ABSTRACT

Increased worldwide mobility and easy access to technology means that the use of technological mediation for treatment is being adopted rapidly and uncritically by psychoanalysts and psychoanalytic psychotherapists. Despite claims of functional equivalence between mediated and co-present treatments, there is scant research evidence to advance these assertions. Can an effective therapeutic process occur without physical co-presence? What happens to screen-bound treatment when, as a patient said, there is no potential to "kiss or kick?" Our most intimate relationships, including that of analyst and patient, rely on a significant implicit non-verbal component carrying equal or possibly more weight than the explicit verbal component. How is this finely-nuanced interchange affected by technologically-mediated communication? This book draws on the fields of neuroscience, communication studies, infant observation, cognitive science and human/computer interaction to explore these questions. It finds common ground where these disparate disciplines intersect with psychoanalysis in their definitions of a sense of presence, upon which the sense of self and the experience of the other depends.

part 1|66 pages

On the Frontiers

chapter 1|8 pages

The western frontier

chapter 3|24 pages

Mapping the digital frontier

part 2|117 pages

In the Consulting Room and the Research Laboratory

chapter 4|10 pages

What happens in the consulting room

part 3|31 pages

On the Screen

chapter 7|13 pages

The mediating device

chapter 8|16 pages

The problem of presence

part 4|11 pages

Making a Place for Screen Relations

chapter 9|9 pages

Sometimes it works …

chapter 10|7 pages

The elephant in the room

chapter 11|8 pages

The toothpaste and the tube

chapter 12|7 pages

To be in the presence of someone