‘But How Often Does This Happen?’: Problem Reducing Responses by Coaches in Email Counselling

  • Joyce Lamerichs
  • Wyke Stommel


This chapter explores the interactional dynamics of email counselling from a conversation analytic (CA) perspective. The conceptual apparatus of CA has been successfully applied to study turn-taking and the sequential placement of email messages (cf., Stommel, 2012; Stommel & Van der Houwen, forthcoming; Vayreda & Antaki, 2009), as well as the ways in which accountability is managed in online talk to do with health (cf., Guise, Widdicombe, & McKinlay, 2007; Lamerichs & Te Molder, 2003). Participants’ interactional concerns in email counselling are therefore treated as an empirical matter and not a priori different from speakers’ orientations in spoken interaction.


Telephone Counselling Conversation Analytic Online Support Group Wrong Message Qualitative Health Research 
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  1. Andersson, G. (2009). Using the Internet to provide cognitive behaviour therapy. Behaviour Research & Therapy, 47(3), 175–180.CrossRefGoogle Scholar
  2. Antaki, C., & O’Reilly, M. (2014). Either/or questions in child psychiatric assessments: The effect of the seriousness and order of the alternatives. Discourse Studies, 16(3), 1–19.CrossRefGoogle Scholar
  3. Barak, A., & Grohol, J. M. (2011). Current and future trends in Internet-supported mental health interventions. Journal of Technology in Human Services, 29(3), 155–196.CrossRefGoogle Scholar
  4. Chester, A. & Glass, C. A. (2006). Online counselling: A descriptive analysis of therapy services on the Internet. British Journal of Guidance and Counselling, 34(2), 145–160.CrossRefGoogle Scholar
  5. Danby, S., Butler, C. W., & Emmison, M. (2009). When ‘listeners can’t talk.’ Comparing active listening in opening sequences of telephone and online counselling. Australian Journal of Communication, 36(3), 91–113.Google Scholar
  6. Donker, T., Van Straten, A., Riper, H., Marks, I., Andersson, G. & Cuijpers, P. (2009). Implementation of internet-based preventive interventions for depression and anxiety: Role of support? The design of a randomized controlled trial. Trials, 10(59) doi:10.1186/1745–6215-10–59.Google Scholar
  7. Guise, J., Widdicombe, S., & McKinlay, A. (2007). ‘What is it like to have ME?’: The discursive construction of ME in computer-mediated communication and face-to-face interaction. Health: An Interdisciplinary Journal for the Social Study of Health, Illness & Medicine, 11(1), 87–108.Google Scholar
  8. Harris, J., Danby, S. J., Butler, C. W., & Emmison, M. (2012). Extending client-centred support: Counsellors’ proposals to shift from e-mail to telephone counselling. Text & Talk , 32(1), 21–37.CrossRefGoogle Scholar
  9. Hepburn, A., & Bolden, G. (2013). The conversation analytic approach to transcription. In J. Sidnell & T. Stivers (Eds.), The handbook of conversation analysis (pp. 57–76). Oxford, England: Wiley-Blackwell.Google Scholar
  10. Heritage, J., & Robinson, J. (2006). Accounting for the visit: Giving reasons for seeking medical care. In J. Heritage & D. Maynard (Eds.), Communication in medical care: interaction between primary care physicians and patients (pp. 48–85). New York: Cambridge University Press.CrossRefGoogle Scholar
  11. Jefferson, G., & Lee, J. R. E. (1981). The rejection of advice: Managing the problematic convergence of a ‘troubles-telling’ and a ‘service encounter’. Journal of Pragmatics, 5(5), 399–422.CrossRefGoogle Scholar
  12. Lamerichs, J., & Te Molder, H. F. M. (2003). Computer-mediated Communication: from a cognitive to a discursive model. New Media & Society, 5(4), 451–473.CrossRefGoogle Scholar
  13. MacMartin, C. (2008). Resisting optimistic questions in narrative and solution-focused therapies. In A. Peräkylä, C. Antaki, S. Vehviläinen, & I. Leudar (Eds.), Conversation analysis and Psychotherapy (pp. 80–99). Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  14. Potter, J., & Hepburn, A. (2003). ‘I’m a bit concerned’. Early actions and psychological constructions in a child protection helpline. Research on Language and Interaction, 36(3), 197–240.CrossRefGoogle Scholar
  15. Reed, D. (2001). ‘Making conversation’: sequential integrity and the local management of interaction on Internet newsgroups. Proceedings of the 34th Hawaii International Conference on System Sciences, 1–5.Google Scholar
  16. Rochlen, A. B., Zack, J. S. & Speyer, C. (2004). Online therapy: Review of relevant definitions, debates and current empirical support. Journal of Clinical Psychology, 60(3), 269–283.CrossRefGoogle Scholar
  17. Schalken, F. (2013). Handboek online hulpverlening. Met internet zorg en welzijn verbeteren. [Handbook Online Counselling. Improving health and wellbeing via the Internet]. Houten: Bohn Stafleu Van Loghum.CrossRefGoogle Scholar
  18. Sidnell, J. & Stivers, T. (2013). The handbook of conversation analysis. Oxford, England: Wiley-Blackwell.Google Scholar
  19. Sorbi, M., & Riper, H. (2009). e-Health — gezondheidszorg via Internet [e-Health — healthcare via Internet]. Psychologie & Gezondheid [Psychology & Health], 37(4), 191–201.CrossRefGoogle Scholar
  20. Stommel, W. (2012). Salutations, closings and pronouns; Some aspects of recipient design in online counselling. Journal of Communication and Medicine, 9(2), 145–158.Google Scholar
  21. Stommel, W., & Van der Houwen, F. (2013). Formulations in ‘trouble’ chat sessions. In I. Kupferberg & I. Gilat (Eds.), Computer-mediated troubled talk. Special Issue: Lan-guage@Internet, article 3, n.p. As retrieved at: Scholar
  22. ——. (2014). Complaining and the management of face in online counseling. Qualitative Health Research, 24(2), 183–193.CrossRefGoogle Scholar
  23. ——. (forthcoming). Counseling and new media technologies: A comparison of problem presentations in e-mail and in chat. Journal of Communication and Medicine, Special Issue on TelemedicineGoogle Scholar
  24. Stommel, W., & Lamerichs, J. (2014). Communication in online support groups: advice and beyond. In H. Hamilton & W.S. Chou (Eds.), Handbook of Language & Health Communication (pp. 191–211). New York: Routledge.Google Scholar
  25. Vayreda, A., & Antaki, C. (2009). Social support and unsolicited advice in a bipolar disorder online forum. Qualitative Health Research, 19(7), 931–942.CrossRefGoogle Scholar
  26. Weiste, E. (2015). Describing therapeutic projects across sequences: Balancing between supportive and disagreeing interventions. Journal of Pragmatics, 80, 22–43.CrossRefGoogle Scholar
  27. Wetherell, M., Stiven, H., & Potter, J. (1987). Unequal egalitarianism: A preliminary study of discourses concerning gender and employment opportunities. British Journal of Social Psychology, 26(1), 59–71.CrossRefGoogle Scholar

Recommended reading

  1. • Stommel, W., & Lamerichs, J. (2014). Communication in online support groups: advice and beyond. In H. Hamilton & W.S. Chou (Eds.), Handbook of Language & Health Communication (pp. 191–211). New York: Routledge.Google Scholar

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© Joyce Lamerichs and Wyke Stommel 2016

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  • Joyce Lamerichs
  • Wyke Stommel

There are no affiliations available

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