Psychotherapy supervision conducted via videoconferencing: A qualitative study of users' experiences

Care at a Distance : On the Closeness of Technology

“…Reference to 'too much' care exists elsewhere as well when concerning the independence of patients or the goal of care to make people independent or not make them dependent (see e.g. Pols 2008;Struhkamp et al 2009 Gammon et al 1998;Sävenstedt al. 2005.…”

Technological Implications for Clinical Supervision and Practice

“…If something comes up (e.g., a question, aggression, disagreement) the supervisor has an opportunity to step back and respond more appropriately, taking more time to really think about an appropriate response or consult with a colleague about a better intervention. A study conducted by Gammon et al (1998) found that CMS increased participant verbalization, structure, and self-representation. In relation to group dynamics and CMS, Janoff and Schoenholtz (1999) have shown that high status members have lower likelihood of controlling the conversation in computer mediated groups.…”

“…In a study looking at the effectiveness of VC in clinical supervision, Gammon et al (1998) found that supervisees' comfort with silence during VC may diminish resulting in supervisees feeling that they had to be more assertive (throwing themselves to the forefront) to be heard during VC supervision sessions. Some reported a tendency to reserve difficult emotional issues for face-to-face settings rather than discuss them during VC sessions.…”

“…Confidentiality is a concern and an issue in the use of Internet and other technologies that transport data outside of a clinic or home. When comparing long distance communication technologies, Gammon et al (1998) believed that confidentiality using video signals is minimally as good or better than telephone communication. While the latest versions of Internet browsers offer encryption capabilities (i.e., sophisticated computerized fire-walls…”

“…an increasing need for improved access to health care services, education, and recruitment opportunities in rural communities; 2. the feasibility of and satisfaction with virtual technology in clinical use and the education of mental health care professionals (Gammon et al, 1998); 3. the availability of inexpensive home computers and easy access to the Internet and e-mail which opens the possibility to extend group therapy training and supervision to those who live at a distance from training sites (Janoff & Schoenholtz, 1999); 4. limited faculty time and resources; 5. the costs of bringing talented faculty, particularly "master teachers" to one location when they may not be living near a training site (Janoff & Schoenholtz, 1999); 6. the reduction of costs associated with supervision (Garrett & Dudt, 1998) and training of marriage and family therapists and other mental health professionals.…”