ABSTRACT

In this chapter, the author discusses the amplified potential for the teleanalytic setting to reveal hidden areas of the patient’s mind, to challenge the analyst’s capacity to hold a secure internal setting in the midst of the patient’s attacks upon the frame, and to unleash especially fertile material within the transference–countertransference field. She examines elements of the teleanalysis that both catapult the treatment and stand up to the critique that teleanalysis cannot achieve comparable or enhanced outcomes. Teletherapy and teleanalysis is not for the faint of heart, as the analyst must rely upon a secure internal setting in the face of varying external settings. When the analytic couple is willing and able to introduce a modification to the traditional frame by including some dimension of distance-mediated work, the people can expect these characters to be expressed vividly in relation to the teleanalytic setting itself, where they are easily detected and amenable to interpretation.