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When the screen deepens the sense of connectedness: What therapists have found effective in successful cases of teletherapy
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.ORCID iD: 0000-0003-0859-1012
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.ORCID iD: 0000-0003-4313-1011
Number of Authors: 42025 (English)In: Counselling and Psychotherapy Research, ISSN 1473-3145, E-ISSN 1746-1405, Vol. 25, no 1, article id e12820Article in journal (Refereed) Published
Abstract [en]

Objectives: The objective of this study was to explore therapists' new-found experiences of what works in successful cases of teletherapy. Design: This was a qualitative study of therapists' experiences, making their implicit knowledge explicit and systematised. Methods: Twelve therapists were recruited via posts on social media and via the interviewers' professional networks. The therapists were interviewed at their office or via Zoom using a semi-structured interview guide. The interviews were analysed using inductive, reflexive thematic analysis. Results: The therapists described a number of interacting favourable factors, together contributing to successful remote treatments. Establishing a good therapeutic relationship and cooperation was a general success factor common to in-person and remote treatments. Specific factors included well-functioning communication technology, co-creating a sense of co-presence, safeguarding therapeutic boundaries adjusted to the remote setting, finding ways of compensating for the loss of several cues available in an in-person setting and the patient being motivated for a remote therapeutic endeavour. Conclusions: In the successful cases, therapists in this study seem to have developed specific skills to counteract the inherent challenges and to benefit from the advantages specific to the remote setting. In the post-pandemic era, when hybrid and remote therapeutic modalities become increasingly common, these specific skills and mechanisms have to be included in psychotherapy training programmes, supervision and continuing education.

Place, publisher, year, edition, pages
2025. Vol. 25, no 1, article id e12820
Keywords [en]
communication technology, qualitative methods, therapeutic frames, therapeutic relationship, therapeutic skills, therapist perspective
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-233615DOI: 10.1002/capr.12820ISI: 001303903400001Scopus ID: 2-s2.0-85203266941OAI: oai:DiVA.org:su-233615DiVA, id: diva2:1899371
Note

This work was supported by the Board of Human Science, Stockholm University, registration number: SU FV-5.1.2-3314-20, by the Fund for Psychoanalytic Research of the American Psychoanalytic Association, dated 26 May 2022, and by the International Psychoanalytical Association Research Grant, dated 12 October 2022.

Available from: 2024-09-19 Created: 2024-09-19 Last updated: 2024-12-20Bibliographically approved

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Werbart, AndrzejPhilips, Björn

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