spr 2015 tic 3filadelfia red
TRANSCRIPT
Malena Braun Universidad de Belgrano
Andrés J. Roussos
Universidad de Buenos Aires CONICET
SPR meeting, Philadelphia , 2015
“Web based self help”
“Guided Self Help”
Traditional treatments
! Freud mandaba cartas a sus pacientes
Instant messaging
Internet (WWW)
Video calls
Online survey
Email link
Facebook group
41 questions
372 answers
No personal information
not available
18%
Argentina 53%
Brazil 10%
Chile 8%
Guatemala 2%
Paraguay 4%
Uruguay 2%
other 3%
n:372
-10,00
10,00
30,00
50,00
70,00
90,00
110,00
Arg
enti
na
Can
ada
Braz
il E
l Sal
vad
or
Uni
ted
Sta
tes
Ecu
ador
C
hile
U
rug
uay
Cub
a Bo
livia
Pe
ru
Beliz
e D
enm
ark
Finl
and
Sw
eden
N
orw
ay
Ger
man
y A
ustr
ia
Isra
el
Gre
ece
Lith
uani
a C
zech
Rep
ublic
R
oman
ia
Kaz
akhs
tan
Ukr
aine
Li
bya
Ir
an
Kuw
ait
Qat
ar
Uni
ted
Ara
b E
Sa
udi A
rab
ia
Sud
an
Afg
hani
stan
Ir
aq
Mor
occo
So
mal
ia
Nam
ibia
So
uth
Afr
ica
Ug
and
a In
don
esia
Th
aila
nd
Nep
al
Ind
ia
Bang
lad
esh
New
Zea
land
Ja
pan
M
ong
olia
A
ustr
alia
Si
ngap
ore
Sout
h K
orea
C
amb
odia
C
hina
V
iet N
am
0,00
0,20
0,40
Ind
onTh
aila
Nep
al
Ind
ia
Bang
l
Mental Health Atlas WHO 2005
less than 1
6%
1 to 5 26%
6 to 10 17% 11 to 20
13%
more than 21
21%
not availabl
e 17%
Years of experience
n:372
psychoanalytic 28%
CBT 22%
Family therapy
7%
integrative 18%
ecclectic 5%
other 3%
not available
17%
Theoretical framework
45,9 57,8
55
34,4
29,0 34,2 32,1
5,6
25,1 8,0 12,9 60,0
0,0
20,0
40,0
60,0
80,0
100,0
120,0
email inst. mess skype internet
n:366
intervention
admin
No
intervention
admin
No
Use
Don´t use
No
frequently
sometimes
No
19
32
83
101
116
232
0 100 200 300
other (ex songs)
photos/videos
test, questionnaires
therapist´s words
psychoeducation
administative
Sends
Administrative Psychoeducation Therapist´s words Tests, questionnaires Photos/videos Other (eg. Songs)
8
13
22
31
41
85
160
216
0 50 100 150 200 250
songs
other
info about patients´condition
videos or links
fw mails
devolución de tareas de terapia (registros
patient´s words
administrative
Receives
Administrative Patient´s words Homework Fw mails Videos and links Info other Songs
n:274
never 39%
rarely 30%
ocasionally 26%
frequently 5%
Received friendship request
never 66%
sometimes 23%
always 11%
Accepted friendship request
“The request came after termination.”
“I forgot.” “I didn´t think it was
relevant.” “Silence is the best
answer.” “I don´t want to
explain things and I want to avoid being
asked for explanations.”
always 32%
sometimes
32%
never 36%
Did you talk in therapy about not accepting client´s friendship
request?
N: 129
33
103
46
14
0 20 40 60 80 100 120
Complete treatments
continue treatments
mixed treatments
communicate between sessions
n:117
never 23%
sometimes 38%
usually 31%
always 8%
Therapist searched info about treatment
n:356
never 65%
sometimes 30%
many times 4%
always 1%
n:359
37
121
12
14
25
93
11
0 20 40 60 80 100 120 140
answer online questionnaires
psychoeducation
online help groups
dating
social networks
find work
buy things
N:163
17
18
36
48
190
0 50 100 150 200
other
training
heard colleagues
client´s request
unnplaned
How did you start using communication technologies in
your clinical practice?
n:309
at the beggining
19%
when needed
61%
use it without
explaining 20%
How do you inform client´s about the use of new technologies in
their treatment?
Unavoidable
26,10%
57,20%
13,20%
2,60% 0,90% 0,00%
10,00%
20,00%
30,00%
40,00%
50,00%
60,00%
70,00%
very useful useful neutral harmful very harmful
• “We are able to do things we couldn´t do before””
Ethics Confidenciality
Risks
Privacy
Training How?
Why?
Theoretical framework
Setting Rules
fees
Research Clients
Interviews
RCT?
Challenges
Limitations
Sample Region?
Some other findings for future research:
Years of experience is related to use. We found no relationship between theroretical
framework and use.