ONLINE PSYCHOTHERAPY: GROWING DEMAND AND SUGGESTIONS FOR ITS REGULATION
Abstract
Online psychotherapy is a form of psychotherapy conducted by means of synchronous Internet sessions that are still not allowed in Brazil, except in a few instances defined by the Resolution 011/2012 of the Federal Council of Psychology. Such restriction is based on the understanding that the research available is insufficient to authorize a widespread use of this type of service. Studies on therapeutic alliance in psychological care provided exclusively over the internet show that the establishment of the therapeutic relationship in synchronous online calls occurs much like it does in face-to-face therapeutic processes, considering both, its benefits and challenges. This article aims to broaden the understanding of the online psychotherapy and to question its prohibition, signaling the dangers it entails, vis-a-vis the increasing demand for the service and its widespread use in disregard with the current restrictions. This article also makes suggestions for the regulation of the service in Brazil.Downloads
References
Barak, A., Klein, B., Proudfoot, J. G. (2009). Defining Internet-Supported Therapeutic Interventions. Society of Behavioral Medicine, Milwaukee (EUA), 1-17.
Barnett, J. E., Scheetz, K. (2003). Technological advances and telehealth: ethics, law, and the practice of psychotherapy. In Psychotherapy: Theory, Research, Practice, Training Educational Publishing Foundation, Washington (EUA), Vol. 40,(1), 86–93.
CFP - Conselho Federal de Psicologia (2012). Resolução CFP nº 011/2012, Brasília, DF. Recuperado em 08 de maio de 2014: http://site.cfp.org.br/wp-content/uploads/2012/07/Resoluxo_CFP_nx_011-12.pdf
Childress, C. (2000). Ethical Issues in Providing Online Psychotherapeutic Interventions. Journal of Medical Internet Research, Califórnia (EUA). Recuperado em 31 de julho de 2015: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1761841/
Cook, J., & Doyle, C. (2002). Working alliance in online therapy as compared to face-to-face therapy: preliminary results. Cyberpsychology & Behavior, Nova York (EUA), Vol. 5, (2).
Drude, K. & Lichstein, M. (2005). Psycholigists Use of E-mail with Clients: Some Ethical Considerations. The Ohio Psychologist, 13-17.
Esparcia, A. J. (2002). La psicología de Internet y La psicología en Internet. Regulación deontológica y ética de la intervención psicológica a través de Internet. Psicologia em Revista, Belo Horizonte(MG), v. 8, (12), p. 11-23.
Fenichel e cols (2002). Myths and Realities of Online Clinical Work. Cyberpsychology & Behavior, Nova York (EUA), 5(5): 481-497. Recuperado em 12 de agosto de 2014: http://www.fenichel.com/myths/
Finfgeld, D. L. (1999). Psychotherapy in Cyberspace. Journal of the American Psychiatric Nurses Association, Virgínia (EUA).
Finn, J., & Barak, A. (2010). A descriptive study of e-counsellor attitudes, ethics, and practice. Counselling and Psychotherapy Research: Linking research with Practice, 10(4), 268-277. Recuperado em 06 de agosto de 2015 de http://construct.haifa.ac.il/~azy/F195-EcounsellorAttitudesEthicsPracticeFinn.pdf.
Fisher , C. B., Fried, A.L. (2003). Internet-mediated Psychological Services and The American Psychological Association Ethics Code. Psychotherapy: Theory, Research, Practice, Training, Educational Publishing Foundation, Washington (EUA), vol. 40, (1/2), 103–111.
Fitzgerald, T. D. ,Hunter, P., Hadjistavropoulos, T. (2010). Ethical and Legal Considerations for Internet-Based Psychoterapy. Cogniive Behavior Therapy, 39 (3), 173-187.
Hill, C. E. & Knox, S. (2009). Processing the Therapeutic Relationship. Marquette University e-Publications@Marquette (Wisconsi-EUA). Recuperado em 29 de julho de 2012: http://epublications.marquette.edu/cgi/viewcontent.cgi?article=1029&context=edu_fac
IBGE, 2013. Site oficial. Recuperado em 05 de agosto de 2015: http://www.ibge.gov.br/home/estatistica/populacao/trabalhoerendimento/pnad2013/microdados.shtm
Levisky, R. B., SILVA, M. C. R. S. (2010). A invasão das novas formas de comunicação no setting terapêutico: Vínculo, vol.07. Recuperado em 03 de abril de 2014, de http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1806-24902010000100008
Lévy, P. (1999). Cibercultura. São Paulo. Editora 34.
Looi, J. e RaphaeL, B. Reflections on therapy in the era of the internet. Australian Psychiatry, vol. 15 nº 4, 2007.
Lovejoy, T., Demireva, P., Grayson, J. e McNamara J. (2009). Advancing the practice of online psychotherapy: an application of rogers’ diffusion of innovations theory. Psychotherapy: Theory, Research, Practice, Training Educational Publishing Foundation, Washington (EUA). Volume 46 (1), 112-124.
Looi, Jeffrey & Raphael, B. (2007). Reflections on therapy in the era of the internet. Australasian Psychiatry, Nova Zelândia, Vol.15, (4).
Luborsky, L. (1994). Therapeutic Alliances as Predictors of Psychoterapy Outcomes: Factos Explaining the Predictive Success. In The Working Alliance: Theory, Research, and Practice, Capítulo 2; Edited by Adam O. Horvath and Lesle S. Greenberg. New York (EUA), Editora John Wile & Sons. Recuperado em 28 de outubro de 2012, de http://www.public.iastate.edu/~hd_fs.591m/Reading%20Packet/Luborsky%20%281994%29.Alliance.pdf
Manhal-Baugus, M. (2001). E-Therapy: Practical, Ethical, and Legal Issues. Cyberpsychology & Behavior, Mary Ann Liebert, Inc. Geórgia (EUA), 4 (5).
Meier, S. T. (1988). An exploratory study of a computer-assisted alcohol education program. Computers in Human Services, (3)111-121.
Midkiff, D. M. e Wyatt, W. J. (2008). Ethical Issues in the Provision of Onhne Mental Health Services (Etherapy). Journal of Technology in Human Services, 26(2/4).
Pieta, M. A. & Gomes, W. B. (2014). Psicoterapia pela internet: viável ou inviável? Psicologia: Ciência e Profissão, 34(1) . Recuperado em 28 de julho de 2015, da SciELO (Scientific Eletronic Library Online): http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-98932014000100003&lng=pt&nrm=iso
Ragusea, A. S. & Creek, L.V. (2003). Suggestions for the Ethical Practice of Online Psychotherapy. Psychotherapy: Theory, Research, Practice, Training, Educational Publishing Foundation, Washington (EUA), 40 (1/2), 94–102.
Rochlen, A. B.; Zack, J. S; Speyer C. (2003). Online Therapy: Review of Relevant Definitions, debates, and current empirical support. Journal of clinical psychology, 60(3), 269–283.
Rodrigues, C. G & Tavares, M. (2014). Aliança terapêutica na psicoterapia breve online. Repositório Institucional Universidade de Brasília. Recuperado em 19 de abril de 2015, de http://repositorio.unb.br/handle/10482/16596
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