Managing the therapeutic relationship in online cognitive behavioural therapy for depression: Therapists' treatment of clients' contributions

Stuart J Ekberg, Rebecca K Barnes, David S Kessler, Alice Malpass, Ali R G Shaw

Research output: Contribution to journalArticle (Academic Journal)peer-review

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Abstract

This article examines how therapists and clients manage the therapeutic relationship in online psychotherapy. Our study focuses on early sessions of therapy involving 22 therapist-client pairs participating in online Cognitive Behavioural Therapy (CBT) for depression. Using Conversation Analysis (CA), we describe two practices that therapists can use, at their discretion, following clients’ responses to requests for information. The first, thanking, accepts clients’ responses, orienting to the neutral affective valence of those responses. The second, commiseration, orients to the negative affective valence of clients’ responses. We argue that both practices are a means by which therapists can simultaneously manage developing rapport, while also retaining control of the therapeutic process.
Original languageEnglish
Article number4
Number of pages18
JournalLanguage@Internet
Volume10
Publication statusPublished - 2013

Keywords

  • Conversation Analysis
  • Depression
  • CBT

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