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Digitalt leveret psykoterapi tilbydes i stigende grad som alternativ eller supplement til konventionel face-to-face-terapi i behandlingen af en række psykiske og somatiske problemstillinger. Men hvad er konsekvenserne af at flytte dele af psykoterapien fra det fysiske rum med direkte klientkontakt over i detdigitale rum? Digitale løsninger mindsker geografiske barrierer, muliggør hjælp til personer med begrænset mobilitet og tilbyder fleksible, individualiserede behandlingsforløb. Omvendt er digitalt leveret psykoterapi måske utilstrækkeligt sensitiv over for alvorlige psykiske udsving blandt klienterne, ligesomonline allianceopbygning og -fastholdelse kræver særlige terapeutiske virkemidler. Spørgsmålet er ikke, om der vil ske en øget digitalisering af psykoterapi, men snarere hvordan den kliniske psykologi vil høste gevinsterne og håndtere de faglige og etiske udfordringer forbundet med den stigende digitalisering.Grænserne for, hvilke lidelser og klienttyper som kan behandles effektivt og etisk forsvarligt gennem digitale interventioner, bør udforskes, ligesom forskning i optimering og implementering er nødvendig for at kvalitetssikre udbuddet på det digitale psykoterapi-marked.

Background A distinct grief-specific disorder is included in the ICD-11. Lack of clarity remains regarding whether different proposed diagnostic criteria capture similar or different diagnostic entities. Our aim was to examine the specificity of four proposed diagnostic criteria-sets for pathological grief in a population-based sample. Methods Participants were 206 conjugally bereaved elderly Danes (59% female; mean age = 72.5 years, SD = 4.2; range 65–81) who completed self-report questionnaires six months post-loss. The main measure was the Danish version of Inventory of Complicated Grief-Revised. Results Results indicate substantial agreement between Prolonged Grief Disorder (PGD), Persistent Complex Bereavement Disorder (PCBD) and ICD-11-PGD (kappa's = 0.69–0.84), which found 6–9% of cases tested positive for pathological grief. Complicated Grief (CG) was partly in agreement with the three other symptom-diagnostic tests (kappa's = 0.13–0.20), and the prevalence-rate of pathological grief was 48%. Limitations The low response-rate of 39%. The selective inclusion of data ≥6 months post-loss prevents a comparison of acute and prolonged grief reactions. Using self-reported data, not diagnostic interviews, challenges the validity of our findings. Using a sample of elderly people may limit the generalizability of our results to other age groups. Conclusion We suggest that PGD, PCBD and ICD-11-PGD may be more discriminative in identifying a specific grief-related psychopathology, while CG may identify a broader set of grief reactions.