Evaluation of the quality of collaboration between the client and the therapist in phobia treatments

Authors:
Maja Wrzesien;Jean-Marie Burkhardt;Cristina Botella;Mariano AlcañIz
Affiliations:
Instituto Interuniversitario de Investigación en Bioingeniería y Tecnología Orientada al Ser Humano, Universitat Politècnica de València, I3BH/LabHuman, Camino de Vera s/n ...;Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux, 25 allée des Marronniers, Satory, F-78000 Versailles, France;Departamento de Psicologia Basica y Psicobiologia Universidad Jaume I, Castellón, Spain and Ciber, Fisiopatología de Obesidad y Nutrición, CB06/03 Instituto de Salud Carlos III, Spa ...;Instituto Interuniversitario de Investigación en Bioingeniería y Tecnología Orientada al Ser Humano, Universitat Politècnica de València, I3BH/LabHuman, Camino de Vera s/n ...
Venue:
Interacting with Computers
Year:
2012

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Abstract

A growing number of empirical studies evaluate the influence of Mental Health (MH) technology on the clinical effectiveness, the therapeutic relationship (i.e., therapeutic alliance), and usability issues. However, to the authors' knowledge, no studies have yet been performed regarding the influence of technology on the therapeutic process in terms of collaboration. This study evaluates the quality of collaboration between the client and therapist in Augmented Reality Exposure Therapy (ARET) context and the traditional, In Vivo Exposure Therapy (IVET) context with the Therapeutic Collaborative Scale (TCS). Twenty participants received an intensive session of cognitive behavioral therapy in either a technology-mediated therapeutic context or in a traditional therapeutic context. The results indicate that both therapeutic conditions show high collaboration scores. However, the asymmetry of roles between the therapist and the client under both conditions were detected. Also, a greater level of distraction was observed for therapists in ARET, which affected the quality of the therapists' involvement in the therapeutic session. The implications of these results are discussed.