ABSTRACT

This paper examines some of the challenges involved in working via tele video in Melbourne Australia during the Covid-19 pandemic. Several factors are identified that contribute to the success of tele video with patients. These include the maintenance of a clinical stance that enables a direct managing of the issues of boundaries and space in the tele video setting. Despite the author’s earlier reservations, the tele video experience has identified how powerfully transference issues are communicated and how these appear to transcend what we may have assumed to be the limitations of the tele video setting. Attention is paid to what is seen, revealed, and recognised during the tele video sessions and how these elements contribute to creating a three-dimensional experience within a two-dimensional space. The question of carrying out assessment and diagnosis online is discussed in the context of work with adolescents to clearly delineate between ordinary transient reactions and pathological or prodromal reactions in the adolescent.

摘要

本文探讨了在Covid-19大流行期间在澳大利亚墨尔本通过远程视频进行工作所涉及的一些挑战。确定了几个有助于患者进行远程视频成功的因素。这些措施包括维持临床立场，从而可以直接管理电视视频环境中的边界和空间问题。尽管作者有较早的保留，但电视视频的经验已经确定了如何有效地传达转移问题，以及这些问题似乎如何超越了我们认为是电视视频设置的局限性。注意在电视会议期间看到，显示和识别的内容，以及这些元素如何有助于在二维空间内创建三维体验。