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Related Experiment Videos

Evaluating the alliance in videolink teletherapy

G J Ghosh1, P M McLaren, J P Watson

  • 1Department of Psychiatry, United Medical and Dental Schools, Guy's Hospital, London, UK. 101511.3427@compuserve.com

Journal of Telemedicine and Telecare
|January 1, 1997
PubMed
Summary

Videoconferencing in psychotherapy did not impair the working alliance (WA). A single case study found similar WA scores compared to face-to-face therapy, suggesting teletherapy is a viable treatment option.

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Area of Science:

  • Psychology
  • Psychotherapy Research
  • Telehealth

Background:

  • Videoconferencing in psychotherapy is under-researched.
  • Potential impact of reduced interactional cues on the therapeutic alliance is unknown.
  • Client and therapist perceptions of teletherapy warrant investigation.

Purpose of the Study:

  • To explore the effect of videoconferencing on the working alliance (WA) in psychotherapy.
  • To assess the development of the WA in a case of teletherapy for a female-male transsexual client.
  • To compare videoconferencing WA development with face-to-face therapy outcomes.

Main Methods:

  • A single case study design was employed.
  • The Working Alliance Inventory (WAI) measured client and therapist perceptions over 10 sessions.

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  • Videoconferencing therapy was compared to a quasi-control group receiving face-to-face therapy.

    • Main Results:

    • Working Alliance Inventory (WAI) scores were comparable between videoconferencing and face-to-face therapy.
    • Client-rated bond subscale scores were lower in the videoconferencing group.
    • Therapist and client reported positive impressions of teletherapy.

    Conclusions:

    • Videoconferencing did not hinder the development of an adequate working alliance.
    • Client personality factors may influence specific alliance subscale scores.
    • Telepsychotherapy appears to support successful therapeutic outcomes.