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May 17, 2026Psychotherapy0 citations

Microprocesses predicting early emotional bond in videoconferencing and face-to-face psychotherapy.

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DFDiego Fernández-ReguerasACAna Calero-ElviraMGM. Cristina Guerrero-Escagedo

Key Points

  • This study aims to identify how therapist behaviors influence the emotional bond in videoconferencing versus face-to-face psychotherapy.
  • Used Bayesian logistic regression models to analyze therapist-client interactions and emotional bond.
  • Compared effects of therapist behaviors across videoconferencing and face-to-face modalities.
  • Assessed sequences of client agreement/disagreement with therapist behaviors.
  • Empathy predicted a weaker bond in videoconferencing; however, sequences of empathy followed by client agreement strengthened the bond.
  • Active listening combined with client agreement also enhanced the bond specifically in videoconferencing.
  • Joking and recalling client information correlated with a strong bond in videoconferencing, while early therapist disagreement weakened bonds across both modalities.

Abstract

. Bayesian logistic regression models assessed whether therapist behaviors and therapist-client sequences predicted alliance and their interaction with modality (VCP and face-to-face). Empathy alone predicted weaker bond in VCP, whereas sequences where it was followed by clients' agreement predicted bond more strongly in VCP. Active listening followed by client agreement also predicted stronger bond only in VCP, while both behaviors followed by client disagreement predicted weaker bond across modalities. Joking and accurate recall of prior client information were particularly associated with strong bond in VCP, whereas early therapist disagreement predicted weaker bond across modalities. Findings indicate that precise, accurate, and context-sensitive verbal interactions are especially critical for fostering emotional bond in VCP, where nonverbal cues are limited. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

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Cite This Study

Fernández-Regueras et al. (2026) studied this question.

synapsesocial.com/papers/6a095a427880e6d24efe06f3https://doi.org/10.1037/pst0000623
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