The Effect of Working Alliance on Online Counseling Settings in Lowering Anxiety Levels

Authors

  • Hafnia Rahma Alifa Universitas Islam Bandung
  • Suci Nugraha Universitas Islam Bandung
  • Endah Nawangsih Universitas Islam Bandung

DOI:

https://doi.org/10.59188/eduvest.v5i2.50807

Keywords:

working alliance, Tele counseling, counseling skills, anxiety

Abstract

Telepsychology in Indonesia can be a solution to overcome the shortage of mental health professionals to address psychological problems, but it is a new challenge for counselors. Anxiety clients prefer online psychology services because of 1) easier access to feel accompanied by them when they are anxious and 2) they need immediate help in the event of a panic or anxiety attack. The public's interest in using telepsychology has not been accompanied by empirical data on the ability of counselors to provide online counseling services, especially in establishing working alliances. This research is the second stage. The first phase of research was conducted on 93 counselors who were selected through a simple random sampling technique. The result is that it is difficult for counselors to carry out extra therapy influence when conducting online counseling. This second research began by developing a way to increase extra therapy influence through monitoring tasks based on the principle of constructing tasks (Kazantzis et al., 2005) and monitoring tasks via text (Alfonsson et al., 2019) to overcome the difficulties of counselors in monitoring task assignments and conducting a test of the influence of the provision of monitoring modules structured in an online counseling setting to lower anxiety levels. The design of this second study is an equivalent comparison group design, with a total of 6 participants obtained through the purposive sampling technique. 

References

Alfonsson, Sven, Englund, Joakim, & Parling, Thomas. (2019). Tailored text message prompts to increase therapy homework adherence: a single-case randomised controlled study. Behaviour Change, 36(3), 180–191.

Conklin, Laren R., Curreri, Andrew J., Farchione, Todd J., & Barlow, David H. (2021). Homework compliance and quality in cognitive behavioral therapies for anxiety disorders and obsessive-compulsive disorder. Behavior Therapy, 52(4), 1008–1018.

Hadjistavropoulos, Heather D., Pugh, Nicole E., Hesser, Hugo, & Andersson, Gerhard. (2017). Therapeutic alliance in internet‐delivered cognitive behaviour therapy for depression or generalized anxiety. Clinical Psychology & Psychotherapy, 24(2), 451–461.

Hara, Kimberley M., Aviram, Adi, Constantino, Michael J., Westra, Henny A., & Antony, Martin M. (2017). Therapist empathy, homework compliance, and outcome in cognitive behavioral therapy for generalized anxiety disorder: partitioning within-and between-therapist effects. Cognitive Behaviour Therapy, 46(5), 375–390.

Haryati, Asti. (2020). Online counseling sebagai alternatif strategi konselor dalam melaksanakan pelayanan e-counseling di era industri 4.0. Bulletin of Counseling and Psychotherapy, 2(2), 27–38.

Jensen, Alexandra, Fee, Connie, Miles, Anthony L., Beckner, Victoria L., Owen, Daniela, & Persons, Jacqueline B. (2020). Congruence of patient takeaways and homework assignment content predicts homework compliance in psychotherapy. Behavior Therapy, 51(3), 424–433.

Kazantzis, Nikolaos, & Miller, Allen R. (2022). A comprehensive model of homework in cognitive behavior therapy. Cognitive Therapy and Research, 46(1), 247–257.

Marcotte-Beaumier, Gabrielle, Bouchard, Stéphane, Gosselin, Patrick, Langlois, Frédéric, Belleville, Geneviève, Marchand, André, & Dugas, Michel J. (2021). The role of intolerance of uncertainty and working alliance in the outcome of cognitive behavioral therapy for generalized anxiety disorder delivered by videoconference: Mediation analysis. JMIR Mental Health, 8(3), e24541.

McEvoy, Peter M., Bendlin, Martyna, Johnson, Andrew R., Kazantzis, Nikolaos, Campbell, Bruce N. C., Bank, Samantha R., & Egan, Sarah J. (2024). The relationships among working alliance, group cohesion and homework engagement in group cognitive behaviour therapy for social anxiety disorder. Psychotherapy Research, 34(1), 54–67.

Ryum, Truls, Bennion, Mia, & Kazantzis, Nikolaos. (2023). Integrating between-session homework in psychotherapy: A systematic review of immediate in-session and intermediate outcomes. Psychotherapy, 60(3), 306.

Saptandari, Edilburga Wulan. (2020). Covid-19 and mental health: The growing need of telecounseling in Indonesia. Buletin Psikologi, 28(2), 99–112.

APA. (2013). Guidelines for the Practice of Telepsychology. https://www.apa.org/pubs/journals/features/amp-a0035001.pdf

Beck, A, T., Rush, A, J., Shaw, B, F., & Emergy, G. (1979). Cognitive therapy of depression. Guilford.

Bordin, E, S. (1979). The Generalizability of The Psychoanalytic Concept Of The Working Alliance. Psychotherapy: Theory, Research and Practice, 16(3).

Christensen, L, B. (1941). Experimental Methodology. Pearson.

Darmawan, A. (2021). How My Generation Was 'Forced' To Provide ServicesDigital Psychology Practice. HIMPSI (Eds.), Indonesian Psychology (Vol. 3. pp 5-16). Indonesian Psychological Association

Halodoc. (2022). Is it true that Indonesian teenagers are prone to mental disorders?. https://www.halodoc.com/artikel/benarkah-remaja-indonesia-rentan-alami mental-disorder

Johnson, L, N., Wright, D, W. (2002). Revisiting Bordin's Theory on The Therapeutic Alliance: Implications for Family Therapy. Contemporary Family Therapy: An International Journal, 24(2), 257-269. https://doi.org/10.1023/A:1015395223978

Kazantzis, N., & L'Abate, L. (2007). Handbook of homework assignments in Psychotherapy. Springer.

Ministry of Health. (2021, October 1). Ministry of Health Reveals Problems Mental Health Problems in Indonesia https://sehatnegeriku.kemkes.go.id/baca/rilismedia/20211007/1338675/keme kes-disclose-mental-health-problems-in-indonesia/

Liansari, R, A, M. (2021). Validity and Reliability Test of Working Alliance Instruments Inventory (WAI) Indonesian Version. [Unpublished M.Appl.Psy.thesis]. University of Indonesia.

Lin, Tao., Stone, S., J., Heckman, T, G., & Anderson, T. (2021). Zoom-In to Zone Out: Therapists Report Less Therapeutic Skill in Telepsychology Versus Face-to Face Therapy During the COVID-19 Pandemic. Psychotherapy, 58(4), 449 459. https://doi.org/10.1037/pst0000398

Lindegaard, T., Hesslow, T., Nilsson, M., Johansson, R., Carlbring, P., Lilliengren, P., & Andersson, G. (2020). Internet-based psychodynamic therapy vs cognitive behavioural therapy for social anxiety disorder: A preferencestudy. Internet Interventions, 20. https://doi.org/10.1016/j.invent.2020.100316

Shanti, H, D. (2021). Ministry of Health: Anxiety Disorder Rate Rises 6.8 Percent During the Pandemic. Between. https://www.antaranews.com/berita/2444893/kemenkes anxiety%20Disorders-up-68%20percent-during-the-pandemic

Shabrina, D. (2022). Cases of Anxiety Disorders Increase and Are More Contagious from Covid-19. https://mediaindonesia.com/humaniora/528563/kasus anxiety-disorder-increasing-and-over-contagious-from-covid-19

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Published

2025-02-27

How to Cite

Alifa, H. R., Nugraha, S. ., & Nawangsih, E. . (2025). The Effect of Working Alliance on Online Counseling Settings in Lowering Anxiety Levels. Eduvest - Journal of Universal Studies, 5(2), 2275–2291. https://doi.org/10.59188/eduvest.v5i2.50807