Testing Via The Internet: What About The Relationship?
Computing Clinic (Rosen)
Testing Via The Internet: What About The Relationship?
by Mark H. Waugh, Ph.D., 5/19/97
No doubt psychological testing services will emerge
within the internet. It would seem crucially important for
the protection of the public and the profession's integrity
that standards be developed. I know the web is a domain
where the "cowboy" spirit is alive and well, but when it
comes to health services, prudence is importance.
A concern I have about assessment via the internet is
the loss of clinical information from the format. There is
no substitute for several hours face to face with a trained,
sensitive, observant, and empathic evaluator--both in acquiring meaningful data and in making the testing situation one in which the individual learns and benefits
(i.e., is a therapeutic experience). Perhaps with greater
development of interactive technology, including video links
and more, the relational and interactional component of a
comphrensive assessment may be captured. Of course, privacy
standards would need to be foolproof in the use of the internet in these ways. And, I suspect that this would be
a significant technical problem (I understand that in Silicon Valley there is effort underway to develop finger
print based encryption lock and key systems, etc.). But,
these very issues bring in concerns about larger, societal
regulatory and control processes affecting individual
privacy matters, as in, for example, health industry interest in data on individuals' records for profiling
and all). There are technical, professional, and ethical
issues that do need to be grappled with. Psychology as
a profession, in my opinion, ought to be addressing this,
but not be too quick to trade away privacy to commercialism
(see Bollas' recent book on the mental health professions'
relinquishing of their committment to the private and
confidential nature of the psychotherapy realtionship).