Technology in Counselling: Telephone Therapy
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Questions and Answers

What factor has been highlighted as essential in developing a therapeutic alliance?

  • Cost of therapy
  • Environmental settings
  • Client personality traits (correct)
  • Therapist experience

    • Video therapy has been proven to be less effective than face-to-face therapy.

    False

    What did Harvey-Berino's study compare?

    Face-to-face therapy with videoconferencing group behavioural therapy

    What did Dorothea believe was similar to talking to her figure of Mary?

    <p>Talking to the counselor</p> Signup and view all the answers

    Dorothea was afraid of her husband's temper.

    <p>False</p> Signup and view all the answers

    The effectiveness of therapy was found to be unaffected by the presence or absence of __________.

    <p>technology</p> Signup and view all the answers

    Which of the following aspects did NOT significantly influence therapy outcomes according to the research?

    <p>Technology used</p> Signup and view all the answers

    What homework did Dorothea not complete in Week Two?

    <p>Literacy homework</p> Signup and view all the answers

    Dorothea felt that her husband hardly spoke to the boy because ‘he is not like a ___ son’.

    <p>real</p> Signup and view all the answers

    More than 50% of clients initially preferred videoconferencing over face-to-face therapy.

    <p>False</p> Signup and view all the answers

    Match Dorothea's concerns with the respective issues she faced:

    <p>Angry at her husband = Marital relationship Difficulty with her son = Parenting Struggles with weight = Health and fitness Too busy for homework = Literacy education</p> Signup and view all the answers

    What were clients' feelings towards videoconferencing after they gained experience?

    <p>They became more comfortable with the technology.</p> Signup and view all the answers

    Match the studies with their findings:

    <p>Wittson and Benschoter = Compared group psychotherapy via technology vs. face-to-face. Harvey-Berino = Examined obesity treatment methods. Schneider = Evaluated cognitive-behavioural therapy outcome measures. General consensus = Video therapy is less effective than in-person.</p> Signup and view all the answers

    In Week Three, what prompted Dorothea to discuss her weight loss struggles?

    <p>A program she watched on television</p> Signup and view all the answers

    Dorothea felt appreciated for everything she does at home.

    <p>False</p> Signup and view all the answers

    What factor has been identified as influencing clients' satisfaction with video therapy?

    <p>Sense of control</p> Signup and view all the answers

    What did Dorothea request from the counselor when she didn't understand something?

    <p>An explanation</p> Signup and view all the answers

    Clients perceive a greater sense of control in face-to-face therapy compared to video therapy.

    <p>False</p> Signup and view all the answers

    What technology did Omodei and McClennan suggest giving to clients to enhance their sense of control?

    <p>Remote control panel</p> Signup and view all the answers

    Those clients who are particularly fearful of using technology may find video therapy __________.

    <p>confusing</p> Signup and view all the answers

    According to Schneider (1999), what may help clients adapt better to different therapy modes?

    <p>Longer-term therapy</p> Signup and view all the answers

    Match the therapy modes with their characteristics:

    <p>Video therapy = Greater sense of control Face-to-face therapy = Lower drop-out rates Two-way audio = Higher drop-out rates Telephone therapy = Less acceptable than video</p> Signup and view all the answers

    What is considered a popular medium for therapy due to its privacy?

    <p>Telephone</p> Signup and view all the answers

    Clients with mobility problems may prefer telephone therapy over face-to-face sessions.

    <p>True</p> Signup and view all the answers

    What is one reason therapists might initially hesitate to use video therapy?

    <p>Caution</p> Signup and view all the answers

    Therapists' reluctance towards video therapy disappears with experience and practice.

    <p>True</p> Signup and view all the answers

    What association calculated that a call to a counseling service was made every three minutes in New South Wales?

    <p>Telephone, Information, Support and Counselling Association (TISCA)</p> Signup and view all the answers

    A client might find telephone therapy suitable if they have a specific ______ they wish to work on.

    <p>need</p> Signup and view all the answers

    Match the reasons for choosing telephone therapy with their descriptions:

    <p>Feeling vulnerable = Prefer not to meet someone in person Mobility problems = Struggles with traveling to appointments Cultural background = Wants to work with someone from a similar culture Chronic illness = May be too unwell for face-to-face sessions</p> Signup and view all the answers

    Which of the following statements is NOT a reason clients may prefer telephone therapy?

    <p>They enjoy long travel times to appointments</p> Signup and view all the answers

    What is one challenge faced by clients in rural areas related to therapy?

    <p>Distance to nearest practitioner</p> Signup and view all the answers

    All clients prefer telephone therapy over every other form of therapy.

    <p>False</p> Signup and view all the answers

    What can cause pixelation in hand and arm gestures during videoconferencing?

    <p>Delay in image transmission</p> Signup and view all the answers

    Direct eye contact is always possible in videoconferencing.

    <p>False</p> Signup and view all the answers

    According to studies, how do therapists and clients commonly react to the differences in videoconferencing?

    <p>They adjust to the differences and rate the therapeutic alliance highly.</p> Signup and view all the answers

    As technology develops, the quality of communication will become _____ and _____ during video therapy sessions.

    <p>greater, clearer</p> Signup and view all the answers

    What has been found regarding social presence in video therapy?

    <p>Clients often forget they are not in the same room as their therapist.</p> Signup and view all the answers

    Therapeutic rapport may be enhanced by reduced social presence during videoconferencing.

    <p>False</p> Signup and view all the answers

    What forms of communication can further support the therapeutic alliance?

    <p>Email, letter writing, and fax.</p> Signup and view all the answers

    Match the following authors with their findings regarding videoconferencing therapy:

    <p>Ghosh et al., 1997 = Therapists and clients adjust to differences Capner, 2000 = Clients often satisfied with social presence Schneider, 1999 = Therapists can develop a positive alliance Allen and Hayes, 1994 = Concerns about reduced social presence</p> Signup and view all the answers

    Which of the following best describes the role of telephone support in therapy?

    <p>It serves as a substitute when videoconferencing fails.</p> Signup and view all the answers

    It is possible to develop an adequate therapeutic relationship solely through videoconferencing sessions.

    <p>False</p> Signup and view all the answers

    What do Gammon et al. (1998) suggest regarding face-to-face rapport and videoconferencing?

    <p>Establishing face-to-face rapport over several sessions is beneficial before engaging in videoconferencing sessions.</p> Signup and view all the answers

    Clients with 'at risk' conditions should remain in close contact with their ______.

    <p>GP (family doctor)</p> Signup and view all the answers

    Match the following authors to their recommendations regarding therapeutic relationships:

    <p>Gammon et al. (1998) = Face-to-face rapport is needed before video sessions Simpson et al. (2001) = Positive rapport can develop after one assessment session Kaplan (1997) = Feasibility of developing rapport in a single session</p> Signup and view all the answers

    What boundary issues should therapists be particularly aware of during videoconferencing?

    <p>Clients eating snacks and drinking during sessions</p> Signup and view all the answers

    The therapeutic process is significantly different when conducted via video compared to face-to-face.

    <p>False</p> Signup and view all the answers

    What is being studied regarding clients with bulimia nervosa in the author's research?

    <p>The therapeutic alliance and clinical effectiveness of therapy conducted solely via video link.</p> Signup and view all the answers

    Study Notes

    Technology in Counselling and Psychotherapy

    • A practitioner's guide, written by Stephen Goss and Kate Anthony.
    • The book is published by Palgrave Macmillan.
    • Page 91

    Telephone counselling and psychotherapy in practice

    • Maxine Rosenfield is the author.

    • Page 93

    • History of telephone therapy, including practitioners initially considering telephone therapy not 'real' therapy as recently as 1997.

    • Telephone therapy has been used for crisis support for over 40 years.

    • Practitioners have considered issues like: client receiving help, building relationships, privacy, and payment.

    • Telephone therapy as ongoing, contracted relationship between practitioner and client.

    • All sessions occur by phone without face-to-face contact.

    • Many people have access to telephones and value the safety and confidentiality.

    • Counselling services using telephone received an average of one call every two seconds, every minute of every day for a 12-month period.

    • Reasons a client might choose telephone therapy:

    • Vulnerability/feeling vulnerable (e.g., rape victim)

    • Mobility issues

    • Need for specific type of client/practitioner

    • Rural location

    • Avoiding face-to-face meetings.

    • Suitable therapy styles include cognitive-behaviorist, and person-centered.

    • Techniques like Gestalt therapy are not suitable for telephone therapy.

    • Considerations for practitioners during telephone therapy:

    • Vocal communication.

    • Nonverbal cues in voice tone, speech patterns and pauses.

    • Verbal pauses and silences

    • Client's experience of phone therapy.

    • Use of accents

    Assessment Session

    • During an assessment session, participants agree on session frequency and lengths.
    • Payment terms must be negotiated.
    • Confidentiality must be agreed upon.
    • The need to provide client comfort is acknowledged.
    • Consideration of working with time zones.

    Frequency and duration of sessions

    • The frequency and duration should be planned in the assessment stage, ideally a minimum of six sessions over a set period.
    • Set clear boundaries like session length and frequency to ensure both parties have clear expectations.

    Trust

    • Building trust is essential in telephone counselling.
    • Encouraging client's comfort level about the telephone, especially with potentially sensitive issues.
    • Ensuring clear telephone etiquette for calling and response procedures.

    Control and empowerment

    • Clients can end a session with no negative repercussions to their therapy experience.
    • Important to discuss expectations for both therapist and client for continuity and reassurance.

    Group Work

    • Suitable for short-term process work.
    • Effective for clients who find in-person group work challenging.
    • Suitable for clients geographically isolated, disabled, etc.
    • Ensure that clients are able to join and participate from their location.

    When therapy by telephone is not suitable

    • Considerations for circumstances that make telephone therapy unsuitable for clients and practitioners: lack of articulateness via telephone, or strong accents, or hearing impairment or inability to use video/audio, etc.
    • Clients and therapists may prefer face-to-face sessions, for example, if they feel uncomfortable in the telephone based setting.

    Case Study One (Narelle)

    • Narelle is an actor with relationship issues.
    • She initially perceived telephone therapy as an 'ideal' lifestyle option.
    • Issues she discusses in therapy were related to her partner and difficulties with social interactions.

    Case Study Two (Dorothea)

    • Dorothea is a 40-year-old mother with significant learning disability child and chronic pain related to her husband.
    • She found it difficult to communicate clearly on telephone therapy.
    • Issues in therapy centered on her relationship with her husband, loss of independence, and difficulty with everyday tasks.

    Video counselling and psychotherapy in practice

    • Susan Simpson is the author.

    The development of videoconferencing in telehealth and Psychotherapy

    • Videoconferencing has been used commercially and in medicine for 40 years.
    • Videoconferencing is used for telemedicine, commercial uses, educational settings and is becoming more accessible to individuals and developing countries.
    • Videoconferencing is gaining traction for therapy.

    Client satisfaction

    • Video therapy is preferred or considered equivalent to face-to-face sessions by clients.
    • Client satisfaction regarding videoconferencing has been positive.
    • Clients value the anonymity and privacy of video therapy.
    • Video therapy is a solution with equal value for clients with complex needs as well as simplifying issues for less confident or socially anxious individuals.

    Therapist Satisfaction

    • Therapists find video therapy to be as effective as traditional methods.
    • Adjustments are needed in communication.
    • Comfort levels are reported to be maintained through adjustments to the sessions.
    • Therapists may be relieved to find that they can still utilize their standard techniques and need to learn more adjustments.

    Videoconferencing versus telephone, therapy

    • No single approach is necessarily better than another.
    • Considerations for client traits and preferences.
    • Therapist preference for therapy techniques.

    Clinical efficacy

    • Video therapy has been shown to be as effective as face-to-face sessions.
    • More research and trials are required to determine efficacy in comparison and/or contrast with face-to-face.

    Therapeutic process issues

    • Video therapy processes and rapport building are similar to traditional face-to-face sessions,
    • Important to consider and assess client and therapist comfort levels in this new setting.
    • Therapy boundaries need to be made clear.
    • It is beneficial for therapists to be familiar and comfortable with the equipment in use and the technological aspects of telehealth and psychotherapy.
    • Consult local/national health professionals

    Recommendations

    • Therapists to maintain close contact between sessions and to have support available in case of issues.
    • Pre-therapy information sheets should provide essential context about how video therapy works.
    • Practitioners should be familiar with communication etiquette to maintain flow of conversation.
    • Technical adjustments may need to be considered for efficient and safe practice and implementation.

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    Technology in Counselling and Psychotherapy PDF

    Description

    Explore the evolution and practice of telephone counselling and psychotherapy as discussed in Stephen Goss and Kate Anthony's work. This quiz delves into the history, benefits, and challenges of using telephone therapy, highlighting its significance in crisis support and client-practitioner relationships.

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