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Published Online: 11 February 2010

Assessment of the Therapeutic Alliance in Face-to-Face or Videoconference Treatment for Posttraumatic Stress Disorder

Publication: Cyberpsychology, Behavior, and Social Networking
Volume 13, Issue Number 1

Abstract

Telepsychotherapy is a cutting-edge intervention that shows great promise in the mental health care field. However, the possibility of developing a high-quality therapeutic alliance is often doubted when psychotherapy is provided remotely. This study assesses the development of a therapeutic alliance in individuals with posttraumatic stress disorder who were treated either by videoconference therapy or a face-to-face therapy. Forty-six participants with PTSD received cognitive behavioral therapy, 17 of them by videoconference and 29 in person. A variety of questionnaires evaluating the quality of the therapeutic relationship were administered at five different times during treatment. Each session was also assessed by the therapist and the participant immediately afterwards. The results indicate that a therapeutic alliance can develop very well in both treatment conditions and that there is no significant difference between the two. Certain clinical and practical implications are discussed.

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Published In

cover image Cyberpsychology, Behavior, and Social Networking
Cyberpsychology, Behavior, and Social Networking
Volume 13Issue Number 1February 2010
Pages: 29 - 35
PubMed: 20528290

History

Published online: 11 February 2010
Published in print: February 2010

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Authors

Affiliations

Vanessa Germain, Ph.D.
Department of Psychology, University of Quebec–Montreal, Montreal, Canada.
Centre d'Étude sur le Trauma du Centre de recherche Fernand-Seguin de l'Hôpital Louis-H. Lafontaine, Montreal, Canada.
André Marchand, Ph.D.
Department of Psychology, University of Quebec–Montreal, Montreal, Canada.
Centre d'Étude sur le Trauma du Centre de recherche Fernand-Seguin de l'Hôpital Louis-H. Lafontaine, Montreal, Canada.
Stéphane Bouchard, Ph.D.
Department of Psychoeducation and Psychology, University of Quebec–Outaouais, Gatineau, Outaouais, Canada.
Stéphane Guay, Ph.D.
Centre d'Étude sur le Trauma du Centre de recherche Fernand-Seguin de l'Hôpital Louis-H. Lafontaine, Montreal, Canada.
École de Criminologie, Université de Montréal, Montreal, Canada.
Marc-Simon Drouin, Ph.D.
Department of Psychology, University of Quebec–Montreal, Montreal, Canada.

Notes

Address correspondence to:Dr. André MarchandDepartment of PsychologyUniversity of Quebec–MontrealP.O. Box 8888, Downtown StationMontreal, QuebecCanada, H3C 3P8
E-mail: [email protected]

Disclosure Statement

The authors have no conflict of interest.

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