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Videoconferencing versus face‐to‐face psychotherapy: Insights from patients and psychotherapists about comparability of therapeutic alliance, empathy and treatment characteristics
Author(s) -
Leuchtenberg Sophie,
Gromer Daniel,
Käthner Ivo
Publication year - 2023
Publication title -
counselling and psychotherapy research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 32
eISSN - 1746-1405
pISSN - 1473-3145
DOI - 10.1002/capr.12538
Subject(s) - empathy , alliance , psychology , psychotherapist , comparability , therapeutic relationship , videoconferencing , clinical psychology , psychiatry , telecommunications , mathematics , combinatorics , political science , computer science , law
Objective Videoconferencing psychotherapy (VCT) is an effective treatment option. Yet, it is unclear whether a similar therapeutic alliance as in conventional face‐to‐face psychotherapy (F2F) can be achieved, since previous studies yielded mixed results. Furthermore, surveys about the attitudes towards VCT amongst patients have been missing until now. The current study gathered opinions from patients and psychotherapists about the perceived comparability of VCT and F2F regarding contextual factors and treatment characteristics, focusing on therapeutic alliance and empathy. Method An online survey amongst patients ( N = 189) and practitioners ( N = 57) taking part in cognitive behavioural therapy was conducted after the first lockdown in Germany due to the COVID‐19 pandemic and a resulting transition from F2F to VCT for most participants. Results While patients experienced therapeutic alliance and empathy as comparable, psychotherapists indicated advantages of F2F. Both groups indicated advantages of F2F for the therapy contents and expressed advantages of VCT for flexibility regarding location and time. More than half of the participants expressed a preference for a combination of analogue and digital therapy. Conclusion The perceived disadvantages of VCT can be addressed, for example, with training programmes for psychotherapists targeting communication in VCT and adapting established psychotherapy methods to a digital format to further improve VCT.