ABSTRACT To provide a structure for our thinking about the impact of digital media on our therapeutic work, I have outlined a way of organizing such thinking. I utilize the idea of the “psychodynamic functions” digital media perform within the context of our therapeutic work. Based mainly on my own experiences as a therapist, I outline 16 “psychodynamic functions,” which are the most frequent and salient ones. I provide additional structure by organizing these “psychodynamic functions” into three categories. The three categories are the “enhancing functions” that are likely to contribute to the richness of our psychoanalytic work, the “straddling functions” which are likely to have both enriching, enhancing aspects at times, along with defensive or impeding aspects at other times, and finally, the “defensive functions” which seem always to have defensive purposes. Equipped with these conceptualizations of psychodynamic functions, I consider seven detailed clinical examples of children and adolescents who have used digital media in their sessions. These examples include one patient suffering from trauma, one at a neurotic level of functioning, and five who were on the autism spectrum (either Asperger’s or high-functioning autism). I conclude with integrated reflections on the case illustrations, including discussion of how formulating the psychodynamic functions illuminates the types of in-session interventions to consider.

中文翻译：

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数字媒体在儿童/青少年时期的心理动力学功能——从干扰到增强——一种仁慈的观点

摘要：为了给我们思考数字媒体对我们治疗工作的影响提供一个结构，我概述了一种组织这种思考的方法。我利用数字媒体在我们的治疗工作背景下执行的“心理动力学功能”的概念。主要根据我自己作为治疗师的经验，我概述了 16 种“心理动力学功能”，它们是最常见和最突出的。我通过将这些“心理动力学功能”分为三类来提供额外的结构。这三类是可能有助于丰富我们的精神分析工作的“增强功能”，有时可能同时具有丰富、增强方面的“跨界功能”，以及其他时候的防御或阻碍方面，最后，似乎总是具有防御目的的“防御功能”。有了这些心理动力学功能的概念化，我考虑了七个在治疗中使用数字媒体的儿童和青少年的详细临床例子。这些例子包括一名患有创伤的患者，一名处于神经质功能水平的患者，以及五名处于自闭症谱系中的患者（阿斯伯格或高功能自闭症）。最后，我对案例插图进行了综合反思，包括讨论如何制定心理动力学功能来阐明要考虑的会期干预类型。这些例子包括一名患有创伤的患者，一名处于神经质功能水平的患者，以及五名处于自闭症谱系中的患者（阿斯伯格或高功能自闭症）。最后，我对案例插图进行了综合反思，包括讨论如何制定心理动力学功能来阐明要考虑的会期干预类型。这些例子包括一名患有创伤的患者，一名处于神经质功能水平的患者，以及五名处于自闭症谱系中的患者（阿斯伯格或高功能自闭症）。最后，我对案例插图进行了综合反思，包括讨论如何制定心理动力学功能来阐明要考虑的会期干预类型。