cómo la imaginación humana, la cual normalmente utilizamos para encontrar sentido a partir de experiencias traumáticas, puede ser apropiada por el miedo - conduciendo a la evitación del sufrimiento y a formulaciones ilusorias y realidades alternativas tales como las teorías conspirativas. Alternativamente, la imaginación puede ser empleada en modos más realistas y creativos - conduciendo a través del sufrimiento consciente a la sanación y a la integridad. Cual camino toma la imaginación, se muestra que depende de la capacidad de los individuos para sentir la realidad plena de la condición humana en general y la exquisita vulnerabilidad de nuestra existencia como frágiles seres humanos en este momento de la historia. El análisis de nuestra 'negación de la muerte' de Ernest Becker y su urgencia por acoger nuestra común vulnerabilidad humana es explorada con relación a la temprana tendencia en Jung de negar el cuerpo. El autor propone que los usos más creativos de la imaginación, conectados a una aprehensión más humilde y realista de nuestro destino común, puede ser vista en el movimiento Black Lives Matter que recorrió el mundo en las postrimerías del estallido del COVID-19.

COVID-19 , Fear/psychology , Imagination , Political Activism , Psychoanalytic Therapy , Psychological Trauma/psychology , Racism , Adult , Humans , Professional-Patient Relations , Telemedicine
J Anal Psychol ; 66(3): 534-545, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1299071


This paper explores the impact of the COVID-19 pandemic on my relationship with analysands and my inner world. I reflect on the role of the archetypal Self during times of existential anxiety that may lead to an experience of 'essential anxiety'. This term refers to a meeting by a fearful ego with an inward recognition of the Self, when faced with threat. The efforts to curb the spread of the pandemic changed our ways of life, while the virus itself threatened our existence in debilitating or outright destructive ways. But what also came into view, in sessions of analysis and supervision, was the creative instinct, and a celebration of life. The soul-to-soul relationship, and the connection with images of the archetypal Self, made the experience of existential anxiety at times an essential experience that facilitated psychological growth. I discuss some advantages of on-line Jungian analysis where, despite distance and partial view, the body still serves as container to hold important psychological material, conferring a sense of wholeness for analyst and analysand. The COVID-19 crisis is terrible and terrifying but it also provides an opportunity for self-regulation and individuation.

Cet article explore l'impact de la pandémie de COVID-19 sur ma relation avec mes analysants et avec mon monde intérieur. Je réfléchis au rôle du Soi archétypal durant les périodes d'angoisse existentielle pouvant mener à une expérience 'd'angoisse essentielle'. Ce terme fait référence à la rencontre entre un moi craintif et l'acceptation intérieure du Soi, lors d'une confrontation avec une menace. Les efforts pour atténuer la diffusion de la pandémie ont changé nos manières de vivre, pendant que le virus lui-même menaçait notre existence de manière écrasante ou carrément destructive. Mais ce qui s'est également profilé, dans les séances d'analyse et de supervision, fut l'instinct créatif, et une célébration de la vie. La relation d'âme à âme et le lien avec des images du Soi archétypal ont parfois fait de l'expérience d'angoisse existentielle une expérience essentielle qui a facilité la croissance psychologique. J'aborde certains bénéfices de l'analyse Jungienne en ligne quand, malgré l'éloignement et la vision rétrécie à l'écran, le corps sert encore en tant que contenant pour détenir du matériel psychologique important, ce qui confère à l'analyste et à l'analysant un sentiment de complétude. La COVID-19 est terrible et terrifiante mais elle offre aussi une opportunité pour l'autorégulation et l'individuation.

El presente trabajo explora el impacto de la pandemia de COVID-19 en mi relación con mis analizandos y con mi mundo interno. Reflexiono sobre el rol del Sí Mismo arquetípico durante estos tiempos de ansiedad existencial que pueden conducir a una experiencia de 'ansiedad esencial'. Este término hace referencia al encuentro de un ego atemorizado con un reconocimiento interno del Sí Mismo, cuando es confrontado con una amenaza. Los esfuerzos por reducir la propagación de la pandemia cambiaron nuestro modo de vida, mientras el virus mismo amenazaba nuestra existencia ya sea debilitándola, o en formas directamente destructivas. Pero lo que también se hizo visible, en sesiones de análisis y supervisión, fue el instinto creativo y la celebración de la vida. La relación de alma-a-alma, y la conexión con imágenes del Sí Mismo arquetípico, hizo de a momentos la experiencia de ansiedad existencial, una experiencia esencial que facilitó el crecimiento psicológico. Analizo algunas ventajas del análisis Junguiano online, donde, aún la distancia y cierta parcialidad en el campo visual, el cuerpo sirve todavía de contenedor para alojar importante material psicológico, brindando un sentido de totalidad al analista y al analizando. La crisis por el COVID-19 es terrible y aterradora, pero al mismo tiempo provee una oportunidad para la autorregulación y la individuación.

Anxiety/psychology , COVID-19 , Health Personnel/psychology , Individuation , Professional-Patient Relations , Psychoanalytic Therapy , Self-Control , Adult , Humans , Jungian Theory , Switzerland , Telemedicine