ABSTRACT

This article presents Intersubjectivity and Intersectionality, theoretical frameworks used to guide telemental health during a pandemic that has underscored issues of power and privilege. Intersubjectivity is a meta-theory of psychoanalytic psychotherapy that examines the interplay between subjectivities in the clinician/client relationship. Intersectionality addresses the importance of an intersectional understanding of the identity categories that inform intersubjectivity. This includes examining internalized societal relations, unconscious accommodations to oppressive social structures, and inequalities that may be implicitly enacted in therapeutic practices.

The freedom to address these challenges is discussed in “third space” conversations, the interactional therapeutic field where the clinician’s and the client’s social identities and subjective attitudes are present and influential.

The sudden move to telemental health provides the opportunity to examine the impact of this transition, clinically significant in addressing issues of privilege related to work from home, exposure to illness, flexibility in scheduling, access to telemental health, mental health challenges, and resilience during a pandemic that is both personal and collective.

摘要

本文介绍了主体间性和交叉性，这是在强调权力和特权问题的大流行期间用于指导远程心理健康的理论框架。主体间性是一种精神分析心理治疗的元理论，它检查临床医生/客户关系中主体之间的相互作用。交叉性解决了对告知主体间性的身份类别的交叉理解的重要性。这包括检查内化的社会关系、对压迫性社会结构的无意识适应，以及治疗实践中可能隐含的不平等。

在“第三空间”对话中讨论了应对这些挑战的自由，这是临床医生和客户的社会身份和主观态度存在并具有影响力的互动治疗领域。

突然转向远程心理健康提供了检查这种转变的影响的机会，在解决与在家工作相关的特权问题上具有临床意义一种既是个人又是集体的流行病。