Abstract In this paper, we will analyze the dynamic and relational drivers behind the choice to embark on a therapy via Skype. The fear of relationships could be the origin of this choice. Can Skype be a means by which the patient’s difficulties manifest themselves? We suggest that this is possible, and we will use the case of Matilde to show it. Matilde uses relationships to see herself, as she is unable to do this alone. She tries to find herself through others and the virtual world. She prefers to skip a session because the therapist’s webcam is not working rather than having the session without them seeing each other. Can we speculate that Matilde feels lost when she is in contact with herself without an other’s mediation? What are her fears? In this case, has Skype helped or slowed down the process? How would her borderline emptiness manifest itself in a traditional session? And what does it mean to live in the virtual world for a patient who tries to find herself through others? We will try to answer all of these questions, thinking about the functionality that technology has for some patients, for the therapist, and for the therapeutic process.

中文翻译：

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Skype 作为一种受保护的方式来维持关系

摘要 在本文中，我们将分析选择通过 Skype 进行治疗背后的动态和关系驱动因素。对人际关系的恐惧可能是这种选择的起源。Skype 能否成为患者表现自己困难的一种方式？我们建议这是可能的，我们将使用 Matilde 的案例来展示它。Matilde 使用人际关系来看待自己，因为她无法独自做到这一点。她试图通过他人和虚拟世界找到自己。她更喜欢跳过一个会话，因为治疗师的网络摄像头不工作，而不是在他们没有见面的情况下进行会话。我们可以推测，当玛蒂尔德在没有他人调解的情况下与自己接触时，她会感到失落吗？她的恐惧是什么？在这种情况下，Skype 是帮助还是减缓了这个过程？她的边缘空虚将如何在传统会议中表现出来？对于试图通过他人寻找自我的患者来说，生活在虚拟世界中意味着什么？我们将尝试回答所有这些问题，思考技术对某些患者、治疗师和治疗过程的功能。