Which of the following is an ethical concern associated with "telephone therapy"?

The ethical concern associated with telephone therapy primarily revolves around the loss of visual and other non-verbal information. In traditional face-to-face therapy, therapists can interpret a client's body language, facial expressions, and other non-verbal cues that provide essential context to the verbal communication. This visual information can enhance the therapeutic relationship and contribute to understanding the client’s emotional state.

When therapy is conducted over the phone, these non-verbal signals are largely absent, which can hinder the therapist's ability to accurately gauge a client's feelings and reactions. This limitation may lead to misinterpretation of the client's concerns or the subtleties of their emotional experiences. Consequently, the therapeutic process may become less effective, raising ethical concerns about informed consent, client welfare, and the overall quality of care.

High client satisfaction, improved accessibility, and lower costs are typically viewed as benefits of telephone therapy and do not inherently raise ethical concerns. While they positively impact service delivery, the lack of non-verbal communication is a significant ethical issue that therapists must consider when choosing the most appropriate modality for therapy.