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Counselling and Psychotherapy Research
Linking research with practice
Volume 12, 2012 - Issue 1
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ARTICLES

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

Pages 35-43 | Received 12 Feb 2010, Accepted 19 Dec 2010, Published online: 01 Apr 2011
 

Abstract

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.

Acknowledgements

I particularly wish to acknowledge the support of Kooth throughout this project and the young people who very kindly gave up their time to take part in the study. Additionally, I would like to thank colleagues at the University of Manchester (Liz Ballinger, Clare Lennie and William West), and Aaron Sefi for reading through drafts of this paper.

Additional information

Notes on contributors

Terry Hanley

Terry Hanley is Joint Programme Director of the Doctorate in Counselling Psychology at the University of Manchester. He is also the research lead for the British Psychological Society's Division of Counselling Psychology and Editor of Counselling Psychology Review

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