The permalink to the previous post (http://www.wikinomics.com/blog/index.php/2009/01/09/broad-bandages-aren%e2%80%99t-the-solution/) isn’t working properly. It yields only a box reading “No comments yet.” Also, comments are disabled on the previous post. I’m using the latest version of Firefox on Tiger.

Problem solved – thanks for the heads up Paul.

Of course, the issues of confidentiality have yet to be well-researched and figured out such that the ‘typical’ practitioner could engage in this kind of communication and remain within ethical codes and legal regulations.

Dr. J,

Certainly. I agree that not all practitioners should “jump online” and counsel clients indiscriminately.

I think that the type of counselling that I mention in the post deserves very serious consideration as a feasible alternative/adjunct to traditional forms. More research is needed, but hopefully such research isn’t discouraged by practitioners who may be reluctant to see such innovative practices in use.

Thank you for your comment!

Jeff

I agree. But the regulation of the profession tends to lag behind the innovation, and in this context (and every context) a regulator will have to ask how the public is protected by any given practice.

Currently, a key issue is cross-jurisdictional services, where someone in one locale is delivering (virtually) a service to someone located in a place they aren’t licensed to work.

In a way, a simple idea like using Facebook chat to counsel someone (something I have done, but to a colleague in a problem-solving context), spins us off into issues like trade and mobility barriers across provinces (and States, although the legislative climate for mobility is different in the U.S. than in Canada.)

On a related note, I am an avid Flickr user and one day I noticed a post in a group I belong to. It started something like “How do you…” so I thought I’d check and see what kind of technical advice I could learn from. It continued (I’m paraphrasing here) with something like “How do you cope with depression? I know it’s off-topic but I take pictures to help me feel better. But lately it just isn’t working the same.” What ensued was one of the more supportive discussion threads I’ve seen in a long time. If you filtered out the outliers (as I think of them – all the “therapists suck” comments, all the “get over yourself and move on” comments – which were fewer than I expected) the net result was a) a sense that many people experienced depression in some form or another (expected given the base rate) and b) that many people did many interesting things to cope with it, and ultimately transcend it. So, in the end, looking for photo talk, I, as a psychologist, walked away with an informal survey of what people have found works in their everyday life. Which, of course, I added to my mental library of things to suggest for the next client I see who struggles with depression.

How very Wikinomical

I am counsellor, though of other type. I am a legal counsellor, but this same discussion applies to our profession.

I like the idea of net interaction for any problem to be solved, but I think that one of the critical issues to be solved when dealing with psychological problems, is to be able to face your situation and have those difficult conversations in the traditional way, not hidden behind a computer.

Dr. J. – I’m glad you brought up the concerns around regulation. In most cases, I believe, regulation does its job to protect the involved parties. In other cases it is a symptom of bureaucracy that likely poses a barrier to implementations that will help a great number of people.

Your example is a great one, speaking to the power of collaboration and, dare I say, therapy, outside a traditional setting. Thanks for sharing that!

Nano – I certainly believe that “exposure” as opposed to insulation is critical. My thought is however, that these online interactions can act as a bridge between living with the feelings of isolation/insulation and real-world exposure.

Digitized interactions can never replace rich, face-to-face interactions (so long as humans possess DNA that evolved in an environment of face-to-face interactions). From what I gather, you share this belief (correct me if I’m wrong).

Thank you and keep the comments coming!

Face-to-face interactions cannot be replaced, however, net counseling could prove to be a way to convince those who do not believe in therapy or psychologists. If they have a taste of the benefits, they might change their views towards therapy.

Nano – That’s a great point. My thinking was more along the lines of “easing” the client into social interaction. The idea that online counselling may be used as a sort of “trial run” for face-to-face counselling hadn’t come to mind. Thanks!

[...] a number of� examples pro (a CBS report on internet addiction)� and contra (an earlier post on how the power of the Web is being harnessed by therapists to treat clients)� the Web’s ability to� elicit happiness come to [...]