(Inter) personal Computing: The Role of the Therapeutic Relationship in E-mental Health
(Inter) personal Computing: The Role of the Therapeutic Relationship in E-mental Health
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DOI：
10.1007/s10879-013-9242-z
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发表时间：
2013-12-01
影响因子：
2
通讯作者：
Millings, Abigail
中科院分区：
文献类型：
--
作者：
Cavanagh, Kate;Millings, Abigail
电子精神卫生技术正在迅速扩大地球仪的心理干预范围。越来越多的证据支持这些新技术对心理和行为健康的潜在益处。迄今为止，大多数证据都集中在评估这种干预措施的可行性和结果，而有限的研究已经开始探索与其影响相关的变化过程。在传统的心理治疗中，共同因素的质量，包括治疗关系，被广泛认为是参与和结果的重要因素。电子心理健康干预措施对这些因素的重要性提出了挑战，因为在完全自动化的电子心理健康方案中，治疗互动通常是遥远的、有限的，甚至是不存在的。本文探讨了治疗关系在心理健康中的作用。在测量的情况下，似乎这种关系对距离和有限的接触相当稳健，但与传统疗法相比，与治疗结果的关系可能不那么密切。在干预包括很少或没有治疗接触的情况下，我们探讨了参与和结果的一些差异如何仍然可以通过支持框架或嵌入技术本身提供的共同和相关因素来解释。理论，研究和实践的影响。
E-mental health technologies are rapidly expanding the reach of psychological interventions around the globe. There is a growing evidence base supporting the potential benefits of these new technologies for psychological and behavioural health. Most of this evidence to date has focused on evaluating the feasibility and outcomes from such interventions, whilst limited research has begun to explore the change processes associated with their impact. In traditional psychological therapies the quality of common factors, including the therapeutic relationship, are widely held to be important for engagement and outcomes. E-mental health interventions present a challenge to the importance of these factors, as therapeutic interactions are typically remote, limited, or even absent in the case of fully automated e-mental health programmes. This paper explores the role of the therapeutic relationship in e-mental health. Where measured, it appears that the relationship is fairly robust to distance and limited contact, but may be less intimately associated with therapy outcomes than in traditional therapies. Where the intervention comprises little or no therapeutic contact, we explore how some of the variance in engagement and outcomes may still be accounted for by common and relational factors offered through a supportive frame or embedded within the technologies themselves. Implications for theory, research and practice are presented.