BackgroundThe Internet has the potential to help young people by reducing the stigma associated with mental health and enabling young people to access services and professionals which they may not otherwise access. Online support can empower young people, help them develop new online friendships, share personal experiences, communicate with others who understand, provide information and emotional support, and most importantly help them feel less alone and normalize their experiences in the world.ObjectiveThe aim of the research was to gain an understanding of how young people use an online forum for emotional and mental health issues. Specifically, the project examined what young people discuss and how they seek support on the forum (objective 1). Furthermore, it looked at how the young service users responded to posts to gain an understanding of how young people provided each other with peer-to-peer support (objective 2).MethodsKooth is an online counseling service for young people aged 11-25 years and experiencing emotional and mental health problems. It is based in the United Kingdom and provides support that is anonymous, confidential, and free at the point of delivery. Kooth provided the researchers with all the online forum posts between a 2-year period, which resulted in a dataset of 622 initial posts and 3657 initial posts with responses. Thematic analysis was employed to elicit key themes from the dataset.ResultsThe findings support the literature that online forums provide young people with both informational and emotional support around a wide array of topics. The findings from this large dataset also reveal that this informational or emotional support can be viewed as directive or nondirective. The nondirective approach refers to when young people provide others with support by sharing their own experiences. These posts do not include explicit advice to act in a particular way, but the sharing process is hoped to be of use to the poster. The directive approach, in contrast, involves individuals making an explicit suggestion of what they believe the poster should do.ConclusionsThis study adds to the research exploring what young people discuss within online forums and provides insights into how these communications take place. Furthermore, it highlights the challenge that organizations may encounter in mediating support that is multidimensional in nature (informational-emotional, directive-nondirective).

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Objective. This study aims to explore the experience of childless men and the desire for fatherhood. Background. There is little research exploring the desire for fatherhood, with most studies concentrating on couples in infertility treatment. Of those, the majority focus on the women's experience, a factor that may reflect the gender stereotype and cultural identification of childlessness to women. Methods. A qualitative approach was adopted. A convenience sample of 10 biologically childless men were recruited through the snowball method and interviewed individually. The interviews were transcribed verbatim and transcripts were then analysed using Grounded Theory. Results. A core category, 'Lifescape's of childless men: enduring anticipation and expectation in an uncharted world', divided into three meta themes: Emotive Forces, Extant Agency, and Life Course. The desire for parenthood appeared to peak in the 30s, gradually reduced, but did not cease. The participants also revealed a sense of 'outsiderness' in familial, social, and work relationships. Conclusion. Involuntarily childless men reported similar experiences to those in, or who have had, infertility treatment. These included a sense of loss, depression, exclusion, isolation, and risk-taking behaviour. Over the life course the men also found ways to adapt and reappraise their beliefs concerning themselves emotionally, psychologically and socially. To help understand this process, gender-role therapy is presented as a possible approach for working with childless men.

Aims: The therapeutic alliance is a concept that has received a great deal of attention within face‐to‐face counselling. Furthermore, links have been made between the creation of strong alliances and successful therapeutic outcomes. This study examines the therapeutic alliance when counselling services are offered online to young people. Method: Fifteen young people took part in online interviews (utilising synchronous and asynchronous methods), and Grounded Theory techniques were utilised to analyse the data. Findings: A core category of ‘Client‐Service Match’ and three subcategories pertinent to the individuals’ experiences of creating good quality relationships with the counsellors were identified: (1) initial engagement, (2) developing rapport, and (3) establishing control. Discussion: The themes elicited are all relevant to the matching process and viewed as a chronological process similar to face‐to‐face counselling. However, unlike face‐to‐face work, specific nuances related to the online work arise that counsellors should be mindful of, including the rationale behind each individual's choice to approach services online, their own computer‐mediated communication skills, technical hurdles, and the perceived ‘power’ of the counsellor.