DIGITAL PLATFORMS AND MENTAL HEALTH: A CRITICAL REVIEW WITH A CASE STUDY ON NIGHT-TIME TELEPSYCHOLOGY (TILL NIGHT THERAPY)
DOI:
https://doi.org/10.29121/ijetmr.v12.i6.2025.1620Keywords:
Digital Psychology, Emental Health, Digital Mental Health, Telepsychology, Mhealth, Artificial Intelligence, Virtual Reality, Mental Health, Clinical Efficacy, Ethics, Regulation, Cybersecurity, Big Data, Informed Consent, Therapeutic Alliance, Digital Setting, Psychological Support, Counseling, PsychotherapyAbstract
The relentless evolution of digital technologies has ushered in an epochal shift in the paradigm of mental health, opening up unprecedented horizons for clinical practice, scientific investigation, and training in psychology. This contribution presents a critical, epistemologically grounded review of the scientific literature concerning digital platforms applied to psychology – rectius: eMental Health – with a particular focus on their applications, evidence of effectiveness, implementation challenges, and ethical and deontological implications. The various types of platforms are analyzed in extenso, including telepsychology, mobile mental health applications (mHealth), artificial intelligence (AI)-based interventions, and virtual reality (VR) and augmented reality (AR) applications, with an in-depth exegesis of the terminology and definitions in use. The analysis highlights the transformative potential of digital platforms in optimizing the accessibility, personalization, and effectiveness of psychological interventions; ex adverso, it highlights the need to address crucial issues related to quality, data security, regulation, and equity of access. The case of Till Night Therapy, an innovative Italian startup offering online psychological support and psychotherapy services during night-time hours, is presented, illustrating its strategic positioning and distinctive features. The epistemological and operational distinction between psychological support (counseling) and psychotherapy is also explored in depth, emphasizing the importance of a clear demarcation of their respective areas of intervention. It concludes with an examination of future research directions and implications for the training of mental health professionals, in the context of a hyper-digitalized society.
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Alessandri, G., Aschieri, F., Bobbio, A., Daini, R., Laghi, F., Lis, A., Nucci, M., Parolin, L., & Traficante, D. (Eds.). (2020). Linee Guida Per l'Assessment AI Tempi Del Coronavirus.
American Psychological Association. (2013). Guidelines for the Practice of Telepsychology. American Psychologist, 68(9), 791–800. https://doi.org/10.1037/a0035001
Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014). Guided Internet-Based vs. Face-to-Face Cognitive Behavior Therapy for Psychiatric and Somatic Disorders: A Systematic Review and Meta-Analysis. World Psychiatry, 13(3), 288–295. https://doi.org/10.1002/wps.20151
Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Cartwright, M., Ratichek, S., ... & Thorp, S. R. (2012). Videoconferencing Psychotherapy: A Systematic Review. Psychological Services, 9(2), 171–188. https://doi.org/10.1037/a0027924
Barnett, J. E. (2018). The Ethical Practice of Tele-Mental Health. In The Oxford Handbook of Psychologists’ Ethical Competencies (pp. 347–362). Oxford University Press.
Cuijpers, P., Karyotaki, E., Van Straten, A., & Baumeister, H. (2021). Psychotherapy for Depression Across Different Delivery Formats: A Network Meta-Analysis. World Psychiatry, 20(2), 209–223.
De Stefano, J., & Gaudiuso, F. (2017). Il Counselling Psicologico: Ruolo, funzione, competenza. Giornale Italiano Di Psicologia, 43(3).
Deci, E. L., & Ryan, R. M. (2000). The “What” and “Why” of Goal Pursuits: Human Needs and the Self-Determination of Behavior. Psychological Inquiry, 11(4), 227–268. https://doi.org/10.1207/S15327965PLI1104_01
Donker, T., Petrie, K., Proudfoot, J., Clarke, J., Birch, M. R., & Christensen, H. (2013). Smartphones for Smarter Delivery of Mental Health Programs: A Systematic Review. Journal of Medical Internet Research, 15(11), e247. https://doi.org/10.2196/jmir.2791
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The Impact of Enhancing Students’ Social and Emotional Learning: A Meta-Analysis of School-Based Universal Interventions. Child Development, 82(1), 405–432. https://doi.org/10.1111/j.1467-8624.2010.01564.x
Fiske, A., Henningsen, P., & Buyx, A. (2019). Your Robot Therapist will See You Now: Ethical Implications of Embodied Artificial Intelligence in Psychiatry, Psychology, and Psychotherapy. Journal of Medical Internet Research, 21(5), e13216. https://doi.org/10.2196/13216
Gati, I., & Levin, N. (2014). Counseling for Career Decision-Making Difficulties. In The Oxford Handbook of Career Counseling. Https://doi.org/10.1002/J.2161-0045.2014.00073.x
Gradisar, M., Gardner, G., & Dohnt, H. (2011). Recent Worldwide Sleep Patterns and Problems During Adolescence: A Review and Meta-Analysis of Age, Region, and Sleep. Sleep Medicine, 12(2), 110–118. https://doi.org/10.1016/j.sleep.2010.11.008
Harvey, A. G. (2011). A Cognitive Model of Insomnia. Behaviour Research and Therapy, 49(9), 519–525.
Hawkley, L. C., & Cacioppo, J. T. (2010). Loneliness Matters: A Theoretical and Empirical Review of Consequences and Mechanisms. Annals of Behavioral Medicine, 40(2), 218–227. https://doi.org/10.1007/s12160-010-9210-8
Huckvale, K., Torous, J., & Larsen, M. E. (2019). Assessment of the Data Sharing and Privacy Practices of Smartphone Apps for Depression and Smoking Cessation. JAMA Network Open, 2(4), e192542. https://doi.org/10.1001/jamanetworkopen.2019.2542
Kazdin, A. E., & Blase, S. L. (2011). Rebooting Psychotherapy Research and Practice to Reduce the Burden of Mental Illness. Perspectives on Psychological Science, 6(1), 21–37. https://doi.org/10.1177/1745691610393527
Larsen, M. E., Huckvale, K., Nicholas, J., Torous, J., Birrell, L., Grey, E., & Newton, N. C. (2019). Using Science to Sell Apps: Evaluation of Mental Health App Store Quality Claims. NPJ Digital Medicine, 2, 18. https://doi.org/10.1038/s41746-019-0093-1
Luxton, D. D. (2014). Artificial Intelligence in Psychological Practice: Current and Future Applications and Implications. Professional Psychology: Research and Practice, 45(5), 332–339. https://doi.org/10.1037/a0034559
Mercadal Rotger, J., & Cabré, V. (2022). Therapeutic Alliance in Online and Face-to-Face Psychological Treatment: Comparative Study. JMIR Mental Health, 9(5), e36775. https://doi.org/10.2196/36775
Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013). Behavioral Intervention Technologies: Evidence Review and Recommendations for Future Research in Mental Health. General Hospital Psychiatry, 35(4), 332–338. https://doi.org/10.1016/j.genhosppsych.2013.03.008
O'neil, C. (2016). Weapons of Math Destruction: How Big Data Increases Inequality and Threatens Democracy. Crown.
Parolin, L. (2024). Aspetti Giuridicie Deontologici Della Terapia Online. JPS, 8(2), 75–80.
Parsons, T. D., & Rizzo, A. A. (2008). Affective Outcomes of Virtual Reality Exposure Therapy for Anxiety and Specific Phobias: A Meta-Analysis. Journal of Behavior Therapy and Experimental Psychiatry, 39(3), 250–261. https://doi.org/10.1016/j.jbtep.2007.07.007
Rees, C. S., & Stone, S. (2005). Therapeutic Alliance in Face-to-Face Versus Videoconferencing Psychotherapy. Professional Psychology: Research and Practice, 36(6), 649–653. https://doi.org/10.1037/0735-7028.36.6.649
Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., ... & Spiegelhalder, K. (2017). European Guideline for the Diagnosis and Treatment of Insomnia. Journal of Sleep Research, 26(6), 675–700. https://doi.org/10.1111/jsr.12594
Riva, G., Baños, R. M., Botella, C., Mantovani, F., & Gaggioli, A. (2016). Transforming Experience: The Potential of Augmented Reality and Virtual Reality for Enhancing Personal and Clinical Change. Frontiers in Psychiatry, 7, 164. https://doi.org/10.3389/fpsyt.2016.00164
Rogers, C. R. (1957). The Necessary and Sufficient Conditions of Therapeutic Personality Change. Journal of Consulting Psychology, 21(2), 95–103. https://doi.org/10.1037/h0045357
Shore, J. H., Yellowlees, P., Caudill, R., Johnston, B., Turvey, C., Mishkind, M., ... & Hilty, D. M. (2018). Telepsychiatry and the Widening Gap in Access to Mental Health Services. JAMA Psychiatry, 75(12), 1183–1184.
Torous, J., Bucci, S., Bell, I. H., Kessing, L. V., Faurholt‐Jepsen, M., Whelan, P., ... & Firth, J. (2021). The Growing Field of Digital Psychiatry: Current Evidence and the Future of Apps, Social Media, Chatbots, and Virtual Reality. World Psychiatry, 20(3), 318–335. https://doi.org/10.1002/wps.20883
Torous, J., Myrick, K. J., Rauseo-Ricupero, N., & Firth, J. (2019). Digital Mental Health and COVID-19: Using Technology Today to Accelerate the Curve on Access and Quality Tomorrow. JMIR Mental Health, 7(3), e18848. https://doi.org/10.2196/18848
Torous, J., Roberts, L. W., & the APA Committee on Mental Health Information Technology. (2018). Needed Innovation in Digital Health and Smartphone Applications for Mental Health: Transparency and Trust. JAMA Network Open, 1(7), e184391.
VandenBos, G. R. (Ed.). (2013). APA Handbook of Clinical Psychology: Vol. 5. Education and Profession. American Psychological Association.
Vis, C., Mol, M., Kleiboer, A., Bührmann, L., Finch, T., Smit, J., & Riper, H. (2018). Improving Implementation of E-Mental Health for Mood Disorders in Routine Practice: Systematic Review of Barriers and Facilitating Factors. JMIR Mental Health, 5(1), e20. https://doi.org/10.2196/mental.9769
Vitale, F. (2023). Il Cervello Traumatizzato: Diagnosi E Trattamento Dell'amnesia Dissociativa. Primiceri Editore.
Vitale, F. (2025). Attachment to Dysfunctional Family Situations: A Psychological and Sociological Analysis. Shodhsamajik: Journal of Social Studies, 2(1), 8–16. https://doi.org/10.29121/ShodhSamajik.v2.i1.2025.12
Wiederhold, B. K. (2020). Transparency, Explainability, and Artificial Intelligence—Oh my! Cyberpsychology, Behavior, and Social Networking, 23(8), 507–508.
World Health Organization. (2022). World Mental Health Report: Transforming Mental Health for All. World Health Organization.
Wright, J. H., Owen, J. J., Richards, D., Eells, T. D., Richardson, T., Brown, G. K., ... & Thase, M. E. (2019). Computer-Assisted Cognitive-Behavior Therapy and Mobile Apps for Depression: A Randomized Controlled Trial. The Journal of Clinical Psychiatry, 80(2), 19–27. https://doi.org/10.4088/JCP.18r12188
Yardley, L., Spring, B. J., Riper, H., Morrison, L. G., Crane, D. D., Curtis, C. J., ... & Christensen, H. (2015). Integrating Psychology and Technology: A Four-Phase Translational Model. Clinical Psychological Science, 3(1), 76–88.
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