Construing a therapeutic relationship online: An analysis of videoconference sessions

Cipolletta, Sabrina; Frassoni, Eleonora; Faccio, Elena

doi:10.1111/cp.12117

Cited by 41 publications

(36 citation statements)

References 38 publications

(48 reference statements)

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“…as suggested by previous research (Rössler et al, 2011;Cipolletta et al, 2017;Etzelmueller et al, 2018). This finding is corroborated by evidence that therapists who have received specific training in delivering telepsychotherapy are more likely to adopt this treatment modality (Pierce et al, 2020).…”

Section: A B Csupporting

confidence: 73%

Psychotherapy During COVID-19: How the Clinical Practice of Italian Psychotherapists Changed During the Pandemic

et al. 2020

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Italy was one of the first countries to be significantly affected by the coronavirus disease 2019 (COVID-19) pandemic, determining a unique scenario for Italian psychotherapists to consider changing the modality in which they deliver treatment. The present study aimed at studying which factors related to psychotherapists and their clinical practice had a major role in predicting two main outcomes: (1) the rate of interrupted treatments during lockdown and (2) psychotherapists' satisfaction with the telepsychotherapy modality. Methods: An online survey was administered to licensed psychotherapists (n = 306), who worked mainly as private practitioners, between April 5 and May 10, 2020 (i.e., the peak of the pandemic in Italy). Results: Psychotherapists reported that 42.1% (SD = 28.9) of their treatments had been interrupted, suggesting that Italy faced an important undersupply of psychotherapy during the lockdown. Using the Akaike information criterion (AIC) model selection, we identified three predictors of the rate of interrupted treatments: (1) psychotherapists' lack of experience with telepsychotherapy prior to the lockdown, (2) their theoretical orientation (with cognitive behavioral psychotherapists reporting a higher rate of interrupted treatments), and (3) patients' lack of privacy at home, as reported to the psychotherapists. Furthermore, we found four predictors of psychotherapists' satisfaction with the telepsychotherapy modality: (1) the rate of interrupted treatments, (2) psychotherapists' previous experience with telepsychotherapy, (3) their beliefs about the compatibility of telepsychotherapy with their theoretical orientation, and (4) their use of a video-conferencing modality, rather than telephone. Conclusion: The following recommendations can help policy makers, professional associations, and practitioners in promoting the continuity of psychotherapy treatments during the COVID-19 outbreak and in future emergencies: (i) disseminating training programs for practitioners on telepsychotherapy, (ii) supporting patients to pragmatically access a private space at home, (iii) encouraging practitioners to use video-conferencing (instead of telephone) to deliver remote therapy, and (iv) increasing the acceptance of telepsychotherapy among both clinicians and the general public.

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Section: A B Csupporting

confidence: 73%

Psychotherapy During COVID-19: How the Clinical Practice of Italian Psychotherapists Changed During the Pandemic

et al. 2020

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“…This is consistent with findings of Mitchell's (2020) study that, to fit the attachment needs of the client, therapists and clients would collaboratively select the "online arrangement of what is seen and not seen" (p. 127). While ICTs pose some challenges to the therapeutic process, such as technological interruptions or intrusion of privacy (Cipolletta et al 2017), it is important to acknowledge the positive opportunities that ICTs can create for the therapeutic alliance (Mitchell 2020).…”

Section: Paradigm Shift In Ict Usementioning

confidence: 99%

Responding to COVID-19: New Trends in Social Workers’ Use of Information and Communication Technology

et al. 2020

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COVID-19 changed the context for Information and Communication Technology (ICT) use globally. With face-to-face practice restricted, almost all communication with clients shifted to ICTs. Starting in April 2019, we conducted semi-structured interviews with social workers from four agencies serving diverse populations in a large urban centre, with the aim of exploring social workers’ informal ICT use with clients. Approximately 6 weeks after the cessation of face-to-face practice in March 2020 due to COVID-19 measures, we re-interviewed social workers (n = 11) who had participated in our study. Second interviews were based on a newly developed interview guide that explored social workers’ use of ICTs with clients in the context of COVID-19. Analysis of transcribed interviews revealed that the context of COVID-19 had generated two main themes. One, a paradigm shift for social workers was characterized by (a) diverse ICT options, (b) client-driven approach, and (c) necessary creativity. The second theme entails the impact of this transition which involved (a) greater awareness of clients’ degree of access, (b) confidentiality and privacy, and (c) professional boundaries. We discuss these themes and sub-themes and present implications for practice and research in a Post-COVID-19 world.

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“…In the online world, relationships are ethereal, but no less important: people can take care of others, offer and receive help, reinforce self‐esteem, and find solutions to intimate problems and difficulties that are part of their everyday life (Cipolletta et al . , Cipolletta & Mocellin ). Online communication can encourage people to confess their secrets and their most intimate thoughts to other people (Greene et al .…”

Section: Introductionmentioning

confidence: 99%

Online support for transgender people: an analysis of forums and social networks

Cipolletta

Votadoro

Faccio

2017

Health Soc Care Community

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Transgender people face a range of personal and social conflicts that strongly influence their well-being. In many cases, the Internet can become the main resource in terms of finding support. The aim of this study was to understand how transgender people give and receive help online. Between 2013 and 2015, 122 online community conversations were collected on Italian forums and Facebook groups involving transgender people, and online interviews were conducted with 16 users of these communities. A qualitative content analysis was conducted by using the software package, NVivo10. The main categories that emerged were: motivations to join an online community, online help, differences between online and offline interactions, status, conflicts and professional help. Results indicate that participation in online communities often derives from the users' need for help. This help can be given by peers who have had similar experiences, and by professionals who participate in the discussions as moderator. The need to test one's own identity, to compare oneself with others and to share one's personal experiences made online communities at risk of exposing users to invalidation and transphobic messages. Administrators and moderators try to ensure the safety of users, and suggest that they ask for professional help offline and/or online when over-specific medical advice was sought. This study confirms that transgender people might find benefit from an online platform of help and support and might minimise distance problems, increase financial convenience and foster disinhibition.

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Construing a therapeutic relationship online: An analysis of videoconference sessions

Cited by 41 publications

References 38 publications

Psychotherapy During COVID-19: How the Clinical Practice of Italian Psychotherapists Changed During the Pandemic

Psychotherapy During COVID-19: How the Clinical Practice of Italian Psychotherapists Changed During the Pandemic

Responding to COVID-19: New Trends in Social Workers’ Use of Information and Communication Technology

Online support for transgender people: an analysis of forums and social networks

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