Extending client-centered support: counselors' proposals to shift from e-mail to telephone counseling

Abstract

The availability and use of online counseling approaches has increased rapidly

Orienting to Emotion in Computer-Mediated Cognitive Behavioral Therapy

“…Therapists are not subject to this constraint in computermediated text-based modalities like the one described here, where they privately compose complete posts before making them available to their clients. 4 The composition of turns containing multiple actions that would ordinarily be accomplished across multiple turns in talkin-interaction is a structural affordance that appears to be routinely exploited in computermediated interaction (Ekberg et al, 2013;Harris et al, 2012).…”

“…The current study contributes to a small body of research exploring computermediated counselling and psychotherapy services (Danby, Butler, & Emmison, 2009;Harris et al, 2012;Stommel, 2012;Stommel & van der Houwen, 2014) and the use of quasi-synchronous text-based modalities to provide such services (Ekberg et al, 2013;Stommel & van der Houwen, 2013). Of particular relevant to this current study, previous research has established how text-based modalities provide for the production of multi-action turns through the separation of message composition from message transmission, which enables combining within a single turn the expansion of a current sequence and the initiation of a new sequence.…”

“…This means psychotherapists and counsellors can -but need not necessarily -use sequence expansion to orient to emotion before initiating another action (Ekberg et al, 2013;Harris et al, 2012). The present article focuses on how therapists design such orientations to emotion when they elect to use this afforded opportunity, and establishes how they can be used to preface initiations of other actions.…”

“…Other studies have considered completely text-based computer-mediated interactions. Some of these modalities, such as email and discussion boards, provide asynchronous interactional systems that do not require participants to be simultaneously engaged with one another (Harris, Danby, Butler, & Emmison, 2012). Other modalities, such as instant messaging, enable quasi-synchronous interaction.…”

“…This has been achieved either through direct comparison of computer-mediated interaction with talk-in-interaction (Danby et al, 2009), or through comparison with existing research investigating talk-in-interaction (Stommel, 2012;Stommel & van der Houwen, 2013. Other studies investigate practices used in computer-mediated interactions as phenomena in their own right, without making explicit comparison to practices in talk-ininteraction (Harris et al, 2012). Given the increasing use of computer-mediated psychotherapy, further research is needed to continue exploring the moment-by-moment accomplishment of therapy in this setting.…”