ABSTRACT

This chapter draws on author's clinical experience as an analyst and therapist and share what he have learnt through the way his work has been impacted on by new technologies. It is intended to be an exclusively personal view based on working with patients in a range of modalities: intermittent work, once-weekly psychotherapy, brief analytic therapy and four-times-weekly analysis. His work is variously carried out face to face, on the couch and occasionally via Skype with some selected patients. The chapter considers the importance of the embodied setting for the practice of psychoanalytic therapy and of psychoanalysis and the implications of this for Skype therapy. In particular, the author of the chapter shares some thoughts about why, despite its significant limitations, Skype therapy specifically can sometimes work. The chapter outlines a schematic model that aims to capture what the author think he do with his patients while using Skype.