{"id":6129,"date":"2023-03-21T14:23:55","date_gmt":"2023-03-21T13:23:55","guid":{"rendered":"https:\/\/www.psy.link\/blog\/?p=6129"},"modified":"2026-02-13T11:47:07","modified_gmt":"2026-02-13T10:47:07","slug":"lalliance-therapeutique","status":"publish","type":"post","link":"https:\/\/www.psy.link\/blog\/2023\/03\/21\/lalliance-therapeutique\/","title":{"rendered":"L’alliance th\u00e9rapeutique en t\u00e9l\u00e9consultation"},"content":{"rendered":"\n

D\u00e9finition de l’alliance th\u00e9rapeutique<\/h2>\n\n\n\n

L\u2019alliance th\u00e9rapeutique correspond \u00e0 la collaboration entre le psychologue et son patient afin d\u2019atteindre les objectifs \u00e9tablis de la prise en charge. Elle est essentielle au cours de la th\u00e9rapie, souvent jug\u00e9e plus importante que les techniques utilis\u00e9es par le th\u00e9rapeute.<\/p>\n\n\n\n

Participer \u00e0 la recherche comparant l’alliance th\u00e9rapeutique dans la t\u00e9l\u00e9consultation avec celle en consultation pr\u00e9sentielle.<\/p>\n\n\n\n

Afin qu\u2019une alliance th\u00e9rapeutique soit qualitative, 3 \u00e9l\u00e9ments doivent \u00eatre pr\u00e9sents.<\/p>\n\n\n\n

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  1. Tout d\u2019abord, il est essentiel que le patient et son th\u00e9rapeute soient d\u2019accord sur les objectifs de la th\u00e9rapie.<\/li>\n\n\n\n
  2. Puis, il est \u00e9galement n\u00e9cessaire qu\u2019ils soient en adh\u00e9sion sur les moyens mis en place pour atteindre ces objectifs.<\/li>\n\n\n\n
  3. Enfin, il faut que le psychologue et son patient construisent un lien affectif de qualit\u00e9. Cela permet au patient de se sentir en confiance et de pouvoir partager des informations personnelles et n\u00e9cessaires pour une bonne prise en charge.<\/li>\n<\/ol>\n\n\n\n

    L\u2019augmentation consid\u00e9rable des t\u00e9l\u00e9consultations<\/h2>\n\n\n\n

    De plus en plus d\u2019individus sont int\u00e9ress\u00e9s par les consultations m\u00e9dicales ou psychologiques \u00e0 distance. Ce ph\u00e9nom\u00e8ne a \u00e9t\u00e9 acc\u00e9l\u00e9r\u00e9 par la pand\u00e9mie de la Covid-19, qui a exig\u00e9 une adaptation digitale dans de nombreux domaines, notamment celui de la sant\u00e9. Par ailleurs, les prises en charge en distanciel peuvent \u00eatre sous la forme d\u2019\u00e9change en vid\u00e9o-consultations mais aussi par appel t\u00e9l\u00e9phonique ou bien par mail. Certains suivis peuvent offrir plus d\u2019ind\u00e9pendance pour les patients. Ils peuvent consulter \u00e0 tout moment et de n\u2019importe o\u00f9. En effet, il existe m\u00eame certaines applications avec des modules \u00e0 compl\u00e9ter par le patient de mani\u00e8re autonome.<\/p>\n\n\n\n

    Cependant l\u2019\u00e9mergence de ce format de consultation pourrait-il avoir une influence sur la construction de l\u2019alliance th\u00e9rapeutique ?<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    Attitudes g\u00e9n\u00e9rales par rapport \u00e0 l’alliance th\u00e9rapeutique en t\u00e9l\u00e9consultation<\/h2>\n\n\n\n

    En effet, nombreux sont les individus pensant que le virtuelle est une barri\u00e8re \u00e0 l\u2019efficacit\u00e9 de la th\u00e9rapie. Ils pensent que la visio-consultation rendrait plus difficile l\u2019\u00e9tablissement de l\u2019alliance th\u00e9rapeutique entre le patient et son th\u00e9rapeute. Certaines inqui\u00e9tudes concernent la confiance et la proximit\u00e9 entre soignants et soign\u00e9s. L\u2019image du virtuel peut \u00e9galement \u00eatre associ\u00e9e \u00e0 une certaine distance et d\u00e9shumanisation des patients.<\/p>\n\n\n\n

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    Trouvez un psychologue TCC qualifi\u00e9 pr\u00e8s de chez vous<\/strong><\/h2>

    L\u2019annuaire national Psy.link regroupe des praticiens form\u00e9s et v\u00e9rifi\u00e9s, disponibles rapidement.<\/p><\/div>

    \ud83d\udd0e Consulter l\u2019annuaire<\/a><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

    Les avantages de l’alliance th\u00e9rapeutique en t\u00e9l\u00e9consultation<\/h2>\n\n\n\n

    Pourtant, la litt\u00e9rature scientifique affirme que les consultations en ligne ne compromettent ni la qualit\u00e9 de la prise en charge ni la construction d\u2019une alliance th\u00e9rapeutique qualitative. En effet, de nombreuses \u00e9tudes d\u00e9montrent que les psychoth\u00e9rapies cognitivo- comportementales en ligne sont efficaces pour la prise en charge de nombreuses pathologies ou probl\u00e9matiques. Les s\u00e9ances virtuelles peuvent m\u00eame apporter certains avantages, pour les soignants comme pour les patients. Par exemple pour les patients qui souffrent d’agoraphobie<\/strong><\/a>. <\/p>\n\n\n\n

    L\u2019accessibilit\u00e9 est un des avantages les plus notables dans le choix t\u00e9l\u00e9consultations. En effet, ce format entra\u00eene peu de contraintes. Par exemple, les patients n\u2019ont pas besoin de se d\u00e9placer, prendre le bus ou la voiture. La possibilit\u00e9 d\u2019\u00eatre suivi de chez soi est un gain de temps et peut \u00e9galement \u00eatre per\u00e7u comme plus confortable.<\/p>\n\n\n\n

    Ainsi, les consultations virtuelles peuvent \u00eatre plus adapt\u00e9es pour certains troubles ou certaines probl\u00e9matiques, comme l\u2019anxi\u00e9t\u00e9 sociale. Les patients souffrant d\u2019anxi\u00e9t\u00e9 sociale peuvent percevoir les s\u00e9ances virtuelles comme moins mena\u00e7antes et d\u00e9sagr\u00e9ables.<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    Les avantages des t\u00e9l\u00e9consultations pour les psychologues<\/h2>\n\n\n\n

    Du c\u00f4t\u00e9 des th\u00e9rapeutes, les s\u00e9ances virtuelles offrent \u00e9galement des avantages. Par exemple, certains th\u00e9rapeutes affirment qu\u2019il leur para\u00eet plus facile de se concentrer lors des consultations en ligne. En suppl\u00e9ment, cela leur permet d\u2019\u00eatre plus flexible pour fixer leurs rendez-vous avec leurs patients.<\/p>\n\n\n\n

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    Prenez rendez-vous avec un psychologue TCC v\u00e9rifi\u00e9<\/strong><\/h3>

    Des psychologues form\u00e9s, disponibles rapidement, pour une prise en charge efficace d\u00e8s la premi\u00e8re s\u00e9ance.<\/p><\/div>

    \ud83d\udc49 Trouver un psychologue TCC maintenant<\/a><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n

    La th\u00e9rapie virtuelle offre de nouvelles possibilit\u00e9s de prise en charge<\/h2>\n\n\n\n

    Les outils num\u00e9riques et virtuels offrent de nouveaux outils de prise en charge. Par exemple, les th\u00e9rapies par r\u00e9alit\u00e9 virtuelle permettent d\u2019immerger le patient dans un environnement simul\u00e9 et interactif.<\/p>\n\n\n\n

    Cela lui permet de se confronter \u00e0 ses phobies, ses angoisses dans un milieu s\u00e9curis\u00e9, pratique mais \u00e9galement plus accessible. Cette immersion en 3D permet alors de pouvoir proposer aux patients des exercices d\u2019exposition tr\u00e8s riches et pertinents.<\/p>\n\n\n\n

    Par exemple, un patient ayant la phobie des araign\u00e9es peut \u00eatre accompagn\u00e9 gr\u00e2ce \u00e0 cet outil. Par immersion virtuelle, il peut s\u2019habituer \u00e0 avoir une perception plus s\u00e9curisante d\u2019une araign\u00e9e. Cette simulation mentale aurait aussi un impact sur leur perception de sa peur dans le monde r\u00e9el.<\/p>\n\n\n\n

    D\u2019autres outils sont actuellement d\u00e9velopp\u00e9s tels que l\u2019utilisation de robots et d\u2019algorithmes pouvant identifier certains sympt\u00f4mes d\u00e9pressifs. Ces intelligences artificielles pourraient par la suite proposer des exercices permettant de diminuer ces sympt\u00f4mes. C\u2019est un format prometteur et pouvant \u00eatre propos\u00e9 dans un futur proche.<\/p>\n\n\n\n

    Ainsi, les prises en charge psychologiques virtuelles offrent une grande accessibilit\u00e9 et permettent d\u2019utiliser de nouveaux outils pertinents. Les \u00e9tudes actuelles ont pu d\u00e9construire certaines id\u00e9es re\u00e7ues, en prouvant l\u2019efficacit\u00e9 des prises en charge cognitivo-comportementales en ligne. Par ailleurs, soignants et soign\u00e9s affirment \u00eatre satisfaits par ce format par leur efficacit\u00e9, leur confort mais surtout, leur accessibilit\u00e9.<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    Bibliographie<\/u><\/strong><\/h2>\n\n\n\n

    Andersson, G., & Titov, N. (2014). Advantages and limitations of Internet-based interventions for common mental disorders. World psychiatry : official journal of the World Psychiatric Association (WPA), 13(1), 4\u201311<\/a><\/p>\n\n\n\n

    Bengtsson, J., Nordin, S., & Carlbring, P. (2015). Therapists’ Experiences of Conducting Cognitive Behavioural Therapy Online vis-\u00e0-vis Face-to-Face. Cognitive behaviour therapy, 44(6), 470\u2013479. <\/a><\/p>\n\n\n\n

    Ekeblad, A., Dahlman, M., Pio, M., Malmquist, A. & Falkenstr\u00f6m, F. (2022). \u201cWhat shall we focus on ? \u201d \u2013 A thematic analysis of what characterizes cognitive-behavior therapy sessions with high or low quality of working alliance. Psychotherapy Research, 32(8), 1003\u20111015.<\/a> <\/p>\n\n\n\n

    Watts, S., Marchand, A., Bouchard, S. & Bombardier, M. (2016). L\u2019ALLIANCE TH\u00c9RAPEUTIQUE LORS D\u2019UNE T\u00c9L\u00c9PSYCHOTH\u00c9RAPIE PAR VID\u00c9OCONF\u00c9RENCE POUR UN TROUBLE DU SPECTRE ANXIEUX : RECENSION SYST\u00c9MATIQUE DES \u00c9CRITS. Revue qu\u00e9b\u00e9coise de psychologie, 37(3), 277\u2013302.<\/p>\n\n\n\n

    Per Carlbring, Gerhard Andersson, Pim Cuijpers, Heleen Riper & Erik Hedman-Lagerl\u00f6f (2018) Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis, Cognitive Behaviour Therapy, 47:1, 1-18, DOI: 10.1080\/16506073.2017.1401115<\/p>\n\n\n\n

    Simpson, S., Richardson, L., Pietrabissa, G., Castelnuovo, G., & Reid, C. (2021). Videotherapy and therapeutic alliance in the age of COVID-19. Clinical psychology & psychotherapy, 28(2), 409\u2013421.<\/a><\/p>\n\n\n\n

    \"\"<\/figure><\/div>\n\n\n\n

    Cet article a \u00e9t\u00e9 r\u00e9dig\u00e9 par L\u00e9na Prosper faisant une recherche sur l’alliance th\u00e9rapeutique dans le cadre de ses \u00e9tudes en Master Psychologie et Th\u00e9rapies comportementales et cognitives \u00e0 l’Universit\u00e9 de N\u00eemes.<\/p>\n\n\n\n

    \"\"<\/figure><\/div>\n\n\n\n

    Participez \u00e0 une \u00e9tude scientifique <\/h3>

    Nouvelle \u00e9tude comparant l’alliance th\u00e9rapeutique dans la t\u00e9l\u00e9consultation et la consultation en face-\u00e0-face.<\/p><\/div>

    Participer<\/a><\/div><\/div>\n\n\n","protected":false},"excerpt":{"rendered":"

    D\u00e9finition de l’alliance th\u00e9rapeutique L\u2019alliance th\u00e9rapeutique correspond \u00e0 la collaboration entre le psychologue et son patient afin d\u2019atteindre les objectifs \u00e9tablis de la prise en charge. Elle est essentielle au cours de la th\u00e9rapie, souvent jug\u00e9e plus importante que les techniques utilis\u00e9es par le th\u00e9rapeute. Participer \u00e0 la recherche comparant l’alliance th\u00e9rapeutique dans la t\u00e9l\u00e9consultation […]<\/p>\n","protected":false},"author":14,"featured_media":6141,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_exactmetrics_skip_tracking":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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