‘Get on Board or Get Off’: Nosediving Job Quality for Mental Health Providers in the Age of Platform Work
本文探讨远程治疗平台如何采用数字劳动平台模式，通过一位心理治疗师的亲身经历揭示其对工作质量的侵蚀和就业不稳定的加剧，并指出创业文化与优质心理健康护理条件之间的内在矛盾。
This article situates teletherapy platforms within the context of digital labour platforms. It explores commonalities including workers’ employment status, worker autonomy and platform control, user recruitment practices and working time flexibility to show how teletherapy platforms have adopted the platform business model to mental health care. Presenting a first-person account from Nelly, a psychoanalytic psychotherapist and social worker based in a large city in the Northeastern United States, the article reveals how teletherapy platforms erode work quality and increase precarity. While Nelly’s experience ends in a successful unionisation campaign, it also warns of the innate tensions between startup culture and the conditions that foster quality mental health care.