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Let’s Face it: Video Conferencing Psychotherapy Requires the Extensive Use of Ostensive Cues

Fisher, S; Guralnik, T; Fonagy, P; Zilcha-Mano, S; (2021) Let’s Face it: Video Conferencing Psychotherapy Requires the Extensive Use of Ostensive Cues. Counselling Psychology Quarterly 10.1080/09515070.2020.1777535. (In press).

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Abstract

The COVID-19 crisis has required many therapists to switch to video conferencing psychotherapy (VCP). Knowledge about the importance of epistemic trust and its determinants has been accumulating over the last few years, with important implications for psychotherapy and specific significance for the transition to VCP. The present paper provides a brief background on the concept of epistemic trust, research on the determinants of its development and the integrative framework it provides for some traditional concepts in psychotherapy, such as the therapeutic alliance. In particular, research on ostensive cuing, which requires significant modification in a remote delivery context, has important implications in the transition to VCP. We will advance some suggestions while illustrating the ideas with clinical case studies. This knowledge may be of value to psychotherapists, who are required to make substantial changes in the nature of the encounter with their patients, and may help them identify benefits and hindrances that might arise from this transition, as well as pointing out techniques that may encourage effective adaptation to the change.

Type: Article
Title: Let’s Face it: Video Conferencing Psychotherapy Requires the Extensive Use of Ostensive Cues
DOI: 10.1080/09515070.2020.1777535
Publisher version: https://doi.org/10.1080/09515070.2020.1777535
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: Epistemic trust, video conferencing psychotherapy, Covid-19, ostensive cues
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10099384
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