Therapy via videoconferencing: a route to client empowerment?

Citations Over TimeTop 23% of 2005 papers

Abstract

This study examines the clinical utility of cognitive behavioural therapy delivered via videoconferencing for bulimic disorders, and factors associated with adjustment to this mode of treatment delivery. A single-case-series design was used with six participants with bulimic disorders. Most were living in remote areas in north-east Scotland or Shetland. Therapy sessions were conducted weekly at a bandwidth of ISDN 6 (384 kbytes/sec) via videoconferencing links between local community hospital sites and the eating disorders service in Aberdeen, Scotland. Almost all participants rated high levels of therapeutic alliance and satisfaction with video therapy. Some participants preferred video therapy due to feeling less self-conscious and intimidated, whereas others felt it was less personal than face-to-face sessions would be. It is proposed that video therapy may be particularly suited to the treatment of eating disorders, especially for those with high levels of shame and body-related self-consciousness and those who require greater levels of control in therapy. Copyright © 2005 John Wiley & Sons, Ltd.

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