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Considering The Use of Mobile Application in Psychotherapy within The Framework of Ethics

Year 2021, , 133 - 140, 31.12.2021
https://doi.org/10.31461/ybpd.1019155

Abstract

Technological developments have enabled the use of online methods and mobile applications as a form of communication in clinical applications. The rapid increase and use of mobile health technology applications have not only provided many functions to be integrated into psychotherapy but also caused the emergence of new ethical implications for the use of these applications. There are no ethical guidelines or laws regarding the use of these mobile mental health applications integrated into the psychotherapy process. In this context, in the light of the relevant literature, the usage areas of mobile applications in psychotherapy were mentioned and the ethical consequences and dilemmas of using mobile applications in psychotherapy have been reviewed. These ethical implications are classified under the headings of confidentiality and data security, competence, and informed consent. Within the scope of this article, the use of mobile (mental) health applications in psychotherapy are handled within the framework of ethical rules, and it is aimed to determine the ethical problems that may be caused by the use of mobile applications in psychotherapy and to determine the points to be considered preventing the emergence of problems. Mobile health applications are used for various purposes in the psychotherapy process/clinical applications, for evaluation of symptoms, psycho-education, and monitoring of treatment progress. It seems so important for professionals considering using mobile health applications as a part of their psychotherapy applications to consider the possible ethical issues caused by mobile application use. Within this scope in this article various suggestions are given for the ethical issues that may arise from the use of mobile applications in psychotherapy, which are discussed under the titles of confidentiality and data security, competence and informed consent.

References

  • Aguilera, A., & Muench, F. (2012). There's an app for that: Information technology applications for cognitive behavioral practitioners. The Behavior Therapist/AABT, 35(4), 65-73.
  • American Psychological Association. (2010). Ethical principles of psychologists and code of conduct with the 2010 amendments. apa.org/ethics/code/index.aspx adresinden alınmıştır.
  • Campbell, L., Vasquez, M., Behnke, S., & Kinscherff, R. (2010). APA Ethics Code commentary and case illustrations. American Psychological Association.
  • Dimeff, L.A., Rizvi, S.L., Contreras, I.S., Skutch, J.M., & Carroll, D.(2011). The mobile revolution and the DBT coach. The Behavior Therapist, 34(6), 104-110.
  • Grünerbl, A., Muaremi, A., Osmani, V., Bahle, G., Oehler, S., Tröster, G., & Lukowicz, P. (2015). Smartphone-based recognition of states and state changes in bipolar disorder patients. IEEE Journal of Biomedical and Health Informatics, 19(1), 140-148.
  • Jain, A.K., & Shanbhag, D. (2012). Addressing security and privacy risks in mobile applications. IT Professional, 14(5), 28-33.
  • Kahn J.G., Yang J.S. & Kahn J.S. (2010). Mobile health needs and opportunities in developing countries. Health Policy, 29, 252-258.
  • Karver, M.S., Handelsman, J.B., Fields, S., & Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review, 26(1), 50-65.
  • Luxton, D.D., McCann, R.A., Bush, N.E., Mishkind, M.C., & Reger, G.M. (2011). mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Professional Psychology: Research and Practice, 42(6), 505-512.
  • Matthews, M., Doherty, G., Sharry, J., & Fitzpatrick, C. (2008). Mobile phone mood charting for adolescents. British Journal of Guidance & Counselling, 36(2), 113-129.
  • Miskelly, F. (2005). Electronic tracking of patients with dementia and wandering using mobile phone technology. Age and Ageing, 34(5), 497-499.
  • Prentice, J.L., & Dobson, K.S. (2014). A review of the risks and benefits associated with mobile phone applications for psychological interventions. Canadian Psychology, 55(4), 282-290.
  • Pope, K.S. ve Vasquez, M.J.T. (2016). Psikoterapi ve danışmanlıkta etik: Uygulama için bir kılavuz (Çev. ed.: M. Akhun, Y. Korkut, İ. Dağ). Ankara, Türk Psikologlar Derneği.
  • Raymond, S. (2008). Observed subject utilization of electronic PEF meters integrated with an electronic diary in a randomized clinical trial. Journal of Allergy and Clinical Immunology, 121(2), S223.
  • Rees, C.S., McEvoy, P., & Nathan, P.R. (2005). Relationship between homework,completion and outcome in cognitive behaviour therapy. Cognitive Behaviour Therapy, 34(4), 242-247.
  • Thase, M.E., & Callan, J.A. (2006). The role of homework in cognitive behavior therapy of depression. Journal of Psychotherapy Integration, 16(2), 162-177.
  • Thriveport, L.L.C. MoodKit-Mood Improvement Tools [mobile application software], Version 3.0. 2015. URL: apple.com/au/app/moodkit-mood-improvement-tools/id427064987.
  • Türk Psikologlar Derneği (2004). Türk Psikologlar Derneği Etik Yönetmeliği. 5 Ocak, 2018 tarihinde psikolog.org.tr/upload/content/files/file_3_7.pdf adresinden alınmıştır.
  • US Department of Health and Human Services. (2003). Summary of the HIPAA privacy rule. Washington, DC: Author. Retrieved December, 2, 2007.

Psikoterapide Mobil Uygulama Kullanımının Etik Kurallar Çerçevesinde Ele Alınması

Year 2021, , 133 - 140, 31.12.2021
https://doi.org/10.31461/ybpd.1019155

Abstract

Teknolojik gelişmeler, klinik uygulamalarda online yöntemlerin ve mobil uygulamaların da iletişim biçimi olarak kullanılmasını sağlamıştır. Mobil sağlık uygulamalarının hızlı bir şekilde artması ve kullanılmaya başlanması psikoterapi sürecine entegre edilecek pek çok işlev sağlamanın yanı sıra bu uygulamaların kullanımına dair yeni etik doğurguların oluşmasına da sebep olmuştur. Psikoterapi sürecine entegre edilen bu mobil zihinsel sağlık uygulamalarının kullanımına yönelik herhangi bir etik yönerge ya da yasa bulunmamaktadır. Bu kapsamda ilgili alan yazın ışığında psikoterapide mobil uygulamaların kullanım alanlarına değinilerek, psikoterapide mobil uygulama kullanımının ortaya çıkardığı etik sonuç ve ikilemler gözden geçirilmiştir. Bu etik doğurgular gizlilik ve veri güvenliği, yetkinlik ve bilgilendirilmiş onam başlıklarıyla sınıflandırılarak ele alınmıştır. Bu yazı kapsamında psikoterapide mobil (zihinsel) sağlık uygulamalarının kullanımı etik kurallar çerçevesinde ele alarak, psikoterapide mobil uygulama kullanımının neden olabileceği etik sorunlar ve sorunların ortaya çıkmasını önleyebilmek için dikkat edilmesi gereken noktaların belirlenmesi amaçlanmıştır. Mobil sağlık uygulamaları psikoterapi sürecinde/klinik uygulamalarda belirtilerin değerlendirilmesi, psiko-eğitim ve tedavi ilerlemesinin takibi için çeşitli amaçlar için kullanılmaktadır. Mobil sağlık uygulamalarını psikoterapi uygulamalarının bir parçası olarak kullanmayı düşünen profesyonellerin, mobil uygulama kullanımının sebep olduğu muhtemel etik meseleleri göz önünde bulundurmaları oldukça önemli görünmektedir. Bu kapsamda bu yazıda; gizlilik ve veri güvenliği, yetkinlik ve bilgilendirmiş onam başlıklarıyla ele alınan psikoterapide mobil uygulama kullanımının ortaya çıkaracağı etik meseleler için çeşitli önerilere yer verilmiştir.

References

  • Aguilera, A., & Muench, F. (2012). There's an app for that: Information technology applications for cognitive behavioral practitioners. The Behavior Therapist/AABT, 35(4), 65-73.
  • American Psychological Association. (2010). Ethical principles of psychologists and code of conduct with the 2010 amendments. apa.org/ethics/code/index.aspx adresinden alınmıştır.
  • Campbell, L., Vasquez, M., Behnke, S., & Kinscherff, R. (2010). APA Ethics Code commentary and case illustrations. American Psychological Association.
  • Dimeff, L.A., Rizvi, S.L., Contreras, I.S., Skutch, J.M., & Carroll, D.(2011). The mobile revolution and the DBT coach. The Behavior Therapist, 34(6), 104-110.
  • Grünerbl, A., Muaremi, A., Osmani, V., Bahle, G., Oehler, S., Tröster, G., & Lukowicz, P. (2015). Smartphone-based recognition of states and state changes in bipolar disorder patients. IEEE Journal of Biomedical and Health Informatics, 19(1), 140-148.
  • Jain, A.K., & Shanbhag, D. (2012). Addressing security and privacy risks in mobile applications. IT Professional, 14(5), 28-33.
  • Kahn J.G., Yang J.S. & Kahn J.S. (2010). Mobile health needs and opportunities in developing countries. Health Policy, 29, 252-258.
  • Karver, M.S., Handelsman, J.B., Fields, S., & Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review, 26(1), 50-65.
  • Luxton, D.D., McCann, R.A., Bush, N.E., Mishkind, M.C., & Reger, G.M. (2011). mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Professional Psychology: Research and Practice, 42(6), 505-512.
  • Matthews, M., Doherty, G., Sharry, J., & Fitzpatrick, C. (2008). Mobile phone mood charting for adolescents. British Journal of Guidance & Counselling, 36(2), 113-129.
  • Miskelly, F. (2005). Electronic tracking of patients with dementia and wandering using mobile phone technology. Age and Ageing, 34(5), 497-499.
  • Prentice, J.L., & Dobson, K.S. (2014). A review of the risks and benefits associated with mobile phone applications for psychological interventions. Canadian Psychology, 55(4), 282-290.
  • Pope, K.S. ve Vasquez, M.J.T. (2016). Psikoterapi ve danışmanlıkta etik: Uygulama için bir kılavuz (Çev. ed.: M. Akhun, Y. Korkut, İ. Dağ). Ankara, Türk Psikologlar Derneği.
  • Raymond, S. (2008). Observed subject utilization of electronic PEF meters integrated with an electronic diary in a randomized clinical trial. Journal of Allergy and Clinical Immunology, 121(2), S223.
  • Rees, C.S., McEvoy, P., & Nathan, P.R. (2005). Relationship between homework,completion and outcome in cognitive behaviour therapy. Cognitive Behaviour Therapy, 34(4), 242-247.
  • Thase, M.E., & Callan, J.A. (2006). The role of homework in cognitive behavior therapy of depression. Journal of Psychotherapy Integration, 16(2), 162-177.
  • Thriveport, L.L.C. MoodKit-Mood Improvement Tools [mobile application software], Version 3.0. 2015. URL: apple.com/au/app/moodkit-mood-improvement-tools/id427064987.
  • Türk Psikologlar Derneği (2004). Türk Psikologlar Derneği Etik Yönetmeliği. 5 Ocak, 2018 tarihinde psikolog.org.tr/upload/content/files/file_3_7.pdf adresinden alınmıştır.
  • US Department of Health and Human Services. (2003). Summary of the HIPAA privacy rule. Washington, DC: Author. Retrieved December, 2, 2007.
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Psychology
Journal Section Volume:5, Issue:10 December
Authors

Buse Şencan 0000-0001-7833-6469

Publication Date December 31, 2021
Published in Issue Year 2021

Cite

APA Şencan, B. (2021). Psikoterapide Mobil Uygulama Kullanımının Etik Kurallar Çerçevesinde Ele Alınması. Yaşam Becerileri Psikoloji Dergisi, 5(10), 133-140. https://doi.org/10.31461/ybpd.1019155