Psychotherapy by telephone

Sat Oct 25 18:28:22 CDT 2008

As a  veteran of therapy over the phone:

Please notice the confidentiality issue. The only safe line,i.e. that cannot be easily intercepted is the old fashioned corded phone. If the possibility of someone dropping on your conversation does not disturb you,skype is cheap and efficient.
anath

From: ablatner at verizon.net
To: iagp-psychodrama at yahoogroups.com
Subject: Psychotherapy by telephone
Date: Sat, 25 Oct 2008 10:01:49 -0500
CC: list at grouptalkweb.org

Dear Kate and all, a couple of points to build on 
your good work:
    1. Lots of folks are less 
electronically sophisticated and don't know what Skype is. It's an internet 
program with a built in capacity to work from a camera taking your picture (as 
moving video) and the other person has one, too, so that you see each other's 
face and it's closer to being there. You can pick up more nonverbal 
communications and respond. There are still a few elements missing, such as the 
actual presence of the other, but the point is that modern computer work has 
made it more possible than a decade ago to feel that we are in touch, at least 
for one-to-one. Perhaps even some skype conference call shots are possible, I 
don't know. 

     2. f2f  this acronym 
means face to face. I had to puzzle it out.

   3. Kate, glad you're getting good 
feedback. You deserve it. And that you'll go to Rome, I hope. Many 
encouragements! 

Warmly, Adam

  ----- Original Message ----- 
  From: 
  Dr Kate Hudgins 

  To: Haim Weinberg 
  Cc: Rosa Cukier ; Adam Blatner ; iagp-psychodrama at yahoogroups.com 

  Sent: Saturday, October 25, 2008 3:35 
  AM
  Subject: Re: [IAGP:PSYCHODRAMA] 
  Psychotherapy by telephone

Dear Rosa

  I too hope I am not too late to answer your question.  Hello Haim, 
  nice to see you in Japan!

  I have been doing internet therapy for the past few months with a client 
  in China where I am now.  I see her f2f when I am here and then each week 
  we meet by Skype.com.   She is in her office and I am in my home office 
  and we can see each other in real time.  We start out with some talking 
  and get a contract for the session and then I set up an action sequence with 
  her.  I have to work through an interpreter but I have found that the 
  session is really almost if not as good as f2f.    we did weekly 
  sessions for two months and then I came over here again and it was amazing how 
  much change has happened during that two months.  She is much improved 
  even though she has a very severe trauma history and a dx of complex PTSD. 

  IAGP in Japan was great and I have been talked into trying to come to 
  Rome.  I hope to see you there.  Kate

  On Oct 14, 2008, at 8:14 PM, Haim Weinberg wrote:

    Dear Rosa.I hope it is not too late to answer your 
    question about psychotherapy byphone or 
    Internet. At first I thought that I have nothing to contribute tothis discussion, because you asked specifically 
    about psychodrama, but thenI had second 
    thoughts that maybe it will be helpful if I share with you myexperience and thoughts about therapy over the 
    phone or the Internet ingeneral.In Israel, where I come from, therapy by phone 
    is very rare, but in the USA,where I moved 
    lately, it is quite common. I guess that the reasons are thevast distances of that country (just as in 
    Brazil) and the fact that peoplemove and 
    relocate a lot. So when you start f2f therapy and later move toanother state - you can still continue the 
    sessions with your therapist byphone.A few patients that I have been seeing in Israel 
    wanted to continue thesessions by phone when 
    I moved to the US. We established a procedure withvery clear boundaries (a quiet room, no 
    interruptions, fixed time, etc.),and I was 
    surprised how well it went. I think that the fact that we had along term previous connection, helped a lot, and 
    when I came for vacationsto Israel (once in 
    6 months), we always met f2f.An example of 
    an event that showed me how powerful such a session can stillbe was when a patient told me on the phone: "you 
    cannot see my face rightnow, but I have 
    tears in my eyes following our talk".I am 
    sure that there are papers about phone therapy, but I cannot recall oneright now. I do recall a lecture in a conference 
    about phone therapy with apatient that was 
    in prison.I think that psychodrama presents 
    a challenge over the phone, but I am sureit 
    can be overcome. I know of attempts to do groups on the phone: At theAGPA (American Group Psychotherapy Association) 
    annual meetings, there areusually two days 
    pre-congress workshops (called Institutes). Some of themcontinue for two successive years with the same 
    participants and groupleaders. Lately, two 
    group leaders started such a two year group, andsuggested a monthly phone session with the 
    members in between the bi-annualmeetings.Regarding the Internet, the situation is more 
    complicated and involvesconfidentiality, 
    ethical and law dilemmas. There is an association thatdeals with these issues called "the 
    International Society for Mental HealthOnline (ISMHO) ***http://www.ismho.org *with suggested principles of 
    doingtherapy online http://www.ismho.org/builder/?p=page&id=214, and articlesabout cases http://www.ismho.org/builder//?p=page&id=201.Today, even very conservative psychoanalysts 
    understand that online therapyis possible. 
    Glen Gabbard, a very famous and respectful psychoanalyst,published a paper about using email during a 
    regular psychoanalysis.I hope this helps,Haim WeinbergOn Mon, Aug 4, 2008 at 4:08 PM, Rosa Cukier 
    <rosacukier at uol.com.br> wrote:> Hy Adam and 
    coleagues>> I need some help around the issue of 
    psychotherapy delivered by telephone> or 
    internet.> a.. Do you know any reference 
    of Moreno talking about delivering therapy by> telephone?> b.. Is there any article about psychodrama 
    by telephone?> c.. Is it permitted by 
    APAS law of ettics?> Thank you very much, 
    it is a new subject in Brazil and I think that in USA> and Europe it is more discussed than 
    here.>> [Non-text portions of this message have 
    been removed]>> >-- Haim Weinberg, PhDwww.group-psychotherapy.com[Non-text portions of this message have been 
    removed]__._,_.___
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