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Abstract
This discussion elaborates on the complexity that electronically mediated treatment adds to Psychoanalytic work. The author explores the fate of the body in a Skype relationship, with particular attention to dilemmas posed by work with erotic transference when the transgressive excitement of possibility – actual erotic contact between analyst and patient – is absent. Additionally using Goldberg’s understanding of the frame as contact barrier, the author considers Skype as both frame and process and elaborates on limitations posed by Skype in adjusting to the phenomenology of the clinical moment. Ways to vitalize the frame over Skype are suggested. The author’s concerns about Skype treatment with dissociated and traumatized patients are also explored, and unrecognized enactments in Ringel’s work with D are considered, as is the possibility that work over Skype with D may have reified disconnection rather than promoted is intimacy.
Notes
1 Throughout I use “Skype” as a generic term for electronically and video-mediated treatment.
Additional information
Notes on contributors
Lisa Lyons
Lisa Lyons, Ph.D., is Faculty at the NYU Post-Doctoral Program in Psychotherapy and Psychoanalysis, the Stephen Mitchell Relational Study Center, and the National Institute for the Psychotherapies. She has written on many topics including Dreams and Reverie, Psychoanalytic Love, and Integrating Relational Psychoanalysis and DBT. Publications and presentations include “Growing up in the Old Left: An Intergenerational Tale of Silence and Terror” (Studies in Gender and Sexuality, 2013), and “Dreaming in Chinese: Psychoanalysis Across Culture, Language, Time, and Space.” She is in private practice on the Upper West Side in New York City and Teaneck, New Jersey.