Here Here! As you will see below, I'm in the process of doing some empirical legwork to make this monster work. We know that, at least in the treatment of mild and moderate depression, good self-administered treatments have equivalent clinical effect sizes to medication and face to face therapy. Therefore, at least for some people, a therapeutic relationship is not mandatory for recovery. We also know that telephone counselling works. We also know that its very possible to express sufficient intimacy and emotion without using non-verbal cues. Internet sex is but one example of this, but so too is text-based therapy. Another positive point might be that internet therapy protects the client from a therapist's negative spontaneous emotional reactivity by giving him/her the opportunity to more carefully consider responses than in face-to-face therapy. The possibilities are endless for internet in psychiatry and psychology, but until there is an evidence base then people will be reluctant to fund electronic therapy research, and until some funds electronic therapy research then the evidence base will remain limited. Just some thoughts. All the best Dazza <depanx@hotmail.com>
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