An exploration of the therapeutic process while using computerised cognitive behaviour therapy

Abstract

Background: Modern technologies that offer an alternative to face-to-face therapy have gained ground in the NHS. Critics have argued that some of the important elements of the therapeutic change process necessarily require a human therapist. Yet, the traditional understanding of the change process in psychotherapy is challenged by evidence that some computerised cognitive behaviour therapy (cCBT) programs may be as effective as face-to-face therapy, suggesting that in certain cases the interaction between user and a cCBT product satisfies sufficient criteria for personal change without the need for actual human contact. Aim: This study used the cCBT package Blues Begone as a means of investigating the process by which a computer-mediated program helped adults with mild depression help themselves. Method: Seven qualitative interviews were conducted with mildly depressed users who had completed Blues Begone in their own homes without any additional human help or support. Findings: Interpretive phenomenological analysis (IPA) was performed with four main themes emerging. These were: the meaningful relationship; shape from confusion; stimulation and empowerment. This study illustrates some of the ways that some depressed users make use of cCBT self help.

Keywords:

• therapeutic relationship
• computerised cognitive behaviour therapy
• Blues Begone
• interpretive phenomenological analysis (IPA)

Additional information

Notes on contributors

David G. Purves

Biographies

David Purves was formerly a principal lecturer in counselling psychology at London Metropolitan University and consultant psychologist in Berkshire NHS Trauma Service. He is a co-author of the Blues Begone Program.

Janet Dutton

Janet Dutton, following a successful career in Human Resources, completed her doctoral training in Counselling Psychology at London Metropolitan University.