New Avenues to Facilitate Engagement in Psychotherapy: The Use of Videoconferencing and Text-Chat in a Severe Case of Obsessive-compulsive Disorder

Client engagement is a necessary component of psychotherapy, but it can be challenging to foster in clients with severe and complex problems. Telehealth technology influences the clinical dyad in unique ways and offers new opportunities for approaching the challenge of client engagement. In this art...

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Main Authors: Stubbings, D., Rees, Clare, Roberts, Lynne
Format: Journal Article
Published: John Wiley and Sons Ltd 2015
Online Access:http://hdl.handle.net/20.500.11937/20386
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author Stubbings, D.
Rees, Clare
Roberts, Lynne
author_facet Stubbings, D.
Rees, Clare
Roberts, Lynne
author_sort Stubbings, D.
building Curtin Institutional Repository
collection Online Access
description Client engagement is a necessary component of psychotherapy, but it can be challenging to foster in clients with severe and complex problems. Telehealth technology influences the clinical dyad in unique ways and offers new opportunities for approaching the challenge of client engagement. In this article, we present a qualitative case study of a client with severe and complex obsessive-compulsive disorder (OCD) who received 40 sessions of cognitive-behavioural-based psychotherapy administered through a mix of videoconference and text-chat. The results suggest that telehealth technology may have facilitated client engagement by helping to reduce interpersonal anxiety, thus allowing the client to continue disclosing and discussing issues that were espoused in shame, guilt, and embarrassment.
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publishDate 2015
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spelling curtin-20.500.11937-203862020-07-22T08:25:07Z New Avenues to Facilitate Engagement in Psychotherapy: The Use of Videoconferencing and Text-Chat in a Severe Case of Obsessive-compulsive Disorder Stubbings, D. Rees, Clare Roberts, Lynne Client engagement is a necessary component of psychotherapy, but it can be challenging to foster in clients with severe and complex problems. Telehealth technology influences the clinical dyad in unique ways and offers new opportunities for approaching the challenge of client engagement. In this article, we present a qualitative case study of a client with severe and complex obsessive-compulsive disorder (OCD) who received 40 sessions of cognitive-behavioural-based psychotherapy administered through a mix of videoconference and text-chat. The results suggest that telehealth technology may have facilitated client engagement by helping to reduce interpersonal anxiety, thus allowing the client to continue disclosing and discussing issues that were espoused in shame, guilt, and embarrassment. 2015 Journal Article http://hdl.handle.net/20.500.11937/20386 10.1111/ap.12111 John Wiley and Sons Ltd restricted
spellingShingle Stubbings, D.
Rees, Clare
Roberts, Lynne
New Avenues to Facilitate Engagement in Psychotherapy: The Use of Videoconferencing and Text-Chat in a Severe Case of Obsessive-compulsive Disorder
title New Avenues to Facilitate Engagement in Psychotherapy: The Use of Videoconferencing and Text-Chat in a Severe Case of Obsessive-compulsive Disorder
title_full New Avenues to Facilitate Engagement in Psychotherapy: The Use of Videoconferencing and Text-Chat in a Severe Case of Obsessive-compulsive Disorder
title_fullStr New Avenues to Facilitate Engagement in Psychotherapy: The Use of Videoconferencing and Text-Chat in a Severe Case of Obsessive-compulsive Disorder
title_full_unstemmed New Avenues to Facilitate Engagement in Psychotherapy: The Use of Videoconferencing and Text-Chat in a Severe Case of Obsessive-compulsive Disorder
title_short New Avenues to Facilitate Engagement in Psychotherapy: The Use of Videoconferencing and Text-Chat in a Severe Case of Obsessive-compulsive Disorder
title_sort new avenues to facilitate engagement in psychotherapy: the use of videoconferencing and text-chat in a severe case of obsessive-compulsive disorder
url http://hdl.handle.net/20.500.11937/20386