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Mediated counseling services are becoming more and more common, thanks to the advance and availability of ICTs. The research on motivations for choosing such a service over a face-to-face one is a relatively new field of research and previous studies identified the most common motivations as narrated by clients in ex-post interviews. The present study aims to contribute to this field of research by identifying and describing how these motivations are directly enacted within the conversations between the counseling professional and the client. Twentyone WhatsApp conversations were analyzed using Qualitative Content Analysis. Results show that motivations expressed ex-post by young people found in previous research (e.g. privacy and autonomy, control over the counseling process, anonymity, accessibility of text counseling) are present in the conversations, but are more complex and nuanced in natural discursive productions. The article also presents the pragmatic implications of these occurrences in the practice of mediated counseling. [ABSTRACT FROM AUTHOR]

In the course of counseling sessions, counselors use summaries/restatements (also called formulations) of clients’ words. Online counseling literature advises counselors to use formulations more frequently than in spoken counseling. This article is based on a comparative research project on Dutch telephone and chat counseling. It appeared that the counselors used formulations in the early phase of the chat sessions, while they rarely did on the telephone. This article focuses on the formulations used in the initial phase of chat sessions to explore how they are embedded in the interaction and what they achieve. The data consist of 49 web-based chat sessions about alcohol and/or drugs; in 14 sessions the counselors used a formulation in the initial phase of the session. Two types of formulations were found, proposing two alternative activities as the current focus of the interaction: requesting and giving information (7 out of 14) or problem discussion (7 out of 14). While the first type solves equivocal help questions, the second explores if the client would like to disclose more about the problem implied in the question. The findings may be used to reflect on, and scrutinize the general recommendation to use formulations in online counseling. [ABSTRACT FROM AUTHOR]

The development of online counseling services has followed the advent on information and communication technologies. The present study assessed mental health professionals' perspectives of online counseling by using an extended version of the technology acceptance model. Participants completed anonymous structured questionnaires assessing technology acceptance-related variables, including perceived usefulness and ease of use, usage intentions, job relevance, social norms, attitudes, computer anxiety, and past experience with online counseling. Linear regression and mediation analyses respectively showed that the model predicted 72.9% of usage intentions, and that perceived usefulness significantly predicted usage intentions and mediated the effect of perceived relevance. Interventions to promote online counseling should consider educating counselors and mental health professionals about the relevance and the expected benefits of online counseling to counseling practice. [ABSTRACT FROM AUTHOR]

Objective: In recent years, Internet-based or online counseling has emerged as an effective way to assess psychological disorders and discuss destructive behaviors with individuals or groups of individuals. This study explores the application of online counseling to HIV/STD risk-taking behavior among men who have sex with men (MSM). Methods: PowerON, an organization that provides sexual health information to MSM exclusively online, used instant message technology to counsel MSM in real time through computer-mediated means. A sample of 279 transcripts of instant message exchanges between PowerON counselors and Gay.com users were recorded and qualitatively analyzed. Results: Approximately 43% of the instant message sessions discussed information about HIV/STD testing. Risk-taking behaviors were addressed in 39% of the sessions. Information about HIV/STDs and general counseling were given in 23% and 18% of the counseling sessions, respectively. Conclusion: The data showed these instant message sessions to be a potentially feasible forum for HIV/STD counseling. Practice implications: Information ordinarily disseminated at health clinics could be successfully distributed through the Internet to MSM. [Copyright &y& Elsevier]

Abstract: The Internet can be efficiently exploited to help people in severe emotional distress, including those contemplating suicide. Based on this premise and guided by various psychological principles that characterize Internet communication and behavior, on the one hand, and by factors related to the provision of emotional support, on the other, an Israeli project with the Hebrew acronym SAHAR was established. The idea behind SAHAR was to initiate an anonymous, confidential online environment that would attract people in a crisis situation and offer them a listening ear, mental support, and warmth, provided by anonymous, skilled helpers. At the heart of this exclusively online service is a content-rich Hebrew website (http://www.sahar.org.il) that provides relevant and continuously updated information for people in need. Accessed through the site, SAHAR offers, in addition, personal communication to users through synchronous and asynchronous support. For group communication, SAHAR provides online forums (a chat room will soon be launched). The website is accessed more than 10,000 times a month, or 350 times a day, a considerable number relative to Israel’s small population. Approximately 1000 personal contacts with SAHAR itself take place, each month, of which at least a third of the distressed users are clearly suicidal. The forums receive over 200 new messages a day. SAHAR on numerous occasions has participated in rescue operations of individuals who threatened to commit suicide or were actually in the process of trying. In many other cases, a supportive conversation or a referral to appropriate help resources prevented hasty decisions by highly distressed, desperate people contemplating suicide. Feedback by users also indicates the success of SAHAR as a unique psychological application on the Internet. [Copyright &y& Elsevier]

• For hidden youth, online counseling achieves better outcomes than the offline one. • For hidden youth, integrated counseling achieves the best service outcomes. • Online counseling and offline counseling have unique, complementary advantages. The emergence of the Internet has given rise to the continuous development of online counseling since the 1970s. Despite the increasing popularity of online counseling in the globe currently, whether the advantages of online counseling surpasses that of offline counseling is still in controversy. Against this backdrop, this study seeks to compare between online, offline, and integrated counseling (i.e., the combined use of online and offline counseling) in therapeutic outcomes, so as to shed light on the significance of largely developing online counseling in youth contexts in Hong Kong. Targeting 502 hidden youth in Hong Kong who were aged 12–24 as participants, this study adopted a mixed method in doing the comparative analysis of service outcomes in terms of quality of life and sense of well-being. Quantitative results showed that integrated counseling was perceived as achieving the best outcomes among all the three forms of counseling, while online counseling was better than offline counseling. Explained by qualitative analyses, online and offline counseling had their unique advantages which were complementary to each other: While online counseling dealt with individual, psychological issues more effectively, offline counseling helped provide more substantial support in terms of real-time company and tangible resources. The implication is that online counseling has a potential value to be extensively developed in Hong Kong, either as an alternative to offline counseling or being integrated with offline counseling to maximize the service outcomes. [ABSTRACT FROM AUTHOR]