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Pfender E, Caplan S. Nonverbal immediacy cues and impression formation in video therapy. COUNSELLING PSYCHOLOGY QUARTERLY 2022. [DOI: 10.1080/09515070.2022.2105816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
- Emily Pfender
- Department of Communication, University of Delaware, Newark, DE, USA
| | - Scott Caplan
- Department of Communication, University of Delaware, Newark, DE, USA
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Henshaw EJ, Wall EJ, Lourie AE. How will this help me? Exploring expectations at the time of intake among first-time users of a college counseling center. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:847-853. [PMID: 31188075 DOI: 10.1080/07448481.2019.1624292] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Revised: 03/22/2019] [Accepted: 05/21/2019] [Indexed: 06/09/2023]
Abstract
The study explored first-time college counseling center clients' preintake expectations of the counseling process and the extent that these expectations were related to confidence that counseling will be effective and attendance after intake. Participants: Participants were 418 first-time counseling clients with complete intake and termination data from September 2013 to April 2016. Methods: New clients reported open-ended counseling expectations which were coded into three distinct categories: don't know, just talking, or beyond talking. Outcome measures include rated preintake confidence that counseling will be effective and client attendance at scheduled follow up session. Results: Regression analysis results indicate that expectations categorized as don't know were associated with lower pretreatment counseling confidence while beyond talking expectations predicted postintake attendance. Conclusions: Simple expectations about how counseling will work are a relevant therapeutic factor to consider in improving outcomes for counseling center clients.
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Affiliation(s)
- Erin J Henshaw
- Department of Psychology, Denison University, Granville, Ohio, USA
| | - Emily J Wall
- Department of Psychology, Denison University, Granville, Ohio, USA
| | - Andrea E Lourie
- Department of Psychology, Denison University, Granville, Ohio, USA
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Young CB, Yu CKC. Hong Kong and Western people have different expectations of counselling: a Hong Kong study of the Expectations about Counselling – Brief Form. ASIA PACIFIC JOURNAL OF COUNSELLING AND PSYCHOTHERAPY 2020. [DOI: 10.1080/21507686.2020.1809480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
| | - Calvin Kai-Ching Yu
- Department of Counselling and Psychology, Hong Kong Shue Yan University, Hong Kong
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Poletti B, Tagini S, Brugnera A, Parolin L, Pievani L, Ferrucci R, Compare A, Silani V. Telepsychotherapy: a leaflet for psychotherapists in the age of COVID-19. A review of the evidence. COUNSELLING PSYCHOLOGY QUARTERLY 2020. [DOI: 10.1080/09515070.2020.1769557] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Barbara Poletti
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Laboratory of Neuroscience, Istituto Auxologico Italiano, IRCCS, Milan, Italy
| | - Sofia Tagini
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Laboratory of Neuroscience, Istituto Auxologico Italiano, IRCCS, Milan, Italy
| | - Agostino Brugnera
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Laura Parolin
- Department of Psychology, University Milano Bicocca, Milan, Italy
| | - Luca Pievani
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Roberta Ferrucci
- Aldo Ravelli Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences International Medical School, University of Milan, Milan, Italy
- ASST Santi Paolo e Carlo, Neurology Clinic III, Milan, Italy
- IRCCS Ca’ Granda Foundation Maggiore Policlinico Hospital, Milan, Italy
| | - Angelo Compare
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Vincenzo Silani
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Laboratory of Neuroscience, Istituto Auxologico Italiano, IRCCS, Milan, Italy
- Department of Pathophysiology and Transplantation, “Dino Ferrari” Center, University of Milano, Milan, Italy
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Abstract
Advances in digital technology have a profound impact on conventional healthcare systems. We examine the trailblazing use of online interventions to enable autonomous psychological care which can greatly enhance individual- and population-level access to services. There is strong evidence supporting online cognitive-behavioural therapy and more engaging programmes are now appearing so as to reduce user 'attrition'. The next generation of autonomous psychotherapy programmes will implement adaptive and personalised responses, moving beyond impersonalised advice on cognitive and behavioural techniques. This will be a more authentic form of psychotherapy that integrates therapy with the actual relationship experiences of the individual user.
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Affiliation(s)
| | | | - Sanaz Fallahkhair
- School of Computing Engineering and Maths, University of Brighton, UK
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Irvine A, Drew P, Bower P, Brooks H, Gellatly J, Armitage CJ, Barkham M, McMillan D, Bee P. Are there interactional differences between telephone and face-to-face psychological therapy? A systematic review of comparative studies. J Affect Disord 2020; 265:120-131. [PMID: 32090733 PMCID: PMC7049904 DOI: 10.1016/j.jad.2020.01.057] [Citation(s) in RCA: 83] [Impact Index Per Article: 20.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Revised: 01/07/2020] [Accepted: 01/14/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND Despite comparable clinical outcomes, therapists and patients express reservations about the delivery of psychological therapy by telephone. These concerns centre around the quality of the therapeutic relationship and the ability to exercise professional skill and judgement in the absence of visual cues. However, the empirical evidence base for such perceptions has not been clearly established. METHODS We conducted a systematic review to establish what is known empirically about interactional differences between psychotherapeutic encounters conducted face-to-face vs. by telephone. RESULTS The review identified 15 studies that used situated, comparative approaches to exploring interactional aspects of telephone and face-to-face psychological therapy. These studies revealed evidence of little difference between modes in terms of therapeutic alliance, disclosure, empathy, attentiveness or participation. However, telephone therapy sessions were significantly shorter than those conducted face-to-face. LIMITATIONS We identified only a small number of heterogeneous studies, many of which used non-randomised, opportunity samples and did not use validated measures to assess the constructs under investigation. Disparate therapeutic modalities were used across studies and samples included both clinically diagnosed and non-clinical populations. CONCLUSIONS Available evidence suggests a lack of support for the viewpoint that the telephone has a detrimental effect on interactional aspects of psychological therapy. The challenge for clinical practice is to translate this evidence into a change in practitioner and patient attitudes and behaviours. In order to do so, it is important to understand and address the breadth of factors that underpin ongoing ambivalence towards the telephone mode, which pose a barrier to wider implementation.
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Affiliation(s)
- Annie Irvine
- Department of Language and Linguistic Science, University of York, Heslington, York, UK.
| | - Paul Drew
- Department of Language and Linguistic Science, University of York, Heslington, York, UK
| | - Peter Bower
- NIHR School for Primary care Research, Centre for Primary Care and Health Services Research, Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and health, University of Manchester, Manchester Academic Health Science Centre Manchester, UK
| | - Helen Brooks
- Department of Health Services Research, Institute of Population Health Sciences, University of Liverpool, UK
| | - Judith Gellatly
- Division of Nursing, Midwifery & Social Work, School of Health Sciences, University of Manchester, UK
| | - Christopher J. Armitage
- Manchester Centre for Health Psychology, Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, UK; Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
| | - Michael Barkham
- Clinical Psychology Unit, Department of Psychology, University of Sheffield, UK
| | - Dean McMillan
- Department of Health Sciences, University of York, UK
| | - Penny Bee
- Division of Nursing, Midwifery & Social Work, School of Health Sciences, University of Manchester, UK
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Percival J, Donovan J, Kessler D, Turner K. 'She believed in me'. What patients with depression value in their relationship with practitioners. A secondary analysis of multiple qualitative data sets. Health Expect 2017; 20:85-97. [PMID: 26889742 PMCID: PMC5217923 DOI: 10.1111/hex.12436] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2015] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND Clinical guidance promotes the practitioner-patient relationship as integral to good quality person-centred care for patients with depression. However, patients can struggle to engage with practitioners and practitioners have indicated that they want more guidance on how to establish effective relationships with their patients. OBJECTIVE To identify what practitioner attributes patients with depression particularly value or find problematic. METHOD A secondary analysis of data collected during four qualitative studies, all of which entailed interviewing patients diagnosed with depression about their treatment experiences. Patients in the four studies had received different treatments. These included antidepressants, cognitive behaviour therapy, facilitated physical activity and listening visits. We thematically analysed 32 patient accounts. RESULTS We identified two complimentary sets of important practitioner attributes: the first based on the practitioner's bearing; the second based on the practitioner's enabling role. We found that patients value practitioners who consider their individual manner, share relevant personal information, show interest and acceptance, communicate clearly and listen carefully, collaborate on manageable goals and sanction greater patient self-care and self-compassion. It was also evident that patients receiving different treatments value the same practitioner attributes and that when these key practitioner qualities were not evident, patients were liable not to re-attend or comply with treatment. CONCLUSION The practitioner attributes that patients with depression most value have a positive impact on their engagement with treatment. Patients emphasise the importance of a practitioner's demeanour and encouragement, rather than the amount of time or specific treatment a practitioner is able to provide.
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Affiliation(s)
- John Percival
- School of Social and Community MedicineUniversity of BristolBristolUK
| | - Jenny Donovan
- School of Social and Community MedicineUniversity of BristolBristolUK
| | - David Kessler
- School of Social and Community MedicineUniversity of BristolBristolUK
| | - Katrina Turner
- School of Social and Community MedicineUniversity of BristolBristolUK
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Ekberg S, Barnes RK, Kessler DS, Malpass A, Shaw ARG. Managing clients' expectations at the outset of online Cognitive Behavioural Therapy (CBT) for depression. Health Expect 2014; 19:557-69. [PMID: 25088009 PMCID: PMC5055246 DOI: 10.1111/hex.12227] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2014] [Indexed: 11/29/2022] Open
Abstract
Background Engaging clients in psychotherapy by managing their expectations is important for therapeutic success. Initial moments in first sessions of therapy are thought to afford an opportunity to establish a shared understanding of how therapy will proceed. However, there is little evidence from analysis of actual sessions of therapy to support this. Objective This study utilised recorded session logs to examine how therapists manage clients’ expectations during the first two sessions of online Cognitive Behavioural Therapy (CBT). Methods Expectation management was investigated through conversation analysis of sessions from 176 client‐therapist dyads involved in online CBT. The primary focus of analysis was expectation management during the initial moments of first sessions, with a secondary focus on expectations at subsequent points. Analysis Clients’ expectations for therapy were most commonly managed during the initial moments of first sessions of therapy. At this point, most therapists either produced a description outlining the tasks of the first and subsequent sessions (n = 36) or the first session only (n = 108). On other occasions (n = 32), no attempt was made to manage clients’ expectations by outlining what would happen in therapy. Observations of the interactional consequences of such an absence suggest clients may struggle to engage with the therapeutic process in the absence of appropriate expectation management by therapists. Conclusion Clients may more readily engage from the outset of therapy when provided with an explanation that manages their expectation of what is involved. Therapists can accomplish this by projecting how therapy will proceed, particularly beyond the initial session.
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Affiliation(s)
- Stuart Ekberg
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Qld, Australia
| | - Rebecca K Barnes
- Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK
| | - David S Kessler
- Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK
| | - Alice Malpass
- Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK
| | - Alison R G Shaw
- Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK
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