https://doi.org/10.4081/ripppo.2021.514
Psychotherapists’ perception of their clinical skills and in-session feelings in live therapy versus online therapy during the COVID-19 pandemic: a pilot study
Submitted: December 17, 2020
Accepted: March 7, 2021
Published: April 15, 2021
Accepted: March 7, 2021
Abstract Views: 10285
PDF: 1168
HTML: 49
HTML: 49
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
During the coronavirus disease 2019 (COVID-19) pandemic, many psychotherapists who were used to seeing their patients in face-toface setting adapted to providing therapies online. In the present pilot study, we investigated therapist current experiences of online therapy compared to live therapy. Twenty-nine therapists completed Clinical Skills, Difficulties in Practice, and in-sessions feelings of Flow, Boredom and Anxiety of the Trainee Current Progress Report, giving a score for each item in two different conditions: Live Therapy and Online Therapy. Compared to Live Therapy, in Online Therapy therapists reported significantly less Clinical Skills, whereas Difficulties in Practice did not differ in the considered conditions. With regard to in-sessions feeling, therapists reported significantly lower scores of Boring and higher scores of Flow in Live Therapy compared to Online Therapy, whereas Anxiety did not differed in the considered conditions.
Backhaus, A., Agha, Z., Maglione, M.L., Repp, A., Ross, B., Zuest, D., Rice-Thorp, N.M., Lohr, J. & Thorp, S.R., 2012. Videoconferencing psychotherapy: a systematic review. Psychological services, 9(2), 111.
DOI: https://doi.org/10.1037/a0027924
Baldwin, S. A., & Imel, Z. E. (2013). Therapist effects: Findings and methods. In Lambert, M.J. (Eds.), Bergin and Garfield’s handbook of psychotherapy and behavior change, 6 (pp. 258-297). Hoboken, NJ: John Wiley & Sons.
Cipolletta, S., Frassoni, E., & Faccio, E. (2018). Construing a therapeutic relationship online: An analysis of videoconference sessions. Clinical Psychologist, 22(2), 220-229.
DOI: https://doi.org/10.1111/cp.12117
Cipolletta, S., & Mocellin, D. (2018). Online counseling: An exploratory survey of Italian psychologists’ attitudes towards new ways of interaction. Psychotherapy Research, 28(6), 909-924.
DOI: https://doi.org/10.1080/10503307.2016.1259533
Cohen, G. E., & Kerr, B. A. (1999). Computer-mediated counseling: An empirical study of a new mental health treatment. Computers in Human Services, 15(4), 13-26.
DOI: https://doi.org/10.1300/J407v15n04_02
Cook, J. E., & Doyle, C. (2002). Working alliance in online therapy as compared to face-to-face therapy: Preliminary results. CyberPsychology & Behavior, 5(2), 95-105.
DOI: https://doi.org/10.1089/109493102753770480
de Bitencourt Machado, D., Braga Laskoski, P., Trelles Severo, C., Margareth Bassols, A., Sfoggia, A., Kowacs, C., Valle Krieger, D., Benetti Torres, M., Bento Gastaud, M., Stella Wellausen, R., & Laks Eizirik, C. (2016). A psychodynamic perspective on a systematic review of online psychotherapy for adults. British Journal of Psychotherapy, 32(1), 79-108.
DOI: https://doi.org/10.1111/bjp.12204
Fletcher-Tomenius, L., & Vossler, A. (2009). Trust in online therapeutic relationships: The therapist’s experience. Counselling Psychology Review, 24(2), 24-34.
Heinonen, E., Knekt, P., Jääskeläinen, T., & Lindfors, O. (2014). Therapists’ professional and personal characteristics as predictors of outcome in long-term psychodynamic psychotherapy and psychoanalysis. European Psychiatry, 29, 265-274.
DOI: https://doi.org/10.1016/j.eurpsy.2013.07.002
Heinonen, E., Lindfors, O., Laaksonen, M. A., & Knekt, P. (2012). Therapists’ professional and personal characteristics as predictors of outcome in short- and long-term psychotherapy. Journal of Affective Disorders, 138, 301-31
DOI: https://doi.org/10.1016/j.jad.2012.01.023
Klein, B., & Richards, J. C. (2001). A brief Internet-based treatment for panic disorder. Behavioural and Cognitive Psychotherapy, 29(1), 113.
DOI: https://doi.org/10.1017/S1352465801001138
LaFleur, B. J., & Greevy, R. A. (2009). Introduction to permutation and resampling-based hypothesis tests. Journal of Clinical Child & Adolescent Psychology, 38(2), 286-294.
DOI: https://doi.org/10.1080/15374410902740411
Lange, A., van de Ven, J. P., Schrieken, B., & Emmelkamp, P. M. (2001). Interapy. Treatment of posttraumatic stress through the Internet: a controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 32(2), 73-90.
Lange, A., Ven, J. Q. V. D., Schrieken, B. A. L., Bredeweg, B., & Emmelkamp, P. M. G. (2000). Internet-mediated, protocol-driven treatment of psychological dysfunction. Journal of Telemedicine and Telecare, 6(1), 15-21.
DOI: https://doi.org/10.1258/1357633001933880
Messina, I., Gelo, O. C., Sambin, M., Bianco, F., Mosconi, A., Fenelli, A., Curto, M., Gullo, S. & Orlinsky, D. (2017). Trainees’ self‐evaluation of their development as psychotherapists: An Italian contribution to an international collaborative study on psychotherapy training. Clinical Psychology & Psychotherapy, 25(2), 338-347.
DOI: https://doi.org/10.1002/cpp.2165
Messina, I., Gullo, S., Gelo, O. C. G., Giordano, C., & Salcuni, S. (2019). An overview of the Italian contribution to the international multisite SPRISTAD study on psychotherapy training. Research in Psychotherapy: Psychopathology, Process, and Outcome, 22(3).
Orlinsky, D. E., Ambühl, H., Rønnestad, M., Davis, J., Gerin, P., Davis, M., Willutzki, U., Botermans, J.F., Dazord, A., Cierpka, M., & Aapro, N. (1999). Development of psychotherapists: Concepts, questions, and methods of a collaborative international study. Psychotherapy Research, 9(2), 127-153.
DOI: https://doi.org/10.1093/ptr/9.2.127
Orlinsky, D. E., Botermans, J. F., & Rønnestad, M. H. (2001). Towards an empirically grounded model of psychotherapy training: Four thousand therapists rate influences on their development. Australian Psychologist, 36(2), 139-148.
DOI: https://doi.org/10.1080/00050060108259646
Orlinsky, D. E., Norcross, J. C., Rønnestad, M. H., & Wiseman, H. (2005). Outcomes and impacts of psychotherapists’ personal therapy: A research review. In J. D. Geller, J. C. Norcross, & D. E. Orlinsky (Eds.), The psychotherapist’s own psychotherapy: Patient and clinician perspectives (pp. 214-230). New York: Oxford University Press.
Orlinsky, D. E., & Rønnestad, M. H. (2005). How psychotherapists develop: A study of therapeutic work and professional growth. Washington, DC: American Psychological Association.
Orlinsky, D. E., Rønnestad, M. H., Ambühl, H., Willutzki, U., Botermans, J. F., Cierpka, M., Davis, J., & Davis, M. (1999). Psychotherapists’ assessments of their development at different career levels. Psychotherapy: Theory, Research, Practice, Training, 36(3), 203.
DOI: https://doi.org/10.1037/h0087772
Orlinsky, D. E., Rønnestad, M. H., &Willutzki, U. (2010). The SPR collaborative research program on the development of psychotherapists. In J. Norcross, (Ed.), History of psychology: A century of change, 2nd edition. Washington, DC: American Psychological Association.
Orlinsky, D. E., Strauss, B., Rønnestad, M. H., Hill, C., Castonguay, L., Willutzki, U., & Carlsson, J. (2015). A collaborative study of development in psychotherapy trainees. Psychotherapy Bulletin, 50(4), 21-25.
Pesarin, F., & Salmaso, L. (2010). Permutation tests for complex data: theory, applications and software. New York, NY: John Wiley & Sons.
DOI: https://doi.org/10.1002/9780470689516
Poletti, B., Tagini, S., Brugnera, A., Parolin, L., Pievani, L., Ferrucci, R., Compare, A., & Silani, V. (2020). Telepsychotherapy: a leaflet for psychotherapists in the age of COVID-19. A review of the evidence. Counselling Psychology Quarterly, 1-16.
Reynolds Jr, D. A. J., Stiles, W. B., Bailer, A. J., & Hughes, M. R. (2013). Impact of exchanges and client-therapist alliance in online-text psychotherapy. Cyberpsychology, Behavior, and Social Networking, 16(5), 370-377.
DOI: https://doi.org/10.1089/cyber.2012.0195
Rochlen, A. B., Zack, J. S., & Speyer, C. (2004). Online therapy: Review of relevant definitions, debates, and current empirical support. Journal of Clinical Psychology, 60(3), 269-283.
DOI: https://doi.org/10.1002/jclp.10263
Rønnestad, M. H., & Orlinsky, D. E. (2005). Clinical implications: Training, supervision, and practice. In D. E. Orlinsky & M. H. Rønnestad, (Eds.), How psychotherapists develop (op. cit., pp. 189-192). Washington, DC: American Psychological Association.
Rønnestad, M. H., Orlinsky, D. E., & Wiseman, H. (2016). Professional development and personal therapy. In Norcross, J.C., VandenBos, G.R., Freedheim, D. K., & Campbell, L.F. (Eds.), Handbook of clinical psychology, 5: Development the psychologist. Washington, DC: American Psychological Association.
Rønnestad, M. H., & Skovholt, T. M. (1993). Supervision of beginning and advanced graduate students of counseling and psychotherapy. Journal of Counseling & Development, 71(4), 396-405.
DOI: https://doi.org/10.1002/j.1556-6676.1993.tb02655.x
Rønnestad, M. H., & Skovholt, T. M. (2003). The journey of the counselor and therapist: Research findings and perspectives on professional development. Journal of Career Development, 30(1), 5-44.
DOI: https://doi.org/10.1177/089484530303000102
Roos, J., & Werbart, A. (2013). Therapist and relationship factors influencing dropout from individual psychotherapy: A literature review. Psychotherapy Research, 23(4), 394-418.
DOI: https://doi.org/10.1080/10503307.2013.775528
Simpson, S. (2009). Psychotherapy via videoconferencing: A review. British Journal of Guidance & Counselling, 37(3), 271-286.
DOI: https://doi.org/10.1080/03069880902957007
Stofle, G. S. (2001). Choosing an online therapist: A step-by-step guide to finding professional help on the web. White Hat Communications. Retrieved from: provide link REMOVE THIS REFERENCE
Sucala, M., Schnur, J. B., Constantino, M. J., Miller, S. J., Brackman, E. H., & Montgomery, G. H. (2012). The therapeutic relationship in e-therapy for mental health: a systematic review. Journal of Medical Internet Research, 14(4), e110.
DOI: https://doi.org/10.2196/jmir.2084
van der Vaart , R., Witting, M., Riper, H., Kooistra, L., Bohlmeijer, E. T., & van Gemert-Pijnen, L. J. (2014). Blending online therapy into regular face-to-face therapy for depression: content, ratio and preconditions according to patients and therapists using a Delphi study. BMC Psychiatry, 14(1), 355.
DOI: https://doi.org/10.1186/s12888-014-0355-z
Williams, R., Bambling, M., King, R., & Abbott, Q. (2009). In‐session processes in online counselling with young people: An exploratory approach. Counselling and Psychotherapy Research, 9(2), 93-100.
DOI: https://doi.org/10.1080/14733140802490606
How to Cite
Messina, I., & Löffler-Stastka, H. . (2021). Psychotherapists’ perception of their clinical skills and in-session feelings in live therapy <em>versus</em> online therapy during the COVID-19 pandemic: a pilot study. Research in Psychotherapy: Psychopathology, Process and Outcome, 24(1). https://doi.org/10.4081/ripppo.2021.514
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Federica Bonazza, Lidia Borghi, Eugenia Cao di San Marco, Kyrie Piscopo, Francesca Bai, Antonella d’Arminio Monforte, Elena Vegni, Psychological outcomes after hospitalization for COVID-19: data from a multidisciplinary follow-up screening program for recovered patients , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 23 No. 3 (2020)
- Fabiola Bizzi, Francesca Locati, Laura Parolin, Shmueli Goetz Yael, Emanuela Brusadelli, Advancement in the child attachment interview and the child and adolescent reflective functioning scale using a PDM-2 framework: case reports , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 25 No. 1 (2022)
- Sarah Abraham, Elisabeth Edginton, David Cottrell, Sandy Tubeuf, Measuring health-related quality of life measures in children: lessons from a pilot study , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 25 No. 1 (2022)
- Irene Messina, Salvatore Gullo, Omar Carlo Gioacchino Gelo, Cecilia Giordano, Silvia Salcuni, An overview of the Italian contribution to the international multisite SPRISTAD study on psychotherapy training , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 22 No. 3 (2019)
- Paolo Migone, The influence of pharmaceutical companies , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 20 No. 2 (2017)
- Wilma Bucci, The Referential Process as a Common Factor Across Treatment Modalities , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 16 No. 1 (2013)
- Rachele Mariani, Alessandra De Coro, Study of a Short-term Treatment by Referential Activity Linguistic Measures , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 16 No. 1 (2013)
- Jeremy Jinkerson, Audrey Masilla, Raymond C. Hawkins, Can MBTI Dimensions Predict Therapy Outcome: Differences in the Thinking-Feeling Function Pair in CBT , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 18 No. 1 (2015)
- Stefania Cristofanelli, Omar Fassio, Laura Ferro, Alessandro Zennaro, Aspetti relazionali ed organizzativi delle comunità terapeutiche per adolescenti quali fattori di trattamento: validazione di uno strumento , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 12 No. 1-2 (2009)
- Alessandro Ridolfi, Psychological interventions in the Italian national health system: appropriateness and accountability , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 27 No. 2 (2024)
<< < 12 13 14 15 16 17 18 19 20 21 > >>
You may also start an advanced similarity search for this article.
