Psychotherapy Online Research

More on the Lancet study of psychotherapy online, from Brainblogger.

Logging On for Psychotherapy | Brain Blogger:

A recent issue of The Lancet reports that real-time online cognitive behavioral therapy (CBT) is effective in treating patients with depression. The study evaluated nearly 300 patients from 55 general practice clinics across the United Kingdom who had a diagnosis of depression. The patients were randomly assigned to either receive online CBT in addition to their usual care from the general practitioner, or be placed on an 8-month waiting list for CBT while still receiving their usual care. At the 4-month follow-up, 38% of the CBT group had recovered from their depression, compared to only 24% in the control group. After 8 months, 42% of the patients receiving CBT had recovered, compared to 26% in the control group.

In the comments I wrote:

Good to see the research. While there may not be such easy to collate evidence for depth psychology and psychotherapy using the online therapeutic relationship as the main focus of the work, from my practice in this field it can be done. The use of imagination is enhanced while writing, hence often the book is better than the film.

Psychological Immunity

Post on PsyBlog.  Interesting to call it the psychological immune system.  I have always called them “coping mechanisms” and we need them. But because they are unconscious, it is useful to monitor them consciously, especially when they are old and out of date, like coping by over-eating, or coping by over-working. 

The unconscious is wise.  The unconscious is stupid.

The Psychological Immune System | PsyBlog:

The very fact that we don’t seem to notice our psychological immune system is probably the only reason it works at all. After all, in order to feel better we have to conveniently forget some important facts, such as how much we wanted the job we didn’t get, loved the partner who walked out or were enjoying the ice cream we just dropped.

Interestingly the point I am making in this comment is made very well by the image used in the original. We could be walking around like this – long after the air is clean.

The use of Technology in Supervision

Amazon

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New Chapter on Technology in Supervision!

Authored by DeeAnna Nagel, Stephen Goss and Kate Anthony, a new chapter called “The Use of Technology in Supervision” has just been published under the section heading “Emerging and Specialist Issues” in “The Clinical Practice of Supervision”, edited by Pelling, Barletta and Armstrong, published by Australian Academic Press (2009).

Continue reading “The use of Technology in Supervision”

How to create a socially mediated TV Channel on Twitter #waltzzzTV

I had a good TV night last night as I used my Twitter list’s recommendations to watch YouTube & other videos. Today at lunch we were discussing how to consciously optimise that experience. How to create list of tweets with TV links that would make good watching.

Thoughts on that question follow.

Continue reading “How to create a socially mediated TV Channel on Twitter #waltzzzTV”

Therapy – can you trust it?

http://www.rnw.nl/english/article/therapy-web-effective-beware

Online psychotherapy works. Sessions conducted between patient and therapist via the internet can be just as effective as face-to-face treatment. But it’s not for everyone and,
because there’s lots of money to be made, it’s difficult to be sure about the quality of what’s being offered.

Its not the money really, it is the fact that the net is unregulated. There is no clear jurisdiction. However the problem is almost the same off-line. There are all sorts of healers who do not fall under any professional body. It is a case of buyer be ware.

The problem is that even registrations do no not really ensure just how good the therapy will be.

Seven tips for choosing or sticking with a therapist

  1. Check out any therapist online. Google them.
  2. Check an online therapists claims by contacting their professional body.
  3. Talk about your therapy with others. (Don’t trust a therapist wo suggests you do not talk about it with others)
  4. Have a session with another therapist if you have doubts about your current therapist.
  5. Trust your instinct.
  6. Be wary of “special relationships” where usual boundaries don’t count.
  7. Be alert about any therapist who focuses on their own story or their own needs.