فصل‌نامه پژوهش‌های کاربردی روانشناختی

واکاوی چالش‌های مسیر شغلی رواندرمانگران در مشاورۀ تلفنی

مقالات آماده انتشار

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه مشاوره و روان‌شناسی، دانشکدۀ علوم انسانی و اجتماعی، دانشگاه کردستان، سنندج، ایران.

2 استادیار گروه مشاوره، دانشکدۀ علوم تربیتی و روان‌شناسی، دانشگاه شهیدبهشتی، تهران، ایران.

چکیده

این پژوهش با هدف شناسایی تجارب درمانگران از چالش‌های مسیر شغلی در مشاورۀ تلفنی انجام گرفت. روش پژوهش کاربردی و از نوع کیفی پدیدارشناسی بود. جامعۀ پژوهش شامل درمانگران فعال شهر تهران در سال 1404-1403 بود. نمونه‌گیری به‌صورت هدفمند صورت گرفت و تا مرز اشباع داده‌ها و درنهایت انتخاب 15 درمانگر ادامه یافت. با شرکت‌کنندگان مصاحبه‌های نیمه‌ساختاریافته صورت گرفت. به‌منظور تحلیل داده‌ها از روش هفت‌مرحله‌ای کلایزی استفاده شد و با نرم‌افزار MAXQDA.20 کدگذاری انجام گرفت. تحلیل داده‌ها موجب شناسایی 68 مفهوم اولیه، 14 مضمون فرعی و 5 مضمون اصلی شد. مضمون اصلی شامل پنج مضمون چالش‌های ارتباطی (عدم دسترسی به نشانه‌های غیرکلامی، ابهام در بیان کلامی، عوامل محیطی و دشواری در اعتماد)، چالش‌های فنی (مشکل در اتصال و دسترسی به فناوری)، چالش‌های روان‌شناختی (عاطفی و رفتاری)، چالش‌های توسعه‌ای (کمبود فرهنگ‌سازی، تدابیر زیرساختی اندک، بی‌توجهی به نیروی انسانی) و چالش‌های سازمانی-ساختاری (مدیریت ضعیف منابع انسانی، سیاست‌گذاری‌های ضعیف و دشواری سنجش اثربخشی مشاورۀ تلفنی) بود. یافته‌های پژوهش حاضر می‌تواند تبیین مهمی باشد برای شناخت چالش‌های این شغل و مسیرهایی که نیاز به بازنگری یا حتی بازتعریفی در این حیطه دارند. به‌نظر می‌رسد با توجه به جایگاه ویژه‌ای که این شغل و نیروی انسانی آن دارد، توجه به مسائل فردی و مسائل پیرامونی از جمله جامعه و سازمانی در این راستا بسیار حائز اهمیت باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the Career Challenges of Psychotherapists in Telephone Counseling

نویسندگان [English]

  • Mahya Sanieemanesh 1
  • Fahimeh Bahonar 2

1 Department of Counseling and Psychology, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Iran.

2 Assistant Professor, Department of Counseling, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran.

چکیده [English]

The objective of this investigation was to ascertain the career obstacles that therapists encounter in telephone counseling. The current research methodology is applied and qualitative, with a focus on phenomenology. The population of this research consisted of active therapists in Tehran during the years 2024-2025. The sampling process was deliberate and persisted until saturation data was obtained. Ultimately, 15 therapists were selected. Semi-structured interviews were conducted with participants. Coding was implemented employing the Colaizzi seven-step methodology and MAXQDA.20 software to analyze the data. The identification of 68 primary concepts, 14 sub-themes, and 5 main themes was the result of data analysis. Five primary themes were identified: communication challenges (lack of access to nonverbal cues, ambiguity in verbal expression, environmental factors, and difficulty in trust), technical challenges (difficulty in connecting and accessing technology), psychological challenges (emotional and behavioral), developmental challenges (lack of culture-building initiatives, insufficient infrastructure, and neglect of human resources), and organizational-structural challenges (poor human resources management, weak policies, and difficulty in measuring the effectiveness of telephone counseling). The results of this study have the potential to provide a significant explanation for the obstacles associated with this occupation and the pathways that require review or even redefining in this field. In this regard, it appears that it is crucial to consider individual issues and peripheral issues, such as society and organization, due to the unique position that this role and its human resources occupy.

کلیدواژه‌ها [English]

  • Challenges
  • Telephone Counseling
  • Therapists
منابع
بازرگان، ع. (1399). مقدمه‌‌ای بر روش‌‌های تحقیق کیفی و آمیخته: رویکردهای متداول در علوم رفتاری. تهران: نشر دیدار
قدوسی، ف.، موسی‌پور، ن.، و فقیهی، ع. (1396). پدیدارشناسی؛ رویکردی نوین در فهم برنامۀ درسی. فصلنامه نوآوری‌های آموزشی، 62(16)، 147-127. https://www.noavaryedu.oerp.ir/article_79122.html
References
Amiri, H., Panahi, S., Tasoj, S. N., Kazemi, F., Haghani, S., & Makouie, M. (2023). The impact of nursing phone counseling on depression and anxiety in family caregivers. Journal of Research in Clinical Medicine, 11, 6. https://doi.org/10.34172/jrcm.2023.32060
Ahmed, N., Barnett P., Greenburgh, A., Pemovska, T., Stefanidou, T., Lyons, N., … & Johnson, S. (2023). Mental health in Europe during the COVID-19 pandemic: A systematic review. The Lancet Psychiatry, 10(7), 537-556. https://doi.org/10.1016/S2215-0366(23)00113-X
Bazargan, A. (2023). An introduction to qualitative and mixed research methods: Common approaches in behavioral sciences. Fifth edition, Tehran: Didar publishing. (In Persian (
Boxall, P., & Purcell, J. (2022). Strategy and human resource management. Bloomsbury Publishing.
Békés, V., Aafjes-van Doorn, K., Luo, X., Prout, T. A., & Hoffman, L. (2021). Psychotherapists’ challenges with online therapy during COVID-19: Concerns about connectedness predict therapists’ negative view of online therapy and its perceived efficacy over time. Frontiers in Psychology, 12, 705699. https://doi.org/10.3389/fpsyg.2021.705699
Bovee, A. (2024). Stress, resiliency, and burnout among counseling leaders. Journal of Social, Behavioral, & Health Sciences, 18(1), 73-96. https://doi.org/10.5590/JSBHS.2024.18.1.06
Bird, M. D., Chow, G. M., Meir, G., & Freeman, J. (2019). The influence of stigma on college students' attitudes toward online video counseling and face‐to‐face counseling. Journal of College Counseling, 22(3), 256-269. https://doi.org/10.1002/jocc.12141
Cipolletta, S., & Mocellin, D. (2018). Online counseling: An exploratory survey of Italian psychologists’ attitudes towards new ways of interaction. Psychotherapy Research, 28(6), 909-924. https://doi.org/10.1080/10503307.2016.1259533
Clarke, J. J., Rees, C. S., Breen, L. J., & Heritage, B. (2021). The perceived effects of emotional labor in psychologists providing individual psychotherapy. Psychotherapy, 58(3), 414–424. https://doi.org/10.1037/pst0000351
Chandrasekaran, A., Currano, R., Batool, V., Chen, K., Murnane, E. L., Sirkin, D., & Mauriello, M. L. (2024). Therapy for therapists: Design opportunities to support the psychological well-being of mental health workers. Proceedings of the ACM on Human-Computer Interaction, 8(CSCW2), 1-34. https://doi.org/10.1145/3686957
Dadfar, M., & Lester, D. (2021). A study of callers to a telephone counseling service. Illness, Crisis & Loss, 29(4), 275-289. https://doi.org/10.1177/1054137319833299
Di Carlo, F., Sociali, A., Picutti, E., Pettorruso, M., Vellante, F., Verrastro, V., & Di Giannantonio, M. (2021). Telepsychiatry and other cutting‐edge technologies in COVID‐19 pandemic: Bridging the distance in mental health assistance. International Journal of Clinical Practice, 75(1), e13716. https://doi.org/10.1111/ijcp.13716
Dores, A. R., Geraldo, A., Carvalho, I. P., & Barbosa, F. (2020). The use of new digital information and communication technologies in psychological counseling during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 17(20), 7663. https://doi.org/10.3390/ijerph17207663
Ghoddousi, F., Mousāpour, N. & Faghihi, A. (2017). Phenomenology: A new approach in understanding the curriculum. Journal of Educational Innovations, 16(2), 127-146. https://noavaryedu.oerp.ir/article_79122.html?lang=en (In Persian (
Grove, S. K., & Gray, J. R. (2018). Understanding nursing research-ebook: Building an evidence-based practice (7th ed). Texas: Elsevier Health Sciences. Link
Hays, D. G., & McKibben, W. B. (2021). Promoting rigorous research: Generalizability and qualitative research. Journal of Counseling & Development, 99(2), 178-188. https://doi.org/10.1002/jcad.12365
Ibragimov, K., Palma, M., Keane, G., Ousley, J., Crowe, M., Carreño, C., ... & Mental Health Working Group, M. S. F. (2022). Shifting to tele-mental health in humanitarian and crisis settings: An evaluation of Médecins Sans Frontières experience during the COVID-19 pandemic. Conflict and Health, 16, 6. https://doi.org/10.1186/s13031-022-00437-1
Kolar, C., Von Treuer, K., & Koh, C. (2017). Resilience in early‐career psychologists: Investigating challenges, strategies, facilitators, and the training pathway. Australian Psychologist, 52(3), 198-208. https://doi.org/10.1111/ap.12197
Kurşuncu, M. A., Baştemur, Ş., & İpek, Ş. (2023). Differentiation of self predicts counselor burnout through effective psychological counselor characteristics. Research on Education and Psychology, 7(Special Issue 2), 314-331. https://doi.org/10.54535/rep.1356488
Kim, S. S., Darwish, S., Lee, S. A., Sprague, C., & DeMarco, R. F. (2018). A randomized controlled pilot trial of a smoking cessation intervention for US women living with HIV: Telephone-based video call vs voice call. International Journal of Women's Health, 10, 545-555. https://doi.org/10.2147/IJWH.S172669
Lester, D., & Rogers, J. R. (2012). Crisis intervention and counseling by telephone and the internet. Charles C Thomas Publisher.
Lincoln, Y. S., Lynham, S. A., & Guba, E. G. (2011). Paradigmatic controversies, contradictions, and emerging confluences, revisited. In. N. K. Denzin & Y. S. Lincoln (Eds.), The sage handbook of qualitative research (pp. 97–128). Los Angeles, CA: Sage.
Liu, S., Zhang, M., Gao, B., & Jiang, G. (2020). Physician voice characteristics and patient satisfaction in online health consultation. Information & Management, 57(5), 103233. https://doi.org/10.1016/j.im.2019.103233  
Liu, J., & Gao, L. (2021). Analysis of topics and characteristics of user reviews on different online psychological counseling methods. International Journal of Medical Informatics, 147, 104367. https://doi.org/10.1016/j.ijmedinf.2020.104367
Lin, T., Heckman, T. G., & Anderson, T. (2022). The efficacy of synchronous teletherapy versus in-person therapy: A meta-analysis of randomized clinical trials. Clinical Psychology: Science and Practice, 29(2), 167-178. https://doi.org/10.1037/cps0000056  
Matthews, S., Cantor, J. H., Brooks Holliday, S., Eberhart, N. K., Breslau, J., Bialas, A., & McBain, R. K. (2023). Mental health emergency hotlines in the United States: A scoping review (2012–2021). Psychiatric Services, 74(5), 513-522. https://doi.org/10.1176/appi.ps.20220128
Manikappa, S. K., Shetty, K. V., Ashalatha, K., Bamney, U., & Sachetha, G. M. (2024). Tele-counseling services for COVID-19 patients: Experiences from a state mental health institute in South India. Journal of Education and Health Promotion, 13(1), 505. https://doi.org/10.4103/jehp.jehp_292_23
McCord, C. E., Console, K., Jackson, K., Palmiere, D., Stickley, M., Williamson, M. L. C., & Armstrong, T. W. (2021). Telepsychology training in a public health crisis: A case example. Counselling Psychology Quarterly, 34(3-4), 608-623. https://doi.org/10.1080/09515070.2020.1782842
Paul, C. L., Boyes, A. W., O'Brien, L., Baker, A. L., Henskens, F. A., Roos, I., …, & Barker, D. (2016). Protocol for a randomized controlled trial of proactive web-based versus telephone-based information and support: Can electronic platforms deliver effective care for lung cancer patients? JMIR Research Protocols, 5(4), e6248. https://doi.org/10.2196/resprot.6248
Ribeiro, E., Sampaio, A., Gonçalves, M. M., Taveira, M. D. C., Cunha, J., Maia, Â., & Soares, T. (2021). Telephone-based psychological crisis intervention: The Portuguese experience with COVID-19. Counselling Psychology Quarterly. 34(3-4), 432-446. https://doi.org/10.1080/09515070.2020.1772200
Rowen, J., Giedgowd, G., & Baran, D. (2022). Effective and accessible telephone-based psychotherapy and supervision. Journal of Psychotherapy Integration, 32(1), 3-18. https://doi.org/10.1037/int0000257
Rogelberg, S. (2016). The Sage Encyclopaedia of industrial and organizational psychology (2nd ed). Thousand Oaks, CA: Sage Publications. Link
Santomauro, D. F., Herrera, A. M. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., & Ferrari A. J. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 398(10312), 1700-1712. https://doi.org/10.1016/S0140-6736(21)02143-7
Shosha, G. A. (2012). Employment of Colaizzi’s strategy in descriptive phenomenology: A reflection of a researcher. European Scientific Journal, 8(27), 31-43. https://eujournal.org/index.php/esj/article/view/588
Sickels, M. (2025). Counselor empathic response via telephonic counseling during the COVID‐19 pandemic: A deductive content analysis. The Journal of Humanistic Counseling, 64(2), 158-169. https://doi.org/10.1002/johc.12236
Uchendu, C., & Blake, H. (2017). Effectiveness of cognitive–behavioural therapy on glycaemic control and psychological outcomes in adults with diabetes mellitus: A systematic review and meta‐analysis of randomized controlled trials. Diabetic Medicine, 34(3), 328-339. https://doi.org/10.1111/dme.13195
Van Hoy, A., & Rzeszutek, M. (2022). Burnout and psychological wellbeing among psychotherapists: A systematic review. Frontiers in Psychology, 13, 928191. https://doi.org/10.3389/fpsyg.2022.928191
Yellowlees, P., Marks, S., Hilty, D., & Shore, J. H. (2008). Using e-health to enable culturally appropriate mental healthcare in rural areas. Telemedicine and e-Health, 14(5), 486-492. https://doi.org/10.1089/tmj.2007.0070
فصل‌نامه پژوهش‌های کاربردی روانشناختی

مقالات آماده انتشار، پذیرفته شده
انتشار آنلاین از تاریخ 10 دی 1404
  • تاریخ دریافت: 14 فروردین 1404
  • تاریخ بازنگری: 16 اردیبهشت 1404
  • تاریخ پذیرش: 14 خرداد 1404
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  • تاریخ انتشار: 10 دی 1404