Skip to main content
Log in

Counseling via Avatar: Professional Practice in Virtual Worlds

  • ORIGINAL ARTICLE
  • Published:
International Journal for the Advancement of Counselling Aims and scope Submit manuscript

Abstract

Professional counselors (n = 5) from the United States (2), Australia, the United Kingdom and the Netherlands were interviewed about the provision of counseling services in the multi-user virtual environment (MUVE) Second Life (SL). Using Strauss and Corbin’s (1998) method, qualitative data analysis yielded four themes: (i) encapsulating the immersive experience inherent in virtual worlds, (ii) contributions to successful avatar-based counseling, (iii) the practice of MUVE counseling, and (iv) practitioners’ pioneering spirit. This study contributes to distance counseling knowledge and lays the foundation for future avatar-based counseling research and practice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Counseling Association. (2014). ACA Code of Ethics. Retrieved from http://www.counseling.org/ethics/.

  • Anstadt, S. P., Bradley, S., & Burnette, A. (2013). Virtual worlds: relationship between real life and experiences in 2nd life. International Review of Research in Open and Distance Learning, 14, 160–190.

    Google Scholar 

  • Antonijevic, S. (2008). From text to gesture online: a microethnographic analysis of nonverbal communication in the second life virtual environment. Information, Communication, and Society, 11, 221–238. doi:10.1080/13691180801937290.

    Article  Google Scholar 

  • Barak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. (2009a). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26, 109–160. doi:10.1080/15228830802094429.

    Article  Google Scholar 

  • Barak, A., Klein, B., & Proudfoot, J. G. (2009b). Defining internet-supported therapeutic interventions. Annals of Behavioral Medicine, 38, 4–17. doi:10.1007/s12160-009-9130-7.

    Article  PubMed  Google Scholar 

  • Bartle, R. A. (2010). From MUDs to MMORPGs: The history of virtual worlds. In J. Hunsinger, L. Klastrub, & M. Allen (Eds.), International handbook of internet research (pp. 23–39). New York: Springer. doi:10.1007/978-1-4020-9789-8.

    Google Scholar 

  • Boellstorff, T. (2008). Coming of age in second life: An anthropologist explores the virtually human. Princeton: Princeton University Press.

    Google Scholar 

  • Campos-Castillo, C. (2012). Copresence in virtural environments. Sociology Compass, 6(5), 425–433. doi:10.1111/j.1751-9020.2012.00467.x.

    Article  Google Scholar 

  • Cartreine, J. A., Ahern, D. K., & Locke, S. E. (2010). A roadmap to computer-based psychotherapy in the United States. Harvard Review of Psychiatry, 18, 80–95. doi:10.3109/10673221003707702.

    Article  PubMed  Google Scholar 

  • Centore, A. J., & Milacci, F. (2008). A study of mental health counselors’ use of and perspectives on distance counseling. Journal of Mental Health Counseling, 30, 267–282. doi:10.17744/mehc.30.3.q871r684n863u75r.

    Article  Google Scholar 

  • Charmaz, K. (2011). Grounded theory methods in social justice research. In N. K. Denzin & Y. S. Lincoln (Eds.), The sage handbook of qualitative research (4th ed., pp. 359–380). Thousand Oaks: Sage.

    Google Scholar 

  • Delmonico, D. L., Daninhirsch, C., Page, B., Walsh, J., L’Amoreaux, N. A., & Thompson, R. S. (2000). The palace: participant responses to a virtual support group. Journal of Technology in Counseling, 1(2) http://jtc.colstate.edu/vol1_2/palace.htm.

  • Dowling, M., & Rickwood, D. (2013). Online counseling and therapy for mental health problems: a systematic review of individual synchronous interactions using chat. Journal of Technology in Human Services, 31, 1–21. doi:10.1080/15228835.2012.728508.

    Article  Google Scholar 

  • Fabri, M., Moore, D. J., & Hobbs, D. J. (2004). Mediating the expression of emotion in educational collaborative virtual environments: an experimental study. International Journal of Virtual Reality, 7, 66–81. doi:10.1007/s10055-003-0116-7.

    Article  Google Scholar 

  • Fenichel, M., Suler, J., Barak, A., Zelvin, E., Jones, G., Munro, K., et al. (2002). Myths and realities of online clinical work. Cyberpsychology & Behavior, 5, 481–497. doi:10.1089/109493102761022904.

    Article  Google Scholar 

  • France, M. H., Cadieax, J., & Allen, G. E. (1995). Letter therapy: a model for enhancing counseling intervention. Journal of Counseling and Development, 73, 317–318. doi:10.1002/j.1556-6676.1995.tb01755.x.

    Article  Google Scholar 

  • Gorini, A., Gaggioli, A., Vigna, C., & Riva, G. (2008). A second life for eHealth: prospects for the use of 3-D virtual worlds in clinical psychology. Journal of Medical Internet Research, 10(3), e21. doi:10.2196/jmir.1029.

    Article  PubMed  PubMed Central  Google Scholar 

  • Green-Hamann, S., Eichhorn, K. C., & Sherblom, J. C. (2011). An exploration of why people participate in second life social support groups. Journal of Computer-Mediated Communication, 16, 465–491. doi:10.1111/j.1083-6101.2011.01543.x.

    Article  Google Scholar 

  • Haberstroh, S., Parr, G., Bradley, L., Morgan-Fleming, B., & Gee, R. (2008). Facilitating online counseling: perspectives from counselors in training. Journal of Counseling and Development, 86, 460–470. doi:10.1002/j.1556-6678.2008.tb00534.x.

    Article  Google Scholar 

  • Hine, C. (2000). Virtual ethnography. Thousand Oaks: Sage.

    Book  Google Scholar 

  • Holmes, C., & Foster, V. (2012). A preliminary comparison study of online and face to face counseling: client perceptions of three factors. Journal of Technology in Human Services, 30, 14–31. doi:10.1080/15228835.2012.662848.

    Article  Google Scholar 

  • Kessler, D., Lewis, G., Kaur, S., Wiles, N., King, M., Weich, S., et al. (2009). Therapist-delivered internet psychotherapy for depression in primary care: a randomised controlled trial. Lancet, 374, 628–634. doi:10.1016/S0140-6736(09)61257-5.

    Article  PubMed  Google Scholar 

  • King, R., Bambling, M., Lloyd, C., Gomurra, R., Smith, S., Reid, W., et al. (2006). The motives and experiences of young people who choose the internet instead of face to face or telephone counselling. Counselling and Psychotherapy Research, 6, 169–174. doi:10.1080/14733140600848179.

    Article  Google Scholar 

  • Lawley, J. S. (2012). HIPAA, HITECH and the practicing counselor: Electronic records and practice guidelines. The Professional Counselor: Research and Practice, 2, 192–200. doi:10.15241/jsl.2.3.192.

    Article  Google Scholar 

  • Linden Research. (2010). Release Notes/Second Life Beta Viewer/2.0. Retrieved from https://wiki.secondlife.com/wiki/Release_Notes/Second_Life_Beta_Viewer/2.0.

  • Linden Research. (2011). User Statistics. Retrieved 2011, from Second Life: http://secondlife.com/xmlhttp/secondlife.php.

  • Markham, A. N. (2005). The methods, politics, and ethics of representation in online ethnography. In N. K. Denzin, & Y. S. Lincoln (Eds.), The sage handbook of qualitative research (3rd ed., pp. 793–820). Thousand Oaks: Sage. 

  • Marks, I. (2004). Book reviews. Psychological Medicine, 34, 1361–1363. doi:10.1017/S0033291704233670.

    Article  Google Scholar 

  • McAdams III, C. R., & Wyatt, K. L. (2010). The regulation of technology-assisted distance counseling and supervision in the United States: an analysis of current extent, trends, and implications. Counselor Education and Supervision, 49, 179–192. doi:10.1002/j.1556-6978.2010.tb00097.x.

    Article  Google Scholar 

  • Miller, J. K., & Gergen, K. J. (1998). Life of the line: the therapeutic potentials of computer-mediated conversation. Journal of Marital and Family Therapy, 24, 189–202. doi:10.1111/j.1752-0606.1998.tb01075.x.

    Article  PubMed  Google Scholar 

  • Mohr, D. C., Vella, L., Hart, S., Heckman, T., & Simon, G. (2008). The effect of telephone-administered psychotherapy on symptoms of depression and attrition: a meta-analysis. Clinical Psychology: Science and Practice, 15, 243–253. doi:10.1111/j.1468-2850.2008.00134.x.

    Google Scholar 

  • Partala, T. (2011). Psychological needs and virtual worlds: case second life. International Journal of Human-Computer Studies, 69, 787–800. doi:10.1016/j.ijhc.2011.07.004.

    Article  Google Scholar 

  • Patton, M. Q. (2015). Qualitative research and evaluation methods (4th ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Reynolds, D. J., Stiles, W. B., & Grohol, J. M. (2006). An investigation of session impact and alliance in internet based psychotherapy: preliminary results. Counselling and Psychotherapy Research, 6, 164–168. doi:10.1080/14733140600853617.

    Article  Google Scholar 

  • Rohland, B. M. (2001). Telepsychiatry in the heartland: if we build it, will they come? Community Mental Health Journal, 37, 449–459. doi:10.1023/A:1017536230944.

    Article  PubMed  Google Scholar 

  • Stead, L. F., Hartmann-Boyce, J., Perera, R., & Lancaster, T. (2013). Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD002850. doi:10.1002/14651858.CD002850.pub3.

  • Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Suler, J. R. (2004). The psychology of text relationships. In R. Kraus, J. S. Zack, & G. Stricker (Eds.), Online counseling: A handbook for mental health professionals (pp. 19–50). New York: Elsevier.

    Google Scholar 

  • Suler, J. R., Barak, A., Chechele, P., Fenichel, M., Hsiung, R., Maguire, J., et al. (2001). Assessing a person’s suitability for online therapy. Cyberpsychology & Behavior, 4, 675–679. doi:10.1089/109493101753376614.

    Article  Google Scholar 

  • Wagner, B., Horn, A. B., & Maercker (2014). Internet-based versus face-to-face cognitive-behavioral intervention for depression: a randomized controlled non-inferiority trial. Journal of Affective Disorders, 152–154, 113–121. doi:10.1016/j.jad.2013.06.032.

    Article  PubMed  Google Scholar 

  • Wang, C. X., Anstadt, S., Goldman, J., & Lefaiver, M. L. M. (2014). Facilitating group discussion in second life. MERLOT Journal of Online Learning and Teaching, 10, 139–152.

    Google Scholar 

  • West, W., & Hanley, T. (2006). Technically incompetent or generally misguided: learning from a failed counselling research project. Counselling and Psychotherapy Research, 6, 209–212. doi:10.1080/14733140600857527.

    Article  Google Scholar 

  • Wieser, M. J., Pauli, P., Grosseibl, M., Molzow, I., & Mühlberger, A. (2010). Virtual social interactions in social anxiety: the impact of sex, gaze, and interpersonal distance. Cyberpsychology, Behavior and Social Networking, 13, 547–554. doi:10.1089/cyber.2009.0432.

    Article  PubMed  Google Scholar 

  • Yee, N., Bailenson, J. N., Urbanek, M., Chang, F., & Merget, D. (2007). The unbearable likeness of being digital: the persistence of nonverbal social norms in online virtual environments. Cyberpsychology & Behavior, 10, 115–121. doi:10.1089/cpb.2006.9984.

    Article  Google Scholar 

  • Yuen, E. K., Herbert, J. D., Forman, E. M., Goetter, E. M., Comer, R., & Bradley, J. (2013). Treatment of social anxiety disorder using online virtual environments in second life. Behavior Therapy, 44, 51–61. doi:10.1016/j.beth.2012.06.001.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karl J. Witt.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethics Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

This article is based on the first author’s doctoral dissertation.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Witt, K.J., Oliver, M. & McNichols, C. Counseling via Avatar: Professional Practice in Virtual Worlds. Int J Adv Counselling 38, 218–236 (2016). https://doi.org/10.1007/s10447-016-9269-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10447-016-9269-4

Keywords

Navigation