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[The therapeutic alliance in internet-based therapy procedures: an overview]
M Klasen1, C Knaevelsrud, M Böttche
1Catania gemeinnützige GmbH, Projekt pflegen-und-leben, Turmstr. 21, 10559 Berlin, Deutschland. m.klasen@catania-online.org
Der Nervenarzt
|December 6, 2012
Summary
Modern technology in healthcare is growing, but its impact on the therapeutic alliance in internet-based interventions is unclear. Studies show a positive therapeutic alliance is achievable online, comparable to face-to-face therapy.
Area of Science:
- Digital Health
- Psychotherapy Research
- Human-Computer Interaction
Context:
- Increasing adoption of information and communication technology (ICT) in healthcare delivery.
- Limited understanding of the therapeutic alliance within internet-based interventions.
- Need for systematic review of evidence on online therapeutic relationships.
Purpose:
- To systematically review controlled studies evaluating the nature and impact of therapeutic alliance in internet-based interventions.
- To synthesize findings from randomized controlled trials (RCTs) on online therapeutic relationships.
- To assess the quality and effectiveness of therapeutic alliances formed via digital platforms.
Summary:
- Internet-based randomized controlled trials demonstrate that a positive therapeutic alliance can be formed irrespective of the communication medium.
- The therapeutic alliance in internet-based interventions is rated as equally satisfying compared to traditional face-to-face therapy.
- Findings suggest digital communication does not inherently hinder the development of a strong therapeutic bond.
Impact:
- Provides evidence that internet-based interventions can foster robust therapeutic alliances.
- Informs the development and implementation of effective digital mental health services.
- Supports the integration of technology in therapy without compromising the patient-therapist relationship.
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