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Shifting Paradigms in Clinical Psychology: How Innovative Technologies Are Shaping Treatment Delivery
Abstract
The accelerated expanse, affordability, and advances in technology, along with the ubiquitous Web, will continue to radically transform how we prevent and treat behavioral problems and reduce human suffering. These technologies have the potential to break down barriers and close the gap between empirically supported treatments (ESTs) and those who need them. This chapter attempts to capture the current use of technology to strengthen and disseminate ESTs. We focus on those areas that have or are expected to have the greatest reach and impact in the years to come. Web- or computer-based technology, virtual reality, mobile technology, and social networking will all be highlighted. We present innovative ideas, the evidence base for existing applications (when available), and future directions. The omnipresence of technology in our daily lives perfectly positions it to be a powerful agent of change in the science and practice of clinical psychology.
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“Internet-delivered interventions have recently emerged as a viable alternative to address this need, potentially reducing suffering and disparities in access to mental healthcare [22].”
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Rebooting psychotherapy research and practice to reduce the burden of mental illness
Kazdin, A. E., & Blase, S. L. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691610393527 · Cited by 1,254
“One example is the use of dialectical behavior therapy (DBT) for borderline personality (see Dimeff et al., 2011).”
BackgroundRizvi, S. L., Dimeff, L. A., Skutch, J., Carroll, D., & Linehan, M. M. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.01.003 · Cited by 271
“Our decision to leverage mobile technology was based on the burgeoning empirical support of mobile technology to facilitate robust behavior change (Dimeff, Paves, Skutch, & Woodcock, 2010; Fogg & Eckles, 2007) and by the National Institute on Drug Abuse's (NIDA) strategic initiative to leverage…”
BackgroundMethodSelf-citationDennis, T. A., & O’Toole, L. J. (2014) · Clinical Psychological Science · doi:10.1177/2167702614522228 · Cited by 197
Comer, J. S., & Barlow, D. H. (2013) · American Psychologist · doi:10.1037/a0033582 · Cited by 180
“Computerized guided and “pure” self-help options are showing increasing support for a range of clinical presentations (e.g., Clarke et al., 2002; see also Dimeff et al., 2010).”
BackgroundEvidence-based treatment research: advances, limitations, and next steps
Kazdin, A. E. (2011) · American Psychologist · doi:10.1037/a0024975 · Cited by 155
“It might well be important in some psychological interventions, although plainly change can be achieved when no other person than the client is involved in treatment (e.g., Barak et al., 2008; Dimeff et al., 2011; Harwood & L’Abate, 2010; Muñoz, 2010).”
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Breland, J. Y., Yeh, V. M., & Yu, J. (2013) · Translational Behavioral Medicine · doi:10.1007/s13142-013-0205-4 · Cited by 85
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“…processes and communication) and mHealth (versions of eHealth using mobile devices) models (eg, computerized cognitive behavioral therapy) aim to mitigate the impact of both practical and social barriers to treatment by utilizing ubiquitous mediums to broaden the reach of clinical models [32-34].”
Dennis-Tiwary, T. A., Egan, L. J., Babkirk, S., & Denefrio, S. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.12.008 · Cited by 64
Eustis, E. H., Hayes-Skelton, S. A., Orsillo, S. M., & Roemer, L. (2018) · Behavior Therapy · doi:10.1016/j.beth.2018.05.009 · Cited by 57
Ecological Validity in Virtual Reality-Based Neuropsychological Assessment
Parsons, T. D. (2014) · Advances in information quality and management · doi:10.4018/978-1-4666-5888-2.ch095 · Cited by 53
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Self-citationStoner, S. A., Arenella, P. B., & Hendershot, C. S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0124613 · Cited by 37
“Because mobile phones offer a high degree of access to individuals in their daily lives, they are well suited for just-in-time intervention delivery [27,28].”
Stoner, S. A., & Hendershot, C. S. (2012) · Addiction Science & Clinical Practice · doi:10.1186/1940-0640-7-9 · Cited by 29
“Mobile health (mHealth) technologies are increasingly being used to deliver behavioral health interventions [23] with one application being the delivery of mobile interventions for improving medication adherence [24,25].”
BackgroundEhrenreich, J. T., Dimeff, L. A., Woodcock, E. A., Queen, A. H., Kelly, T. B., Contreras, I., Rash, B., Kelley-Brimer, A., Hauschildt, J., Danner, S., et al. (2016) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2016.1245116 · Cited by 28
Self-citationJones, S. H., Wainwright, L. D., Jovanoska, J., Vincent, H., Diggle, P. J., Calam, R. M., Parker, R., Long, R., Mayes, D., Sanders, M. R., et al. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0505-y · Cited by 18
“The internet (currently used by 73 % of the UK population [21]) provides an alternative to face to face interventions offering the potential to deliver self-management help flexibly (at the time and location chosen by the client), cheaply and without the stigma that some people feel is associated with seeking support…”
BackgroundSmith, R. E., Fagan, C., Wilson, N. L., Chen, J. A., Corona, M., Nguyen, H. V., Racz, S. J., & Shoda, Y. (2011) · Professional Psychology Research and Practice · doi:10.1037/a0025392 · Cited by 13
The cost of illness associated with stepped care for obsessive-compulsive disorder
Diefenbach, G. J., & Tolin, D. F. (2012) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2012.12.005 · Cited by 11
Coaching Vs. Self-Help for Parents of Children with ADHD: Outcomes and Processes
Shechtman, Z., Baram, T., Barak, A., & Danino, M. (2019) · Journal of Creativity in Mental Health · doi:10.1080/15401383.2019.1566040 · Cited by 4
ВИКОРИСТАННЯ СМАРТФОН-ЗАСТОСУНКІВ В УМОВАХ ПСИХОТРАВМАТИЗАЦІЇ НАСЕЛЕННЯ
Дворник, М. С. (2019) · Information Technologies and Learning Tools · doi:10.33407/itlt.v73i5.2760 · Cited by 5
Vally, Z., Shah, H., Varga, S.-I., Hassan, W., Kashakesh, M., Albreiki, W., & Helmy, M. (2024) · PLoS ONE · doi:10.1371/journal.pone.0313243 · Cited by 5
Leverage points in evidence-based professional psychology training.
Warren, J. S., & Park, S. Y. (2018) · Training and Education in Professional Psychology · doi:10.1037/tep0000216 · Cited by 2
Candelari, A. E., & Viana, A. G. (2022) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2022.2051214 · Cited by 1
“Computer-delivered interventions in particular offer a modern solution to accessibility of gold-standard interventions (Dimeff et al., 2011), and notable progress has been made within the area of computerized CBT programs for youth.”
BackgroundPsychoeducational module to promote knowledge and reduce stigma towards recreational marijuana users
Strong, S. J. (2017) · UNI ScholarWorks (University of Northern Iowa) · Cited by 1
Metadata
- Authors
- Dimeff, L. A., Paves, A. P., Skutch, J. M., & Woodcock, E. A.
- Affiliations
- Behavioral Tech Research, Inc. (US)
- Venue
- The Oxford Handbook of Clinical Psychology
- Publisher
- Oxford University Press
- Published
- 2010-12-14
- Pages
- 618-649
- OpenAlex
- W2107503903
- Cited by
- 23
- References
- 0
- Citations by year
- 2024: 1 · 2022: 1 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 2
- Type
- reference entry
- Language
- en
- Open access
- closed
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- online intervention, computer-based therapy, virtual reality therapy, mental health apps, barriers to treatment access
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