Patient’s experience in online group therapy: An exploratory study during the lockdown

Journal title GRUPPI
Author/s Ivan Ambrosiano, Salvatore Gullo, Alessandro Di Caro, Maria Teresa Graffeo, Cecilia Giordano
Publishing Year 2023 Issue 2021/2 Language Italian
Pages 32 P. 103-124 File size 0 KB
DOI 10.3280/gruoa2-2021oa15809
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This article aimed to explore the experience of 39 patients who continued group psychotherapy in the online setting during the period of restrictions due to the pandemic. Through a structured questionnaire, with both open and closed answers, different areas were investigated: the setting, which includes the initial reactions to the need for online movement, perception in showing and being able to see the private spaces of the participants and therapists, and the difficulties relating to the maintenance of privacy; clinical efficacy, connected to the positive and negative aspects of the new modality; the therapeutic relationship, which explores the alliance with therapists and the group, as well as emerging representations; and the therapist’s management style and group dynamics. The results were interpreted considering the previous authors’ articles and the international literature.

Keywords: ; Online group psychotherapy; Patients; Setting; Effectiveness; Therapeutic relationship; Group dynamics

  1. Zerwas S.C., Watson H.J., Hofmeier S.M., Levine M.D., Hamer R.M., Crosby R.D., Runfola C.D., Peat C.M., Shapiro J.R., Zimmer B., Moessner M., Kordy H., Marcus M.D. e Bulik C.M. (2017). CBT4BN: A Randomized Controlled Trial of Online Chat and Face-to-Face Group Therapy for Bulimia Nervosa. Psychother. Psychosom., 86: 47-53. DOI: 10.1159/000449025.
  2. Weinberg H. e Rolnick A. (2020). Theory and Practice of Online Therapy: Internet-delivered Interventions for Individuals, Groups, Families, and Organizations. New York: Routledge.
  3. Weinberg H. (2021). Obstacles, Challenges, and Benefits of Online Group Psychotherapy. Am J Psychother., 74: 83-88. DOI: 10.1176/appi.psychotherapy.20200034.
  4. Weinberg H. (2020). Online Group Psychotherapy: Challenges and Possibilities during Covid-19 – A practice review. Group Dynamics: Theory, Research, and Practice, 24, 3: 201-211. DOI: 10.1037/gdn0000140.
  5. Vasta F., Gullo S. e Girelli R., a cura di (2019). Psicoterapia psicodinamica di gruppo e ricerca empirica. Una guida per il clinico. Roma: Alpes.
  6. van Uden-Kraan C.F., Drossaert C.H., Taal E., Seydel E.R. e van de Laar M.A. (2009), Participation in Online Patient Support Groups Endorses Patients’ Empowerment. Patient Educ. Couns. Jan., 74, 1: 61-9. DOI: 10.1016/j.pec.2008.07.044. Epub 2008 Sep 7. PMID: 18778909.
  7. Thomas N., McDonald C., DeBoer K., Brand R.M., Nedeljkovic M. e Seabrook L. (2021). Review of the Current Empirical Literature on Using Videoconferencing to Deliver Individual Psychotherapies to Adults with Mental Health Problems. Psychology and Psychotherapy: Theory, Research and Practice, Advance online publication. DOI: 10.1111/papt.12332.
  8. Spangler P.T., Liu J. e Hill C.E. (2012). Consensual Qualitative Research for Simple Qualitative Data: An Introduction to CQR-M. In. Hill C.E., Ed., Consensual Qualitative Research: A Practical Resource for Investigating Social Science Phenomena. Washington DC: American Psychological Association.
  9. Russell G.I. (2015). Psicoanalisi attraverso lo schermo. I limiti delle terapie online. Roma: Astrolabio, 2017.
  10. Pierce B.S., Perrin P.B., Tyler C.M., McKee G.B. e Watson J.D. (2021). The COVID-19 Telepsychology Revolution: A National Study of Pandemic-Based Changes in U.S. Mental Health Care Delivery. American Psychologist, 76, 1: 14-25. DOI: 10.1037/amp0000722.
  11. Naik S.S., Manjunatha N., Kumar C.N., Math S.B. e Moirangthem S. (2020). Pa-tient’s Perspectives of Telepsychiatry: The Past, Present and Future. Indian J. of psychological medicine, 42, 5suppl: 102S-107S. DOI: 10.1177/0253717620963341.
  12. Marmarosh C.L., Forsyth D.R., Strauss B. e Burlingame G.M. (2020). The Psy-chology of the Covid-19 Pandemic: a Group-level Perspective. Group Dynam-ics: Theory, Research and Practice, 24, 3: 122-138. DOI: 10.1037/gdn0000142.
  13. Hill C.E., Ed. (2012). Consensual Qualitative Research: A Practical Resource for Investigating Social Science Phenomena. Washington, DC: American Psycho-logical Association.
  14. Haddouk L., Bouchard S., Brivio E., Galimberti C. e Trognon A. (2018). Assessing Presence in Videoconference Telepsychotherapies: A Complementary Qualitative Study on Breaks in Telepresence and Intersubjectivity Co-construction Processes. Ann. Rev. of CyberTher. and Telemed, 16, 118-123.
  15. Girelli R., Vasta F. e Ambrosiano I. (2020). Prime considerazioni sul passaggio dal cerchio gruppale allo schermo condiviso: note sparse al tempo del lockdown. Gruppi, XXI, 1: 89-105. DOI: 10.3280/gruoa1-2020oa10485.
  16. Gentry M.T., Lapid M.I., Clark M.M. e Rummans T.A. (2019). Evidence for Tele-health Group-based Treatment: A Systematic Review. J. of Telemedicine and Telecare, 25: 327-342. DOI: 10.1177/1357633X18775855.
  17. Foulkes S.H. (1975). La psicoterapia gruppoanalitica. Roma: Astrolabio, 1976.
  18. Foulkes S.H. (1964). Analisi terapeutica di gruppo. Torino: Boringhieri, 1967.
  19. Blasi S. e Hill C.E. (2015). La Ricerca Qualitativa Consensuale come metodo di ricerca qualitativa per le scienze sociali, la psicologia e la psicoterapia: aspetti teorici e linee guida pratiche. Psicoterapia Cognitiva e Comportamentale, 21, 1: 73-97.
  20. Bennett C.B., Ruggero C.J., Sever A.C. e Yanouri L. (2020). eHealth to Redress Psychotherapy Access Barriers both New and Old: A Review of Reviews and Meta-analyses. J. of Psychotherapy Integration, 30, 2: 188-207. DOI: 10.1037/int0000217.
  21. Békés V., Aafjes-van Doorn K., Luo X., Prout T.A. e Hoffman L. (2021). Psycho-therapists’ Challenges with Online Therapy during Covid-19: Concerns about Connectedness Predict Therapists’ Negative View of Online Therapy and its Perceived Efficacy over Time. Frontiers in Psychology, 12, 705699. DOI: 10.3389/fpsyg.2021.705699.
  22. Barak A., Hen L., Boniel-Nissim M. e Shapira N. (2008). A Comprehensive Review and a Meta-analysis of the Effectiveness of Internet-based Psychotherapeutic Interventions. J. of Technology in Human Services, 26, 2-4: 109-160. DOI: 10.1080/15228830802094429.
  23. Banbury A., Parkinson L. e Nancarrow S. (2016). Delivering Patient Education by Group Videoconferencing into the Home: Lessons Learnt from the Telehealth Literacy Project. J. Telemed Telecare, 22: 483–488. DOI: 10.1177/1357633X16674359.
  24. Ambrosiano I., Druetta V., Pisterzi A. e Gullo S. (2020). La relazione clinica media-ta dallo schermo nella psicoterapia di gruppo online. Gruppi, XXI, 2: 94-108. DOI. 10.3280/gruoa2-2020oa12583.

Ivan Ambrosiano, Salvatore Gullo, Alessandro Di Caro, Maria Teresa Graffeo, Cecilia Giordano, L’esperienza del paziente nella terapia di gruppo online: una ricerca esplorativa durante il lockdown in "GRUPPI" 2/2021, pp 103-124, DOI: 10.3280/gruoa2-2021oa15809