University of Twente Student Theses
Exploring the Dynamics of Establishing Therapeutic Alliances in Online Therapy : a Systematic Literature Review
Queins, M.C.M. (2024) Exploring the Dynamics of Establishing Therapeutic Alliances in Online Therapy : a Systematic Literature Review.
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| Abstract: | Introduction: The COVID-19 pandemic necessitated a rapid shift to online therapy, highlighting the need for Online Therapy (OT) and requiring quick adaptation from therapists and clients. Despite evidence supporting OT's efficacy, concerns persist about establishing a Therapeutic Alliance (TA) in OT. This review synthesizes literature on factors perceived by clients and therapists as crucial for establishing TA in OT. Methods: A systematic literature review was conducted. Of 74 articles screened, nine met the eligibility criteria, including 214 participants. Results: Six key factors were identified: anonymity and confidentiality, client control, effective communication, cultural sensitivity and adaptability, trust, and therapist confidence. Anonymity and confidentiality enable open discussion of sensitive topics. Client control enhances collaboration during sessions. Digital tools, like text-based strategies and multimedia elements, enrich interactions. Trust fosters honest dialogue and client empowerment. Cultural sensitivity enhances TA by adapting to client backgrounds. Therapists' confidence in technical and communication skills is crucial, despite their lower confidence in forming strong TA compared to face-to-face therapy. Discussion The review identified factors collectively shaping TA in OT, fostering a supportive therapeutic environment. It highlights practical strategies for optimizing TA in virtual settings by considering different forms of OT. Future research should refine these factors to enhance therapeutic outcomes and address the evolving landscape of digital mental health interventions. |
| Item Type: | Essay (Master) |
| Faculty: | BMS: Behavioural, Management and Social Sciences |
| Subject: | 77 psychology |
| Programme: | Psychology MSc (66604) |
| Link to this item: | https://purl.utwente.nl/essays/101742 |
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