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“I miss not being able to offer my couples a box of tissues…”

Couples' and therapists' perspectives on the therapeutic alliance with the transition to online couple therapy

Bibliographic Data

ID21320355
AuthorsAlon Aviram (0000-0002-1436-9226, The Paul Baerwald School of Social Work and Social Welfare The Hebrew University of Jerusalem Jerusalem Israel, corresponding author), Y Nadan (0000-0001-6797-3454, The Paul Baerwald School of Social Work and Social Welfare The Hebrew University of Jerusalem Jerusalem Israel)
Year2024
Volume63
Issue1
Pages163-175
Publication date2024-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFamily Process (JOURNAL)
Journal identifiersISSN: 0014-7370 • E-ISSN: 1545-5300
PublisherWiley (PUBLISHER • GB)
DOI10.1111/famp.12853
PMID36709951
OpenAlexW4318449097
LanguageEN
Citations received4
References cited36

The purpose of this study is to advance theory concerning the experiences of couples and therapists involved in online couple therapy and the meanings they assign to them, with a particular focus on the therapeutic alliance. Using constructivist grounded theory methodology, in‐depth semi‐structured online interviews were conducted with 36 individuals, including 18 couples who had participated in online couple therapy via videoconference. Additionally, 15 couple and family therapists were interviewed in four online focus groups. Our analysis indicates three dimensions that impact the formation of the therapeutic alliance in online couple therapy: (1) emotional closeness, as a conduit for establishing physical or emotional space; (2) limited care, due to the therapist's difficulty providing comfort and security; and (3) body language, as reflected in the lack of physical presence and the close inspection of the face, at two opposite ends of a continuum. We discuss our findings through the lens of the closeness‐distance dynamic, which posits that therapists' ability to regulate themselves depends on their clients' emotional needs. We conclude with implications for clinical practice

Alliance · Closeness · Constructivist grounded theory · Grounded theory · Psychotherapist · Qualitative research · Therapeutic relationship · Attachment and Relationship Dynamics · Digital Mental Health Interventions · Psychology · Psychotherapy Techniques and Applications

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    Open Access•Alon Aviram•Family Relations•2024

  • The transition to Teletherapy

    Open Access•Caitlin Edwards, Andrea K Wittenborn et al.•Family Process•2025

  • Couples counseling in digital society

    Open Access•Wei Zhang, Xiang Hu et al.•Family Relations•2026

  • Teletherapy Matters - Mental health and materialities of care in domestic more-than-digital assemblages

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    Open Access•Alon Aviram, Y Nadan•Family Process•2022

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Unique citing works4
Citations per year2
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4

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