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E-raamat: Distance Psychoanalysis: The Theory and Practice of Using Communication Technology in the Clinic

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Many analysts around the world have found themselves in a situation of continuing (or even beginning) psychoanalytic treatment from a distance - either by telephone or other means of communication. No one has found the courage, however, to recognize this as a formal method, as Ricardo Carlino does in this brave, honest, and rigorous book. Freud's ingenious structure of the couch and chair was considered to be the only suitable format for more than one hundred years. Carlino's lucid book takes into account the changes that have taken place in our daily lives, as the result of the resounding technological changes that have influenced our means of communication. Carlino has had the courage to assimilate the changes that have come about in the modern world and argues that Freud's psychoanalytic method can continue to be applied in this new setting. The analytic system, with a patient freely associating his/her occurrences, together with an analyst who listens in silence and communicates his/her interpretation, has remained unaltered.
Acknowledgements xiii
About The Author xv
Prologue For The Spanish Edition xvii
Introduction xxiii
Chapter One Socio-Cultural transformations: their influence on psychoanalysis 1(14)
1 Base logic
1(3)
2 The horror towards what's different
4(1)
3 Why distance psychoanalysis?
5(5)
a Reasons linked to order and social values
7(2)
b Professional reasons
9(1)
4 Influence of technology in the analytical framework
10(2)
5 The use of communication technology and its psychological repercussion
12(1)
6 Legal aspects
13(2)
Chapter Two Technology and its influence on subjectivity 15(16)
1 Reality: its presentations and its representations
15(10)
a Virtuality
18(3)
b Language and virtualization of thought
21(3)
c Greater concept of "psychic reality"
24(1)
2 Subjectivity, socio-cultural transformations, and technological advances
25(2)
3 The advent of the "global village"
27(1)
4 Digital natives, digital immigrants
28(3)
Chapter Three Communication technology and its articulation with clinical psychoanalysis 31(28)
1 About communication technology
32(12)
a Necessary skills for the managing of communication technology
33(2)
b Preconceived ideas about the function and use of the telephone
35(1)
c Structure of the transmission of voice by telephone
36(5)
α Realism through telephone dialogue
36(1)
β "The real" and "the virtual" of the voice
37(1)
γ The ubiquitous location of the voice
37(1)
δ Transformation and technological transmission of the voice
38(1)
epsilon The semantic process
39(2)
d Inclusion of a television camera: uses and implications
41(3)
2 New clinical conceptions: do they promote new theories?
44(5)
a Influence of the arrival of new paradigms
45(1)
b "Mirror neurons": interaction and inter-effect of their roles
46(3)
3 Critical opinions: a brief history
49(4)
4 Distance as a critical element
53(3)
a Possibilities offered by communication technology
54(1)
b Communication technology in psychoanalytic treatment
55(1)
5 Warnings and recommendations
56(3)
Chapter Four Theory of the technique of distance psychoanalysis 59(56)
Similarities and differences between distance psychoanalysis and analysis performed in the analyst's office
62(3)
1 Conceptual spaces in which the analytic dialogue and process take place
65(3)
2 Analytic dialogue from different surroundings
68(2)
3 Specificities arising from the different aspects of each applied method
70(4)
4 Initial interviews
74(12)
a The "analytic contract"
75(3)
b Purposes of the analytic contract
78(2)
c "Assent"
80(1)
d "Consent"
80(1)
e "Dissent"
81(2)
f Mutually agreed commitment
83(3)
5 The analytic situation
86(4)
a Framework
86(1)
b Process
87(1)
c The Fundamental Rule
87(3)
6 Transference-Countertransference
90(3)
7 Session ambience
93(1)
8 About the "silences"
94(3)
a The patient's silence
96(1)
b The analyst's silence
97(1)
9 About privacy
97(4)
a Minimum conditions of privacy
99(1)
b Electronic recording of the sessions
100(1)
10 Technological provisions for adequate communication
101(1)
11 Conceptual evolution of the idea of "presence"
101(5)
a The idea of "presence" in distance treatments
102(1)
b Communicative presence
103(3)
12 Role of the body in the psychoanalytic session
106(2)
13 Consequences of the blocking of visual perception
108(7)
Chapter Five Scope and limits of analysis carried out with communication technology 115(34)
1 Framework "Procrustean bed" or according to "analyst-patient-analysis"
116(1)
2 Focusing implies broadening one's view by narrowing one's sight
117(3)
3 Reasons for existence and persistence of distance analysis
120(8)
a Extending the possibilities of choice
123(1)
b Rationally justified reasons
124(1)
c Various kinds of disabilities
124(1)
d The psychopathological identity of the prospective patient
125(2)
e Economic motivations
127(1)
f Reasons of time
127(1)
g Instability of residence
127(1)
h Other determining factors involved in the choice
128(1)
4 What and who can be considered "known" or "unknown" patients?
128(5)
5 Technical and epistemological reflections
133(7)
a Systemic changes
134(1)
b Clinical psychoanalysis outside the analyst's office
134(1)
c Semantics and type of communication
134(6)
6 Characteristics of the voice in distance analytic dialogue
140(2)
7 Additional diagnostic resources
142(1)
8 Indications: contraindications
142(3)
9 Termination of distance psychoanalysis
145(4)
Chapter Six Clinical anecdotes 149(18)
1 Analyst A
149(4)
2 Analyst B
153(3)
3 Vignette 1
156(4)
Influence of social and professional paradigms
156(4)
4 Vignette 2
160(2)
Experience of (a type of) "reality", or delusional experience?
160(2)
5 Vignette 3
162(1)
Non-conscious motivations involved in requesting distance analysis
162(1)
6 Vignette 4
163(1)
Feelings and fantasies of the analyst, which are not subject to Countertransference
163(1)
7 Vignette 3
164(3)
Disinhibition achieved through telephone analysis
164(3)
Chapter Seven Clinical psychoanalysis carried out in written form 167(24)
1 The written word in distance analytic dialogue
167(2)
2 Ideas and emotions expressed in writing
169(3)
Secondary and tertiary processes
171(1)
3 Writing as clinical material and interpretative input
172(1)
4 Technical communication resources
173(2)
5 Current tasks of the analyst
175(1)
6 The clinical material and its "transformations"
176(5)
7 Specific qualities depending on the method used
181(5)
a email
181(3)
α The fundamental rule
182(1)
β Free-floating attention
183(1)
γ The analytic setting in diachronic communication analysis
183(1)
b Written chat through the internet
184(2)
α The fundamental rule
185(1)
β Free-floating attention
185(1)
8 Privacy conditions
186(1)
9 Self-analysis
187(2)
10 Acceptance and/or indication
189(2)
Chapter Eight Public and private law considerations of distance psychoanalysis 191(8)
1 Can psychoanalysis be conducted without knowing the full identity of the patient?
191(2)
2 In which country are the psychoanalytic activities carried out?
193(1)
3 Tax obligations
194(2)
4 Criminal matters
196(3)
Epilogue 199(2)
References 201(8)
Index 209
Ricardo Carlino