E-mail: A New Technique for Forming a Therapeutic Alliance with High-risk Young People Failing to Engage with Mental Health Services? A Case Study

Roy, Hermione; Gillett, Tim

doi:10.1177/1359104507086344

Cited by 29 publications

(22 citation statements)

References 12 publications

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“…Anthony, ). Roy and Gillett () describe a single case‐study where email communication enabled a 17‐year‐old female client with severe and enduring depression, who had previously been unable to form an alliance through face‐to‐face contact, to engage effectively with a psychiatrist. They proposed that a status shift was enabled between psychiatrist and client due to the time and control gained by the client in asynchronous exchanges.…”

Section: Introductionmentioning

confidence: 99%

A qualitative investigation into the online counselling relationship: To meet or not to meet, that is the question

Dunn

2012

Couns and Psychother Res

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Background and aim: Online counselling, as a psychotherapeutic approach, provokes debate amongst practitioners and researchers concerning its efficacy and validity. This reflexive study extends existing research into the nature of the online counselling relationship when it is conducted asynchronously (by email) and explores the possibility this approach may facilitate both online and face-to-face therapeutic engagement. Method: Semi-structured interviews were conducted electronically with ten former email counselling clients of a university counselling service and six counsellors delivering email counselling in other higher education settings, to explore, in depth, their experiences of the online therapeutic relationship and its impact on the counselling process and outcomes. These were analysed using Interpretative Phenomenological Analysis (IPA). Findings: Four areas of focus emerged relating to: (1) the importance of the structure and processes involved; (2) their impact on thinking and feeling; (3) their impact on self and relationships (within and outside counselling), and (4) changes that followed email counselling. Having 'time to think' within the asynchronous exchanges, the anonymity and disinhibition afforded by the online medium, the creation of transitional space and the rich use of metaphor, visualisation and imagery all contributed to a sense of empowerment and relational depth for individuals who might have otherwise avoided seeking help. This led to positive change in many cases and for some, facilitated subsequent face-to-face counselling. Implications: The findings support the provision of counselling and therapy online and particularly its integration within existing face-to-face services.

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Section: Introductionmentioning

confidence: 99%

A qualitative investigation into the online counselling relationship: To meet or not to meet, that is the question

Dunn

2012

Couns and Psychother Res

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“…Within the UK there are reports of strong alliances being formed in single case work (e.g. Roy & Gillett, ), and a quantitative element to the study reported here found that 76% of 46 young service users reported the quality of alliance to be medium or high in quality (Hanley, ). In Australia, the youth organisation Kids Help Line (KHL) has been at the forefront of such work.…”

Section: Introductionmentioning

confidence: 99%

Understanding the online therapeutic alliance through the eyes of adolescent service users

Hanley

2011

Couns and Psychother Res

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Aims: The therapeutic alliance is a concept that has received a great deal of attention within face‐to‐face counselling. Furthermore, links have been made between the creation of strong alliances and successful therapeutic outcomes. This study examines the therapeutic alliance when counselling services are offered online to young people. Method: Fifteen young people took part in online interviews (utilising synchronous and asynchronous methods), and Grounded Theory techniques were utilised to analyse the data. Findings: A core category of ‘Client‐Service Match’ and three subcategories pertinent to the individuals’ experiences of creating good quality relationships with the counsellors were identified: (1) initial engagement, (2) developing rapport, and (3) establishing control. Discussion: The themes elicited are all relevant to the matching process and viewed as a chronological process similar to face‐to‐face counselling. However, unlike face‐to‐face work, specific nuances related to the online work arise that counsellors should be mindful of, including the rationale behind each individual's choice to approach services online, their own computer‐mediated communication skills, technical hurdles, and the perceived ‘power’ of the counsellor.

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“…Without question, the rise and prevalence of ICT has altered how CYC education must think about how CYC practitioners will and are communicating with children, youth, and families in today's online world. A review of the literature shows that other helping professions are using ICT to communicate with clients and as a means of assessing and tracking needs, providing online support, and engaging in intervention strategies (Alleman, 2002;Boydell & Pignatiello, 2020;Brezinka, 2008;Calear, Christensen, Mackinnon, Griffiths, & O'kearney, 2009;Cunningham, & Wuthrich, 2008;Gowen, Deschaine, Gruttadara, & Markey, 2012: Roy & Gillett, 2008. The purpose of this course-based research is to explore how CYC students are currently using ICT in their interactions with children, youth, and families.…”

Section: Introductionmentioning

confidence: 99%

Information Communication Technology (ICT): The New Frontier of Child and Youth Care (CYC) Practice

Bellefeuille

2020

ASSRJ

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This exploratory course-based research investigates the use of information communication technologies (ICT) by child and youth care (CYC) students in their interactions with children, youth, and families. Data were collected through an online mixed closed-and open-ended survey. The data analysis consisted of a descriptive statistical analysis of the survey's closed-ended questions and a thematic analysis of the survey's open-ended questions. The findings revealed that CYC students are using ICT in their interactions with children, youth, and families and that the potential positive use of ICT should be addressed in a more significant way in the classroom.

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E-mail: A New Technique for Forming a Therapeutic Alliance with High-risk Young People Failing to Engage with Mental Health Services? A Case Study

Cited by 29 publications

References 12 publications

A qualitative investigation into the online counselling relationship: To meet or not to meet, that is the question

A qualitative investigation into the online counselling relationship: To meet or not to meet, that is the question

Understanding the online therapeutic alliance through the eyes of adolescent service users

Information Communication Technology (ICT): The New Frontier of Child and Youth Care (CYC) Practice

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