Long-term psychodynamic psychotherapy in a face-to-face versus videoconferencing setting: A single case study.

Andreas, Sylke; Gablonski, Thorsten-Christian; Tschacher, Wolfgang; Gebhardt, Albrecht; Rabung, Sven; Schulz, Holger; Kadur, Jennifer (2023). Long-term psychodynamic psychotherapy in a face-to-face versus videoconferencing setting: A single case study. Journal of clinical psychology, 79(2), pp. 277-295. Wiley 10.1002/jclp.23411

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OBJECTIVE

Due to the coronavirus pandemic and crisis, psychotherapists around the world were forced to switch to video- or tele-based treatments overnight. To date, only a few studies on the effectiveness of video-based psychodynamic psychotherapy via the Internet exist. Therefore, the goal of the present study was to examine symptom improvement, therapeutic relationship, nonverbal synchrony processes, and intersession processes within a systematic single case design and compare face-to-face to video-based approaches in long-term psychodynamic-oriented psychotherapy.

METHODS

We examined 85 sessions of a client with major depression whose psychodynamic psychotherapy changed from a face-to-face setting to a video-based setting. Video recordings were analyzed using motion energy analysis, and nonverbal synchrony was computed using a surrogate synchrony approach. Time series analyses were performed to analyze changes in symptom severity, therapeutic relationship, and intersession processes.

RESULTS

The results showed that symptom severity improved descriptively, but not significantly, across the entire course of psychotherapy. There were significant differences, however, in the therapeutic relationship, intersession experiences, and synchronous behavior between the face-to-face and video-based settings.

CONCLUSION

The results indicate that the presented methodology is well situated to investigate the question whether psychodynamic psychotherapy in video-based setting works in the sameway as in a face-to-face setting.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy

UniBE Contributor:

Tschacher, Wolfgang

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0021-9762

Publisher:

Wiley

Language:

English

Submitter:

Pubmed Import

Date Deposited:

18 Jul 2022 15:08

Last Modified:

18 Jan 2023 00:12

Publisher DOI:

10.1002/jclp.23411

PubMed ID:

35819447

Uncontrolled Keywords:

alliance nonverbal dynchrony process-outcome research psychodynamic therapy videoconferencing

BORIS DOI:

10.48350/171313

URI:

https://boris.unibe.ch/id/eprint/171313

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