Managing the therapeutic relationship in online cognitive behavioural therapy for depression: Therapists' treatment of clients' contributions

Ekberg, Stuart, Barnes, Rebecca, Kessler, David, Malpass, Alice, & Shaw, Alison (2013) Managing the therapeutic relationship in online cognitive behavioural therapy for depression: Therapists' treatment of clients' contributions. Language@Internet, 10.

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This article examines how therapists and clients manage the therapeutic relationship in online psychotherapy. Our study focuses on early sessions of therapy involving 22 therapist-client pairs participating in online Cognitive Behavioural Therapy (CBT) for depression. Using Conversation Analysis (CA), we examine how therapists can orient to clients’ contributions, while also retaining control of the therapeutic trajectory. We report two practices that therapists can use, at their discretion, following clients’ responses to requests for information. The first, thanking, accepts clients’ responses, orienting to the neutral affective valence of those responses. The second, commiseration, orients to the negative affective valence of clients’ responses. We argue that both practices are a means by which therapists can simultaneously manage developing rapport, while also retaining control of the therapeutic process.

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ID Code: 59061
Item Type: Journal Article
Refereed: Yes
Keywords: Online psychotherapy, Cognitive Behavioural Therapy (CBT), Conversation Analysis (CA), Therapeutic relationship, Affective valence
ISSN: 1860-2029
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2013 (please consult the author).
Deposited On: 12 Apr 2013 07:29
Last Modified: 22 Jan 2014 04:18

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