Technology-assisted Psychoanalysis

J Am Psychoanal Assoc. 2013 Jun;61(3):491-510. doi: 10.1177/0003065113485423. Epub 2013 Apr 18.


Teleanalysis-remote psychoanalysis by telephone, voice over internet protocol (VoIP), or videoteleconference (VTC)-has been thought of as a distortion of the frame that cannot support authentic analytic process. Yet it can augment continuity, permit optimum frequency of analytic sessions for in-depth analytic work, and enable outreach to analysands in areas far from specialized psychoanalytic centers. Theoretical arguments against teleanalysis are presented and countered and its advantages and disadvantages discussed. Vignettes of analytic process from teleanalytic sessions are presented, and indications, contraindications, and ethical concerns are addressed. The aim is to provide material from which to judge the authenticity of analytic process supported by technology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Creativity
  • Defense Mechanisms
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Female
  • Humans
  • Internet*
  • Male
  • Physician-Patient Relations
  • Projection
  • Psychoanalytic Therapy / methods*
  • Remote Consultation / methods*
  • Social Distance
  • Social Environment
  • Telephone*
  • Therapy, Computer-Assisted*
  • Transference, Psychology
  • Videoconferencing*