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Analyzing from Home: The Virtual Space as a Flexible Container.

Elizabeth J Levey¹

¹Staff Psychiatrist at the Chester M. Pierce M.D. Division of Global Psychiatry at Massachusetts General Hospital, Instructor in the Department of Psychiatry at Harvard Medical School, and Assistant Professor of Clinical Psychiatry at the Institute for Juvenile Research at the University of Illinois College of Medicine.

Psychodynamic Psychiatry

|September 3, 2021

Summary

Teleanalysis during COVID-19 altered psychoanalytic treatment dynamics. The shift to remote work impacted embodied relating and intimacy, creating new avenues for meaning-making in psychoanalysis.

Keywords:

COVID-19 couch embodiment intersubjective relating teleanalysis telepsychotherapy teletherapy

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Area of Science:

Psychoanalysis
Psychology
Neurobiology

Background:

The COVID-19 pandemic necessitated a rapid shift to teleanalysis for many psychoanalytic dyads.
This transition raised questions about the fundamental differences between in-person and remote therapeutic interactions.

Purpose of the Study:

To explore the patient and analyst experience of teleanalysis during the COVID-19 pandemic.
To examine the impact of technologically mediated interaction on embodied intersubjective relating and social engagement.

Main Methods:

Qualitative exploration of teleanalysis experiences.
Comparative analysis of in-person versus remote psychoanalytic interaction.
Consideration of nonverbal communication and sensory input in remote settings.

Main Results:

Teleanalysis altered the traditional psychoanalytic frame, affecting notions of distance and intimacy.
The shift to remote work impacted affective coregulation, previously reliant on multiple nonverbal modalities.
New spaces for co-creating meaning emerged within the teleanalytic setting.

Conclusions:

The pandemic-induced teleanalysis offers a unique opportunity to deepen the understanding of psychoanalytic treatment.
Further engagement with teleanalysis is crucial for enhancing our knowledge of its impact on the therapeutic process.
The experience of teleanalysis challenges and expands traditional psychoanalytic concepts.