‘Cyber therapy beats face-to-face sessions’

A SOOTHING voice, the offer of a tissue, a gentle hand on the back – can you imagine the experience of going to a therapist without these comforts? But we may be nearing the days when face-to-face human sessions are replaced by cyber-therapy.

A new study by the University of Zurich treated groups of patients suffering from moderate depression with two types of therapy – traditional, face-to-face counselling and a modified form of cognitive behavioural therapy administered through written tasks on the internet.

Patients underwent a series of eight sessions and were then evaluated for improvement. And guess what – the internet sessions won.

Technically, patients from both groups “won” – the degree of depression fell significantly in both groups. But the university’s website says: “At the end of the treatment, no more depression could be diagnosed in 53 percent of patients who underwent online therapy – compared with 50 percent for face-to-face therapy.”

But what’s more interesting is that three months later, depression continued to decline in individuals in both groups, but 15 percent more of the cyber-therapy group saw improvement.

It’s easy to dismiss such findings outright because they show yet another example of humans distancing themselves from traditionally face-to-face activities. But there might actually be some benefits to consider here.

When participants were given satisfaction surveys after the treatment, 96 percent of the online group rated contact with their therapist as “personal”, compared with 91 percent of the face-to-face group. That at least means remote psychoanalysis isn’t necessarily robotic psychoanalysis. Also, patients from the online group said they continued to reread correspondence with their therapist after the sessions. The researchers don’t say whether it’s likely this had an effect on the online group’s superior post-session results. But having records of your sessions, which could be pulled up at any time, seems like a considerable benefit. In contrast, face-to-face patients leave their sessions with only a memory of what was discussed.

Certainly, it’s not all positive. As anyone who has ever had a text-fight knows, non-spoken words are easy to misconstrue. I suppose it’s possible that communicating with your therapist by e-mail or chat room could lead to some mental breakdowncausing misunderstanding. Skype seems the obvious answer to this question, though it sort of negates the premise of the study – typed versus spoken communication.

Furthermore, any psych undergrad will tell you this study raises all sorts of huge ethical questions. For one, who wants to submit their deepest emotional troubles to NSA review? Does counselby-computer handicap psychological professionals by removing nonlanguage cues like body posture and tone of voice? Does never meeting your client decrease accountability in the case of misdiagnosis, prescription of drugs or suicide?

All of that aside, if medical doctors can telecommute to your hospital bedside, what’s to lose by internet therapy? Aside from the end-of-thesession hug, of course. But we have robots for that. – Slate