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Copy of Technology & Cyberspace

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Kristin Bertsch

on 13 March 2013

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Transcript of Copy of Technology & Cyberspace

Ian Birky, Ph.D
Lehigh University Tech Trends Tech Trends Outline Objectives Participatory technology tools such as blogs,
and social networking sites have:
Given voice to the silent
Invited input from the previously unsolicited
Created communities of the like-minded

The education field proposes participatory technology
can be used to increase student’s community engagement - -
Can it also work in the therapy community? Blogs Text Messaging Podcasts Given the options within cyberspace,
how can therapists utilize these resources
to enhance the work of therapy?
Explore tech trends and the use of:
Text message
Phone Apps
Social networking

Discuss how these tools promote counseling services and facilitate interactions
(Dawson, 2007; Ducate & Lomicka, 2008) A frequently updated on-line journal or diary (ex. livejournal)

Blog is short for “Web Log”

Daily, over 120,000 new blogs & 1.4 million new posts

Blogs allow for interactivity & collaboration

Bloggers typically have a passion for the subject, gain satisfaction from reaching a wide audience, or an ego boost having others read their narratives Blogs Live Journal Blogs http://thistimethisspace.com/2010/11/09/benefiting-from-private-journal-blogging/ (Dawson, 2007) The most effective blogs:

include important and cutting-edge information

communicate deeply personal experiences through narrative

are directed to a specific audience Blogs Hone interpretive and presentation skills
Become more thoughtful and critical
Develop camaraderie and a sense of belonging
Connect due to similar interests and ideas
Expand intercultural competence
Experiment with personality or different types of character presentation Blogs Can Help Clients Therapy Blogs http://onlinecounsellingcollege.tumblr.com/ If therapist knows client is using particular interactive blog, could therapist be one of the primary “responders” to posted messages. Promote and encourage client blogging for knowledge sharing, reflection, debate, self-expression and empowerment

Encourage and prescribe alternative exploration and communication of deeply personal experiences

Provide consultation and share information with other offices Consider Therapist
Use of Blogs Mental Health Blogs Depression Anxiety Autism Bipolar http://anxiousnomore.blogspot.com/ http://www.health.com/health/gallery/0,,20418363,00.html http://autism-hub.com/ http://bipolarblog.org/ Twitter Twitter is a service that allows you the exchange of quick, frequent answers to the question “What are you doing?”
You can follow friends responses on their website, mobile phone, or instant message
Twitter is the second most widely used social media service behind Facebook
Centers may explore use of therapy assisted twittering Twitter Mobile & IM On Campus Jim Groom of the University of Mary Washington used Twitter to receive crucial information during a crisis involving a gunman on campus (Rampell, 2008) What would it be like if clients twittered their therapists?

Would it be helpful for some clients (e.g., social anxiety issues, new job)? How can therapists use Twitter? A method of publishing audio files to the Internet for playback on mobile devices and personal computers Podcast Podcasts on Campus Relaxation/ Mindfulness Podcasts http://www.liveitwell.org.uk/latest-news/free-podcasts-for-better-mental-health/ http://marc.ucla.edu/body.cfm?id=22 http://www.zencast.org/ Ethical Considerations & Discussion Confidentiality
Disclosure and Privacy
Risk Situations
Psychodynamic Effect Ethical Considerations How do you see your practice utilizing these tools?

What do you see as the risks and benefits to your practice?

How do ethical issues play out?
Additional thoughts? Discussion Technology tools may be useful for:

Advertisement of therapy services and de-stigmatization of counseling

On-line outreach and psycho-education

Reaching individuals/groups who typically do not utilize therapy services Summary The End Critique and imagine with a “yes-and” mentality
. DO YOU NOW SEE THE LIGHT? Call for Support A different type of thought process Objective 1: Participants will be able to identify and describe five of the top social media and “external office” forms of communication potentially accessed and utilized by
therapists and their clients. Objective 2: Objective 3: Participants will be able to articulate some
of the ethical issues that inform the use of cyberspace and social media sites by therapists and their clients. Objective 4: Participants will be better able to clarify their policy of practice regarding the ethical use of cyberspace and social media interactions between clients and therapists. Participants will increase their awareness of current and potentially new and interesting means available to interact with clients outside the office. Note that AOL, MySpace, etc. have “died”
and Gchat, Pinterest, Tumblr, & Facebook,
- - are in Faculty members are increasingly using technology, noting that responding to student emails consumes a larger proportion of their workload.

As of August 2012 (n = 2,253):
5% of online adults report using Tumblr
12% of online adults report using Pinterest
12% of online adults report using Instagram
16% of online adults report using Twitter
20% of online adults report using Linkedln
66% of online adults report using Facebook Podcasts Include important and cutting-edge information

Communicate deeply personal experiences through narrative

Are directed to a specific audience The most effective blogs: (Dawson, 2007) Endless resources to compliment traditional therapy treatment https://itunes.apple.com/us/app/dbt-diary-card-skills-coach/id479013889?mt=8 Twitter Madness and the Compulsion of Connectivity:
Ethical and Psychodynamic Considerations of
Technology in Clinical Practice Rate my mood app Facebook Group Page when your group clients create a fb group page and invite you (the therapist)... http://www.psychologytoday.com/blog/apologies-freud/201210/should-your-therapist-tweet moving from anchored internet access to mobile web on the go http://unh.edu/ccrc/pdf/CV97.pdf http://psychology.about.com/gi/o.htm?zi=1/XJ&zTi=1&sdn=psychology&cdn=education&tm=49&f=00&su=p1173.2.182.ip_p284.13.342.ip_&tt=2&bt=1&bts=1&zu=http%3A//kspope.com/ethics/email.php http://psychology.about.com/od/guidetoonlinepsychology/a/etherapyethics.htm Welcome Community Mental Health Providers &
Training Program Alumni to this
Continuing Education and Networking Opportunity!

Presented At:
The 8th Annual Friends of
American University Counseling Center
Continuing Education Event

Friday, March 15, 2013
Direct Messaging with Clients Reality of the World Today Thinking about technology available
Special focus on iPhone or Smart phone
Robotics and other machines
Virtual reality
Thinking outside the box with prototype use
Combining technologies and software a Playlist app to lighten your mood You can choose song
representing current
mood... "The Sun Ain't Gonna
Shine Anymore" You are offered...

"It's a Beautiful Day" http://telehealth.org/content/Texting-and-Mental-Health http://www.psychologytoday.com/blog/millennial-media/201204/how-texting-can-improve-mental-health http://www.psychologytoday.com/blog/brainstorm/201209/is-text-messaging-about-revolutionize-therapy "This Ethics Code applies only to psychologists' activities that are part of their scientific, educational or professional roles as psychologists. Areas covered include but are not limited to the clinical, counseling and school practice of psychology; research; teaching; supervision of trainees; public service; policy development; social intervention; development of assessment instruments; conducting assessments; educational counseling; organizational consulting; forensic activities; program design and evaluation; and administration. This Ethics Code applies to these activities across a variety of contexts, such as in person, postal, telephone, internet and other electronic transmissions. These activities shall be distinguished from the purely private conduct of psychologists, which is not within the purview of the Ethics Code." Technology-Assisted Counseling-AMHCA (2010)

Technology-assisted counseling includes but is not limited to computer, telephone, internet and other communication devices. Mental health counselors take reasonable steps to protect patients, clients, students, research participants and others from harm. Mental health counselors performing technology assisted counseling comply with all other provisions of this Ethics Code. Mental health counselors:

a) establish methods to ascertain the client’s identity and obtain alternative methods of contacting the client in an electronic emergency.

b) electronically transfer client confidential information to authorized third-party recipients only when both the mental health counselor and the authorized recipient have secure transfer and acceptance capabilities as state and federal laws regulate.

c) ensure that clients are intellectually, emotionally, and physically capable of using technology-assisted counseling services, and of understanding the potential risks and/or limitations of such services.

d) provide technology-assisted counseling services only in practice areas within theirexpertise. Mental health counselors do not provide services to clients in states where doing sowould violate local licensure laws or regulations.

e) confirm that the provision of technology-assisted counseling services are not prohibitedby or otherwise violate any applicable state or local statutes, rules, regulations or ordinances, codes of professional membership organizations and certifying boards, and/or codes of state licensing boards. http://www.nymhca.org/AMHCACodeofEthics.pdf Arguments against provision of telemental health services:

(a) Dehumanization of the therapeutic environment
(b) Lack of adequate insurance reimbursement for services
(c) Prohibitive cost of training and infrastructure development
(d) Licensure and jurisdiction constraints
(e) Lack of clear ethical guidelines for practice
(f) Patient privacy and confidentiality concerns
(g) Patient suitability factors
(h) Clinician suitability factors
(i) Potential for professional ill repute. Hobart and William Smith Colleges - Relaxation http://www.hws.edu/studentlife/counseling_relax.aspx University of Texas at Austin http://cmhc.utexas.edu/mindbodylab.html Attentional Focus Exercise
Identify connectivity Phone Apps Opportunity for innovation and creativity in clinical work

How does theory effect use?

Aspiration and legal ethical issues abound Endless resources to compliment
traditional therapy treatment Rate my mood app https://itunes.apple.com/us/app/daily-behavior-tracking/id479013889?mt=8 Attentional Focus Exercise
What it your connectivity?
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