Burcu KORKMAZ, Gamze ŞEN

2723

Psikoterapistlerin çevrimiçi yürütülen psikoterapilere yönelik algılarına ilişkin bir tematik analiz çalışması

Teknolojinin ve internetin kullanım alanlarının gelişmesi ve artması, psikoterapi uygulamalarının ve ruh sağlığına müdahalelerin yüz yüze yürütülen geleneksel bağlamlarının dışında yeni ve kullanımı giderek yaygınlaşan bir alanın gelişmesine yol açmıştır. Bu çalışmanın amacı da, halen ülkemizde kullanım sıklığı ve alanyazın arka planı sınırlı kalan çevrimiçi yürütülen psikoterapi süreçlerine ilişkin psikoterapistlerin algılarının ve düşüncelerinin değerlendirilmesidir. Araştırmaya, Türkiye’nin farklı illerinde çalışan 39’u kadın (%86.7) ve 6’sı erkek (%13.3) olmak üzere toplam 45 psikoterapist katılmıştır. Elde edilen veriler, bir nitel analiz yöntemi olan ‘tümevarımsal tematik analiz (inductive thematic analysis) prosedürü kullanılarak göre analiz edilmiştir. Elde edilen bulgulara göre, Türkiye’deki psikoterapistlerin çevrimiçi psikoterapilere ilişkin algıları sekiz farklı tema altında toplanmıştır. Bu temalar; 1) kaygı uyandıran bir bağlam olarak çevrimiçi psikoterapi, 2) uygun olmayan bir bağlam olarak çevrimiçi psikoterapi, 3) yedek/koşullu bir bağlam olarak çevrimiçi psikoterapi, 4) özel eğitim ve bilgi gerektiren bir bağlam olarak çevrimiçi psikoterapi, 5) suistimale açık bir bağlam olarak çevrimiçi psikoterapi, 6) aksiliklere açık bir bağlam olarak çevrimiçi psikoterapi, 7) ulaşılabilirliği yüksek bir bağlam olarak çevrimiçi psikoterapi ve 8) yüz yüze terapiden farklı olmayan bir bağlam olarak çevrimiçi psikoterapidir. Elde edilen bu bulgular, psikoterapistlerin çevrimiçi terapilerin kullanıma uygun ve kolaylaştırıcı yönlerinin farkında olmalarına rağmen, halen olumsuz özelliklerine yoğun şekilde atıfta bulunduklarına işaret etmektedir. Araştırma sonuçları, hem uygulama hem de araştırma alanlarında psikoterapinin önümüzdeki süreçte nasıl şekillenebileceğine yönelik önemli noktalara dikkat çekmektedir.

A thematic analysis study on psychotherapists’ perceptions of online psychotherapies

The development and growth of technology and internet use has led to the development of a new and increasingly widespread field in psychotherapy practices and mental health interventions other than face-to-face traditional contexts. The purpose of this study is to assess the perceptions and beliefs of psychotherapists regarding online psychotherapy processes, which still have a limited usage and literature background in Turkey. The participants of the present study consisted of 45 psychotherapists working in various provinces of Turkey, of which 39 (86.7%) were female and 6 (13.3%) were male. The obtained data was analyzed using inductive thematic analysis procedure, a qualitative analysis method. According to the findings, perceptions of online psychotherapies of the psychotherapists in our country are grouped under eight different themes. These included 1) online psychotherapy as a worrisome context, 2) online psychotherapy as an inappropriate context, 3) online psychotherapy as a reserve/conditional context, 4) online psychotherapy as a context requiring specialized education and information, 5) online psychotherapy as a context prone to misconduct, 6) online psychotherapy as context prone to problems; 7) online psychotherapy as a context with high accessibility; and 8) online psychotherapy as context not different from face-to-face psychotherapy. The findings indicate that, although psychotherapists are aware of the appropriate and facilitating aspects of online therapies, they still refer intensely to their negative features. These findings provide insights on how psychotherapies, in both practice and research, will change in the future.
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  • Almlöv, J., Carlbring, P., Berger, T., Cuijpers, P. ve Andersson, G. (2009). Therapist factors in internetdelivered cognitive behavioral therapy for major depressive disorder. Cognitive Behaviour Therapy, 38(4), 247-254.
  • Andersson, G. (2009). Using the internet to provide cognitive behaviour therapy. Behavior Research and Therapy, 47, 175-180.
  • Andersson, G., Cuijpers, P., Carlbring, P., Riper, H. ve Hedman, E. (2014). Guided internet-based vs. faceto-face cognitive behavior therapy for psychiatric and somatic disorders: A systematic review and metaanalysis. World Psychiatry, 13(3), 288-295.
  • Andersson, G., Paxling, B., Wiwe, M., Vernmark, K., Felix, C. B., Lundborg, L., …Carlbring, P. (2012). Therapeutic alliance in guided internet-delivered cognitive behavioural treatment of depression, generalized anxiety disorder and social anxiety disorder. Behaviour Research and Therapy, 50, 544-550.
  • Antony K. (2000). Counselling in cyberspace. Counselling Journal, 11(10), 625-627.
  • Barak, A., Klein, B. ve Proudfoot, J. G. (2009). Defining internet-supported therapeutic interventions. Annals of Behavioral Medicine, 38(1), 4-17.
  • Beattie, A., Shaw, A., Kaur, S. ve Kessler, D. (2009). Primary-care patients’ expectations and experiences of online cognitive behavioural therapy for depression: A qualitative study. Health Expectations, 12, 45-59.
  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of working alliance. Psychotherapy: Theory, Research and Practice, 16, 252-260.
  • Braun, V. ve Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101.
  • Castelnuovo, G., Gaggioli, A., Mantovani, F. ve Riva, G. (2003). New and old tools in psychotherapy: The use of technology for the integration of the traditional clinical treatments. Psychotherapy: Theory, Research, Practice, Training, 40(1/2), 1-12.
  • Cook, J. E. ve Doyle, C. (2002). Working alliance in online therapy as compared to face-to-face therapy: Preliminary results. CyberPsychology & Behavior, 5(2), 95-105.
  • Day, S. X. (1999). Psychotherapy using distance technology: A comparison of face-to-face, video, and audio treatments (Yayınlanmamış doktora tezi). Illinois State University, USA.
  • Day, S. X. ve Schneider, P. L. (2002). Psychotherapy using distance technology: A comparison face-toface, video, and audio treatment. Journal of Counseling Psychology, 49(4), 499-503.
  • Griffiths, M. ve Cooper, G. (2003). Online therapy: Implications for problem gamblers and clinicians. British Journal of Guidance and Counselling, 31(1), 113- 135.
  • Haberstroh, S., Duffey, T., Evans, M., Gee, R. ve Trepal, H. (2007). The experience of online counseling. Journal of Mental Health Counseling, 29(3), 269-282.
  • Hanley, T. (2004). Online counseling: A heuristic study examining the relational depth of computer-mediated relationships (Yayınlanmamış yüksek lisans tezi). University of Manchester, UK.
  • Hartwich, P. ve Brandecker, R. (1997). Computer-based art therapy with inpatients: Acute and chronic schizophrenics and borderline cases. The Arts in Psychotherapy, 24(4), 367-373.
  • Hovarth, A. O., Del Re, A. C., Flückiger, C. ve Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48(1), 9-16.
  • Johansson, R. ve Andersson, G. (2012). Internet-based psychological treatments for depression. Expert Review of Neurotherapeutics, 12(7), 861-870.
  • Kenardy, J. A., Dow, M. G. T., Johnston, D. W., Newman, M. G., Thompson, A. ve Taylor, C. B. (2003). A comparison of delivery methods of cognitive behavioral therapy for panic disorder: An international multicenter trial. Journal of Consulting and Clinical Psychology, 71(6), 1068-1075.
  • Kiropoulos, L. A., Klein, B., Austin, D. W., Gilson, K., Pier, C., Mitchell, J. ve Ciechomski, L. (2008). Is internet-based CBT for panic disorder and agoraphobia as effective as face-to-face CBT? Journal of Anxiety Disorder, 22(8), 1273-1284.
  • Klein, B., Mitcell, J., Abbott, J., Shandley, K., Austin, D., Gilson, K., …Redman, T. (2010). A therapistassisted cognitive behavior therapy internet intervention for posttraumatic stres disorder: Pre-post and 3- month follow-up results from an open trial. Journal of Anxiety Disorders, 24, 635-644.
  • Knaevelsrud, C. ve Maercker, A. (2006). Does the quality of the working alliance predict treatment outcome in online psychotherapy for traumatized patients? Journal of Medical Internet Research, 8(4):e.31.
  • Knaevelsrud, C. ve Maercker, A. (2007). Internet-based treatments for PTSD reduces distress and facilitates the development of strong therapeutic alliance: A randomized controlled clinical trial. BMC Psychiatry, 7(1), 13.
  • Knaevelsrud, C. ve Maercker, A. (2009). Long-term effects of an internet-based treatment for posttraumatic stres. Cognitive Behaviour Therapy, 38, 1-6.
  • Lange, A., Rietdijk, D., Hudcovicova, M., Van de Ven, J. P., Schrieken, S. ve Emmelkamp, P. M. G. (2003). Interapy: A controlled randomized trial of the standardized treatmant of posttraumatic stress through the internet. Journal of Counsulting and Clinical Psychology, 71(5), 901-909.
  • McKenna, K. Y. A. (1998). The computers that bind: Relationship formation on the internet (Yayınlanmamış Doktora Tezi). Ohio University, USA.
  • Mora, L., Nevid, J., ve Chaplin, W. (2008). Psychologist treatment recommendations for Internet-based therapeutic interventions. Computers in Human Behavior, 24(6), 3052-3062.
  • Norcross, J. C., Hedges, M. ve Prochaska, J. O. (2002). The face of 2010. A Delphi poll on the future of psychotherapy. Professional Psychology: Research and Practice, 33, 316-322.
  • Orr, P. (2012). Technology use in art therapy practice: 2004 and 2011 comparison. The Arts in Psychotherapy, 39(4), 234-238.
  • Preschl, B., Maercker, A. ve Wagner, B. (2011). The working alliance in a randomized controlled trial comparing online with face-to-face cognitivebehavioral therapy for depression. BMC Psychiatry, 11(1), 189.
  • Rees, C. S. ve Stone, S. (2005). Therapeutic aliance in face-to-face versus videoconferenced psychotherapy. Professional Psychology: Research and Practice, 36(6), 649-653.
  • Reynolds, D. J., Stiles, W. B. ve Grohol, J. M. (2006). An investigation of session impact and alliance in internetbased psychotherapy: Preliminary results. Counseling Psycotherapy Research, 6(3), 164-168.
  • Rochlen, A. B., Zack, J. S. ve Speyer, C. (2004). Online therapy: Review of relevant definitions, debates, and current empirical support. Journal of Clinical Psychology, 60(3), 269-283.
  • Spence, S. H., Donovan, C. L., March, S., Gamble, A., Anderson, R., Prosser, S., …Kenardy, J. (2008). Online CBT in the treatment of child and adolescent anxiety disorders: Issues in the development of BRAVE-ONLINE and two case illustrations. Behavioural and Cognitive Psychotherapy, 36, 411-430.
  • Stofle, G. S. (2001). Choosing an online therapist. Harrisburg: White Hat Communications.
  • Suler, J., Barak, A., Chechele, P., Fenickel, M., Hsiung, R., Maguire, J., …Walker-Schmucker, W. (2001). Assessing a person’s suitability for online therapy. CyberPsychology & Behavior, 4, 675-679.
  • Taylor, C. B. ve Luce, K. H. (2003): Computer and internet-based psychotherapy interventions. Current Directions in Psychological Science, 12(1), 18-22.
  • Wagner, B., Brand, J., Schulz, W. ve Knaevelsrud, C. (2012). Online working alliance predicts treatment outcome for posttraumatic stres symptoms in Arab war-traumatized patients. Depression and Anxiety, 29(7), 646-651.
  • Wagner, B., Horn, A. B. ve Maercker, A. (2014). Interned-based versus face-to-face cognitive-behavioral intervention for depression: A randomized controlled non-inferiority trial. Journal of Affective Disorders, 152-154, 113-121.
  • Wagner, B., Knaevelsrud, C. ve Maercker, A. (2006). Internet-based cognitive-behavioral therapy for complicated grief: A randomised controlled trial. Death Studies, 30, 429-453.
  • Wangberg, S. C., Gammon, D. ve Spitznogle, K. (2007). In the eyes of the beholder: Exploring psychologists’ attitudes towards and use of e-therapy in Norway. Cyberpsychology & Behavior, 10, 418-423.
  • Warmerdam, L., Straten, A., Jongsma, J., Twisk, J. ve Cuijpers, P. (2010). Online cognitive behavioral therapy and problem-solving therapy for depressive symptoms: Exploring mechanism of change. Journal of Behavior Therapy and Experimental Psychiatry, 41, 64-70.
  • Wolf, A. W. (2011). Internet and video technology in psychotherapy supervision and training. Psychotherapy, 48(2), 179-181.
  • Yorulmaz, O., Sapmaz-Yurtsever, S., Gökdag, C., Kaçar-Basaran, S., Göcek-Yorulmaz, E., Yalçin, M. ve Görgü-Akçay, N. S. (2018). The future of pychotherapy in Turkey: Predictions for the next 10 years. The Journal of Nervous and Mental Disease, 206(5), 332- 339.
  • Young, K. (2005). An empirical examination of client attitudes towards online counseling. CyberPsychology & Behavior, 8, 172-177.
Klinik Psikoloji Dergisi-Cover
  • ISSN: 2602-4438
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2017
  • Yayıncı: Klinik Psikoloji Araştırmaları Derneği
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