ABSTRACT

What has come into question in our analytic practice with children and adolescents during the COVID-19 pandemic? Do the new practices related to the virtual allow the creation of a therapeutic playground and the continuity of an analytic process? In the literature, the effectiveness and the perplexities raised in teleanalysis with adults are described. Conversely, no research on the use of the virtual in child analysis is available. Given the specificity of the developmental age, the three authors present their clinical experience and theoretical and technical reflections on the remote setting with children and adolescents. Particular emphasis is given to the technical changes and to the deep meaning that these changes have had in reference to the analytic relationship. Using the Winnicottian theoretical vertex, the opposition between fetishistic and transitional use, the denial of separation and recognition of otherness in the analytic virtual space will be discussed using clinical examples. The video tool may generate in children a great excitement and unleash the infantile sexual perversions. The co-creation of an intermediate virtual playground allows sufficient psychic continuity to work on the unconscious material, and even to make emerge previous traumas that then find a chance to be worked-through.

摘要

在COVID-19大流行期间我们对儿童和青少年的分析实践中有什么疑问？与虚拟相关的新做法是否可以创建治疗场所和分析过程的连续性？在文献中，描述了成人远程分析的有效性和困惑。相反，目前尚无关于在儿童分析中使用虚拟技术的研究。鉴于发育年龄的特殊性，三位作者介绍了他们在儿童和青少年偏远地区的临床经验以及理论和技术反思。特别强调技术更改以及这些更改相对于分析关系所具有的深层含义。使用Winnicottian理论顶点，拜物教和过渡使用之间的对立，分析虚拟空间中对分离性的否认和对异性的认识将通过临床实例进行讨论。该视频工具可能会给孩子带来极大的兴奋，并释放出婴儿的性变态。中间虚拟游乐场的共同创建使足够的心理连续性可以在无意识的材料上工作，甚至可以产生以前的创伤，然后找到机会进行锻炼。