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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
Affiliation:1. Instituto Interuniversitario de Investigación en Bioingeniería y Tecnología Orientada al Ser Humano, Universitat Politècnica de València, I3BH/LabHuman, Camino de Vera s/n, 46022 Valencia, Spain;2. Institut Français des Sciences et Technologies des Transports, de l’Aménagement et des Réseaux, 25 allée des Marronniers, Satory, F-78000 Versailles, France;3. Departamento de Psicologia Basica y Psicobiologia Universidad Jaume I, Castellón, Spain;4. Ciber, Fisiopatología de Obesidad y Nutrición, CB06/03 Instituto de Salud Carlos III, Spain, Universitat Politècnica de València, I3BH/LabHuman, Camino de Vera s/n, 46022 Valencia, Spain;1. Information Technologies Institute, Centre for Research and Technology Hellas, 6th Km Charilaou - Thermi Road, P.O. BOX 60361 GR - 570 01, Thessaloniki, Greece;2. Department of Computing, University of Surrey, Guildford, United Kingdom;2. Department of Automation, Tsinghua University, Beijing, China;3. Department of Automation, Tsinghua University, Beijing, China
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.
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