Abstract
Today’s generation of youth and adults relies on communication technologies for entertainment, information, and social connections and more and more, for personal help and advice. With cyber technology having permeated the ways in which individuals seek support for a wide range of issues, the purpose of this paper is to report on a study that examined practitioners’ experiences and views of whether and how online communication has entered their face-to-face practice and of the implication for the therapeutic work. Using qualitative methodology, 15 social work practitioners participated in focus groups and interviews exploring their perspectives about the impact of cyber technology on their traditional face-to-face social work practice. The prevailing finding was that cyber communication has dramatically changed the nature of professional relationships. This key finding was supported by four major inter-related themes arising from the data: (1) client driven practice; (2) Pandora’s box; (3) ethical grey zone; and (4) permeable boundaries. Implications for practice are provided.
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Abroms, L., Gill, J., Windsor, R., & Simons-Morton, B. (2009). A process evaluation of email counseling for smoking cessation in college students. Journal of Smoking Cessation, 4, 26–33.
Barak, A., Klein, B., & Proudfoot, J. G. (2009). Defining internet-supported therapeutic interventions. Annals of Behavioral Medicine, 38, 4–17.
Bogo, M. (2006). Social work practice: Concepts processes and interviewing. New York, NY: Columbia University Press.
Bradley, L. J., & Hendricks, B. (2009). Email and ethical issues. The Family Journal: Counseling and Therapy for Couples and Families, 17(3), 267–271.
Bradley, L. J., Hendricks, B., Lock, R., Whiting, P. P., & Parr, G. (2011). E-mail communication: Issues for mental health counsellors. Journal of Mental Health Counselling, 33(11), 67–79.
Carlbring, P., Furmark, T., & Steczko, J. (2006). An open study of internet-based bibliography with minimal therapist contact via email for social phobia. Clinical Psychologist, 10, 30–38.
Cassidy, W., Jackson, M., & Brown, K. (2009). Sticks and stones can break my bones, but how can pixels hurt me? Students’ experiences with cyber-bullying. School Psychology International, 30(4), 383–402.
Chester, A., & Glass, C. A. (2006). Online counseling: A descriptive analysis of therapy services on the Internet. British Journal of Guidance and Counseling, 34, 145–160.
Cook, J., & Doyle, C. (2002). Working alliance in online therapy as compared to face-to-face therapy: Preliminary results. Cyberpsychology and Behavior, 5, 95–105.
Facebook. (2009). Statistics. Retrieved from http://www.facebook.com/press/info.php?statistics
Finn, J. (2006). An exploratory study of email use by direct service social workers. Journal of Technology in Human Services, 24(4), 1–20.
Gabbard, G. O., Kassaw, K. A., & Perez-Garcia, G. (2011). Professional boundaries in the era of the internet. Academic Psychiatry, 35(3), 168–174.
Glasgeen, K., & Campbell, M. (2009). The use of online counselling within an Australian secondary school setting: A practitioner’s viewpoint. Counselling Psychology Review, 24(2), 42–51.
Google. (2011a, November 14). Site profile for Facebook. In Doubleclick Ad Planner by Google. Retrieved from https://www.google.com/adplanner/planning/site_profile#siteDetails?uid=domain%253A%2520facebook.com&geo=001&lp=true.
Google. (2011b, November 14). Site profile for Myspace. In Doubleclick Ad Planner by Google. Retrieved from https://www.google.com/adplanner/planning/site_profile#siteDetails?identifier=myspace.com&geo=001&trait_type=1&lp=true.
Google. (2011c, November 14). Site profile for Twitter. In Doubleclick Ad Planner by Google. Retrieved from https://www.google.com/adplanner/planning/site_profile#siteDetails?uid=domain%253A%2520twitter.com&geo=001&lp=true.
Hanley, T. (2009). The working alliance in online therapy with young people: Preliminary findings. British Journal of Guidance & Counselling, 37(3), 257–269.
HHS. (2003). Summary of the HIPAA Privacy Rule. In the United States Department of Health and Human Services. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/privacysummary.pdf.
HHS. (n.d.). Health Information Privacy. In the United States Department of Health and Human Services. Retrieved from http://www.hhs.gov/ocr/privacy/index.html.
Hinduja, S., & Patchin, J. W. (2009). Bullying beyond the schoolyard: Preventing and responding to cyberbullying. Thousand Oaks, CA: Sage Publications.
Huang, M. P., & Alessi, N. (1996). The internet and the future of psychiatry. American Journal of Psychiatry, 153, 861–869.
Jones, S., & Fox, S. (2009). Generations online in 2009. Washington, DC: Pew Internet and American Life Project. Retrieved December 6, 2009, from http://www.pewinternet.org/w/media//Files/Reports/2009/PIP_Generations_2009.pdf Data memo.
Kaynay, J. M., & Yelsma, P. (2000). Displacement effects of online media in the socio-technical contexts of households. Journal of Broadcasting and Electronic Media, 4(2), 215–229.
King, R., Bambling, M., Reid, W., & Thomas, I. (2006). Telephone and online counseling for young people: A naturalistic comparison of session outcome, session impact and therapeutic alliance. Counselling and Psychotherapy Research, 6(3), 175–181.
Kowalski, R., Limber, S., & Agatston, P. W. (2008). Cyber bullying. Malden MA: Blackwell Publishing.
Kraus, R. (2004). Ethical and legal considerations for providers of mental health services online. In R. Kraus, J. Zack, & G. Stricker (Eds.), Online counseling: A handbook for mental health professionals (pp. 123–144). San Diego: Elsevier Academic.
Lehavot, K., Barnett, J. E., & Powers, D. (2010). Psychotherapy, professional relationships, and ethical considerations in the MySpace generation. Professional Psychology: Research and Practice, 41(2), 160–166.
Lenhart, A., Purcell, K., Smith, A., & Zickuhr, K. (2010). Social Media and young adults. Retrieved February 3, 2010 from http://www.pewinternet.org/Reports/2010/Social-Media-and-Young-Adults.aspx.
Lenhart, A., Madden, M., Smith, A., Purcell, K., Zickuhr, K., & Rainie, L. (2011). Teens, kindness and cruelty on social network sites: How American teens navigate the new world of “digital citizenship.” Pew Internet & American Life Project.
McLuhan, M. (1964). Understanding media: The extensions of man. New York: McGraw-Hill.
Merriam, S. B. (2002). Qualitative research in practice: Examples for discussion and analysis. San Francisco, CA: Jossey-Bass.
Middleton, C., Veenhof, B., & Leith, J. (2010). Intensity of Internet use in Canada: Understanding different types of users (Business Special Surveys and Technology Statistics Division Working Papers 88F0006X, no. 2). Retrieved July 23, 2011, from http://dsp-psd.pwgsc.gc.ca/collections/collection_2010/statcan/88F0006X/88f0006x2010002-eng.pdf.
Midkiff, D. M., & Joseph Wyatt, W. (2008). Ethical issues in the provision of online mental health services (Etherapy). Journal of Technology in Human Services, 26, 310–332.
Mishna, F., Cook, C., Gadalla, T., Daciuk, J., & Solomon, S. (2010). Cyber bullying behaviour among middle and high school students. American Journal of Orthopsychiatry, 80(3), 362–374.
Murphy, L. J., & Mitchell, D. L. (1998). When writing helps to heal: E-mail as therapy. British Journal of Guidance and Counselling, 26, 21–32.
NASW/ASWB. (2005). NASW and ASWB standards for technology and social work practice. In NASW Press. Retrieved from http://www.socialworkers.org/practice/standards/NASWTechnologyStandards.pdf.
Norcross, J. C., Hedges, M., & Prochaska, J. O. (2002). The face of 2010: A delphi poll on the future of psychotherapy. Professional Psychology: Research and Practice, 3, 316–322.
Ontario. (2010). Personal Health Information Protection Act, 2004. In ServiceOntario e-Laws. Retrieved from http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_04p03_e.htm.
Onwuegbuzie, A. J., Dickinson, W. B., Leech, N. L., & Zoran, A. G. (2009). A qualitative framework for collecting and analyzing data in focus group research. International Journal of Qualitative Methods, 8(3), 1–21.
Palfrey, J., & Gasser, U. (2008). Born digital: Understanding the first generation of digital natives. New York: Basic Books.
Patton, M. Q. (1990). Qualitative evaluation and research methods (2nd ed.). Newbury Park, CA: Sage Publications, Inc.
Pew Internet & American Life Project. (2009). Demographics of Internet users. Retrieved from http://www.pewinternet.org/Static-Pages/Trend-Data/Whos-Online.aspx.
Prado, S., & Meyer, S. B. (2004). Evaluation of the working alliance of an asynchronous therapy via the internet. Sao Paulo: University of Sao Paulo. Retrieved October 24, 2008, from http://www.psico.net/arquivos/.
Rafferty, J., & Steyaert, J. (2009). Social work in the digital age. British Journal of Social Work, 39, 589–598.
Reese, R., Conoley, C., & Brossart, D. (2002). Effectiveness of telephone counselling: A field based investigation. Journal of Counseling Psychology, 49(2), 233–242.
Rideout, V. J., Foehr, U. G., & Roberts, D. F. (2010). Generation M2: Media in the lives of 8-18 year olds. Menlo Park, CA: Kaiser Family Foundation. Retrieved June 5, 2010, from: http://www.kff.org/entmedia/upload/8010.pdf.
Robson, D., & Robson, M. (1998). Intimacy and computer communication. British Journal of Guidance and Counselling, 26(1), 33–42.
Rochlen, A., Zack, J., & Speyer, C. (2004). Online therapy: Review of relevant definitions, debates, and current empirical support. Journal of Clinical Psychology, 60, 269–283.
Santhiveeran, J. (2009). Compliance of social work e-therapy websites to the NASW Code of Ethics. Social Work in Health Care, 48(1), 1–13.
Schrock, A., & Boyd, D. (2008). Online threats to youth: Solicitation, harassment, and problematic content: Literature review prepared for the internet safety technical task force. Retrieved March 25, 2009 from http://cyber.law.harvard.edu/sites/cyber.law.harvard.edu/files/RAB_Lit_Review_121808_0.pdf.
Smith, S. D., & Reynolds, C. (2002). Cyber-psychotherapy. Annals of the American Psychotherapy Association, 5, 20–22.
Social Network Stats. (2008) Social networking site usage: Visitors, members, page views, and engagement by the numbers in 2008. Retrieved from http://www.webstrategist.com/blog/2008/01/09/socialnetwork-stats-facebook-myspace-reunion-jan-2008/.
Stamm, B. H. (1998). Clinical applications of telehealth in mental health care. Professional Psychology: Research and Practice, 29, 536–542.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Grounded theory, procedures and techniques. Newbury Park: Sage Publications.
Whitaker, T., Torrico Meruvia, R., & Jones, A. (2010). Child welfare social workers’ attitudes toward mobile technology tools: Is there a generation gap? Washington, DC: NASW.
Wright, J. (2002). Online counselling: Learning from writing therapy. British Journal of Guidance and Counselling, 30(3), 285–298.
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Mishna, F., Bogo, M., Root, J. et al. “It just crept in”: The Digital Age and Implications for Social Work Practice. Clin Soc Work J 40, 277–286 (2012). https://doi.org/10.1007/s10615-012-0383-4
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DOI: https://doi.org/10.1007/s10615-012-0383-4