A qualitative investigation into the online counselling relationship: To meet or not to meet,that is the question

Background and aim: Online counselling, as a psychotherapeutic approach, provokes debate amongst practitioners and researchers concerning its efficacy and validity. This reflexive study extends existing research into the nature of the online counselling relationship when it is conducted asynchronously (by email) and explores the possibility this approach may facilitate both online and face‐to‐face therapeutic engagement. Method: Semi‐structured interviews were conducted electronically with ten former email counselling clients of a university counselling service and six counsellors delivering email counselling in other higher education settings, to explore, in depth, their experiences of the online therapeutic relationship and its impact on the counselling process and outcomes. These were analysed using Interpretative Phenomenological Analysis (IPA). Findings: Four areas of focus emerged relating to: (1) the importance of the structure and processes involved; (2) their impact on thinking and feeling; (3) their impact on self and relationships (within and outside counselling), and (4) changes that followed email counselling. Having ‘time to think’ within the asynchronous exchanges, the anonymity and disinhibition afforded by the online medium, the creation of transitional space and the rich use of metaphor, visualisation and imagery all contributed to a sense of empowerment and relational depth for individuals who might have otherwise avoided seeking help. This led to positive change in many cases and for some, facilitated subsequent face‐to‐face counselling. Implications: The findings support the provision of counselling and therapy online and particularly its integration within existing face‐to‐face services.     

Understanding the online therapeutic alliance through the eyes of adolescent service users

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.     

Thwarted Belongingness in Relation to Face‐to‐Face and Online Interactions

Suicide is ranked as the tenth leading cause of death for all ages in the United States (Centers for Disease Control and Prevention, 2012). Joiner's (2005) interpersonal theory of suicide stated thwarted belongingness—the feeling of being alienated from others—and perceived burdensomeness—the feeling of being a liability to others—are the primary proximal factors leading to suicidal desire. The current study focused on thwarted belongingness and examined its relationship to face‐to‐face interactions and online interactions in both an undergraduate and community sample. We hypothesized that negative face‐to‐face and online interactions would be independently associated with higher levels of thwarted belongingness. Furthermore, we hypothesized that face‐to‐face interactions would moderate the relationship between online interactions and thwarted belongingness and that online interactions would moderate the relationship between face‐to‐face interactions and thwarted belongingness. Three hundred eighty‐seven participants (79.6% female) at a southern university and 209 (62.7% male) participants recruited from Amazon's Mechanical Turk website completed an online survey. Results only partially supported hypotheses, with only face‐to‐face interactions shown to be independently related to higher levels of thwarted belongingness. These findings indicated that negative face‐to‐face interactions may contribute to higher levels of risk factors for suicide ideation and highlighted the importance of assessing for negative interactions across all contexts.     

Suicide Ideation and Acceptability Toward Online Help‐Seeking

Suicidal individuals are unlikely to engage in face‐to‐face treatment. The Internet is emerging as an innovative approach for intervention delivery, particularly for those unable or unwilling to attend traditional treatment. Participants (N  = 459) were recruited to fill out online questionnaires on suicide ideation and help‐seeking modality preference. The majority of participants endorsed preferring face‐to‐face help over web‐based help. Results from multinominal logistic regression indicated that suicide ideation was significantly related to preferring online methods versus face‐to‐face methods. This study highlights that the Internet can provide a novel platform to treat individuals at risk of suicide.     

web‐assisted vocational test interpretation

Despite the increasing availability of online counseling services, many questions remain unanswered. This study compared the effectiveness of a specific employment counseling activity, vocational interest inventory interpretation, across 3 delivery modalities: (a) online text chat; (b) online text chat with video cues; and (c) traditional, face‐to‐face interpretation. The difference in ratings of session value between text chat with video and face‐to‐face modalities was not significant; both were rated significantly higher than text chat alone. The results provide tentative support for online delivery of vocational test interpretation if video cues are available but suggest caution with use of text chat alone.     

Family Communication Patterns and Relational Maintenance Behavior: Direct and Mediated Associations with Friendship Closeness

In this study, both face‐to‐face and online relational maintenance behaviors were tested as mediators of family communication patterns and closeness with a same‐sex friend. Participants included 417 young adults recruited from communication courses at a large university in the Midwestern United States. The obtained structural model demonstrated that family communication patterns are associated with friendship closeness though face‐to‐face and online maintenance behaviors fully mediate this association. Specifically, young adults from high–conversation‐orientation families engage in more face‐to‐face maintenance behaviors, which are positively associated with friendship closeness. These findings inform understanding of how family communication patterns influence extrafamilial relationships, suggesting that parents’ cognitions and communication behaviors are associated with children’s social well‐being.     

The role of randomised controlled trials in developing an evidence‐base for counselling and psychotherapy

Background: Representatives of counselling and person‐centred organisations indicate many of their members feel their profession and orientation is under threat, with counselling services being decommissioned in NHS settings. Aims: To understand the views of key figures in the psychological therapies field (policy makers, researchers and representatives of the counselling community) towards randomised controlled trials (RCTs), and their present and future role in developing the evidence‐base for counselling and psychotherapy. Method: Interviews (phone, Skype or face‐to‐face) were conducted with 24 authorities in the field. Relevant practitioner and academic networks were also contacted and key documents in the field were reviewed. Results: Key figures believe that RCTs will continue to play a decisive role in determining which psychological interventions are recommended and commissioned within the NHS for the foreseeable future. Other methods are seen as having some validity, but are generally considered supplementary to RCTs and not a replacement for them. Discussion: Although many members of the counselling community are critical of RCTs, they are likely to remain the mainstay of commissioning policy for some years to come. This means, in the coming years, members of the counselling community may face difficult choices in how to promote their work, while maintaining their core principles and values.     

UNDERSTANDING THE IMPACT OF TEST VALIDITY AND BIAS ON SELECTION ERRORS AND ADVERSE IMPACT IN HUMAN RESOURCE SELECTION

We propose an integrative framework for understanding the relationship among 4 closely related issues in human resource (HR) selection: test validity, test bias, selection errors, and adverse impact. One byproduct of our integrative approach is the concept of a previously undocumented source of selection errors we call bias‐based selection errors (i.e., errors that arise from using a biased test as if it were unbiased). Our integrative framework provides researchers and practitioners with a unique tool that generates numerical answers to questions such as the following: What are the anticipated consequences for bias‐based selection errors of various degrees of test validity and test bias? What are the anticipated consequences for adverse impact of various degrees of test validity and test bias? From a theory point of view, our framework provides a more complete picture of the selection process by integrating 4 key concepts that have not been examined simultaneously thus far. From a practical point of view, our framework provides test developers, employers, and policy makers a broader perspective and new insights regarding practical consequences associated with various selection systems that vary on their degree of validity and bias. We present a computer program available online to perform all needed calculations.     

Building Institutions for the Next 50 Years of Creativity Research

The Journal of Creative Behavior 's remarkable half‐century is a good occasion for reflecting on the role of a scholarly field's institutions in fostering creative work. In creativity studies, some of our institutions are flourishing, particularly our many excellent peer‐reviewed journals. But we face some institutional challenges that will require some creative solutions from creativity researchers. This article considers three challenges: (a) how to train and place the next generation of scholars when so few creativity researchers work at doctoral‐level graduate programs; (b) how to tighten the field's social network by bringing together people from different subfields and career stages in face‐to‐face gatherings; and (c) how to identify and develop the leadership needed to manage our scholarly organizations.     

Using the Delphi Technique: Experience from the world of counselling and psychotherapy

Background: Delphi studies have been popular in the health and social care domain for some time, particularly within nursing. They are used to elicit views and opinions from experts in the field on specific topics, without the need for face‐to‐face interviews. Focus: This paper brings Delphi methodology to the attention of potential researchers in the counselling and psychotherapy field, who may not have previously considered Delphi methodology, describing the researcher's experience of using a Delphi study through the media of electronic mail, and incorporating participant feedback. Aims: To discuss the advantages and disadvantages, as well as the complexities and limitations of the Delphi methodology. I will outline previous recommendations from Delphi researchers and offer further suggestions based on my experience of completing a Delphi study.     

What predicts first date success? A longitudinal study of modality switching in online dating

This study uses a longitudinal design to investigate the effects of online dating sites on first date success. Participants were surveyed before their first date with someone from an online dating site (N = 186) and again after meeting their partner in person (N = 94). As part of the survey, they also supplied the e‐mails they had sent to their partner through the dating site so their actual communication could be examined. Findings indicated that first date success was predictable from features of participants' online impressions and relational dynamics. The results are discussed in terms of their theoretical and methodological contributions to the literature on relationship development, as well as their practical implications for online dating sites and users.     

Automated classification of demographics from face images: A tutorial and validation

Examining disparities in social outcomes as a function of gender, age, or race has a long tradition in psychology and other social sciences. With an increasing availability of large naturalistic data sets, researchers are afforded the opportunity to study the effects of demographic characteristics with real‐world data and high statistical power. However, since traditional studies rely on human raters to asses demographic characteristics, limits in participant pools can hinder researchers from analyzing large data sets. Automated procedures offer a new solution to the classification of face images. Here, we present a tutorial on how to use two face classification algorithms, Face++ and Kairos. We also test and compare their accuracy under varying conditions and provide practical recommendations for their use. Drawing on two face databases (n = 2,805 images), we find that classification accuracy is (a) relatively high, with Kairos generally outperforming Face++ (b) similar for standardized and more variable images, and (c) dependent on target demographics. For example, accuracy was lower for Hispanic and Asian (vs. Black and White) targets. In sum, we propose that automated face classification can be a useful tool for researchers interested in studying the effects of demographic characteristics in large naturalistic data sets.     

Internet abuse in the workplace: Issues and concerns for employers and employment counselors

This article gives an overview of some of the main issues in the most serious form of Internet abuse (i.e., Internet addiction) before examining other types of workplace Internet abuse (cybersexual Internet abuse, online friendship/relationship abuse, Internet activity abuse, online information abuse, criminal Internet abuse, and miscellaneous Internet abuse) and why they occur. A few specific types of Internet abuse (online pornography use, sexually related Internet crime, online gambling) are also highlighted as issues for employers. The author concludes that Internet abuse should be taken seriously by all employers who use the Internet in their day‐to‐day business.     

Dynamics of perceived social network support for same‐sex versus mixed‐sex relationships

Individuals in mixed‐sex (n = 248) and same‐sex (n = 159) romantic relationships completed several online questions for each member of their social network, including the member's perceived support for their romantic relationship. Those in same‐sex relationships perceived less support for their relationship, but only from family members, not from friends. Levels of relationship support were lower among subjectively more distant network members than among closer network members. As hypothesized, associations between perceived support for the relationship and relationship, mental, and physical well‐being were weaker for those in same‐sex compared to mixed‐sex relationships. Principles of social network management and attributional ambiguity were used to explain the findings.     

Testing Error Management Theory: Exploring the Commitment Skepticism Bias and the Sexual Overperception Bias

Research on error management theory indicates that men tend to overestimate women's sexual interest and women underestimate men's interest in committed relationships ( Haselton & Buss, 2000 ). We test the assumptions of the theory in face‐to‐face, stranger interactions with 111 man‐woman dyads. Support for the theory emerges, but potential boundary conditions are observed. In addition, we find that women's perceptions of men's desire for commitment is related to the women's own self‐reported sexual interest but that the reverse does not hold for men. Finally, we find evidence consistent with the proposition that people project their own level of interest in sex or in a committed relationship onto their interaction partners.     

Distinguishing novelty and familiarity effects in infant preference procedures

This paper considers possible problems researchers might face when interpreting the results of studies that employ variants of the preference procedure. Infants show a tendency to shift their preference from familiar to novel stimuli with increasing exposure to the familiar stimulus, a behaviour that is exploited by the habituation paradigm. This change in attentional preference with exposure leads us to suggest that researchers interested in infants' pre‐experimental or spontaneous preferences should beware of the potentially confounding effects of exposing infants to familiarization trials prior to employing the preference procedure. The notion that infant attentional preference is dynamic also calls into question the use of the direction of post‐familiarization preference per se when interpreting the knowledge or strategies available to infants. We look into the results of a cross‐modal word learning study to show how the interpretation of results may be difficult when infants exhibit a significant preference in an unexpected direction. As a possible solution to this problem we propose that significant preferences in both directions should be sought at multiple intervals over time. Copyright © 2004 John Wiley & Sons, Ltd.     

Assessing the Influence of Psychosocial and Career Mentoring on Organizational Attractiveness

Past research on mentoring in organizational settings has focused on psychosocial and career mentoring functions more senior employees provide to new hires. In this study, we examined whether the perceived quality of psychosocial and career functions of pre‐hire mentoring and realistic job previews (RJPs) provided to students through mentoring impact organizational attraction and potential applicants' intentions to pursue or accept jobs at their mentors' organization, and ultimately their acceptance of positions with their mentors' organization. We compared face‐to‐face mentoring with online mentoring. A field study was conducted (n=194 European graduate students). Findings indicate that the quality of psychosocial mentoring plays a larger role in organizational attraction and intentions to pursue jobs than the perceived level/quality of career mentoring functions, with RJPs functioning as a suppressor variable. Obtaining a job with the mentors' organization was related to career, but not to psychosocial mentoring functions or RJPs.     

Chinese college students' general and relationship‐specific representations of adult attachment: Variable‐centred and person‐centred analysis

Formerly, researchers often treated adult attachment as a trait‐like construct with consistency across relationship contexts. However, recent studies have shown that people possess multiple relationship‐specific attachment representations, and inter‐correlations among them are only in a small‐to‐medium range. The aim of this study is to test whether these variable‐centred results could be replicated in China and further supplement them with a person‐centred analysis focusing on identifying prototypical patterns of multiple working models across relationships. We administrated measurements of general and four relationship‐specific (mother/father/best friend/romantic partner) working models and indicators of psychological adjustment upon 302 Chinese college students. Results from variable‐centred analysis demonstrated the cross‐relationship variability in working models. Furthermore, global indicators of psychological adjustment were better predicted by general models, while relationship‐specific indicators were better predicted by corresponding relationship‐specific models. These results largely replicate previous Western studies, supporting the existence of multiple attachment representations in China. In person‐centred analysis, a latent profile analysis identified four typical classes of working model profiles: all‐average, all‐secure, romantic‐insecure and peer‐secure. These classes differed not only in the cross‐relationship variability of their working models, but also in their levels of psychological adjustment. These interesting patterns may have theoretical implications and are worthy of further examination.     

An exploration of the therapeutic process while using computerised cognitive behaviour therapy

Background: Modern technologies that offer an alternative to face‐to‐face therapy have gained ground in the NHS. Critics have argued that some of the important elements of the therapeutic change process necessarily require a human therapist. Yet, the traditional understanding of the change process in psychotherapy is challenged by evidence that some computerised cognitive behaviour therapy (cCBT) programs may be as effective as face‐to‐face therapy, suggesting that in certain cases the interaction between user and a cCBT product satisfies sufficient criteria for personal change without the need for actual human contact. Aim: This study used the cCBT package Blues Begone as a means of investigating the process by which a computer‐mediated program helped adults with mild depression help themselves. Method: Seven qualitative interviews were conducted with mildly depressed users who had completed Blues Begone in their own homes without any additional human help or support. Findings: Interpretive phenomenological analysis (IPA) was performed with four main themes emerging. These were: the meaningful relationship; shape from confusion; stimulation and empowerment. This study illustrates some of the ways that some depressed users make use of cCBT self help.